Delta County Memorial Hospital
Delta County Memorial Hospital in Delta, CO publishes cash prices for 256 common procedures listed here, from its own machine-readable price file updated Aug 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 248 of 253 procedures and above it for 5. By typical cash price it ranks #5 of 50 Colorado hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1501 E 3RD ST, DELTA, CO 81416 Collected Nov 5, 2026 Source price file Check a bill from this hospital (970) 874-7681
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 060071 · CMS hospital register NPI 1417935446
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Delta County Memorial Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
State law
This state limits hospital bills for lower-income patients
Colorado's Hospital Discounted Care law (HB21-1198): for qualifying patients with household income at or below 250% of the federal poverty level, hospitals and the clinicians who work in them may charge no more than the greater of the Medicare rate or the Medicaid base rate, and monthly payments are capped. That can be less than the cash prices below; ask the hospital to screen you for discounted care. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Delta County Memorial Hospital in Delta, CO:
- Oct 1, 2024 Warning notice
- Jan 8, 2025 Corrective action plan requested
- Apr 11, 2025 Corrective action plan requested
- Apr 24, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO CONT (ABDB) | $988.40 | $2,470.99 | $185.03–$2,421.57 | 57% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $181.34 | $453.34 | $72.88–$444.27 | 48% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS RT | $134.50 | $336.26 | $72.88–$329.53 | 59% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS LT | $134.50 | $336.26 | $72.88–$329.53 | 59% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W O LT | $593.36 | $1,483.40 | $110.28–$1,453.73 | 65% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W O CONT RT | $593.36 | $1,483.40 | $110.28–$1,453.73 | 65% below | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM | $250.11 | $625.27 | $72.88–$612.76 | 61% below | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE WHOLE BODY (BONW) | $800.08 | $2,000.21 | $421.71–$1,960.21 | 61% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE RT | $129.44 | $323.59 | $110.28–$380.00 | 70% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE LT | $129.44 | $323.59 | $110.28–$380.00 | 70% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED UNILAT | $82.42 | $206.06 | $82.42–$380.00 | 81% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED LT | $91.80 | $229.50 | $91.80–$380.00 | 79% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED RT | $91.80 | $229.50 | $91.80–$380.00 | 79% below | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ABDOMEN PELVIS ANGIO | $870.61 | $2,176.52 | $368.02–$2,132.99 | 69% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W CONTRAST | $1,049.58 | $2,623.95 | $185.03–$2,809.17 | 55% below | 60% |
| CT angiography (CTA) of the head CPT 70496 STROKE HEAD AND NECK ANGIO | $1,146.60 | $2,866.50 | $185.03–$2,809.17 | 51% below | 60% |
| CT angiography (CTA) of the neck CPT 70498 CT CAROTID ANGIO | $823.97 | $2,059.92 | $185.03–$2,018.72 | 65% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST ANGIO(PEAORTA)(CTAC) | $1,058.66 | $2,646.66 | $185.03–$2,593.73 | 56% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PEL W O | $1,329.88 | $3,324.71 | $251.70–$3,258.22 | 38% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONT (ABPE) | $1,645.70 | $4,114.26 | $368.02–$4,031.97 | 37% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W CONTRAST | $1,645.70 | $4,114.26 | $368.02–$4,031.97 | 37% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS W WO CONTRAST | $1,840.87 | $4,602.17 | $368.02–$4,510.13 | 47% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PEL W WO HEMATURIA(APWW | $1,840.87 | $4,602.17 | $368.02–$4,510.13 | 47% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $862.30 | $2,155.74 | $185.03–$2,112.63 | 59% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONT (ABDW) | $862.30 | $2,155.74 | $185.03–$2,112.63 | 59% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W O CONTRAST (ABWO) | $736.41 | $1,841.03 | $110.28–$1,804.21 | 48% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL W O CONT | $518.22 | $1,295.55 | $110.28–$2,246.20 | 61% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS (SINU) | $916.82 | $2,292.04 | $110.28–$2,246.20 | 31% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W O CONTRAST (HDWO) | $658.57 | $1,646.43 | $110.28–$1,613.50 | 53% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 STROKE HEAD W OUT CONTRAST | $658.57 | $1,646.43 | $110.28–$1,613.50 | 53% below | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST (HDWC) | $810.80 | $2,027.00 | $185.03–$1,986.46 | 53% below | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W WO CONTRAST (HDWW) | $912.82 | $2,282.06 | $185.03–$2,236.42 | 56% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W O CONT (LSWO | $764.05 | $1,910.12 | $110.28–$1,871.92 | 53% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W O CNT(CSWO | $916.82 | $2,292.04 | $110.28–$2,246.20 | 40% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST (PELW) | $807.99 | $2,019.98 | $185.03–$1,979.58 | 61% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX | $595.24 | $1,488.10 | $213.76–$1,458.34 | 65% below | 60% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W WO CONTRAST (THWW) | $1,164.70 | $2,911.75 | $185.03–$2,853.52 | 44% below | 60% |
| Chest X-ray, 2 views CPT 71046 CHEST DECUBITUS | $102.27 | $255.68 | $72.88–$343.18 | 66% below | 60% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $140.07 | $350.18 | $72.88–$343.18 | 54% below | 60% |
| Chest X-ray, 2 views CPT 71046 CHEST (MINE) 2 VIEWS PRE-EMP | $140.07 | $350.18 | $72.88–$343.18 | 54% below | 60% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $91.80 | $229.50 | $72.88–$333.14 | 65% below | 60% |
| Chest X-ray, single view CPT 71045 BABYGRAM | $135.98 | $339.94 | $72.88–$333.14 | 49% below | 60% |
| Chest X-ray, single view CPT 71045 CHEST (MINE) | $135.98 | $339.94 | $72.88–$333.14 | 49% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT | $109.41 | $273.53 | $72.88–$268.06 | 63% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT | $109.41 | $273.53 | $72.88–$268.06 | 63% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $412.67 | $1,031.67 | $110.28–$1,011.04 | 39% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMPLETE | $412.67 | $1,031.67 | $110.28–$1,011.04 | 39% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA W O WRIST | $179.76 | $449.40 | $101.03–$440.41 | 65% below | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) one side CPT 77081 DEXA ARM W WRIST RT | $87.78 | $219.45 | $87.78–$250.00 | 77% below | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) one side CPT 77081 DEXA ARM W WRIST LT | $87.78 | $219.45 | $87.78–$250.00 | 77% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W O CONTRAST (THWO) | $675.20 | $1,688.00 | $110.28–$1,654.24 | 55% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST (THWC) | $828.50 | $2,071.26 | $185.03–$2,029.83 | 56% below | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMM BILATERAL DIAG | $161.60 | $404.00 | $64.48–$400.00 | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMM UNILAT LT DIAG | $126.20 | $315.50 | $64.48–$400.00 | 55% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMM UNILAT RT DIAG | $126.20 | $315.50 | $64.48–$400.00 | 55% below | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX V A FLOW BIL | $423.03 | $1,057.57 | $213.76–$1,036.42 | 82% below | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN DOPPLER BILATERAL | $570.32 | $1,425.81 | $213.76–$1,397.29 | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D M MODE AND COLOR DOPPLER | $1,144.62 | $2,861.54 | $576.40–$2,804.31 | 47% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT | $91.80 | $229.50 | $72.88–$250.00 | 69% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT | $91.80 | $229.50 | $72.88–$250.00 | 69% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS RT | $133.14 | $332.85 | $72.88–$326.19 | 56% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3 VIEWS LT | $133.14 | $332.85 | $72.88–$326.19 | 56% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC ORB SELLA W O CONT | $716.66 | $1,791.64 | $110.28–$1,755.81 | 56% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACE BONE 3 VIEWS | $224.49 | $561.23 | $72.88–$550.01 | 38% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP LAT LT | $131.25 | $328.13 | $72.88–$321.57 | 56% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM AP LAT RT | $131.25 | $328.13 | $72.88–$321.57 | 56% below | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA W O | $419.94 | $1,049.85 | $419.94–$1,700.00 | 80% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT | $110.28 | $275.70 | $72.88–$270.19 | 63% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT | $110.28 | $275.70 | $72.88–$270.19 | 63% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL CALCANEOUS LT | $141.86 | $354.64 | $72.88–$347.55 | 48% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL CALCANEOUS RT | $141.86 | $354.64 | $72.88–$347.55 | 48% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM CPAP-STAGING T | $2,022.25 | $5,055.62 | $905.87–$4,954.51 | 42% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM W CPAP T | $2,022.25 | $5,055.62 | $905.87–$4,954.51 | 42% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT | $157.50 | $393.75 | $72.88–$385.88 | 54% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT | $157.50 | $393.75 | $72.88–$385.88 | 54% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS RT | $185.12 | $462.79 | $72.88–$453.53 | 55% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEWS LT | $185.12 | $462.79 | $72.88–$453.53 | 55% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W O CONT RT | $685.67 | $1,714.18 | $110.28–$1,679.90 | 54% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W O CONT LT | $685.67 | $1,714.18 | $110.28–$1,679.90 | 54% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 BEDSIDE ABDOMEN LIMITED | $310.34 | $775.85 | $110.28–$760.33 | 47% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $310.34 | $775.85 | $110.28–$760.33 | 47% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 BEDSIDE USLIMITED NONVAS EXTR | $116.44 | $291.11 | $110.28–$380.00 | 75% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NON VASCULAR LIMITED | $122.27 | $305.67 | $110.28–$380.00 | 74% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 AXILLA ULTRASOUND | $122.27 | $305.67 | $110.28–$380.00 | 74% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOWDOSE LUNG SCREENING | $675.20 | $1,688.00 | $110.28–$1,654.24 | 76% above | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB FIB RT | $105.00 | $262.50 | $72.88–$257.25 | 65% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB FIB LT | $105.00 | $262.50 | $72.88–$257.25 | 65% below | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA ANGIO HEAD W O CONTRAST | $1,214.74 | $3,036.86 | $251.70–$2,976.12 | 46% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W O CONT LT | $904.89 | $2,262.23 | $251.70–$2,216.99 | 56% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WO CONT RT | $904.89 | $2,262.23 | $251.70–$2,216.99 | 56% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W O CONT RT | $904.89 | $2,262.23 | $251.70–$2,216.99 | 56% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W O CONT RT | $904.89 | $2,262.23 | $251.70–$2,216.99 | 56% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WO CONT LT | $904.89 | $2,262.23 | $251.70–$2,216.99 | 56% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W O CONT LT | $904.89 | $2,262.23 | $251.70–$2,216.99 | 56% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W WO CONT RT | $1,407.21 | $3,518.03 | $368.02–$3,447.67 | 58% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W WO CONT LT | $1,407.21 | $3,518.03 | $368.02–$3,447.67 | 58% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W WO CONT RT | $1,407.21 | $3,518.03 | $368.02–$3,447.67 | 58% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W WO CONT LT | $1,407.21 | $3,518.03 | $368.02–$3,447.67 | 58% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W WO CONT RT | $1,407.21 | $3,518.03 | $368.02–$3,447.67 | 58% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W WO CONT LT | $1,407.21 | $3,518.03 | $368.02–$3,447.67 | 58% below | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W O CONTRAST | $1,343.20 | $3,358.00 | $251.70–$3,290.84 | 41% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W WO CONTRAST | $1,667.72 | $4,169.29 | $368.02–$4,085.90 | 50% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD W O CONTRAST | $1,213.17 | $3,032.93 | $251.70–$2,972.27 | 47% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W WO CONTRAST | $1,543.40 | $3,858.49 | $368.02–$5,323.02 | 52% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY IAC W WO CONTRST | $2,172.66 | $5,431.65 | $368.02–$5,323.02 | 32% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W O CONTRAST | $1,231.23 | $3,078.08 | $251.70–$3,016.52 | 43% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W WO CONTRAST | $1,495.52 | $3,738.79 | $368.02–$3,664.01 | 54% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W O CONTRST | $1,231.02 | $3,077.55 | $251.70–$3,016.00 | 48% below | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W WO CONTRT | $1,581.62 | $3,954.04 | $368.02–$3,874.96 | 51% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W O CONTRST | $1,179.46 | $2,948.66 | $251.70–$2,889.69 | 49% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W WO CONTRAST | $2,062.30 | $5,155.76 | $368.02–$5,052.64 | 39% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W O CONTRAST | $1,461.60 | $3,654.00 | $251.70–$3,580.92 | 37% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WO CONT LT | $992.88 | $2,482.20 | $251.70–$2,432.56 | 53% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER WO CONT RT | $992.88 | $2,482.20 | $251.70–$2,432.56 | 53% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WO CONT RT | $992.88 | $2,482.20 | $251.70–$2,432.56 | 53% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WO CONT LT | $992.88 | $2,482.20 | $251.70–$2,432.56 | 53% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WO CONT RT | $992.88 | $2,482.20 | $251.70–$2,432.56 | 53% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER WO CONT LT | $992.88 | $2,482.20 | $251.70–$2,432.56 | 53% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4 OR 5 VIEWS | $235.30 | $588.26 | $72.88–$576.49 | 51% below | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONT | $727.34 | $1,818.35 | $185.03–$1,781.98 | 62% below | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W O (NEWO) | $475.25 | $1,188.13 | $110.28–$1,400.00 | 70% below | 60% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $103.11 | $257.78 | $72.88–$252.62 | 66% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION | $1,755.51 | $4,388.78 | $1,227.58–$4,301.00 | 62% below | 60% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W O CONTRAST | $660.84 | $1,652.09 | $110.28–$1,619.05 | 59% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED | $268.48 | $671.21 | $110.28–$760.33 | 41% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS LIMITED | $310.34 | $775.85 | $110.28–$760.33 | 32% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC | $376.62 | $941.54 | $110.28–$922.71 | 45% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB TRAB>14 WKS DETAILED | $339.90 | $849.75 | $110.28–$832.76 | 51% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US TRANSABD OB <14 WKS | $300.87 | $752.18 | $110.28–$737.14 | 49% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) BEDSIDE | $91.22 | $228.06 | $91.22–$485.18 | 80% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED | $110.28 | $275.70 | $91.22–$485.18 | 76% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED TWINS | $184.67 | $461.67 | $91.22–$485.18 | 60% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB VERSION | $184.67 | $461.67 | $91.22–$485.18 | 60% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED POST PARTUM | $184.67 | $461.67 | $91.22–$485.18 | 60% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB CERVIX LENGTH | $184.67 | $461.67 | $91.22–$485.18 | 60% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BEDSIDE US PREGNANT UTERUS | $198.03 | $495.08 | $91.22–$485.18 | 57% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL W 1 VIEW CHES | $110.28 | $275.70 | $72.88–$270.19 | 72% below | 60% |
| Screening mammogram, both breasts both sides CPT 77067 DIGITAL MAM BILAT SCREENING | $127.39 | $318.47 | $64.48–$400.00 | — | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 OR MORE VIEWS LT | $146.37 | $365.93 | $72.88–$358.61 | 53% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 OR MORE VIEWS RT | $146.37 | $365.93 | $72.88–$358.61 | 53% below | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS 4 VIEWS | $178.50 | $446.25 | $72.88–$437.33 | 49% below | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL 3 VIEWS | $181.34 | $453.34 | $72.88–$444.27 | 44% below | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM STAGING T | $1,834.33 | $4,585.82 | $905.87–$4,494.10 | 42% below | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $185.03 | $462.58 | $153.69–$453.33 | 70% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS RT | $105.00 | $262.50 | $72.88–$257.25 | 65% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS LT | $105.00 | $262.50 | $72.88–$257.25 | 65% below | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W O (TSWO) | $916.82 | $2,292.04 | $110.28–$2,246.20 | 39% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $167.70 | $419.25 | $110.28–$410.87 | 73% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $271.76 | $679.41 | $110.28–$665.82 | 55% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 BEDSIDE US ABDOMEN COMPLETE | $254.31 | $635.78 | $110.28–$760.33 | 65% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $310.34 | $775.85 | $110.28–$760.33 | 57% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $322.81 | $807.03 | $110.28–$790.89 | 52% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $333.90 | $834.75 | $110.28–$858.96 | 46% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $350.60 | $876.49 | $110.28–$858.96 | 43% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD NECK SOFT TISSUE | $350.60 | $876.49 | $110.28–$858.96 | 43% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES | $291.80 | $729.49 | $153.69–$764.80 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SMALL BOWEL-NO AIR | $312.16 | $780.41 | $153.69–$764.80 | 64% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS AP LAT RT | $141.86 | $354.64 | $72.88–$347.55 | 52% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS AP LAT LT | $141.86 | $354.64 | $72.88–$347.55 | 52% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS LIMITED - BEDSIDE | $389.97 | $974.93 | $110.28–$955.43 | 30% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DOPPLER UNILATERAL | $409.47 | $1,023.68 | $110.28–$1,003.21 | 26% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT | $91.80 | $229.50 | $72.88–$250.00 | 70% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT | $91.80 | $229.50 | $72.88–$250.00 | 70% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT | $103.11 | $257.78 | $72.88–$252.62 | 66% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT | $103.11 | $257.78 | $72.88–$252.62 | 66% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP PELVIS CHILD 2 VIEWS | $114.98 | $287.44 | $72.88–$281.69 | 64% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEW RT | $131.25 | $328.13 | $72.88–$658.05 | 59% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEW LT | $131.25 | $328.13 | $72.88–$658.05 | 59% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP LT | $268.59 | $671.48 | $72.88–$658.05 | 16% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP RT | $268.59 | $671.48 | $72.88–$658.05 | 16% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW KUB | $152.67 | $381.68 | $72.88–$374.05 | 45% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 GASTROGRAFIN ABDOMEN 1 VIEW | $152.67 | $381.68 | $72.88–$374.05 | 45% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 SITZ MARKER KUB SUBSEQUENT | $152.67 | $381.68 | $72.88–$374.05 | 45% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 KUB | $152.67 | $381.68 | $72.88–$374.05 | 45% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT | $91.56 | $228.90 | $72.88–$250.00 | 70% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT | $91.56 | $228.90 | $72.88–$250.00 | 70% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT | $91.80 | $229.50 | $72.88–$250.00 | 68% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT | $91.80 | $229.50 | $72.88–$250.00 | 68% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS LT | $141.86 | $354.64 | $72.88–$347.55 | 54% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS RT | $141.86 | $354.64 | $72.88–$347.55 | 54% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT | $141.86 | $354.64 | $72.88–$347.55 | 55% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT | $141.86 | $354.64 | $72.88–$347.55 | 55% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS LT | $103.11 | $257.78 | $72.88–$252.62 | 66% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS RT | $103.11 | $257.78 | $72.88–$252.62 | 66% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR AP AND LAT 2 OR 3 VIEWS | $185.85 | $464.63 | $72.88–$455.34 | 49% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR 4 VIEWS | $249.90 | $624.75 | $72.88–$612.26 | 48% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2VIEWS | $128.42 | $321.04 | $72.88–$314.62 | 59% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $122.64 | $306.60 | $72.88–$300.47 | 61% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 3 VIEWS | $152.88 | $382.20 | $72.88–$374.56 | 51% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP | $110.28 | $275.70 | $72.88–$270.19 | 63% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 2 VIEWS | $152.04 | $380.10 | $72.88–$372.50 | 50% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Z SGPT ALT | $4.45 | $11.13 | $4.45–$10.91 | 93% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT EMPLOYEE | $21.52 | $53.81 | $5.30–$52.73 | 64% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Z SGOT AST | $4.35 | $10.88 | $4.35–$10.66 | 93% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Z AKALINE PHOSPHATASE | $4.35 | $10.88 | $4.35–$10.66 | 92% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $20.37 | $50.93 | $5.18–$49.91 | 64% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE ALLERGEN | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL ROUGH PIGWEED IGE | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL SQUASH | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL WASP VENOM | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW IGE ALLERGEN | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW EPITHELIUM | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL DOG DANDER IGE | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL POTATO | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE COMPONENTS REFLEX | $4.38 | $10.96 | $4.38–$216.09 | 89% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE SERUM | $5.22 | $13.05 | $4.38–$216.09 | 87% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN GRASS PANEL I | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN SPECIFIC | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN WEED PANEL I | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN TREE PANEL I | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SOYBEAN | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PECAN-FOOD IGE | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL GREEN PEPPER IGE | $15.33 | $38.33 | $4.38–$216.09 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEANUT | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD AND GRAIN | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DAIRY AND GRAIN PANEL | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WALNUT-FOOD IGE | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN HOUSE DUST PANEL I | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS-SINGLE ASSAY | $15.33 | $38.33 | $5.22–$596.82 | 61% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FEATHER PANEL 2 ALLERGENS | $22.18 | $55.46 | $4.38–$216.09 | 44% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $22.36 | $55.91 | $5.22–$596.82 | 44% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ZMEAT ALERGY | $88.20 | $220.50 | $4.38–$216.09 | 122% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RESP PRO REG 10 2 | $89.78 | $224.44 | $5.22–$596.82 | 126% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN SPECIFIC IGE | $243.60 | $609.00 | $5.22–$596.82 | 513% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN | $69.93 | $174.83 | $15.49–$171.33 | 48% below | 60% |
| Amylase blood test CPT 82150 BFL AMYLASE | $51.56 | $128.89 | $6.23–$126.31 | 47% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP AB | $46.94 | $117.34 | $12.95–$114.99 | 58% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Z ANTINUCLEAR ANTIBODIES | $15.19 | $37.98 | $12.09–$113.19 | 83% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ZANTINUCLEAR ANTIBODIES | $46.20 | $115.50 | $12.09–$113.19 | 49% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $52.92 | $132.30 | $12.09–$129.65 | 41% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURECTIC PEPTIDE | $199.71 | $499.28 | $39.26–$489.29 | 29% below | 60% |
| Bilirubin blood test, total CPT 82247 Z BILIRUBINTOTAL | $4.22 | $10.54 | $4.22–$10.33 | 93% below | 60% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL | $29.61 | $74.03 | $5.02–$72.55 | 50% below | 60% |
| Bilirubin blood test, total CPT 82247 BODY FLUID BILIRUBIN | $29.61 | $74.03 | $5.02–$72.55 | 50% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE 2 COMPLEX TECHNICAL | $61.32 | $153.30 | $28.15–$150.23 | 88% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $3.36 | $8.40 | $2.97–$28.10 | 89% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $10.92 | $27.30 | $2.97–$28.10 | 64% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL OF BLOOD BY VENI PUNCTUR | $11.47 | $28.67 | $2.97–$28.10 | 62% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $18.06 | $45.15 | $3.49–$44.25 | 70% below | 60% |
| Blood lead test CPT 83655 Z LEAD | $15.33 | $38.33 | $12.11–$37.56 | 86% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING | $93.72 | $234.29 | $2.99–$343.86 | 10% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO (BLOOD TYPING) | $140.35 | $350.88 | $2.99–$343.86 | 34% above | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICLE TOXIN PCR | $124.66 | $311.66 | $34.97–$305.43 | 58% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA19-9 (GI) | $33.92 | $84.79 | $13.28–$83.09 | 81% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR TEST | $31.50 | $78.75 | $31.50–$78.75 | 73% below | 60% |
| Calcium blood test, total CPT 82310 URINE CALCIUM RANDOM | $17.85 | $44.63 | $5.16–$43.74 | 72% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB-IGG | $56.28 | $140.70 | $12.88–$137.89 | 49% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS AB IGM | $56.28 | $140.70 | $12.88–$137.89 | 49% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Z EH VARICELLA ZOSTER IGG | $56.28 | $140.70 | $12.88–$137.89 | 49% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PROBE | $56.59 | $141.48 | $34.97–$138.65 | 66% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Z LIPID PANEL | $57.96 | $144.90 | $10.55–$142.00 | 53% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $24.68 | $61.69 | $6.47–$60.46 | 70% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA | $71.19 | $177.98 | $16.02–$174.42 | 49% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 Z D DIMER | $22.68 | $56.70 | $4.73–$55.57 | 84% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $71.19 | $177.98 | $4.73–$174.42 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UR DRUG SCREEN D | $62.63 | $156.58 | $62.14–$302.02 | 65% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR PRESCRIPTION OTC URIN | $70.46 | $176.14 | $62.14–$302.02 | 60% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PANEL | $94.18 | $235.46 | $62.14–$230.75 | 47% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN | $123.27 | $308.18 | $62.14–$302.02 | 30% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM | $18.58 | $46.46 | $13.28–$45.53 | 82% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG | $18.58 | $46.46 | $13.28–$45.53 | 82% below | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $86.73 | $216.83 | $16.02–$212.49 | 64% below | 60% |
| Estradiol blood test CPT 82670 Z ESTRADIOL ENHANCED | $86.73 | $216.83 | $16.02–$212.49 | 64% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $182.70 | $456.75 | $15.49–$447.62 | 28% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 Z ASSAY OF FERRITIN | $61.32 | $153.30 | $13.63–$150.23 | 48% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY DIALYSIS | $52.92 | $132.30 | $9.02–$129.65 | 49% below | 60% |
| Free testosterone test CPT 84402 TESTOSTERONE-FREE | $68.78 | $171.94 | $16.02–$168.50 | 58% below | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $136.40 | $340.99 | $10.55–$334.17 | 67% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE SCREENING 1 HOUR | $28.24 | $70.61 | $4.21–$69.20 | 71% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HOUR | $57.33 | $143.33 | $11.41–$140.46 | 48% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 Z TOLERANCE TEST (GTT) 3 SPEC | $57.33 | $143.33 | $11.41–$140.46 | 48% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHEA DNA PROBE | $53.80 | $134.51 | $34.97–$131.82 | 67% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV ULTRA SENSITIVE RNA QNT | $188.26 | $470.66 | $34.97–$461.25 | 56% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 EH HIV COMBO | $24.08 | $60.20 | $13.28–$158.99 | 81% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Z EH HIV | $64.89 | $162.23 | $13.28–$158.99 | 48% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 2 AB. EVALUATION DIAGNOS | $64.89 | $162.23 | $13.28–$158.99 | 48% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HVCOP BILL TEST | $16.80 | $42.00 | $9.17–$41.16 | 83% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN HGB (A1C) | $13.86 | $34.65 | $6.23–$33.96 | 86% below | 60% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $10.29 | $25.73 | $2.37–$25.22 | 73% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $52.18 | $130.46 | $12.05–$127.85 | 52% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Z EH HEP B SURFACE AB | $49.98 | $124.95 | $10.74–$122.45 | 47% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Z EH HEP B SURFACE ANTIGEN | $47.56 | $118.91 | $9.17–$116.53 | 55% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Z EH HEPATITIS C VIRUS | $68.78 | $171.94 | $13.28–$168.50 | 44% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA QUANT | $194.88 | $487.20 | $34.97–$477.46 | 34% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS TYPE 1 | $14.70 | $36.75 | $13.19–$36.02 | 81% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS TYPE 2 | $20.06 | $50.14 | $13.28–$49.14 | 84% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN | $17.68 | $44.21 | $12.95–$43.33 | 85% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $52.82 | $132.04 | $12.95–$129.40 | 56% below | 60% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $46.62 | $116.55 | $11.43–$114.22 | 53% below | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $78.33 | $195.83 | $8.68–$191.91 | 58% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF | $54.60 | $136.50 | $11.57–$133.77 | 55% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 BFL LDH | $29.61 | $74.03 | $6.04–$72.55 | 57% below | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY SERUM | $68.78 | $171.94 | $13.28–$168.50 | 53% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $37.48 | $93.71 | $6.23–$91.84 | 37% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM QUANTITATIVE FECES | $37.48 | $93.71 | $6.23–$91.84 | 37% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Z EH MEASLES | $56.07 | $140.18 | $12.88–$206.05 | 50% below | 60% |
| Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA AB IGG | $56.07 | $140.18 | $12.88–$206.05 | 50% below | 60% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $56.07 | $140.18 | $12.88–$206.05 | 50% below | 60% |
| Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA AB IGM | $84.10 | $210.26 | $12.88–$206.05 | 24% below | 60% |
| Mumps immunity blood test CPT 86735 Z MUMPS VIRUS AB IGG | $51.03 | $127.58 | $13.05–$125.03 | 54% below | 60% |
| Mumps immunity blood test CPT 86735 Z MUMPS VIRUS AB IGM | $51.03 | $127.58 | $13.05–$125.03 | 54% below | 60% |
| Mumps immunity blood test CPT 86735 Z EH MUMPS (IMMUNITY) | $51.03 | $127.58 | $13.05–$125.03 | 54% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Z TOTAL PSA | $26.14 | $65.36 | $15.49–$155.38 | 83% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 MAYO PSAD SENDOUT | $63.42 | $158.55 | $15.49–$155.38 | 60% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $127.68 | $319.20 | $41.20–$312.82 | 51% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Z APTT | $22.68 | $56.70 | $4.73–$55.57 | 65% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $5.46 | $13.65 | $4.29–$48.62 | 88% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 I-STAT PT (INR) | $19.84 | $49.61 | $4.29–$48.62 | 58% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Z PT (PROTIME) | $19.84 | $49.61 | $4.29–$48.62 | 58% below | 60% |
| Rh blood typing CPT 86901 RH TYPING | $39.40 | $98.50 | $2.99–$96.98 | 41% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Z EH RUBELLA | $42.21 | $105.53 | $13.28–$103.42 | 61% below | 60% |
| Stool ova and parasites exam CPT 87177 Z OVA PARASITES DIRECT SMEARS | $20.48 | $51.19 | $8.90–$50.17 | 77% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD IMM | $86.62 | $216.56 | $15.49–$212.23 | 10% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS ANTIBODY IGG | $44.73 | $111.83 | $11.74–$109.59 | 38% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $28.14 | $70.35 | $3.79–$68.94 | 55% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 EH QUANTIFERON TB GOLD PLUS BL | $61.98 | $154.95 | $38.56–$151.85 | 77% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD BLOOD | $61.98 | $154.95 | $38.56–$151.85 | 77% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Z TESTOSTERONE-TOTAL | $32.34 | $80.85 | $16.02–$79.23 | 84% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL ANTBDS | $51.56 | $128.89 | $13.28–$126.31 | 57% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY | $51.56 | $128.89 | $13.28–$276.80 | 57% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AUTOANTIBODIES | $112.98 | $282.45 | $13.28–$276.80 | 6% below | 60% |
| Total IgE blood test CPT 82785 RESP PRO REG 10 1 | $9.58 | $23.94 | $9.58–$23.46 | 92% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 TOTAL T4 | $52.18 | $130.46 | $6.87–$127.85 | 34% below | 60% |
| Trichomonas test (NAAT) CPT 87661 Z TRICHOMONAS VAGINALIS AMPLIF | $29.48 | $73.69 | $29.48–$85.98 | 60% below | 60% |
| Trichomonas test (NAAT) CPT 87661 EXPERT TV TRICHOMONIASIS | $35.09 | $87.73 | $29.48–$85.98 | 52% below | 60% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP RNA | $102.27 | $255.68 | $34.97–$250.57 | 40% above | 60% |
| Triglycerides blood test CPT 84478 BODY FLUID TRIGLYCERIDE | $137.02 | $342.56 | $5.09–$335.71 | 102% above | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTATIVE | $71.50 | $178.76 | $12.47–$175.18 | 54% below | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN HIGH SENSITIVITY | $162.12 | $405.30 | $12.47–$397.19 | 4% above | 60% |
| Urinalysis with microscope exam, manual CPT 81000 UA NON AUTOMATED W MICRO | $4.62 | $11.55 | $3.50–$11.32 | 95% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINE KETONES | $23.73 | $59.33 | $2.25–$58.14 | 45% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTOMATED | $3.78 | $9.45 | $3.48–$39.36 | 93% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP | $16.06 | $40.16 | $3.48–$39.36 | 70% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN-URINE-QUANT | $38.12 | $95.29 | $3.50–$186.77 | 59% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 C MICRO ALBUM | $76.23 | $190.58 | $3.50–$186.77 | 18% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $9.24 | $23.10 | $3.50–$46.31 | 87% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE QUALATATIVE | $18.90 | $47.25 | $3.50–$46.31 | 74% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D HYDROXY | $43.36 | $108.41 | $29.60–$106.24 | 76% below | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREO CORE BX RT | $1,219.89 | $3,049.73 | $400.00–$2,988.74 | 54% below | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREO CORE BX LT | $1,742.24 | $4,355.60 | $400.00–$4,268.49 | 35% below | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TRMT DISTAL FIBULAR FX WO | $180.60 | $451.50 | $180.60–$451.50 | 65% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE | $697.22 | $1,743.05 | $225.00–$1,708.19 | 56% below | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TRT CLSD COLLES FX W O MANIP | $241.50 | $603.75 | $225.00–$591.68 | 64% below | 60% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $48.65 | $121.63 | $48.65–$291.46 | 60% below | 60% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED EAR WAX UNI | $118.96 | $297.41 | $48.65–$291.46 | 2% below | 60% |
| Earwax removal with instruments, one ear CPT 69210 REM IMPACTED EAR WAX | $118.96 | $297.41 | $62.23–$291.46 | 25% below | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 ESI INTLMNR (CRVCL THORACIC) | $651.60 | $1,629.00 | $250.00–$1,596.42 | 60% below | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L S 1 LVL | $929.13 | $2,322.82 | $250.00–$2,350.39 | 22% below | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L S 1 LEVEL | $959.34 | $2,398.36 | $250.00–$2,350.39 | 19% below | 60% |
| Gallbladder removal, laparoscopic CPT 47562 LAPCHOL | $4,019.82 | $10,049.55 | $4,019.82–$9,848.56 | 50% below | 60% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPCHOL W CHOLANGIOGRAPHY | $5,368.86 | $13,422.15 | $4,390.86–$13,153.71 | 48% below | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEO INJECTION | $218.30 | $545.74 | $218.30–$534.83 | 40% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCIS DRAIN ABCESS SIMPLE | $224.49 | $561.23 | $208.18–$550.01 | 36% below | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS DRAINAGE | $224.49 | $561.23 | $208.18–$550.01 | 36% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDONS LIGAMENTSSINGLE | $235.72 | $589.31 | $225.00–$577.52 | 38% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT ARTHOCENTESIS ASSIST LG | $323.80 | $809.50 | $225.00–$793.31 | 6% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 REMOVAL MJR JOINT OR BURSA | $323.80 | $809.50 | $225.00–$793.31 | 6% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ DRAIN MAJOR JOINT LT | $278.36 | $695.89 | $250.00–$681.97 | 19% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ DRAIN MAJOR JOINT RT | $323.80 | $809.50 | $250.00–$793.31 | 6% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT ARTHOCENTESIS ASSIST MED | $323.80 | $809.50 | $225.00–$793.31 | 14% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRAIN INJECT JOINT BURSA LT | $248.01 | $620.03 | $248.01–$607.63 | 34% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRAIN INJECT JOINT BURSA | $323.80 | $809.50 | $250.00–$793.31 | 14% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN INJ JOINT BURSA W O US | $231.00 | $577.50 | $231.00–$565.95 | 41% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 JOINT ARTHOCENTESIS ASSIST SM | $248.01 | $620.03 | $225.00–$607.63 | 36% below | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED REPAIR > 2.5 CM | $415.32 | $1,038.30 | $225.00–$1,017.53 | 26% below | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 ESI INTLMNR (LUMBAR SACRAL) | $744.62 | $1,861.55 | $250.00–$1,824.32 | 50% below | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR SAC | $575.30 | $1,438.24 | $225.00–$1,409.48 | 53% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 ESI TRNSFRMNL(1LVL UNILAT) L S | $933.02 | $2,332.55 | $250.00–$2,285.90 | 37% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 XESI TRNSFRMNL (1 LVL UNILAT+) | $933.02 | $2,332.55 | $250.00–$2,285.90 | 37% below | 60% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE SINGLE | $211.65 | $529.13 | $83.49–$518.55 | 32% below | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL | $323.80 | $809.50 | $225.00–$793.31 | 54% below | 60% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGE GUIDANCE | $956.76 | $2,391.90 | $940.88–$2,344.06 | 38% below | 60% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W IMAG GUIDAN | $956.76 | $2,391.90 | $225.00–$2,344.06 | 38% below | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL PERM RM | $442.89 | $1,107.23 | $225.00–$1,085.09 | 38% below | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB SAC FACET JNT SNG | $2,059.90 | $5,149.75 | $250.00–$5,046.76 | 31% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 REM FOREIGN BODY SUB-Q SIMPLE | $428.83 | $1,072.08 | $208.18–$1,050.64 | 30% below | 60% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION SHORT ARM CAST | $201.89 | $504.72 | $201.89–$494.63 | 31% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM | $140.35 | $350.88 | $55.34–$343.86 | 49% below | 60% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST | $191.42 | $478.54 | $191.42–$468.97 | 45% below | 60% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG | $171.42 | $428.55 | $55.34–$419.98 | 20% below | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5 CM OR LESS | $280.24 | $700.61 | $211.65–$686.60 | 32% below | 60% |
| Skin biopsy, punch, one lesion CPT 11104 BIOPSY SKIN LESION | $181.12 | $452.81 | $181.12–$452.81 | 66% below | 60% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 | $224.49 | $561.23 | $208.18–$550.01 | 22% below | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE SPINAL | $531.23 | $1,328.08 | $225.00–$1,301.52 | 41% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR 2.6CM TO 7.5CM | $280.24 | $700.61 | $211.65–$686.60 | 27% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE <2.5CM | $280.24 | $700.61 | $211.65–$686.60 | 23% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESISW IMAGING | $825.30 | $2,063.25 | $225.00–$2,021.99 | 34% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS (BNSP) | $848.58 | $2,121.46 | $661.73–$2,079.03 | 32% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS | $866.56 | $2,166.41 | $380.00–$2,123.08 | 31% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SGL MULT TRIGGER PTS 1OR2 | $323.80 | $809.50 | $225.00–$793.31 | 33% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BRST BX VAC ASSI RT 1 SITE | $1,245.28 | $3,113.19 | $380.00–$4,268.49 | 42% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION LT | $1,742.24 | $4,355.60 | $380.00–$4,268.49 | 19% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION RT | $1,742.24 | $4,355.60 | $380.00–$4,268.49 | 19% below | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BRST BX VAC ASSI LT 1 SITE | $1,742.24 | $4,355.60 | $380.00–$4,268.49 | 19% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE 20 SQ | $391.23 | $978.08 | $225.00–$958.52 | 34% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS BLD OR COMP | $421.58 | $1,053.94 | $421.58–$1,491.80 | 63% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 1-2 HR | $482.90 | $1,207.24 | $421.58–$1,491.80 | 57% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 0-1 HR | $484.01 | $1,210.02 | $421.58–$1,491.80 | 57% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (0-1HRS) | $484.01 | $1,210.02 | $421.58–$1,491.80 | 57% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS SER 1-2 HOURS | $497.38 | $1,243.46 | $421.58–$1,491.80 | 56% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 2-4 HR | $524.90 | $1,312.24 | $421.58–$1,491.80 | 54% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (2-4HRS) | $551.14 | $1,377.85 | $421.58–$1,491.80 | 51% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (4-8HRS) | $561.36 | $1,403.40 | $421.58–$1,491.80 | 50% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (1-2HRS) | $561.36 | $1,403.40 | $421.58–$1,491.80 | 50% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 4-8 HR | $608.90 | $1,522.24 | $421.58–$1,491.80 | 46% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL DAILY | $231.00 | $577.50 | $66.27–$565.95 | 19% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN MED AEROSOL SUBSEQUENT | $231.00 | $577.50 | $66.27–$565.95 | 19% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION | $231.00 | $577.50 | $66.27–$565.95 | 19% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INHALER TX SUBSEQUENT | $231.00 | $577.50 | $66.27–$565.95 | 19% below | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL II | $446.66 | $1,116.66 | $348.43–$1,094.33 | 57% below | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL IV | $446.66 | $1,116.66 | $348.43–$1,094.33 | 57% below | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL III | $446.66 | $1,116.66 | $348.43–$1,094.33 | 57% below | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL I | $446.66 | $1,116.66 | $348.43–$1,094.33 | 57% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $871.36 | $2,178.40 | $225.00–$10,745.45 | 75% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 TTA MOD W O NTC W CC | $2,705.90 | $6,764.74 | $225.00–$10,745.45 | 23% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 TTA FULL W O NTC W CC | $4,385.90 | $10,964.74 | $225.00–$10,745.45 | 24% above | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $159.75 | $399.38 | $9.24–$391.39 | 35% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ACUITY 1 W O MODIFIER | $165.37 | $413.43 | $88.95–$405.16 | 35% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ACUITY 1 | $165.37 | $413.43 | $88.95–$405.16 | 35% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ACUITY 2 W O MODIFIER | $218.29 | $545.73 | $161.97–$534.82 | 61% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ACUITY 3 W O MODIFIER | $287.96 | $719.90 | $225.00–$9,493.88 | 70% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TTA MOD W O NTC ED LEVEL 3 | $2,195.05 | $5,487.63 | $225.00–$9,493.88 | 127% above | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TTA FULL W O NTC ED LEVEL 3 | $3,875.05 | $9,687.63 | $225.00–$9,493.88 | 301% above | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TTA MOD W O NTC ED LEVEL 4 | $2,329.54 | $5,823.84 | $225.00–$9,823.36 | 38% above | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TTA FULL W O NTC ED LEVEL 4 | $4,009.54 | $10,023.84 | $225.00–$9,823.36 | 138% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TTA MOD W O NTC ED LEVEL 5 | $2,553.39 | $6,383.48 | $225.00–$10,371.81 | 1% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TTA FULL W O NTC ED LEVEL 5 | $4,233.39 | $10,583.48 | $225.00–$10,371.81 | 67% above | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARM STRESS TEST BUNDLE T | $512.11 | $1,280.28 | $213.35–$1,254.67 | 53% below | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT STD THREADMILL WALKING T | $512.11 | $1,280.28 | $213.35–$1,254.67 | 53% below | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GRADED EXERCISE BUNDLE T | $512.11 | $1,280.28 | $213.35–$1,254.67 | 53% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION (INITIAL) | $188.16 | $470.40 | $188.16–$460.99 | 54% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBS IV HYDRATION (INITIAL) | $224.38 | $560.95 | $224.38–$638.01 | 46% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL | $224.38 | $560.95 | $224.38–$549.73 | 46% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL LEVEL III | $248.01 | $620.03 | $224.38–$638.01 | 40% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL LEVEL II | $248.01 | $620.03 | $224.38–$638.01 | 40% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL LEVEL I | $260.41 | $651.03 | $224.38–$638.01 | 37% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY | $208.42 | $521.06 | $208.42–$510.64 | 61% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION >16 MINS INITIAL | $224.38 | $560.95 | $224.38–$549.73 | 58% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 OBS IV INFUS > 16 MINS INITIAL | $224.38 | $560.95 | $224.38–$667.99 | 58% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS THERAPY INIT LVL II | $242.66 | $606.65 | $224.38–$667.99 | 54% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 IV INFU THERAPY INIT LVL III | $248.17 | $620.43 | $224.38–$667.99 | 53% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS THERAPY INIT LVL I | $272.65 | $681.62 | $224.38–$667.99 | 49% below | 60% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INTL THER DIAG LVL III | $224.38 | $560.95 | $56.25–$549.73 | 31% below | 60% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL | $224.38 | $560.95 | $56.25–$549.73 | 31% below | 60% |
| IV push of a medicine, first drug CPT 96374 OBS IV PUSH (FIRST MED) | $224.38 | $560.95 | $56.25–$549.73 | 31% below | 60% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INTL THER DIAG LVL II | $224.38 | $560.95 | $56.25–$549.73 | 31% below | 60% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INTL THER DIAG LVL I | $224.38 | $560.95 | $56.25–$549.73 | 31% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER PROPH DIAG SQ IM | $75.95 | $189.88 | $56.25–$225.00 | 49% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DIAG INJ LEVEL II | $75.95 | $189.88 | $56.25–$294.43 | 49% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER PROPH DIAG SQ IM | $80.01 | $200.03 | $56.25–$294.43 | 47% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION PROCEDURE | $80.01 | $200.03 | $56.25–$294.43 | 47% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBS IM SQ INJ | $82.41 | $206.03 | $56.25–$294.43 | 45% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DIAG INJ LEVEL I | $120.18 | $300.44 | $56.25–$294.43 | 20% below | 60% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 W ET CRISIS INTV SERV (ASSESS) | $131.39 | $328.48 | $131.39–$321.91 | 76% below | 60% |
| Spirometry (breathing test) CPT 94010 PFT SPIROMETRY PRE ONLY | $227.77 | $569.43 | $66.27–$558.04 | 30% below | 60% |
| Spirometry before and after a bronchodilator CPT 94060 PFT SPIROMETRY PRE POST BRDIA | $393.64 | $984.10 | $130.27–$964.42 | 20% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTH PERTUSSIS TET VAC >7 | $56.06 | $140.15 | $34.44–$150.89 | 73% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPTH PERTUSSIS TET VAC >7 | $56.06 | $140.15 | $34.44–$150.89 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $75.95 | $189.88 | $48.96–$186.08 | 10% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM SQ VACCINATION 1ST | $75.95 | $189.88 | $48.96–$186.08 | 10% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM SQ VACCINATION EA ADD'L | $38.54 | $96.34 | $38.54–$225.00 | 52% below | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $40.46 | $101.16 | $40.46–$99.14 | 49% below | 60% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://deltahealthco.org/840428757_delta-county-memorial-hospital_standardcharges.csv