Uchealth Broomfield Hospital
11820 Destination Dr, Broomfield, CO 80021 · Acute care hospital · Emergency room
These are Uchealth Broomfield Hospital's own posted figures from its standard-charges file dated November 1, 2025. They are not a quote. Source: the hospital's file · its price transparency page.
234 of the services we track have a posted price here; 148 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $4,113.20 | $11,752.00 | $767.72 – $8,108.88 |
| Emergency room visit, level 1 (minor) CPT 99281 | $234.15 | $669.00 | $75.09 – $979.00 |
| Emergency room visit, level 2 CPT 99282 | $441.70 | $1,262.00 | $139.69 – $1,341.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $862.75 | $2,465.00 | $245.03 – $2,323.00 |
| Emergency room visit, level 4 CPT 99284 | $1,991.15 | $5,689.00 | $381.61 – $4,299.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,052.35 | $8,721.00 | $548.11 – $6,243.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $488.25 | $1,395.00 | $152.24 – $962.55 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $33.95 | $97.00 | $27.46 – $357.00 |
| Abdominal X-ray, 1 view CPT 74018 | $289.10 | $826.00 | $26.50 – $873.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $389.55 | $1,113.00 | $25.47 – $873.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $329.35 | $941.00 | $28.52 – $873.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $143.15 | $409.00 | $106.87 – $695.24 |
| Breast ultrasound, one breast, limited CPT 76642 | $141.05 | $403.00 | $88.49 – $627.00 |
| Chest X-ray, 1 view CPT 71045 | $244.65 | $699.00 | $26.50 – $873.00 |
| Chest X-ray, 2 views CPT 71046 | $255.85 | $731.00 | $31.63 – $873.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,697.10 | $7,706.00 | $178.91 – $5,317.14 |
| CT angiogram of the head CPT 70496 | $2,710.40 | $7,744.00 | $178.91 – $5,343.36 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,947.60 | $14,136.00 | $358.91 – $9,753.84 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $5,155.15 | $14,729.00 | $358.91 – $10,163.01 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,890.25 | $11,115.00 | $233.52 – $7,669.35 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,822.10 | $5,206.00 | $106.87 – $3,592.14 |
| CT scan of the chest, with contrast CPT 71260 | $1,470.70 | $4,202.00 | $178.91 – $2,899.38 |
| CT scan of the chest, without contrast CPT 71250 | $1,254.05 | $3,583.00 | $106.87 – $2,472.27 |
| CT scan of the head, without contrast CPT 70450 | $1,758.40 | $5,024.00 | $106.87 – $3,466.56 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,996.05 | $5,703.00 | $106.87 – $3,935.07 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,669.50 | $4,770.00 | $178.91 – $3,291.30 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,359.40 | $3,884.00 | $106.87 – $2,679.96 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $51.45 – $1,057.98 | |
| Diagnostic mammogram, one breast CPT 77065 | $127.75 | $365.00 | $41.84 – $839.37 |
| Foot X-ray, 3 or more views CPT 73630 | $384.65 | $1,099.00 | $24.41 – $873.00 |
| Hand X-ray, 3 or more views CPT 73130 | $377.30 | $1,078.00 | $25.47 – $873.00 |
| Knee X-ray, 3 views CPT 73562 | $385.35 | $1,101.00 | $27.55 – $873.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,220.45 | $3,487.00 | $110.21 – $2,406.03 |
| Leg or arm vein ultrasound, one side CPT 93971 | $718.90 | $2,054.00 | $71.24 – $1,417.26 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $464.10 | $1,326.00 | $32.69 – $914.94 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $186.59 – $2,401.56 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,954.70 | $8,442.00 | $358.91 – $5,824.98 |
| MRI of the brain, without and with contrast CPT 70553 | $3,189.55 | $9,113.00 | $358.91 – $6,287.97 |
| MRI of the brain, without contrast CPT 70551 | $1,485.75 | $4,245.00 | $233.52 – $2,929.05 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,238.25 | $6,395.00 | $233.52 – $4,412.55 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,271.50 | $6,490.00 | $233.52 – $4,478.10 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,147.25 | $6,135.00 | $233.52 – $4,233.15 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,319.10 | $6,626.00 | $233.52 – $4,571.94 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,359.65 | $9,599.00 | $358.91 – $6,623.31 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,981.35 | $5,661.00 | $233.52 – $3,906.09 |
| Neck X-ray, 2 or 3 views CPT 72040 | $331.10 | $946.00 | $32.69 – $873.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $646.45 | $1,847.00 | $106.87 – $1,274.43 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $543.20 | $1,552.00 | $106.87 – $1,070.88 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $510.30 | $1,458.00 | $106.87 – $1,006.02 |
| Screening mammogram, both breasts CPT 77067 | not posted | $39.64 – $858.27 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $323.40 | $924.00 | $27.55 – $873.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $472.85 | $1,351.00 | $106.87 – $932.19 |
| Transvaginal ultrasound CPT 76830 | $391.65 | $1,119.00 | $106.87 – $804.37 |
| Ultrasound of the abdomen, complete CPT 76700 | $758.80 | $2,168.00 | $106.87 – $1,495.92 |
| Ultrasound of the neck or thyroid CPT 76536 | $461.30 | $1,318.00 | $106.87 – $909.42 |
| Wrist X-ray, 3 or more views CPT 73110 | $382.20 | $1,092.00 | $25.47 – $873.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $505.40 | $1,444.00 | $38.84 – $996.36 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $110.95 | $317.00 | $8.19 – $218.73 |
| Blood culture CPT 87040 | $182.35 | $521.00 | $9.98 – $359.49 |
| Blood draw (venipuncture) CPT 36415 | $10.85 | $31.00 | $7.41 – $59.99 |
| BNP test (heart failure) CPT 83880 | $210.70 | $602.00 | $37.99 – $415.38 |
| C-reactive protein (CRP) test CPT 86140 | $65.80 | $188.00 | $5.02 – $129.72 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $174.34 | $498.10 | $33.95 – $343.69 |
| Complete blood count (CBC) with differential CPT 85025 | $82.95 | $237.00 | $7.52 – $163.53 |
| Complete blood count (CBC), automated CPT 85027 | $72.80 | $208.00 | $6.26 – $143.52 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $212.80 | $608.00 | $10.22 – $419.52 |
| COVID-19 PCR test CPT 87635 | $37.10 | $106.00 | $25.33 – $359.17 |
| D-dimer test (blood clots) CPT 85379 | $84.32 | $240.89 | $9.86 – $166.21 |
| Drug screen, instrument chemistry CPT 80307 | $377.22 | $1,077.76 | $355.66 – $743.65 |
| Ferritin (iron stores) test CPT 82728 | $116.55 | $333.00 | $13.18 – $229.77 |
| Free T4 (thyroid) test CPT 84439 | $107.10 | $306.00 | $8.73 – $211.14 |
| General health panel (blood tests) CPT 80050 | $478.45 | $1,367.00 | $41.32 – $1,161.68 |
| Glucose (blood sugar) test CPT 82947 | $51.10 | $146.00 | $3.81 – $100.74 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $164.50 | $470.00 | $33.95 – $324.30 |
| Hemoglobin A1c test CPT 83036 | $82.25 | $235.00 | $9.39 – $162.15 |
| Hepatitis C antibody test CPT 86803 | $125.30 | $358.00 | $13.80 – $247.02 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $84.32 | $240.90 | $23.30 – $168.56 |
| Iron test CPT 83540 | $65.98 | $188.49 | $6.26 – $130.06 |
| Kidney function panel CPT 80069 | $202.65 | $579.00 | $8.40 – $399.51 |
| Lipase test (pancreas) CPT 83690 | $104.30 | $298.00 | $6.67 – $205.62 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $120.40 | $344.00 | $12.95 – $237.36 |
| Liver function panel CPT 80076 | $96.25 | $275.00 | $7.91 – $189.75 |
| Magnesium test CPT 83735 | $60.59 | $173.10 | $6.49 – $119.44 |
| Obstetric blood test panel CPT 80055 | $249.90 | $714.00 | $46.26 – $492.66 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $65.45 | $187.00 | $5.82 – $129.03 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $179.20 | $512.00 | $14.56 – $353.28 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $53.90 | $154.00 | $4.15 – $106.26 |
| PSA (prostate specific antigen), free CPT 84154 | $147.35 | $421.00 | $17.79 – $290.49 |
| PSA (prostate specific antigen), total CPT 84153 | $126.70 | $362.00 | $17.79 – $249.78 |
| Rapid strep test CPT 87880 | $40.95 | $117.00 | $16.00 – $115.71 |
| Sed rate (ESR) test CPT 85652 | $115.15 | $329.00 | $2.62 – $227.01 |
| TB skin test CPT 86580 | $31.85 | $91.00 | $10.24 – $186.59 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $170.45 | $487.00 | $16.25 – $336.03 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $274.64 | $784.68 | $35.72 – $541.43 |
| Troponin test (heart damage) CPT 84484 | $99.05 | $283.00 | $12.06 – $195.27 |
| Urinalysis, automated, with microscope CPT 81001 | $74.90 | $214.00 | $3.07 – $147.66 |
| Urinalysis, automated, without microscope CPT 81003 | $55.86 | $159.60 | $2.18 – $110.12 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.90 – $28.14 | |
| Urinalysis, manual, without microscope CPT 81002 | $27.65 | $79.00 | $3.37 – $54.51 |
| Urine culture, colony count CPT 87086 | $77.00 | $220.00 | $7.80 – $151.80 |
| Urine pregnancy test CPT 81025 | $73.50 | $210.00 | $8.33 – $144.90 |
| Vitamin B12 test CPT 82607 | $116.55 | $333.00 | $14.59 – $229.77 |
| Vitamin D test CPT 82306 | $181.75 | $519.27 | $28.64 – $358.30 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $971.95 | $2,777.00 | $128.66 – $1,916.13 |
| ECG tracing only (no interpretation) CPT 93005 | $318.85 | $911.00 | $22.53 – $926.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,574.60 | $7,356.00 | $233.69 – $5,075.64 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $14.25 – $186.59 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $71.08 – $572.90 | |
| Left heart catheterization CPT 93452 | $4,157.65 | $11,879.00 | $2,958.46 – $11,801.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $9,348.85 | $26,711.00 | $2,958.46 – $18,430.59 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,150.65 | $11,859.00 | $257.77 – $8,182.71 |
| Treadmill stress test, complete CPT 93015 | not posted | $73.21 – $590.07 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $13,650.00 – $25,688.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $8,769.00 – $15,867.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,621.20 | $4,632.00 | $142.00 – $3,384.29 |
| Carpal tunnel release CPT 64721 | not posted | $3,536.00 – $6,399.00 | |
| Colonoscopy with biopsy CPT 45380 | $2,013.90 | $5,754.00 | $1,082.91 – $7,921.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,537.85 | $7,251.00 | $1,082.91 – $7,921.00 |
| Colonoscopy, diagnostic CPT 45378 | $1,851.85 | $5,291.00 | $831.04 – $7,921.00 |
| Colposcopy with biopsy CPT 57454 | not posted | $1,768.00 – $3,198.00 | |
| Cystoscopy (bladder scope) CPT 52000 | $731.15 | $2,089.00 | $625.34 – $5,436.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $3,536.00 – $6,399.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $640.50 | $1,830.00 | $603.90 – $5,436.00 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $8,769.00 – $15,867.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $8,769.00 – $15,867.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $15,804.00 – $29,744.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $3,536.00 – $6,399.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $8,769.00 – $15,867.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $5,009.00 – $9,065.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $6,210.05 | $17,743.00 | $1,988.03 – $12,242.67 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $5,009.00 – $9,065.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $2,445.45 | $6,987.00 | $1,082.91 – $7,921.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $262.15 | $749.00 | $186.59 – $3,349.00 |
| Prostate biopsy CPT 55700 | $370.65 | $1,059.00 | $349.47 – $7,921.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $15,804.00 – $29,744.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $5,009.00 – $9,065.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $13,650.00 – $25,688.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | $1,851.85 | $5,291.00 | $831.04 – $7,921.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,851.85 | $5,291.00 | $831.04 – $7,921.00 |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,536.00 – $6,399.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $166.73 – $1,343.84 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $8,769.00 – $15,867.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $7,072.00 – $12,796.00 | |
| Total hip replacement CPT 27130 | not posted | $13,650.00 – $25,688.00 | |
| Total knee replacement CPT 27447 | not posted | $15,804.00 – $29,744.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,157.45 | $3,307.00 | $825.51 – $7,921.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,030.40 | $2,944.00 | $825.51 – $5,436.00 |
| Vasectomy CPT 55250 | not posted | $3,536.00 – $6,399.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | not posted | $5,009.00 – $9,065.00 | |
| Fetal non-stress test CPT 59025 | $375.20 | $1,072.00 | $72.86 – $739.68 |
| IUD insertion CPT 58300 | not posted | $1,768.00 – $3,198.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $5,009.00 – $9,065.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $5,009.00 – $9,065.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $1,049.00 – $24,638.95 | |
| C-section, without complications MS-DRG 788 | not posted | $5,196.00 – $17,925.00 | |
| Chest pain MS-DRG 313 | not posted | $5,217.84 – $20,095.20 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $8,027.50 – $30,915.91 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $4,652.57 – $17,918.22 | |
| Fainting (syncope) MS-DRG 312 | not posted | $6,316.49 – $24,326.36 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $7,107.13 – $27,371.34 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $9,303.70 – $35,830.86 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,101.80 – $15,797.06 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $70,895.95 – $273,037.95 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $13,978.74 – $53,835.60 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,102.53 – $15,799.85 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $6,346.92 – $24,443.58 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $5,866.45 – $22,593.15 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $17,692.10 – $68,136.68 | |
| Normal newborn care MS-DRG 795 | not posted | $1,049.00 – $5,576.42 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $5,639.62 – $21,719.56 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $5,840.36 – $22,492.67 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $9,525.46 – $36,684.90 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $4,554.74 – $17,541.44 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,730.00 – $38,984.69 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $14,077.30 – $54,215.18 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $7,415.86 – $28,560.30 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $6,311.41 – $24,306.82 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $5,649.76 – $21,758.64 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $7,321.64 – $28,197.47 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $8,991.35 – $34,627.94 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $3,016.00 – $10,574.83 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $10,931.37 – $42,099.44 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $646.10 | $1,846.00 | $271.89 – $5,436.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $899.15 | $2,569.00 | $847.77 – $5,436.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $642.25 | $1,835.00 | $605.55 – $5,436.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $1,768.00 – $3,198.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $3,536.00 – $6,399.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $120.86 – $1,006.67 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $1,768.00 – $3,198.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $199.85 | $571.00 | $110.32 – $393.99 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $377.30 | $1,078.00 | $126.18 – $856.00 |
| Sleep study with CPAP titration CPT 95811 | $4,367.30 | $12,478.00 | $418.11 – $8,609.82 |
| Sleep study, overnight in a sleep lab CPT 95810 | $3,808.70 | $10,882.00 | $401.17 – $7,508.58 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $231.70 | $662.00 | $27.63 – $797.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $95.20 | $272.00 | $27.91 – $314.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $152.95 | $437.00 | $100.67 – $685.44 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $215.60 | $616.00 | $100.67 – $685.44 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $91.00 | $260.00 | $29.59 – $314.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $99.75 | $285.00 | $35.73 – $314.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $109.00 – $688.66 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $109.00 – $660.52 | |
| Group psychotherapy CPT 90853 | not posted | $92.96 – $186.59 | |
| Psychiatric diagnostic evaluation CPT 90791 | $240.99 | $688.53 | $109.00 – $1,199.38 |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $109.00 – $519.12 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $109.00 – $686.42 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $109.00 – $1,010.24 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $94.50 | $270.00 | $71.52 – $905.00 |
| IV hydration, each additional hour CPT 96361 | $123.90 | $354.00 | $46.37 – $905.00 |
| IV hydration, first hour CPT 96360 | $231.35 | $661.00 | $185.04 – $905.00 |
| IV push injection of a drug, first CPT 96374 | $177.10 | $506.00 | $166.98 – $905.00 |
| IV push injection, each additional drug CPT 96375 | $124.25 | $355.00 | $46.37 – $905.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $49.65 | $141.84 | ? – $97.87 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $58.07 | $165.91 | ? – $114.48 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $40.01 | $114.29 | ? – $78.86 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $12.61 – $30.45 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $61.72 | $176.32 | ? – $121.66 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $18.48 | $52.78 | ? – $36.42 |
| Morphine injection, up to 10 mg HCPCS J2270 | $52.28 | $149.35 | $4.64 – $103.05 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $26.30 | $75.12 | ? – $51.83 |
| Propofol injection, per 10 mg HCPCS J2704 | $123.04 | $351.54 | ? – $242.56 |
| Saline IV solution, 1000 ml HCPCS J7030 | $44.95 | $128.42 | $2.33 – $88.61 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.