Does Boulder Community Health have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Boulder Community Health. In a medical emergency, call 911.

Where is Boulder Community Health?

4747 Arapahoe Avenue, Boulder, CO 80304, in Boulder County, Colorado.

What is the phone number of Boulder Community Health?

(303) 440-2273, as listed by Medicare (CMS).

What is the Medicare star rating of Boulder Community Health?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Boulder Community Health — Boulder, CO

Quick answers

Does Boulder Community Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Boulder Community Health. In a medical emergency, call 911.
Where is Boulder Community Health?: 4747 Arapahoe Avenue, Boulder, CO 80304, in Boulder County, Colorado.
What is the phone number of Boulder Community Health?: (303) 440-2273, as listed by Medicare (CMS).
What is the Medicare star rating of Boulder Community Health?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5][6][7]

Heart care
Neurosurgery
Stroke care
Orthopedics
Cancer care
Inpatient mental health (adult and child/adolescent)
Maternity (Family Birth Center)
Neonatal intensive care (Level IIB)
Cardiac rehabilitation
Pulmonary rehabilitation

Programs and centers^[7]

Heart Failure Clinic

Emergency care (hospital website)^[6][7]

Emergency room	Yes
Trauma designation	Level II
Stroke designation	Primary Stroke Center (Joint Commission advanced certification)

Visiting and practical information

Parking	Free surface lot in front of the hospital and two free five-level garages (48th St and 4801 Riverbend Rd)^[4]

Recognition^[6]

Certified Level II Trauma Center
Primary Stroke Center advanced certification (The Joint Commission)
Commission on Cancer accreditation (American College of Surgeons)
Accredited Breast Center (NAPBC)
Breast Imaging and Diagnostic Imaging Center of Excellence (ACR)
Baby-Friendly Designation (Family Birth Center)
AHA Get With The Guidelines-Stroke Honor Roll Elite (Foothills Hospital, 2026)
CMS Birthing-Friendly designation

Doctors and clinicians (723)

723 doctors and other clinicians list Boulder Community Health as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 699 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

AdventHealth Avista6.5 mi · Louisville, CO · Acute Care Hospital
Good Samaritan Medical Center LLC8.5 mi · Lafayette, CO · Acute Care Hospital
UCHealth Broomfield Hospital11 mi · Broomfield, CO · Acute Care Hospital
Longs Peak Hospital11 mi · Longmont, CO · Acute Care Hospital
Longmont United Hospital13 mi · Longmont, CO · Acute Care Hospital

Other hospitals nearby

Centennial Peaks Hospital6.6 mi · Louisville, CO · Psychiatric Hospital
PAM Health Rehabilitation Hospital of Westminster13 mi · Westminster, CO · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Boulder Canyon Health and Rehabilitation1.0 mi · Boulder, CO · 2 of 5 stars
Frasier Meadows Health Care Center1.4 mi · Boulder, CO · 4 of 5 stars
Boulder Post Acute1.8 mi · Boulder, CO · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Trail Winds Hospice2.7 mi · Boulder, CO · 5 of 5 stars
Craft Hospice LLC3.0 mi · Boulder, CO
Tru Community Care - Lafayette7.4 mi · Lafayette, CO · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Craft Home Health3.0 mi · Boulder, CO · 3 of 5 stars
McLellan Homecare3.0 mi · Boulder, CO
Tru Community Care7.4 mi · Lafayette, CO

All home health agencies in the state →

Dialysis facilities

DaVita Boulder Dialysis Center3.3 mi · Boulder, CO · 4 of 5 stars
062555 Kidney Center of Lafayette (Ara)7.4 mi · Lafayette, CO · 4 of 5 stars
DaVita Arvada Dialysis Center13 mi · Arvada, CO · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Boulder Surgery Center3.0 mi · Boulder, CO
Endoscopy Center of the Rockies - Boulder3.0 mi · Boulder, CO
Foothills Surgery Center, LLC3.3 mi · Boulder, CO

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinica Family Health & Wellness -- Halcyon School1.8 mi · Boulder, CO · Community health center
University Hill Elementary School1.9 mi · Boulder, CO · Community health center
Columbine Elementary School2.0 mi · Boulder, CO · Community health center

Clinics and urgent care

Boulder Community Health3.0 mi · Boulder, CO · Urgent care center
Quality Urgent Care Professional Corporation3.3 mi · Boulder, CO · Urgent care center
Rocky Mountain Urgent Care, LLC3.3 mi · Boulder, CO · Urgent care center

Pharmacies

Pharmaca Integrative Pharmacy, Inc.2.7 mi · Boulder, CO · Community/retail pharmacy
1918 Winter Street Operating Co LLC3.0 mi · Boulder, CO · Community/retail pharmacy
Albertsons LLC3.0 mi · Boulder, CO · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Morningstar of Boulder2.7 mi · Boulder, CO
Brookdale Boulder Creek3.0 mi · Boulder, CO
Sunrise Assisted Living of Boulder3.0 mi · Boulder, CO
Frasier Meadows Manor Inc Assisted Living Center3.3 mi · Boulder, CO

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Boulder Community Health reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	81%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	78%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	1,171Response rate: 29%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.809No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.641No different from the national benchmark
Surgical site infections after colon surgery	1.114No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	2.191No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.278Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	9.5%
Deaths within 30 days: heart failure patients	7.5%
Deaths within 30 days: pneumonia patients	10.7%
Deaths within 30 days: COPD patients	8.7%
Deaths within 30 days: stroke patients	12.3%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	1.27No different from the national rate
Complications after hip or knee replacement	4.4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.2%
Readmitted within 30 days: heart failure	17.9%
Readmitted within 30 days: pneumonia	15.8%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	9%
Readmitted within 30 days: hip or knee replacement	6.4%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	135 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	56%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Colorado Best hospitals in Colorado

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Boulder Community Health lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$162	$81	$71.76 – $165.80
New patient office visit (about 30–44 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $145.68 Aetna — Medicare Advantage: $71.76 Aetna Exchange Colorado — PPO: $145.68 Aetna First Health — Commercial: $145.68 Anthem — Medicare Advantage: $71.76 Anthem Blue Priority — Commercial: $97.59 Anthem CU Exclusive Employer Group — Commercial: $131.45 Anthem Indemnity — Commercial: $131.45 Anthem Pathway — Commercial: $97.59 Anthem Pathway Essentials — Commercial: $97.59
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW OV LOW	$291	$145.50	$64.19 – $6,238
New patient office visit (about 30–44 minutes): 10 of 44 insurance plan rates Aetna — Commercial: $114.68 Aetna — Medicare Advantage: $120.80 Aetna Exchange Colorado — PPO: $109.74 Aetna First Health — Commercial: $188.25 Anthem — Medicare Advantage: $120.80 Anthem Blue Priority — Commercial: $80.63 Anthem CU Exclusive Employer Group — Commercial: $206.33 Anthem Indemnity — Commercial: $173.26 Anthem Pathway — Commercial: $75.85 Anthem Pathway Essentials — Commercial: $75.84
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEW OV LOW	$291	$145.50	$101.44 – $282.27
New patient office visit (about 30–44 minutes): 10 of 21 insurance plan rates Aetna First Health — Commercial: $253.43 Anthem Indemnity — Commercial: $167.67 Casualty Management Network BEH — Commercial: $247.35 Casualty Management Network BVIPA — Commercial: $261.90 Cigna Behavioral Health — Commercial: $232.80 Devoted Health — Medicare Advantage: $116.40 Health Management Network BCH Community Medical Associates — Commercial: $279.36 Health Management Network Community Medical Associates — Commercial: $279.36 Health Payors Organization — Commercial: $276.45 Integrated Health Plans BCH — Commercial: $218.25
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: HC VISIT 45 MIN NEW PT MOD - PR	$1,201	$600.50	$117.60 – $1,164.97
New patient office visit (about 45–59 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $249.18 Aetna — Medicare Advantage: $117.60 Aetna Exchange Colorado — PPO: $249.18 Aetna First Health — Commercial: $249.18 Anthem — Medicare Advantage: $117.60 Anthem Blue Priority — Commercial: $157.54 Anthem CU Exclusive Employer Group — Commercial: $212.22 Anthem Indemnity — Commercial: $212.22 Anthem Pathway — Commercial: $157.54 Anthem Pathway Essentials — Commercial: $157.54
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$263	$131.50	$117.60 – $271.70
New patient office visit (about 45–59 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $249.18 Aetna — Medicare Advantage: $117.60 Aetna Exchange Colorado — PPO: $249.18 Aetna First Health — Commercial: $249.18 Anthem — Medicare Advantage: $117.60 Anthem Blue Priority — Commercial: $157.54 Anthem CU Exclusive Employer Group — Commercial: $212.22 Anthem Indemnity — Commercial: $212.22 Anthem Pathway — Commercial: $157.54 Anthem Pathway Essentials — Commercial: $157.54
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT 45 MIN NEW PT MOD	$2,566	$1,283	$112.90 – $6,238
New patient office visit (about 45–59 minutes): 10 of 44 insurance plan rates Aetna — Commercial: $1,011.26 Aetna — Medicare Advantage: $181.93 Aetna Exchange Colorado — PPO: $967.64 Aetna First Health — Commercial: $1,659.95 Anthem — Medicare Advantage: $181.93 Anthem Blue Priority — Commercial: $132.14 Anthem CU Exclusive Employer Group — Commercial: $338.14 Anthem Indemnity — Commercial: $1,527.80 Anthem Pathway — Commercial: $124.30 Anthem Pathway Essentials — Commercial: $124.28
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: HC VISIT 60 MIN NEW PT HIGH - PR	$1,763	$881.50	$161.10 – $1,710.11
New patient office visit (about 60–74 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $325.48 Aetna — Medicare Advantage: $161.10 Aetna Exchange Colorado — PPO: $325.48 Aetna First Health — Commercial: $325.48 Anthem — Medicare Advantage: $161.10 Anthem Blue Priority — Commercial: $213.78 Anthem CU Exclusive Employer Group — Commercial: $287.97 Anthem Indemnity — Commercial: $287.97 Anthem Pathway — Commercial: $213.78 Anthem Pathway Essentials — Commercial: $213.78
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$358	$179	$161.10 – $372.20
New patient office visit (about 60–74 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $325.48 Aetna — Medicare Advantage: $161.10 Aetna Exchange Colorado — PPO: $325.48 Aetna First Health — Commercial: $325.48 Anthem — Medicare Advantage: $161.10 Anthem Blue Priority — Commercial: $213.78 Anthem CU Exclusive Employer Group — Commercial: $287.97 Anthem Indemnity — Commercial: $287.97 Anthem Pathway — Commercial: $213.78 Anthem Pathway Essentials — Commercial: $213.78
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT 60 MIN NEW PT HIGH	$3,871	$1,935.50	$154.66 – $6,238
New patient office visit (about 60–74 minutes): 10 of 44 insurance plan rates Aetna — Commercial: $1,525.56 Aetna — Medicare Advantage: $242.49 Aetna Exchange Colorado — PPO: $1,459.75 Aetna First Health — Commercial: $2,504.15 Anthem — Medicare Advantage: $242.49 Anthem Blue Priority — Commercial: $181.01 Anthem CU Exclusive Employer Group — Commercial: $463.21 Anthem Indemnity — Commercial: $2,304.79 Anthem Pathway — Commercial: $170.28 Anthem Pathway Essentials — Commercial: $170.25
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$130	$65	$48.89 – $134.05
Established patient office visit (about 20–29 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $98.76 Aetna — Medicare Advantage: $58.02 Aetna Exchange Colorado — PPO: $98.76 Aetna First Health — Commercial: $98.76 Anthem — Medicare Advantage: $58.02 Anthem Blue Priority — Commercial: $78.15 Anthem CU Exclusive Employer Group — Commercial: $105.27 Anthem Indemnity — Commercial: $105.27 Anthem Pathway — Commercial: $78.15 Anthem Pathway Essentials — Commercial: $78.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: HC VISIT 20 MIN EST PT LOW - PR	$685	$342.50	$48.89 – $664.45
Established patient office visit (about 20–29 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $98.76 Aetna — Medicare Advantage: $58.02 Aetna Exchange Colorado — PPO: $98.76 Aetna First Health — Commercial: $98.76 Anthem — Medicare Advantage: $58.02 Anthem Blue Priority — Commercial: $78.15 Anthem CU Exclusive Employer Group — Commercial: $105.27 Anthem Indemnity — Commercial: $105.27 Anthem Pathway — Commercial: $78.15 Anthem Pathway Essentials — Commercial: $78.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT 20 MIN EST PT LOW	$1,554	$777	$55.70 – $6,238
Established patient office visit (about 20–29 minutes): 10 of 44 insurance plan rates Aetna — Commercial: $612.43 Aetna — Medicare Advantage: $98.18 Aetna Exchange Colorado — PPO: $586.01 Aetna First Health — Commercial: $1,005.28 Anthem — Medicare Advantage: $98.18 Anthem Blue Priority — Commercial: $65.19 Anthem CU Exclusive Employer Group — Commercial: $166.82 Anthem Indemnity — Commercial: $925.25 Anthem Pathway — Commercial: $61.33 Anthem Pathway Essentials — Commercial: $61.32
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC VISIT 30 MIN EST PT MOD - PR	$903	$451.50	$81.13 – $875.91
Established patient office visit (about 30–39 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $151.98 Aetna — Medicare Advantage: $85.25 Aetna Exchange Colorado — PPO: $151.98 Aetna First Health — Commercial: $151.98 Anthem — Medicare Advantage: $85.25 Anthem Blue Priority — Commercial: $115.37 Anthem CU Exclusive Employer Group — Commercial: $155.40 Anthem Indemnity — Commercial: $155.40 Anthem Pathway — Commercial: $115.37 Anthem Pathway Essentials — Commercial: $115.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$192	$96	$81.13 – $196.96
Established patient office visit (about 30–39 minutes): 10 of 49 insurance plan rates Aetna — Commercial: $151.98 Aetna — Medicare Advantage: $85.25 Aetna Exchange Colorado — PPO: $151.98 Aetna First Health — Commercial: $151.98 Anthem — Medicare Advantage: $85.25 Anthem Blue Priority — Commercial: $115.37 Anthem CU Exclusive Employer Group — Commercial: $155.40 Anthem Indemnity — Commercial: $155.40 Anthem Pathway — Commercial: $115.37 Anthem Pathway Essentials — Commercial: $115.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT 30 MIN EST PT MOD	$2,373	$1,186.50	$81.84 – $6,238
Established patient office visit (about 30–39 minutes): 10 of 44 insurance plan rates Aetna — Commercial: $935.20 Aetna — Medicare Advantage: $139.63 Aetna Exchange Colorado — PPO: $894.86 Aetna First Health — Commercial: $1,535.09 Anthem — Medicare Advantage: $139.63 Anthem Blue Priority — Commercial: $95.79 Anthem CU Exclusive Employer Group — Commercial: $245.12 Anthem Indemnity — Commercial: $1,412.88 Anthem Pathway — Commercial: $90.11 Anthem Pathway Essentials — Commercial: $90.09
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LACTATION CONSULT LOW LEVEL 30MIN	$139	$69.50	$30.66 – $282.75
Office consultation with a specialist (moderate): 10 of 45 insurance plan rates Aetna — Commercial: $54.78 Aetna — Medicare Advantage: $115.60 Aetna Exchange Colorado — PPO: $52.42 Aetna First Health — Commercial: $89.92 Anthem — Medicare Advantage: $115.60 Anthem Blue Priority — Commercial: $53.39 Anthem CU Exclusive Employer Group — Commercial: $53.39 Anthem Indemnity — Commercial: $82.76 Anthem Pathway — Commercial: $42.80 Anthem Pathway Essentials — Commercial: $34.29
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$193	$96.50	$73.17 – $205.49
Office consultation with a specialist (moderate): 10 of 40 insurance plan rates Aetna — Commercial: $186.53 Aetna — Medicare Advantage: $73.17 Aetna Exchange Colorado — PPO: $186.53 Aetna First Health — Commercial: $186.53 Anthem Blue Priority — Commercial: $104.62 Anthem CU Exclusive Employer Group — Commercial: $140.92 Anthem Indemnity — Commercial: $140.92 Anthem Pathway — Commercial: $104.62 Anthem Pathway Essentials — Commercial: $104.62 Anthem Pathway Essentials Standard — Commercial: $104.62
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CONSULT LOW LEVEL 30 MIN-PR	$866	$433	$73.17 – $883.32
Office consultation with a specialist (moderate): 10 of 40 insurance plan rates Aetna — Commercial: $186.53 Aetna — Medicare Advantage: $73.17 Aetna Exchange Colorado — PPO: $186.53 Aetna First Health — Commercial: $186.53 Anthem Blue Priority — Commercial: $104.62 Anthem CU Exclusive Employer Group — Commercial: $140.92 Anthem Indemnity — Commercial: $140.92 Anthem Pathway — Commercial: $104.62 Anthem Pathway Essentials — Commercial: $104.62 Anthem Pathway Essentials Standard — Commercial: $104.62
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LACTATION CONSULT LOW LEVEL 40MIN	$184	$92	$40.59 – $403.63
Office consultation with a specialist (moderate to high): 10 of 45 insurance plan rates Aetna — Commercial: $72.51 Aetna — Medicare Advantage: $165.02 Aetna Exchange Colorado — PPO: $69.39 Aetna First Health — Commercial: $119.03 Anthem — Medicare Advantage: $165.02 Anthem Blue Priority — Commercial: $70.67 Anthem CU Exclusive Employer Group — Commercial: $70.67 Anthem Indemnity — Commercial: $109.55 Anthem Pathway — Commercial: $56.65 Anthem Pathway Essentials — Commercial: $45.39
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CONSULT MOD LEVEL 40 MIN-PR	$1,298	$649	$111.20 – $1,323.96
Office consultation with a specialist (moderate to high): 10 of 40 insurance plan rates Aetna — Commercial: $300.16 Aetna — Medicare Advantage: $111.20 Aetna Exchange Colorado — PPO: $300.16 Aetna First Health — Commercial: $300.16 Anthem Blue Priority — Commercial: $160.02 Anthem CU Exclusive Employer Group — Commercial: $215.56 Anthem Indemnity — Commercial: $215.56 Anthem Pathway — Commercial: $160.02 Anthem Pathway Essentials — Commercial: $160.02 Anthem Pathway Essentials Standard — Commercial: $160.02
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$289	$144.50	$111.20 – $313.94
Office consultation with a specialist (moderate to high): 10 of 40 insurance plan rates Aetna — Commercial: $300.16 Aetna — Medicare Advantage: $111.20 Aetna Exchange Colorado — PPO: $300.16 Aetna First Health — Commercial: $300.16 Anthem Blue Priority — Commercial: $160.02 Anthem CU Exclusive Employer Group — Commercial: $215.56 Anthem Indemnity — Commercial: $215.56 Anthem Pathway — Commercial: $160.02 Anthem Pathway Essentials — Commercial: $160.02 Anthem Pathway Essentials Standard — Commercial: $160.02
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$82.96 – $191.67
Preventive checkup, new patient, age 18–39: 10 of 25 insurance plan rates Aetna — Commercial: $191.35 Aetna — Medicare Advantage: $91.63 Aetna Exchange Colorado — PPO: $191.35 Aetna First Health — Commercial: $191.35 Anthem Blue Priority — Commercial: $115.78 Anthem CU Exclusive Employer Group — Commercial: $155.96 Anthem Indemnity — Commercial: $155.96 Anthem Pathway — Commercial: $115.78 Anthem Pathway Essentials — Commercial: $115.78 Anthem Pathway Essentials Standard — Commercial: $115.78
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$135.53 – $339.39
Preventive checkup, new patient, age 18–39: 10 of 18 insurance plan rates Aetna — Medicare Advantage: $138.75 Anthem — Medicare Advantage: $138.75 Cigna — Commercial: $135.53 Cigna Individual — Commercial: $135.53 CMS Medicare — Medicare: $138.75 Devoted Health — Medicare Advantage: $142.91 Health Spring — Medicare Advantage: $145.69 Humana — Medicare Advantage: $141.53 Kaiser — Managed Care: $336.10 Kaiser Medicare Advantage HMO — Medicare Advantage: $141.53
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$100.80 – $232.89
Preventive checkup, new patient, age 40–64: 10 of 25 insurance plan rates Aetna — Commercial: $232.22 Aetna — Medicare Advantage: $110.98 Aetna Exchange Colorado — PPO: $232.22 Aetna First Health — Commercial: $232.22 Anthem Blue Priority — Commercial: $140.59 Anthem CU Exclusive Employer Group — Commercial: $189.38 Anthem Indemnity — Commercial: $189.38 Anthem Pathway — Commercial: $140.59 Anthem Pathway Essentials — Commercial: $140.59 Anthem Pathway Essentials Standard — Commercial: $140.59
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$160.14 – $391.71
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates Aetna — Medicare Advantage: $160.14 Anthem — Medicare Advantage: $160.14 Cigna — Commercial: $164.35 Cigna Individual — Commercial: $164.35 CMS Medicare — Medicare: $160.14 Devoted Health — Medicare Advantage: $164.95 Health Spring — Medicare Advantage: $168.15 Humana — Medicare Advantage: $163.35 Kaiser — Managed Care: $387.92 Kaiser Medicare Advantage HMO — Medicare Advantage: $163.35
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM	$139	$69.50	$53.61 – $291.16
Emergency room visit (moderate): 10 of 51 insurance plan rates Aetna — Commercial: $124.64 Aetna — Medicare Advantage: $69.25 Aetna Exchange Colorado — PPO: $124.64 Aetna First Health — Commercial: $124.64 Anthem — Medicare Advantage: $69.25 Anthem Blue Priority — Commercial: $87.66 Anthem CU Exclusive Employer Group — Commercial: $118.08 Anthem Indemnity — Commercial: $118.08 Anthem Pathway — Commercial: $87.66 Anthem Pathway Essentials — Commercial: $87.66
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER VISIT LOW LEVEL	$3,818	$1,909	$252.38 – $3,703.46
Emergency room visit (moderate): 10 of 50 insurance plan rates Aetna — Commercial: $1,476.64 Aetna — Medicare Advantage: $291.16 Aetna Exchange Colorado — PPO: $1,431.82 Aetna First Health — Commercial: $2,469.86 Anthem — Medicare Advantage: $291.16 Anthem Blue Priority — Commercial: $1,033 Anthem CU Exclusive Employer Group — Commercial: $935.22 Anthem Indemnity — Commercial: $2,273.24 Anthem Pathway — Commercial: $686.58 Anthem Pathway Essentials — Commercial: $564.79
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER VISIT LOW LEVEL - SEXASSAULT FORENSIC	$510	$255	$252.38 – $1,476.64
Emergency room visit (moderate): 10 of 46 insurance plan rates Aetna — Commercial: $1,476.64 Aetna — Medicare Advantage: $291.16 Aetna Exchange Colorado — PPO: $1,431.82 Aetna First Health — Commercial: $329.92 Anthem — Medicare Advantage: $291.16 Anthem Blue Priority — Commercial: $1,033 Anthem CU Exclusive Employer Group — Commercial: $935.22 Anthem Indemnity — Commercial: $303.65 Anthem Pathway — Commercial: $686.58 Anthem Pathway Essentials — Commercial: $564.79
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$236	$118	$99.03 – $445.05
Emergency room visit (moderately high): 10 of 51 insurance plan rates Aetna — Commercial: $228.72 Aetna — Medicare Advantage: $117.74 Aetna Exchange Colorado — PPO: $228.72 Aetna First Health — Commercial: $228.72 Anthem — Medicare Advantage: $117.74 Anthem Blue Priority — Commercial: $147.62 Anthem CU Exclusive Employer Group — Commercial: $198.85 Anthem Indemnity — Commercial: $198.85 Anthem Pathway — Commercial: $147.62 Anthem Pathway Essentials — Commercial: $147.62
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER VISIT MODERATE LEVEL	$6,158	$3,079	$275 – $5,973.26
Emergency room visit (moderately high): 10 of 50 insurance plan rates Aetna — Commercial: $2,686.30 Aetna — Medicare Advantage: $445.05 Aetna Exchange Colorado — PPO: $2,605.49 Aetna First Health — Commercial: $3,983.61 Anthem — Medicare Advantage: $445.05 Anthem Blue Priority — Commercial: $1,579.03 Anthem CU Exclusive Employer Group — Commercial: $1,429.57 Anthem Indemnity — Commercial: $3,666.47 Anthem Pathway — Commercial: $1,049.50 Anthem Pathway Essentials — Commercial: $863.34
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER VISIT MODERATE LEVEL	$6,158	$3,079	$2,146.68 – $5,973.26
Emergency room visit (moderately high): 10 of 21 insurance plan rates Aetna First Health — Commercial: $5,363 Anthem Indemnity — Commercial: $3,548.24 Casualty Management Network BEH — Commercial: $5,234.30 Casualty Management Network BVIPA — Commercial: $5,542.20 Cigna Behavioral Health — Commercial: $4,926.40 Devoted Health — Medicare Advantage: $2,463.20 Health Management Network BCH Community Medical Associates — Commercial: $5,911.68 Health Management Network Community Medical Associates — Commercial: $5,911.68 Health Payors Organization — Commercial: $5,850.10 Integrated Health Plans BCH — Commercial: $4,618.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$342	$171	$143.51 – $635.19
Emergency room visit (high): 10 of 51 insurance plan rates Aetna — Commercial: $332.14 Aetna — Medicare Advantage: $170.83 Aetna Exchange Colorado — PPO: $332.14 Aetna First Health — Commercial: $332.14 Anthem — Medicare Advantage: $170.83 Anthem Blue Priority — Commercial: $214.19 Anthem CU Exclusive Employer Group — Commercial: $288.53 Anthem Indemnity — Commercial: $288.53 Anthem Pathway — Commercial: $214.19 Anthem Pathway Essentials — Commercial: $214.19
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER VISIT HIGH LEVEL	$11,142	$5,571	$275 – $10,807.74
Emergency room visit (high): 10 of 50 insurance plan rates Aetna — Commercial: $4,089.81 Aetna — Medicare Advantage: $635.19 Aetna Exchange Colorado — PPO: $3,966.71 Aetna First Health — Commercial: $7,207.76 Anthem — Medicare Advantage: $635.19 Anthem Blue Priority — Commercial: $2,253.62 Anthem CU Exclusive Employer Group — Commercial: $2,040.30 Anthem Indemnity — Commercial: $6,633.95 Anthem Pathway — Commercial: $1,497.87 Anthem Pathway Essentials — Commercial: $1,232.17
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER VISIT HIGH LEVEL	$11,142	$5,571	$3,884.10 – $10,807.74
Emergency room visit (high): 10 of 21 insurance plan rates Aetna First Health — Commercial: $9,703.57 Anthem Indemnity — Commercial: $6,420.02 Casualty Management Network BEH — Commercial: $9,470.70 Casualty Management Network BVIPA — Commercial: $10,027.80 Cigna Behavioral Health — Commercial: $8,913.60 Devoted Health — Medicare Advantage: $4,456.80 Health Management Network BCH Community Medical Associates — Commercial: $10,696.32 Health Management Network Community Medical Associates — Commercial: $10,696.32 Health Payors Organization — Commercial: $10,584.90 Integrated Health Plans BCH — Commercial: $8,356.50

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - POC	$98	$49	$6.85 – $95.06
Basic metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial: $38.62 Aetna — Medicare Advantage: $8.46 Aetna Exchange Colorado — PPO: $36.96 Aetna First Health — Commercial: $63.40 Anthem — Medicare Advantage: $8.46 Anthem Blue Priority — Commercial: $13.62 Anthem CU Exclusive Employer Group — Commercial: $34.85 Anthem Indemnity — Commercial: $58.35 Anthem Pathway — Commercial: $12.81 Anthem Pathway Essentials — Commercial: $12.81
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL	$189	$94.50	$6.85 – $183.33
Basic metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial: $74.48 Aetna — Medicare Advantage: $8.46 Aetna Exchange Colorado — PPO: $71.27 Aetna First Health — Commercial: $122.26 Anthem — Medicare Advantage: $8.46 Anthem Blue Priority — Commercial: $13.62 Anthem CU Exclusive Employer Group — Commercial: $34.85 Anthem Indemnity — Commercial: $112.53 Anthem Pathway — Commercial: $12.81 Anthem Pathway Essentials — Commercial: $12.81
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL	$189	$94.50	$65.89 – $183.33
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Aetna First Health — Commercial: $164.60 Anthem Indemnity — Commercial: $108.90 Casualty Management Network BEH — Commercial: $160.65 Casualty Management Network BVIPA — Commercial: $170.10 Cigna Behavioral Health — Commercial: $151.20 Devoted Health — Medicare Advantage: $75.60 Health Management Network BCH Community Medical Associates — Commercial: $181.44 Health Management Network Community Medical Associates — Commercial: $181.44 Health Payors Organization — Commercial: $179.55 Integrated Health Plans BCH — Commercial: $141.75
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - POC	$128	$64	$8.55 – $124.16
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial: $50.44 Aetna — Medicare Advantage: $10.56 Aetna Exchange Colorado — PPO: $48.27 Aetna First Health — Commercial: $82.80 Anthem — Medicare Advantage: $10.56 Anthem Blue Priority — Commercial: $17.01 Anthem CU Exclusive Employer Group — Commercial: $43.53 Anthem Indemnity — Commercial: $76.21 Anthem Pathway — Commercial: $16 Anthem Pathway Essentials — Commercial: $16
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE	$315	$157.50	$8.55 – $305.55
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial: $124.14 Aetna — Medicare Advantage: $10.56 Aetna Exchange Colorado — PPO: $118.79 Aetna First Health — Commercial: $203.77 Anthem — Medicare Advantage: $10.56 Anthem Blue Priority — Commercial: $17.01 Anthem CU Exclusive Employer Group — Commercial: $43.53 Anthem Indemnity — Commercial: $187.55 Anthem Pathway — Commercial: $16 Anthem Pathway Essentials — Commercial: $16
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - POC	$128	$64	$44.62 – $124.16
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Aetna First Health — Commercial: $111.48 Anthem Indemnity — Commercial: $73.75 Casualty Management Network BEH — Commercial: $108.80 Casualty Management Network BVIPA — Commercial: $115.20 Cigna Behavioral Health — Commercial: $102.40 Devoted Health — Medicare Advantage: $51.20 Health Management Network BCH Community Medical Associates — Commercial: $122.88 Health Management Network Community Medical Associates — Commercial: $122.88 Health Payors Organization — Commercial: $121.60 Integrated Health Plans BCH — Commercial: $96
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$924	$462	$38.73 – $896.28
Obstetric blood test panel: 10 of 45 insurance plan rates Aetna — Commercial: $364.15 Aetna — Medicare Advantage: $47.81 Aetna Exchange Colorado — PPO: $348.44 Aetna First Health — Commercial: $597.74 Anthem — Medicare Advantage: $47.81 Anthem Blue Priority — Commercial: $53.72 Anthem CU Exclusive Employer Group — Commercial: $137.47 Anthem Indemnity — Commercial: $550.15 Anthem Pathway — Commercial: $50.54 Anthem Pathway Essentials — Commercial: $50.53
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$924	$462	$322.11 – $896.28
Obstetric blood test panel: 10 of 21 insurance plan rates Aetna First Health — Commercial: $804.71 Anthem Indemnity — Commercial: $532.41 Casualty Management Network BEH — Commercial: $785.40 Casualty Management Network BVIPA — Commercial: $831.60 Cigna Behavioral Health — Commercial: $739.20 Devoted Health — Medicare Advantage: $369.60 Health Management Network BCH Community Medical Associates — Commercial: $887.04 Health Management Network Community Medical Associates — Commercial: $887.04 Health Payors Organization — Commercial: $877.80 Integrated Health Plans BCH — Commercial: $693
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$20.08 – $117.42
Obstetric blood test panel: 10 of 23 insurance plan rates Aetna — Commercial: $68.32 Aetna — Medicare Advantage: $36.34 Aetna First Health — Commercial: $36.34 Anthem Blue Priority — Commercial: $20.08 Anthem CU Exclusive Employer Group — Commercial: $20.08 Anthem Indemnity — Commercial: $20.08 Anthem Pathway — Commercial: $20.08 Anthem Pathway Essentials — Commercial: $20.08 Anthem Pathway Essentials Standard — Commercial: $20.08 Anthem Pathway Standard — Commercial: $20.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ADVANCE LIPID PANEL S/O	$252	$126	$10.85 – $244.44
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates Aetna — Commercial: $99.31 Aetna — Medicare Advantage: $13.39 Aetna Exchange Colorado — PPO: $95.03 Aetna First Health — Commercial: $163.02 Anthem — Medicare Advantage: $13.39 Anthem Blue Priority — Commercial: $21.56 Anthem CU Exclusive Employer Group — Commercial: $55.18 Anthem Indemnity — Commercial: $150.04 Anthem Pathway — Commercial: $20.28 Anthem Pathway Essentials — Commercial: $20.28
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NMR LIPID S/O	$28	$14	$10.56 – $55.18
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates Aetna — Commercial: $11.03 Aetna — Medicare Advantage: $13.39 Aetna Exchange Colorado — PPO: $10.56 Aetna First Health — Commercial: $18.11 Anthem — Medicare Advantage: $13.39 Anthem Blue Priority — Commercial: $21.56 Anthem CU Exclusive Employer Group — Commercial: $55.18 Anthem Indemnity — Commercial: $16.67 Anthem Pathway — Commercial: $20.28 Anthem Pathway Essentials — Commercial: $20.28
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$221	$110.50	$10.85 – $214.37
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates Aetna — Commercial: $87.10 Aetna — Medicare Advantage: $13.39 Aetna Exchange Colorado — PPO: $83.34 Aetna First Health — Commercial: $142.96 Anthem — Medicare Advantage: $13.39 Anthem Blue Priority — Commercial: $21.56 Anthem CU Exclusive Employer Group — Commercial: $55.18 Anthem Indemnity — Commercial: $131.58 Anthem Pathway — Commercial: $20.28 Anthem Pathway Essentials — Commercial: $20.28
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$229	$114.50	$7.03 – $222.13
Kidney function panel: 10 of 45 insurance plan rates Aetna — Commercial: $90.25 Aetna — Medicare Advantage: $8.68 Aetna Exchange Colorado — PPO: $86.36 Aetna First Health — Commercial: $148.14 Anthem — Medicare Advantage: $8.68 Anthem Blue Priority — Commercial: $13.97 Anthem CU Exclusive Employer Group — Commercial: $35.74 Anthem Indemnity — Commercial: $136.35 Anthem Pathway — Commercial: $13.14 Anthem Pathway Essentials — Commercial: $13.14
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$229	$114.50	$79.83 – $222.13
Kidney function panel: 10 of 21 insurance plan rates Aetna First Health — Commercial: $199.44 Anthem Indemnity — Commercial: $131.95 Casualty Management Network BEH — Commercial: $194.65 Casualty Management Network BVIPA — Commercial: $206.10 Cigna Behavioral Health — Commercial: $183.20 Devoted Health — Medicare Advantage: $91.60 Health Management Network BCH Community Medical Associates — Commercial: $219.84 Health Management Network Community Medical Associates — Commercial: $219.84 Health Payors Organization — Commercial: $217.55 Integrated Health Plans BCH — Commercial: $171.75
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.65 – $21.34
Kidney function panel: 10 of 23 insurance plan rates Aetna — Commercial: $12.41 Aetna — Medicare Advantage: $6.60 Aetna First Health — Commercial: $6.60 Anthem Blue Priority — Commercial: $3.65 Anthem CU Exclusive Employer Group — Commercial: $3.65 Anthem Indemnity — Commercial: $3.65 Anthem Pathway — Commercial: $3.65 Anthem Pathway Essentials — Commercial: $3.65 Anthem Pathway Essentials Standard — Commercial: $3.65 Anthem Pathway Standard — Commercial: $3.65
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$172	$86	$6.62 – $166.84
Liver function panel: 10 of 45 insurance plan rates Aetna — Commercial: $67.79 Aetna — Medicare Advantage: $8.17 Aetna Exchange Colorado — PPO: $64.86 Aetna First Health — Commercial: $111.27 Anthem — Medicare Advantage: $8.17 Anthem Blue Priority — Commercial: $13.15 Anthem CU Exclusive Employer Group — Commercial: $33.64 Anthem Indemnity — Commercial: $102.41 Anthem Pathway — Commercial: $12.37 Anthem Pathway Essentials — Commercial: $12.36
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - POC	$158	$79	$6.62 – $153.26
Liver function panel: 10 of 45 insurance plan rates Aetna — Commercial: $62.27 Aetna — Medicare Advantage: $8.17 Aetna Exchange Colorado — PPO: $59.58 Aetna First Health — Commercial: $102.21 Anthem — Medicare Advantage: $8.17 Anthem Blue Priority — Commercial: $13.15 Anthem CU Exclusive Employer Group — Commercial: $33.64 Anthem Indemnity — Commercial: $94.07 Anthem Pathway — Commercial: $12.37 Anthem Pathway Essentials — Commercial: $12.36
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - POC	$158	$79	$55.08 – $153.26
Liver function panel: 10 of 21 insurance plan rates Aetna First Health — Commercial: $137.60 Anthem Indemnity — Commercial: $91.04 Casualty Management Network BEH — Commercial: $134.30 Casualty Management Network BVIPA — Commercial: $142.20 Cigna Behavioral Health — Commercial: $126.40 Devoted Health — Medicare Advantage: $63.20 Health Management Network BCH Community Medical Associates — Commercial: $151.68 Health Management Network Community Medical Associates — Commercial: $151.68 Health Payors Organization — Commercial: $150.10 Integrated Health Plans BCH — Commercial: $118.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$176	$88	$2.57 – $170.72
Urine test (automated, with microscope): 10 of 45 insurance plan rates Aetna — Commercial: $69.36 Aetna — Medicare Advantage: $3.17 Aetna Exchange Colorado — PPO: $66.37 Aetna First Health — Commercial: $113.85 Anthem — Medicare Advantage: $3.17 Anthem Blue Priority — Commercial: $3.56 Anthem CU Exclusive Employer Group — Commercial: $9.11 Anthem Indemnity — Commercial: $104.79 Anthem Pathway — Commercial: $3.35 Anthem Pathway Essentials — Commercial: $3.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$176	$88	$2.57 – $170.72
Urine test (automated, with microscope): 10 of 45 insurance plan rates Aetna — Commercial: $69.36 Aetna — Medicare Advantage: $3.17 Aetna Exchange Colorado — PPO: $66.37 Aetna First Health — Commercial: $113.85 Anthem — Medicare Advantage: $3.17 Anthem Blue Priority — Commercial: $3.56 Anthem CU Exclusive Employer Group — Commercial: $9.11 Anthem Indemnity — Commercial: $104.79 Anthem Pathway — Commercial: $3.35 Anthem Pathway Essentials — Commercial: $3.35
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$176	$88	$61.35 – $170.72
Urine test (automated, with microscope): 10 of 21 insurance plan rates Aetna First Health — Commercial: $153.28 Anthem Indemnity — Commercial: $101.41 Casualty Management Network BEH — Commercial: $149.60 Casualty Management Network BVIPA — Commercial: $158.40 Cigna Behavioral Health — Commercial: $140.80 Devoted Health — Medicare Advantage: $70.40 Health Management Network BCH Community Medical Associates — Commercial: $168.96 Health Management Network Community Medical Associates — Commercial: $168.96 Health Payors Organization — Commercial: $167.20 Integrated Health Plans BCH — Commercial: $132
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UROBILINOGEN, QUAL	$141	$70.50	$2.82 – $136.77
Urine test (manual, without microscope): 10 of 45 insurance plan rates Aetna — Commercial: $55.57 Aetna — Medicare Advantage: $3.48 Aetna Exchange Colorado — PPO: $53.17 Aetna First Health — Commercial: $91.21 Anthem — Medicare Advantage: $3.48 Anthem Blue Priority — Commercial: $3.91 Anthem CU Exclusive Employer Group — Commercial: $10.01 Anthem Indemnity — Commercial: $83.95 Anthem Pathway — Commercial: $3.68 Anthem Pathway Essentials — Commercial: $3.68
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BILIRUBIN, URINE	$141	$70.50	$2.82 – $136.77
Urine test (manual, without microscope): 10 of 45 insurance plan rates Aetna — Commercial: $55.57 Aetna — Medicare Advantage: $3.48 Aetna Exchange Colorado — PPO: $53.17 Aetna First Health — Commercial: $91.21 Anthem — Medicare Advantage: $3.48 Anthem Blue Priority — Commercial: $3.91 Anthem CU Exclusive Employer Group — Commercial: $10.01 Anthem Indemnity — Commercial: $83.95 Anthem Pathway — Commercial: $3.68 Anthem Pathway Essentials — Commercial: $3.68
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPECIFIC GRAVITY, URINE	$141	$70.50	$2.82 – $136.77
Urine test (manual, without microscope): 10 of 45 insurance plan rates Aetna — Commercial: $55.57 Aetna — Medicare Advantage: $3.48 Aetna Exchange Colorado — PPO: $53.17 Aetna First Health — Commercial: $91.21 Anthem — Medicare Advantage: $3.48 Anthem Blue Priority — Commercial: $3.91 Anthem CU Exclusive Employer Group — Commercial: $10.01 Anthem Indemnity — Commercial: $83.95 Anthem Pathway — Commercial: $3.68 Anthem Pathway Essentials — Commercial: $3.68
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS - POC	$119	$59.50	$1.83 – $115.43
Urine test (automated, without microscope): 10 of 45 insurance plan rates Aetna — Commercial: $46.90 Aetna — Medicare Advantage: $2.25 Aetna Exchange Colorado — PPO: $44.87 Aetna First Health — Commercial: $76.98 Anthem — Medicare Advantage: $2.25 Anthem Blue Priority — Commercial: $2.53 Anthem CU Exclusive Employer Group — Commercial: $6.47 Anthem Indemnity — Commercial: $70.85 Anthem Pathway — Commercial: $2.38 Anthem Pathway Essentials — Commercial: $2.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS	$65	$32.50	$1.83 – $63.05
Urine test (automated, without microscope): 10 of 45 insurance plan rates Aetna — Commercial: $25.62 Aetna — Medicare Advantage: $2.25 Aetna Exchange Colorado — PPO: $24.51 Aetna First Health — Commercial: $42.05 Anthem — Medicare Advantage: $2.25 Anthem Blue Priority — Commercial: $2.53 Anthem CU Exclusive Employer Group — Commercial: $6.47 Anthem Indemnity — Commercial: $38.70 Anthem Pathway — Commercial: $2.38 Anthem Pathway Essentials — Commercial: $2.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE	$32	$16	$1.83 – $31.04
Urine test (automated, without microscope): 10 of 45 insurance plan rates Aetna — Commercial: $12.61 Aetna — Medicare Advantage: $2.25 Aetna Exchange Colorado — PPO: $12.07 Aetna First Health — Commercial: $20.70 Anthem — Medicare Advantage: $2.25 Anthem Blue Priority — Commercial: $2.53 Anthem CU Exclusive Employer Group — Commercial: $6.47 Anthem Indemnity — Commercial: $19.05 Anthem Pathway — Commercial: $2.38 Anthem Pathway Essentials — Commercial: $2.38
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE	$100	$50	$14.90 – $97
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates Aetna — Commercial: $39.41 Aetna — Medicare Advantage: $18.39 Aetna Exchange Colorado — PPO: $37.71 Aetna First Health — Commercial: $64.69 Anthem — Medicare Advantage: $18.39 Anthem Blue Priority — Commercial: $20.66 Anthem CU Exclusive Employer Group — Commercial: $52.88 Anthem Indemnity — Commercial: $59.54 Anthem Pathway — Commercial: $19.44 Anthem Pathway Essentials — Commercial: $19.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN, TOTAL	$51	$25.50	$14.90 – $52.88
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates Aetna — Commercial: $20.10 Aetna — Medicare Advantage: $18.39 Aetna Exchange Colorado — PPO: $19.23 Aetna First Health — Commercial: $32.99 Anthem — Medicare Advantage: $18.39 Anthem Blue Priority — Commercial: $20.66 Anthem CU Exclusive Employer Group — Commercial: $52.88 Anthem Indemnity — Commercial: $30.37 Anthem Pathway — Commercial: $19.44 Anthem Pathway Essentials — Commercial: $19.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	$40	$20	$14.90 – $52.88
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates Aetna — Commercial: $15.76 Aetna — Medicare Advantage: $18.39 Aetna Exchange Colorado — PPO: $15.08 Aetna First Health — Commercial: $25.88 Anthem — Medicare Advantage: $18.39 Anthem Blue Priority — Commercial: $20.66 Anthem CU Exclusive Employer Group — Commercial: $52.88 Anthem Indemnity — Commercial: $23.82 Anthem Pathway — Commercial: $19.44 Anthem Pathway Essentials — Commercial: $19.43
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH)	$196	$98	$13.61 – $190.12
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates Aetna — Commercial: $77.24 Aetna — Medicare Advantage: $16.80 Aetna Exchange Colorado — PPO: $73.91 Aetna First Health — Commercial: $126.79 Anthem — Medicare Advantage: $16.80 Anthem Blue Priority — Commercial: $18.88 Anthem CU Exclusive Employer Group — Commercial: $48.31 Anthem Indemnity — Commercial: $116.70 Anthem Pathway — Commercial: $17.76 Anthem Pathway Essentials — Commercial: $17.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$97	$48.50	$13.61 – $94.09
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates Aetna — Commercial: $38.23 Aetna — Medicare Advantage: $16.80 Aetna Exchange Colorado — PPO: $36.58 Aetna First Health — Commercial: $62.75 Anthem — Medicare Advantage: $16.80 Anthem Blue Priority — Commercial: $18.88 Anthem CU Exclusive Employer Group — Commercial: $48.31 Anthem Indemnity — Commercial: $57.75 Anthem Pathway — Commercial: $17.76 Anthem Pathway Essentials — Commercial: $17.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$97	$48.50	$33.81 – $94.09
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna First Health — Commercial: $84.48 Anthem Indemnity — Commercial: $55.89 Casualty Management Network BEH — Commercial: $82.45 Casualty Management Network BVIPA — Commercial: $87.30 Cigna Behavioral Health — Commercial: $77.60 Devoted Health — Medicare Advantage: $38.80 Health Management Network BCH Community Medical Associates — Commercial: $93.12 Health Management Network Community Medical Associates — Commercial: $93.12 Health Payors Organization — Commercial: $92.15 Integrated Health Plans BCH — Commercial: $72.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - POC	$173	$86.50	$6.29 – $167.81
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates Aetna — Commercial: $68.18 Aetna — Medicare Advantage: $7.77 Aetna Exchange Colorado — PPO: $65.24 Aetna First Health — Commercial: $111.91 Anthem — Medicare Advantage: $7.77 Anthem Blue Priority — Commercial: $8.73 Anthem CU Exclusive Employer Group — Commercial: $22.34 Anthem Indemnity — Commercial: $103 Anthem Pathway — Commercial: $8.21 Anthem Pathway Essentials — Commercial: $8.21
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC	$173	$86.50	$6.29 – $167.81
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates Aetna — Commercial: $68.18 Aetna — Medicare Advantage: $7.77 Aetna Exchange Colorado — PPO: $65.24 Aetna First Health — Commercial: $111.91 Anthem — Medicare Advantage: $7.77 Anthem Blue Priority — Commercial: $8.73 Anthem CU Exclusive Employer Group — Commercial: $22.34 Anthem Indemnity — Commercial: $103 Anthem Pathway — Commercial: $8.21 Anthem Pathway Essentials — Commercial: $8.21
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC	$173	$86.50	$60.31 – $167.81
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Aetna First Health — Commercial: $150.67 Anthem Indemnity — Commercial: $99.68 Casualty Management Network BEH — Commercial: $147.05 Casualty Management Network BVIPA — Commercial: $155.70 Cigna Behavioral Health — Commercial: $138.40 Devoted Health — Medicare Advantage: $69.20 Health Management Network BCH Community Medical Associates — Commercial: $166.08 Health Management Network Community Medical Associates — Commercial: $166.08 Health Payors Organization — Commercial: $164.35 Integrated Health Plans BCH — Commercial: $129.75
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - ADDITIONAL CHARGE	$151	$75.50	$5.24 – $146.47
Complete blood count (CBC), automated: 10 of 45 insurance plan rates Aetna — Commercial: $59.51 Aetna — Medicare Advantage: $6.47 Aetna Exchange Colorado — PPO: $56.94 Aetna First Health — Commercial: $97.68 Anthem — Medicare Advantage: $6.47 Anthem Blue Priority — Commercial: $7.27 Anthem CU Exclusive Employer Group — Commercial: $18.60 Anthem Indemnity — Commercial: $89.91 Anthem Pathway — Commercial: $6.84 Anthem Pathway Essentials — Commercial: $6.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$151	$75.50	$5.24 – $146.47
Complete blood count (CBC), automated: 10 of 45 insurance plan rates Aetna — Commercial: $59.51 Aetna — Medicare Advantage: $6.47 Aetna Exchange Colorado — PPO: $56.94 Aetna First Health — Commercial: $97.68 Anthem — Medicare Advantage: $6.47 Anthem Blue Priority — Commercial: $7.27 Anthem CU Exclusive Employer Group — Commercial: $18.60 Anthem Indemnity — Commercial: $89.91 Anthem Pathway — Commercial: $6.84 Anthem Pathway Essentials — Commercial: $6.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - POCT CBC	$151	$75.50	$5.24 – $146.47
Complete blood count (CBC), automated: 10 of 45 insurance plan rates Aetna — Commercial: $59.51 Aetna — Medicare Advantage: $6.47 Aetna Exchange Colorado — PPO: $56.94 Aetna First Health — Commercial: $97.68 Anthem — Medicare Advantage: $6.47 Anthem Blue Priority — Commercial: $7.27 Anthem CU Exclusive Employer Group — Commercial: $18.60 Anthem Indemnity — Commercial: $89.91 Anthem Pathway — Commercial: $6.84 Anthem Pathway Essentials — Commercial: $6.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$136	$68	$3.47 – $131.92
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates Aetna — Commercial: $53.60 Aetna — Medicare Advantage: $4.29 Aetna Exchange Colorado — PPO: $51.29 Aetna First Health — Commercial: $87.98 Anthem — Medicare Advantage: $4.29 Anthem Blue Priority — Commercial: $4.82 Anthem CU Exclusive Employer Group — Commercial: $12.34 Anthem Indemnity — Commercial: $80.97 Anthem Pathway — Commercial: $4.53 Anthem Pathway Essentials — Commercial: $4.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$136	$68	$3.47 – $131.92
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates Aetna — Commercial: $53.60 Aetna — Medicare Advantage: $4.29 Aetna Exchange Colorado — PPO: $51.29 Aetna First Health — Commercial: $87.98 Anthem — Medicare Advantage: $4.29 Anthem Blue Priority — Commercial: $4.82 Anthem CU Exclusive Employer Group — Commercial: $12.34 Anthem Indemnity — Commercial: $80.97 Anthem Pathway — Commercial: $4.53 Anthem Pathway Essentials — Commercial: $4.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR, FINGERSTICK	$136	$68	$3.47 – $131.92
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates Aetna — Commercial: $53.60 Aetna — Medicare Advantage: $4.29 Aetna Exchange Colorado — PPO: $51.29 Aetna First Health — Commercial: $87.98 Anthem — Medicare Advantage: $4.29 Anthem Blue Priority — Commercial: $4.82 Anthem CU Exclusive Employer Group — Commercial: $12.34 Anthem Indemnity — Commercial: $80.97 Anthem Pathway — Commercial: $4.53 Anthem Pathway Essentials — Commercial: $4.53
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT S/O 1	$46	$23	$4.87 – $44.62
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates Aetna — Commercial: $18.13 Aetna — Medicare Advantage: $6.01 Aetna Exchange Colorado — PPO: $17.35 Aetna First Health — Commercial: $29.76 Anthem — Medicare Advantage: $6.01 Anthem Blue Priority — Commercial: $6.75 Anthem CU Exclusive Employer Group — Commercial: $17.28 Anthem Indemnity — Commercial: $27.39 Anthem Pathway — Commercial: $6.35 Anthem Pathway Essentials — Commercial: $6.35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT S/O 3	$34	$17	$4.87 – $32.98
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates Aetna — Commercial: $13.40 Aetna — Medicare Advantage: $6.01 Aetna Exchange Colorado — PPO: $12.82 Aetna First Health — Commercial: $21.99 Anthem — Medicare Advantage: $6.01 Anthem Blue Priority — Commercial: $6.75 Anthem CU Exclusive Employer Group — Commercial: $17.28 Anthem Indemnity — Commercial: $20.24 Anthem Pathway — Commercial: $6.35 Anthem Pathway Essentials — Commercial: $6.35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM	$172	$86	$4.87 – $166.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates Aetna — Commercial: $67.79 Aetna — Medicare Advantage: $6.01 Aetna Exchange Colorado — PPO: $64.86 Aetna First Health — Commercial: $111.27 Anthem — Medicare Advantage: $6.01 Anthem Blue Priority — Commercial: $6.75 Anthem CU Exclusive Employer Group — Commercial: $17.28 Anthem Indemnity — Commercial: $102.41 Anthem Pathway — Commercial: $6.35 Anthem Pathway Essentials — Commercial: $6.35

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$4,145	$2,072.50	$102 – $4,020.65
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates Aetna — Commercial: $500.70 Aetna — Medicare Advantage: $111.51 Aetna Exchange Colorado — PPO: $486.10 Aetna First Health — Commercial: $2,681.40 Anthem — Medicare Advantage: $111.51 Anthem Blue Priority — Commercial: $395.62 Anthem CU Exclusive Employer Group — Commercial: $358.17 Anthem Indemnity — Commercial: $2,467.93 Anthem Pathway — Commercial: $262.95 Anthem Pathway Essentials — Commercial: $216.31
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$4,145	$2,072.50	$1,444.95 – $4,020.65
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Aetna First Health — Commercial: $3,609.88 Anthem Indemnity — Commercial: $2,388.35 Casualty Management Network BEH — Commercial: $3,523.25 Casualty Management Network BVIPA — Commercial: $3,730.50 Cigna Behavioral Health — Commercial: $3,316 Devoted Health — Medicare Advantage: $1,658 Health Management Network BCH Community Medical Associates — Commercial: $3,979.20 Health Management Network Community Medical Associates — Commercial: $3,979.20 Health Payors Organization — Commercial: $3,937.75 Integrated Health Plans BCH — Commercial: $3,108.75
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$92.73 – $331.68
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates Aetna — Commercial: $174.73 Aetna — Medicare Advantage: $111.36 Aetna Exchange Colorado — PPO: $174.73 Aetna First Health — Commercial: $174.73 Anthem — Medicare Advantage: $111.36 Anthem Blue Priority — Commercial: $146.34 Anthem CU Exclusive Employer Group — Commercial: $146.34 Anthem Indemnity — Commercial: $146.34 Anthem Pathway — Commercial: $146.34 Anthem Pathway Essentials — Commercial: $146.34
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO W/WO CONTRAST	$5,419	$2,709.50	$305.02 – $5,256.43
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates Aetna — Commercial: $1,016.91 Aetna — Medicare Advantage: $372.11 Aetna Exchange Colorado — PPO: $986.52 Aetna First Health — Commercial: $3,505.55 Anthem — Medicare Advantage: $372.11 Anthem Blue Priority — Commercial: $1,320.20 Anthem CU Exclusive Employer Group — Commercial: $1,195.24 Anthem Indemnity — Commercial: $3,226.47 Anthem Pathway — Commercial: $877.47 Anthem Pathway Essentials — Commercial: $721.82
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN COMBO W/WO CONTRAST	$5,419	$2,709.50	$1,889.06 – $5,256.43
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Aetna First Health — Commercial: $4,719.41 Anthem Indemnity — Commercial: $3,122.43 Casualty Management Network BEH — Commercial: $4,606.15 Casualty Management Network BVIPA — Commercial: $4,877.10 Cigna Behavioral Health — Commercial: $4,335.20 Devoted Health — Medicare Advantage: $2,167.60 Health Management Network BCH Community Medical Associates — Commercial: $5,202.24 Health Management Network Community Medical Associates — Commercial: $5,202.24 Health Payors Organization — Commercial: $5,148.05 Integrated Health Plans BCH — Commercial: $4,064.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$277.29 – $1,590.33
MRI of the brain, before and after contrast: 10 of 36 insurance plan rates Aetna — Commercial: $843 Aetna — Medicare Advantage: $331.88 Aetna Exchange Colorado — PPO: $843 Aetna First Health — Commercial: $843 Anthem — Medicare Advantage: $331.88 Anthem Blue Priority — Commercial: $443.74 Anthem CU Exclusive Employer Group — Commercial: $443.74 Anthem Indemnity — Commercial: $443.74 Anthem Pathway — Commercial: $443.74 Anthem Pathway Essentials — Commercial: $443.74
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS	$1,450	$725	$31.72 – $1,406.50
Chest X-ray, 2 views: 10 of 47 insurance plan rates Aetna — Commercial: $571.45 Aetna — Medicare Advantage: $92.82 Aetna Exchange Colorado — PPO: $546.80 Aetna First Health — Commercial: $938.01 Anthem — Medicare Advantage: $92.82 Anthem Blue Priority — Commercial: $329.32 Anthem CU Exclusive Employer Group — Commercial: $298.15 Anthem Indemnity — Commercial: $863.33 Anthem Pathway — Commercial: $218.88 Anthem Pathway Essentials — Commercial: $180.06
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS	$1,450	$725	$505.47 – $1,406.50
Chest X-ray, 2 views: 10 of 21 insurance plan rates Aetna First Health — Commercial: $1,262.81 Anthem Indemnity — Commercial: $835.49 Casualty Management Network BEH — Commercial: $1,232.50 Casualty Management Network BVIPA — Commercial: $1,305 Cigna Behavioral Health — Commercial: $1,160 Devoted Health — Medicare Advantage: $580 Health Management Network BCH Community Medical Associates — Commercial: $1,392 Health Management Network Community Medical Associates — Commercial: $1,392 Health Payors Organization — Commercial: $1,377.50 Integrated Health Plans BCH — Commercial: $1,087.50
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$28.84 – $92.82
Chest X-ray, 2 views: 10 of 35 insurance plan rates Aetna — Commercial: $50.95 Aetna — Medicare Advantage: $34.63 Aetna Exchange Colorado — PPO: $50.95 Aetna First Health — Commercial: $50.95 Anthem — Medicare Advantage: $34.63 Anthem Blue Priority — Commercial: $43.42 Anthem CU Exclusive Employer Group — Commercial: $58.49 Anthem Indemnity — Commercial: $58.49 Anthem Pathway — Commercial: $43.42 Anthem Pathway Essentials — Commercial: $43.42
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$3,037	$1,518.50	$49.19 – $2,945.89
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates Aetna — Commercial: $1,196.88 Aetna — Medicare Advantage: $111.51 Aetna Exchange Colorado — PPO: $1,145.25 Aetna First Health — Commercial: $1,964.64 Anthem — Medicare Advantage: $111.51 Anthem Blue Priority — Commercial: $395.62 Anthem CU Exclusive Employer Group — Commercial: $358.17 Anthem Indemnity — Commercial: $1,808.23 Anthem Pathway — Commercial: $262.95 Anthem Pathway Essentials — Commercial: $216.31
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$3,037	$1,518.50	$1,058.70 – $2,945.89
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates Aetna First Health — Commercial: $2,644.92 Anthem Indemnity — Commercial: $1,749.92 Casualty Management Network BEH — Commercial: $2,581.45 Casualty Management Network BVIPA — Commercial: $2,733.30 Cigna Behavioral Health — Commercial: $2,429.60 Devoted Health — Medicare Advantage: $1,214.80 Health Management Network BCH Community Medical Associates — Commercial: $2,915.52 Health Management Network Community Medical Associates — Commercial: $2,915.52 Health Payors Organization — Commercial: $2,885.15 Integrated Health Plans BCH — Commercial: $2,277.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$44.72 – $129.70
X-ray of the lower spine, at least 4 views: 10 of 36 insurance plan rates Aetna — Commercial: $78.99 Aetna — Medicare Advantage: $56.14 Aetna Exchange Colorado — PPO: $78.99 Aetna First Health — Commercial: $78.99 Anthem — Medicare Advantage: $56.14 Anthem Blue Priority — Commercial: $66.16 Anthem CU Exclusive Employer Group — Commercial: $89.12 Anthem Indemnity — Commercial: $89.12 Anthem Pathway — Commercial: $66.16 Anthem Pathway Essentials — Commercial: $66.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$5,419	$2,709.50	$182.72 – $5,256.43
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates Aetna — Commercial: $1,016.91 Aetna — Medicare Advantage: $254.49 Aetna Exchange Colorado — PPO: $986.52 Aetna First Health — Commercial: $3,505.55 Anthem — Medicare Advantage: $254.49 Anthem Blue Priority — Commercial: $902.91 Anthem CU Exclusive Employer Group — Commercial: $817.45 Anthem Indemnity — Commercial: $3,226.47 Anthem Pathway — Commercial: $600.12 Anthem Pathway Essentials — Commercial: $493.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$5,419	$2,709.50	$1,889.06 – $5,256.43
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Aetna First Health — Commercial: $4,719.41 Anthem Indemnity — Commercial: $3,122.43 Casualty Management Network BEH — Commercial: $4,606.15 Casualty Management Network BVIPA — Commercial: $4,877.10 Cigna Behavioral Health — Commercial: $4,335.20 Devoted Health — Medicare Advantage: $2,167.60 Health Management Network BCH Community Medical Associates — Commercial: $5,202.24 Health Management Network Community Medical Associates — Commercial: $5,202.24 Health Payors Organization — Commercial: $5,148.05 Integrated Health Plans BCH — Commercial: $4,064.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$166.11 – $843
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates Aetna — Commercial: $843 Aetna — Medicare Advantage: $200.55 Aetna Exchange Colorado — PPO: $843 Aetna First Health — Commercial: $843 Anthem — Medicare Advantage: $200.55 Anthem Blue Priority — Commercial: $265.56 Anthem CU Exclusive Employer Group — Commercial: $265.56 Anthem Indemnity — Commercial: $265.56 Anthem Pathway — Commercial: $265.56 Anthem Pathway Essentials — Commercial: $265.56
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$4,480	$2,240	$187.08 – $4,345.60
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates Aetna — Commercial: $500.70 Aetna — Medicare Advantage: $187.08 Aetna Exchange Colorado — PPO: $486.10 Aetna First Health — Commercial: $2,898.11 Anthem — Medicare Advantage: $187.08 Anthem Blue Priority — Commercial: $663.76 Anthem CU Exclusive Employer Group — Commercial: $600.93 Anthem Indemnity — Commercial: $2,667.39 Anthem Pathway — Commercial: $441.17 Anthem Pathway Essentials — Commercial: $362.91
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$4,480	$2,240	$1,561.73 – $4,345.60
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Aetna First Health — Commercial: $3,901.63 Anthem Indemnity — Commercial: $2,581.38 Casualty Management Network BEH — Commercial: $3,808 Casualty Management Network BVIPA — Commercial: $4,032 Cigna Behavioral Health — Commercial: $3,584 Devoted Health — Medicare Advantage: $1,792 Health Management Network BCH Community Medical Associates — Commercial: $4,300.80 Health Management Network Community Medical Associates — Commercial: $4,300.80 Health Payors Organization — Commercial: $4,256 Integrated Health Plans BCH — Commercial: $3,360
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$187.08 – $548.55
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates Aetna — Commercial: $372.89 Aetna — Medicare Advantage: $237.43 Aetna Exchange Colorado — PPO: $372.89 Aetna First Health — Commercial: $372.89 Anthem — Medicare Advantage: $237.43 Anthem Blue Priority — Commercial: $311.61 Anthem CU Exclusive Employer Group — Commercial: $311.61 Anthem Indemnity — Commercial: $311.61 Anthem Pathway — Commercial: $311.61 Anthem Pathway Essentials — Commercial: $311.61
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI ANY JOINT OF LWR EXTRE W/O CONTRAST	$5,419	$2,709.50	$194.68 – $5,256.43
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates Aetna — Commercial: $1,016.91 Aetna — Medicare Advantage: $254.49 Aetna Exchange Colorado — PPO: $986.52 Aetna First Health — Commercial: $3,505.55 Anthem — Medicare Advantage: $254.49 Anthem Blue Priority — Commercial: $902.91 Anthem CU Exclusive Employer Group — Commercial: $817.45 Anthem Indemnity — Commercial: $3,226.47 Anthem Pathway — Commercial: $600.12 Anthem Pathway Essentials — Commercial: $493.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI ANY JOINT OF LWR EXTRE W/O CONTRAST	$5,419	$2,709.50	$1,889.06 – $5,256.43
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna First Health — Commercial: $4,719.41 Anthem Indemnity — Commercial: $3,122.43 Casualty Management Network BEH — Commercial: $4,606.15 Casualty Management Network BVIPA — Commercial: $4,877.10 Cigna Behavioral Health — Commercial: $4,335.20 Devoted Health — Medicare Advantage: $2,167.60 Health Management Network BCH Community Medical Associates — Commercial: $5,202.24 Health Management Network Community Medical Associates — Commercial: $5,202.24 Health Payors Organization — Commercial: $5,148.05 Integrated Health Plans BCH — Commercial: $4,064.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$176.98 – $843
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates Aetna — Commercial: $843 Aetna — Medicare Advantage: $214.35 Aetna Exchange Colorado — PPO: $843 Aetna First Health — Commercial: $843 Anthem — Medicare Advantage: $214.35 Anthem Blue Priority — Commercial: $281.48 Anthem CU Exclusive Employer Group — Commercial: $281.48 Anthem Indemnity — Commercial: $281.48 Anthem Pathway — Commercial: $281.48 Anthem Pathway Essentials — Commercial: $281.48
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W/CONTRAST	$4,480	$2,240	$289.38 – $4,345.60
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates Aetna — Commercial: $500.70 Aetna — Medicare Advantage: $372.11 Aetna Exchange Colorado — PPO: $486.10 Aetna First Health — Commercial: $2,898.11 Anthem — Medicare Advantage: $372.11 Anthem Blue Priority — Commercial: $1,320.20 Anthem CU Exclusive Employer Group — Commercial: $1,195.24 Anthem Indemnity — Commercial: $2,667.39 Anthem Pathway — Commercial: $877.47 Anthem Pathway Essentials — Commercial: $721.82
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W/CONTRAST	$4,480	$2,240	$1,561.73 – $4,345.60
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Aetna First Health — Commercial: $3,901.63 Anthem Indemnity — Commercial: $2,581.38 Casualty Management Network BEH — Commercial: $3,808 Casualty Management Network BVIPA — Commercial: $4,032 Cigna Behavioral Health — Commercial: $3,584 Devoted Health — Medicare Advantage: $1,792 Health Management Network BCH Community Medical Associates — Commercial: $4,300.80 Health Management Network Community Medical Associates — Commercial: $4,300.80 Health Payors Organization — Commercial: $4,256 Integrated Health Plans BCH — Commercial: $3,360
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABD & PELV W/CONTRAST	Not listed in the file	Not listed in the file	$263.07 – $728.22
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates Aetna — Commercial: $495.68 Aetna — Medicare Advantage: $315.19 Aetna Exchange Colorado — PPO: $495.68 Aetna First Health — Commercial: $495.68 Anthem — Medicare Advantage: $315.19 Anthem Blue Priority — Commercial: $425.24 Anthem CU Exclusive Employer Group — Commercial: $425.24 Anthem Indemnity — Commercial: $425.24 Anthem Pathway — Commercial: $425.24 Anthem Pathway Essentials — Commercial: $425.24
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$77	$38.50	$57.75 – $276.32
Ultrasound of the abdomen, complete: 10 of 50 insurance plan rates Aetna — Commercial: $174.52 Aetna — Medicare Advantage: $119.60 Aetna Exchange Colorado — PPO: $174.52 Aetna First Health — Commercial: $174.52 Anthem — Medicare Advantage: $119.60 Anthem Blue Priority — Commercial: $150.51 Anthem CU Exclusive Employer Group — Commercial: $202.75 Anthem Indemnity — Commercial: $202.75 Anthem Pathway — Commercial: $150.51 Anthem Pathway Essentials — Commercial: $150.51
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOMEN COMPLETE, REAL TIME	$4,190	$2,095	$108.68 – $4,064.30
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates Aetna — Commercial: $1,284.99 Aetna — Medicare Advantage: $111.51 Aetna Exchange Colorado — PPO: $1,246.46 Aetna First Health — Commercial: $2,710.51 Anthem — Medicare Advantage: $111.51 Anthem Blue Priority — Commercial: $395.62 Anthem CU Exclusive Employer Group — Commercial: $358.17 Anthem Indemnity — Commercial: $2,494.73 Anthem Pathway — Commercial: $262.95 Anthem Pathway Essentials — Commercial: $216.31
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, ABDOMEN COMPLETE, REAL TIME	$4,190	$2,095	$1,460.63 – $4,064.30
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates Aetna First Health — Commercial: $3,649.07 Anthem Indemnity — Commercial: $2,414.28 Casualty Management Network BEH — Commercial: $3,561.50 Casualty Management Network BVIPA — Commercial: $3,771 Cigna Behavioral Health — Commercial: $3,352 Devoted Health — Medicare Advantage: $1,676 Health Management Network BCH Community Medical Associates — Commercial: $4,022.40 Health Management Network Community Medical Associates — Commercial: $4,022.40 Health Payors Organization — Commercial: $3,980.50 Integrated Health Plans BCH — Commercial: $3,142.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,234	$617	$111.51 – $1,284.99
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates Aetna — Commercial: $1,284.99 Aetna — Medicare Advantage: $111.51 Aetna Exchange Colorado — PPO: $1,246.46 Aetna First Health — Commercial: $798.27 Anthem — Medicare Advantage: $111.51 Anthem Blue Priority — Commercial: $395.62 Anthem CU Exclusive Employer Group — Commercial: $358.17 Anthem Indemnity — Commercial: $734.72 Anthem Pathway — Commercial: $262.95 Anthem Pathway Essentials — Commercial: $216.31
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$96	$48	$72 – $328.78
Pregnancy ultrasound (after the first trimester): 10 of 46 insurance plan rates Aetna — Commercial: $202.77 Aetna — Medicare Advantage: $142.30 Aetna Exchange Colorado — PPO: $202.77 Aetna First Health — Commercial: $202.77 Anthem — Medicare Advantage: $142.30 Anthem Blue Priority — Commercial: $174.50 Anthem CU Exclusive Employer Group — Commercial: $235.05 Anthem Indemnity — Commercial: $235.05 Anthem Pathway — Commercial: $174.50 Anthem Pathway Essentials — Commercial: $174.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,234	$617	$430.17 – $1,196.98
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates Aetna First Health — Commercial: $1,074.69 Anthem Indemnity — Commercial: $711.03 Casualty Management Network BEH — Commercial: $1,048.90 Casualty Management Network BVIPA — Commercial: $1,110.60 Cigna Behavioral Health — Commercial: $987.20 Devoted Health — Medicare Advantage: $493.60 Health Management Network BCH Community Medical Associates — Commercial: $1,184.64 Health Management Network Community Medical Associates — Commercial: $1,184.64 Health Payors Organization — Commercial: $1,172.30 Integrated Health Plans BCH — Commercial: $925.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL	$66	$33	$49.50 – $285.02
Transvaginal ultrasound: 10 of 50 insurance plan rates Aetna — Commercial: $178.48 Aetna — Medicare Advantage: $123.36 Aetna Exchange Colorado — PPO: $178.48 Aetna First Health — Commercial: $178.48 Anthem — Medicare Advantage: $123.36 Anthem Blue Priority — Commercial: $155.06 Anthem CU Exclusive Employer Group — Commercial: $208.88 Anthem Indemnity — Commercial: $208.88 Anthem Pathway — Commercial: $155.06 Anthem Pathway Essentials — Commercial: $155.06
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PELVIS TRANSVAGINAL	$3,178	$1,589	$111.14 – $3,082.66
Transvaginal ultrasound: 10 of 47 insurance plan rates Aetna — Commercial: $1,284.99 Aetna — Medicare Advantage: $111.51 Aetna Exchange Colorado — PPO: $1,246.46 Aetna First Health — Commercial: $2,055.85 Anthem — Medicare Advantage: $111.51 Anthem Blue Priority — Commercial: $395.62 Anthem CU Exclusive Employer Group — Commercial: $358.17 Anthem Indemnity — Commercial: $1,892.18 Anthem Pathway — Commercial: $262.95 Anthem Pathway Essentials — Commercial: $216.31
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PELVIS TRANSVAGINAL	$3,178	$1,589	$1,107.85 – $3,082.66
Transvaginal ultrasound: 10 of 21 insurance plan rates Aetna First Health — Commercial: $2,767.72 Anthem Indemnity — Commercial: $1,831.16 Casualty Management Network BEH — Commercial: $2,701.30 Casualty Management Network BVIPA — Commercial: $2,860.20 Cigna Behavioral Health — Commercial: $2,542.40 Devoted Health — Medicare Advantage: $1,271.20 Health Management Network BCH Community Medical Associates — Commercial: $3,050.88 Health Management Network Community Medical Associates — Commercial: $3,050.88 Health Payors Organization — Commercial: $3,019.10 Integrated Health Plans BCH — Commercial: $2,383.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO DIG UNILATERAL	$506	$253	$36.78 – $490.82
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates Aetna — Commercial: $199.41 Aetna — Medicare Advantage: $129.91 Aetna Exchange Colorado — PPO: $190.81 Aetna First Health — Commercial: $327.33 Anthem — Medicare Advantage: $129.91 Anthem Blue Priority — Commercial: $145.97 Anthem CU Exclusive Employer Group — Commercial: $373.53 Anthem Indemnity — Commercial: $301.27 Anthem Pathway — Commercial: $137.31 Anthem Pathway Essentials — Commercial: $137.29
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO DIG UNILATERAL	$506	$253	$176.39 – $490.82
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates Aetna First Health — Commercial: $440.68 Anthem Indemnity — Commercial: $291.56 Casualty Management Network BEH — Commercial: $430.10 Casualty Management Network BVIPA — Commercial: $455.40 Cigna Behavioral Health — Commercial: $404.80 Devoted Health — Medicare Advantage: $202.40 Health Management Network BCH Community Medical Associates — Commercial: $485.76 Health Management Network Community Medical Associates — Commercial: $485.76 Health Payors Organization — Commercial: $480.70 Integrated Health Plans BCH — Commercial: $379.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$107.77 – $300.14
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates Aetna — Commercial: $262.60 Aetna — Medicare Advantage: $129.91 Aetna Exchange Colorado — PPO: $262.60 Aetna First Health — Commercial: $262.60 Anthem — Medicare Advantage: $129.91 Anthem Blue Priority — Commercial: $161.27 Anthem CU Exclusive Employer Group — Commercial: $217.23 Anthem Indemnity — Commercial: $217.23 Anthem Pathway — Commercial: $161.27 Anthem Pathway Essentials — Commercial: $161.27
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO DIG BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$647	$323.50	$45.24 – $627.59
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates Aetna — Commercial: $254.98 Aetna — Medicare Advantage: $164.57 Aetna Exchange Colorado — PPO: $243.98 Aetna First Health — Commercial: $418.54 Anthem — Medicare Advantage: $164.57 Anthem Blue Priority — Commercial: $184.91 Anthem CU Exclusive Employer Group — Commercial: $473.19 Anthem Indemnity — Commercial: $385.22 Anthem Pathway — Commercial: $173.95 Anthem Pathway Essentials — Commercial: $173.92
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO DIG BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$647	$323.50	$225.54 – $627.59
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates Aetna First Health — Commercial: $563.47 Anthem Indemnity — Commercial: $372.80 Casualty Management Network BEH — Commercial: $549.95 Casualty Management Network BVIPA — Commercial: $582.30 Cigna Behavioral Health — Commercial: $517.60 Devoted Health — Medicare Advantage: $258.80 Health Management Network BCH Community Medical Associates — Commercial: $621.12 Health Management Network Community Medical Associates — Commercial: $621.12 Health Payors Organization — Commercial: $614.65 Integrated Health Plans BCH — Commercial: $485.25
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$135.91 – $380.23
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates Aetna — Commercial: $330.86 Aetna — Medicare Advantage: $164.57 Aetna Exchange Colorado — PPO: $330.86 Aetna First Health — Commercial: $330.86 Anthem — Medicare Advantage: $164.57 Anthem Blue Priority — Commercial: $203.44 Anthem CU Exclusive Employer Group — Commercial: $274.04 Anthem Indemnity — Commercial: $274.04 Anthem Pathway — Commercial: $203.44 Anthem Pathway Essentials — Commercial: $203.44
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI 2 VIEWS EA	$535	$267.50	$34.22 – $518.95
Screening mammogram, both breasts: 10 of 47 insurance plan rates Aetna — Commercial: $255.90 Aetna — Medicare Advantage: $132.58 Aetna Exchange Colorado — PPO: $248.55 Aetna First Health — Commercial: $346.09 Anthem — Medicare Advantage: $132.58 Anthem Blue Priority — Commercial: $148.97 Anthem CU Exclusive Employer Group — Commercial: $381.21 Anthem Indemnity — Commercial: $318.54 Anthem Pathway — Commercial: $140.14 Anthem Pathway Essentials — Commercial: $140.11
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI 2 VIEWS EA	$535	$267.50	$186.50 – $518.95
Screening mammogram, both breasts: 10 of 21 insurance plan rates Aetna First Health — Commercial: $465.93 Anthem Indemnity — Commercial: $308.27 Casualty Management Network BEH — Commercial: $454.75 Casualty Management Network BVIPA — Commercial: $481.50 Cigna Behavioral Health — Commercial: $428 Devoted Health — Medicare Advantage: $214 Health Management Network BCH Community Medical Associates — Commercial: $513.60 Health Management Network Community Medical Associates — Commercial: $513.60 Health Payors Organization — Commercial: $508.25 Integrated Health Plans BCH — Commercial: $401.25
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$110.21 – $306.31
Screening mammogram, both breasts: 10 of 35 insurance plan rates Aetna — Commercial: $268.31 Aetna — Medicare Advantage: $132.58 Aetna Exchange Colorado — PPO: $268.31 Aetna First Health — Commercial: $268.31 Anthem — Medicare Advantage: $132.58 Anthem Blue Priority — Commercial: $165.40 Anthem CU Exclusive Employer Group — Commercial: $222.80 Anthem Indemnity — Commercial: $222.80 Anthem Pathway — Commercial: $165.40 Anthem Pathway Essentials — Commercial: $165.40

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$12.11 – $38.38
Electrocardiogram (ECG/EKG) with reading: 10 of 36 insurance plan rates Aetna — Commercial: $33.09 Aetna — Medicare Advantage: $15.86 Aetna Exchange Colorado — PPO: $33.09 Aetna First Health — Commercial: $33.09 Anthem — Medicare Advantage: $15.86 Anthem Blue Priority — Commercial: $18.19 Anthem CU Exclusive Employer Group — Commercial: $24.51 Anthem Indemnity — Commercial: $24.51 Anthem Pathway — Commercial: $18.19 Anthem Pathway Essentials — Commercial: $18.19
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$15.23 – $219.35
Electrocardiogram (ECG/EKG) with reading: 10 of 26 insurance plan rates Aetna — Medicare Advantage: $15.86 Anthem — Medicare Advantage: $15.86 Anthem Blue Priority — Commercial: $17.82 Anthem CU Exclusive Employer Group — Commercial: $45.60 Anthem Pathway — Commercial: $16.76 Anthem Pathway Essentials — Commercial: $16.76 Anthem Pathway Essentials Standard — Commercial: $19.19 Anthem Pathway Standard — Commercial: $15.23 Anthem PPO/HMO — Managed Care: $17.82 Cigna — Commercial: $23.47
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$15.86
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Humana — Medicare Advantage: $15.86
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$461	$230.50	$188.75 – $3,457.82
Left heart catheterization (diagnostic): 10 of 48 insurance plan rates Aetna — Commercial: $1,798.60 Aetna — Medicare Advantage: $916.04 Aetna Exchange Colorado — PPO: $1,798.60 Aetna First Health — Commercial: $1,798.60 Anthem — Medicare Advantage: $916.04 Anthem Blue Priority — Commercial: $1,154.91 Anthem CU Exclusive Employer Group — Commercial: $1,555.70 Anthem Indemnity — Commercial: $1,555.70 Anthem Pathway — Commercial: $1,154.91 Anthem Pathway Essentials — Commercial: $1,154.91
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$32,605	$16,302.50	$3,047.21 – $31,626.85
Left heart catheterization (diagnostic): 10 of 46 insurance plan rates Aetna — Commercial: $9,249.71 Aetna — Medicare Advantage: $3,457.82 Aetna Exchange Colorado — PPO: $8,972.59 Aetna First Health — Commercial: $21,092.17 Anthem — Medicare Advantage: $3,457.82 Anthem Blue Priority — Commercial: $12,268.16 Anthem CU Exclusive Employer Group — Commercial: $11,106.92 Anthem Indemnity — Commercial: $19,413.02 Anthem Pathway — Commercial: $8,154.01 Anthem Pathway Essentials — Commercial: $6,707.63
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$32,605	$16,302.50	$11,366.10 – $31,626.85
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates Aetna First Health — Commercial: $28,395.69 Anthem Indemnity — Commercial: $18,787 Casualty Management Network BEH — Commercial: $27,714.25 Casualty Management Network BVIPA — Commercial: $29,344.50 Cigna Behavioral Health — Commercial: $26,084 Devoted Health — Medicare Advantage: $13,042 Health Management Network BCH Community Medical Associates — Commercial: $31,300.80 Health Management Network Community Medical Associates — Commercial: $31,300.80 Health Payors Organization — Commercial: $30,974.75 Integrated Health Plans BCH — Commercial: $24,453.75
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$751	$375.50	$306.93 – $8,319.06
Heart rhythm study (electrophysiology evaluation): 10 of 50 insurance plan rates Aetna — Commercial: $767 Aetna — Medicare Advantage: $375.29 Aetna Exchange Colorado — PPO: $767 Aetna First Health — Commercial: $767 Anthem — Medicare Advantage: $375.29 Anthem Blue Priority — Commercial: $829.07 Anthem CU Exclusive Employer Group — Commercial: $1,116.79 Anthem Indemnity — Commercial: $1,116.79 Anthem Pathway — Commercial: $829.07 Anthem Pathway Essentials — Commercial: $829.07
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$55,787	$27,893.50	$4,134.25 – $54,113.39
Heart rhythm study (electrophysiology evaluation): 10 of 46 insurance plan rates Aetna — Commercial: $21,768.09 Aetna — Medicare Advantage: $8,319.06 Aetna Exchange Colorado — PPO: $21,115.38 Aetna First Health — Commercial: $36,088.61 Anthem — Medicare Advantage: $8,319.06 Anthem Blue Priority — Commercial: $29,515.59 Anthem CU Exclusive Employer Group — Commercial: $26,721.81 Anthem Indemnity — Commercial: $33,215.58 Anthem Pathway — Commercial: $19,617.50 Anthem Pathway Essentials — Commercial: $16,137.69
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$55,787	$27,893.50	$19,447.35 – $54,113.39
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates Aetna First Health — Commercial: $48,584.90 Anthem Indemnity — Commercial: $32,144.47 Casualty Management Network BEH — Commercial: $47,418.95 Casualty Management Network BVIPA — Commercial: $50,208.30 Cigna Behavioral Health — Commercial: $44,629.60 Devoted Health — Medicare Advantage: $22,314.80 Health Management Network BCH Community Medical Associates — Commercial: $53,555.52 Health Management Network Community Medical Associates — Commercial: $53,555.52 Health Payors Organization — Commercial: $52,997.65 Integrated Health Plans BCH — Commercial: $41,840.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$1,876	$938	$757.83 – $27,878.43
Heart rhythm study with ablation for atrial fibrillation: 10 of 48 insurance plan rates Aetna — Commercial: $2,203.94 Aetna — Medicare Advantage: $792.50 Aetna Exchange Colorado — PPO: $2,203.94 Aetna First Health — Commercial: $2,203.94 Anthem — Medicare Advantage: $792.50 Anthem Blue Priority — Commercial: $1,144.98 Anthem CU Exclusive Employer Group — Commercial: $1,542.33 Anthem Indemnity — Commercial: $1,542.33 Anthem Pathway — Commercial: $1,144.98 Anthem Pathway Essentials — Commercial: $1,144.98
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$297,114	$148,557	$18,956.09 – $288,200.58
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates Aetna — Commercial: $115,933.88 Aetna — Medicare Advantage: $27,878.43 Aetna Exchange Colorado — PPO: $112,457.65 Aetna First Health — Commercial: $192,203.05 Anthem — Medicare Advantage: $27,878.43 Anthem Blue Priority — Commercial: $98,911.22 Anthem CU Exclusive Employer Group — Commercial: $89,548.83 Anthem Indemnity — Commercial: $176,901.68 Anthem Pathway — Commercial: $65,741.20 Anthem Pathway Essentials — Commercial: $54,079.84
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$297,114	$148,557	$103,573.94 – $288,200.58
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates Aetna First Health — Commercial: $258,756.58 Anthem Indemnity — Commercial: $171,197.09 Casualty Management Network BEH — Commercial: $252,546.90 Casualty Management Network BVIPA — Commercial: $267,402.60 Cigna Behavioral Health — Commercial: $237,691.20 Devoted Health — Medicare Advantage: $118,845.60 Health Management Network BCH Community Medical Associates — Commercial: $285,229.44 Health Management Network Community Medical Associates — Commercial: $285,229.44 Health Payors Organization — Commercial: $282,258.30 Integrated Health Plans BCH — Commercial: $222,835.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$244	$122	$145.14 – $1,640.66
Sleep study (overnight, in a sleep lab): 10 of 50 insurance plan rates Aetna — Commercial: $1,198.88 Aetna — Medicare Advantage: $710.12 Aetna Exchange Colorado — PPO: $1,198.88 Aetna First Health — Commercial: $1,198.88 Anthem — Medicare Advantage: $710.12 Anthem Blue Priority — Commercial: $145.14 Anthem CU Exclusive Employer Group — Commercial: $195.51 Anthem Indemnity — Commercial: $195.51 Anthem Pathway — Commercial: $145.14 Anthem Pathway Essentials — Commercial: $145.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY STAGE 4> ATTEN - GLOBAL	$8,826	$4,413	$852 – $8,561.22
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates Aetna — Commercial: $3,478.33 Aetna — Medicare Advantage: $915.93 Aetna Exchange Colorado — PPO: $3,328.28 Aetna First Health — Commercial: $5,709.54 Anthem — Medicare Advantage: $915.93 Anthem Blue Priority — Commercial: $3,249.65 Anthem CU Exclusive Employer Group — Commercial: $2,942.05 Anthem Indemnity — Commercial: $5,255 Anthem Pathway — Commercial: $2,159.87 Anthem Pathway Essentials — Commercial: $1,776.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY STAGE 4> ATTEN	$8,280	$4,140	$852 – $8,031.60
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates Aetna — Commercial: $3,263.15 Aetna — Medicare Advantage: $915.93 Aetna Exchange Colorado — PPO: $3,122.39 Aetna First Health — Commercial: $5,356.33 Anthem — Medicare Advantage: $915.93 Anthem Blue Priority — Commercial: $3,249.65 Anthem CU Exclusive Employer Group — Commercial: $2,942.05 Anthem Indemnity — Commercial: $4,929.91 Anthem Pathway — Commercial: $2,159.87 Anthem Pathway Essentials — Commercial: $1,776.75

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$295	$147.50	$28.84 – $437
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $30.04 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $190.84 Anthem — Medicare Advantage: $30.04 Anthem Blue Priority — Commercial: $33.75 Anthem CU Exclusive Employer Group — Commercial: $86.37 Anthem Indemnity — Commercial: $175.64 Anthem Pathway — Commercial: $31.75 Anthem Pathway Essentials — Commercial: $31.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$295	$147.50	$28.84 – $437
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $30.04 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $190.84 Anthem — Medicare Advantage: $30.04 Anthem Blue Priority — Commercial: $33.75 Anthem CU Exclusive Employer Group — Commercial: $86.37 Anthem Indemnity — Commercial: $175.64 Anthem Pathway — Commercial: $31.75 Anthem Pathway Essentials — Commercial: $31.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$295	$147.50	$102.84 – $286.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates Aetna First Health — Commercial: $256.92 Anthem Indemnity — Commercial: $169.98 Casualty Management Network BEH — Commercial: $250.75 Casualty Management Network BVIPA — Commercial: $265.50 Cigna Behavioral Health — Commercial: $236 Devoted Health — Medicare Advantage: $118 Health Management Network BCH Community Medical Associates — Commercial: $283.20 Health Management Network Community Medical Associates — Commercial: $283.20 Health Payors Organization — Commercial: $280.25 Integrated Health Plans BCH — Commercial: $221.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT IP EVAL LOW COMPLEX	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PEDS NAP DISCIPLINE EVALUATION	$808	$404	$97.31 – $783.76
Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $522.70 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $481.08 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PPT EVAL MOD COMPLEXITY	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (moderate complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PEDS PT EVAL MOD COMPLEX	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (moderate complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (moderate complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PPT EVAL HIGH COMPLEXITY	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PPT NAP HIGH RISK EVALUATION	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX	$1,045	$522.50	$97.31 – $1,013.65
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates Aetna — Commercial: $231.52 Aetna — Medicare Advantage: $101.36 Aetna Exchange Colorado — PPO: $224.90 Aetna First Health — Commercial: $676.01 Anthem — Medicare Advantage: $101.36 Anthem Blue Priority — Commercial: $113.89 Anthem CU Exclusive Employer Group — Commercial: $291.44 Anthem Indemnity — Commercial: $622.19 Anthem Pathway — Commercial: $107.14 Anthem Pathway Essentials — Commercial: $107.12
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$463	$231.50	$69 – $714.57
Psychotherapy, 30 minutes: 10 of 45 insurance plan rates Aetna — Commercial: $182.47 Aetna — Medicare Advantage: $189.32 Aetna Exchange Colorado — PPO: $174.60 Aetna First Health — Commercial: $299.51 Anthem — Medicare Advantage: $189.32 Anthem Blue Priority — Commercial: $671.68 Anthem CU Exclusive Employer Group — Commercial: $608.10 Anthem Indemnity — Commercial: $275.67 Anthem Pathway — Commercial: $446.43 Anthem Pathway Essentials — Commercial: $367.24
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$463	$231.50	$161.40 – $449.11
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Aetna First Health — Commercial: $403.23 Anthem Indemnity — Commercial: $266.78 Casualty Management Network BEH — Commercial: $393.55 Casualty Management Network BVIPA — Commercial: $416.70 Cigna Behavioral Health — Commercial: $370.40 Devoted Health — Medicare Advantage: $185.20 Health Management Network BCH Community Medical Associates — Commercial: $444.48 Health Management Network Community Medical Associates — Commercial: $444.48 Health Payors Organization — Commercial: $439.85 Integrated Health Plans BCH — Commercial: $347.25
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$36 – $189.32
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna — Commercial: $120.17 Aetna — Medicare Advantage: $70.46 Aetna Exchange Colorado — PPO: $120.17 Aetna First Health — Commercial: $120.17 Anthem — Medicare Advantage: $70.46 Anthem Blue Priority — Commercial: $36 Anthem CU Exclusive Employer Group — Commercial: $36 Anthem Indemnity — Commercial: $36 Anthem Pathway — Commercial: $36 Anthem Pathway Essentials — Commercial: $36
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$606	$303	$69 – $714.57
Psychotherapy, 45 minutes: 10 of 45 insurance plan rates Aetna — Commercial: $238.82 Aetna — Medicare Advantage: $189.32 Aetna Exchange Colorado — PPO: $228.52 Aetna First Health — Commercial: $392.02 Anthem — Medicare Advantage: $189.32 Anthem Blue Priority — Commercial: $671.68 Anthem CU Exclusive Employer Group — Commercial: $608.10 Anthem Indemnity — Commercial: $360.81 Anthem Pathway — Commercial: $446.43 Anthem Pathway Essentials — Commercial: $367.24
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$606	$303	$211.25 – $587.82
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Aetna First Health — Commercial: $527.77 Anthem Indemnity — Commercial: $349.18 Casualty Management Network BEH — Commercial: $515.10 Casualty Management Network BVIPA — Commercial: $545.40 Cigna Behavioral Health — Commercial: $484.80 Devoted Health — Medicare Advantage: $242.40 Health Management Network BCH Community Medical Associates — Commercial: $581.76 Health Management Network Community Medical Associates — Commercial: $581.76 Health Payors Organization — Commercial: $575.70 Integrated Health Plans BCH — Commercial: $454.50
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$66 – $215.10
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates Aetna — Commercial: $160.23 Aetna — Medicare Advantage: $93.10 Aetna Exchange Colorado — PPO: $160.23 Aetna First Health — Commercial: $160.23 Anthem — Medicare Advantage: $93.10 Anthem Blue Priority — Commercial: $66 Anthem CU Exclusive Employer Group — Commercial: $66 Anthem Indemnity — Commercial: $66 Anthem Pathway — Commercial: $66 Anthem Pathway Essentials — Commercial: $66
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$1,350	$675	$69 – $1,309.50
Psychotherapy, 60 minutes: 10 of 45 insurance plan rates Aetna — Commercial: $532.04 Aetna — Medicare Advantage: $189.32 Aetna Exchange Colorado — PPO: $509.09 Aetna First Health — Commercial: $873.32 Anthem — Medicare Advantage: $189.32 Anthem Blue Priority — Commercial: $671.68 Anthem CU Exclusive Employer Group — Commercial: $608.10 Anthem Indemnity — Commercial: $803.79 Anthem Pathway — Commercial: $446.43 Anthem Pathway Essentials — Commercial: $367.24
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$1,350	$675	$470.61 – $1,309.50
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates Aetna First Health — Commercial: $1,175.72 Anthem Indemnity — Commercial: $777.87 Casualty Management Network BEH — Commercial: $1,147.50 Casualty Management Network BVIPA — Commercial: $1,215 Cigna Behavioral Health — Commercial: $1,080 Devoted Health — Medicare Advantage: $540 Health Management Network BCH Community Medical Associates — Commercial: $1,296 Health Management Network Community Medical Associates — Commercial: $1,296 Health Payors Organization — Commercial: $1,282.50 Integrated Health Plans BCH — Commercial: $1,012.50
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$77 – $316.94
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates Aetna — Commercial: $239.74 Aetna — Medicare Advantage: $137.18 Aetna Exchange Colorado — PPO: $239.74 Aetna First Health — Commercial: $239.74 Anthem — Medicare Advantage: $137.18 Anthem Blue Priority — Commercial: $77 Anthem CU Exclusive Employer Group — Commercial: $77 Anthem Indemnity — Commercial: $77 Anthem Pathway — Commercial: $77 Anthem Pathway Essentials — Commercial: $77
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: HC FAMILY PSYCHOTHERA W/O PATIENT-PR	$919	$459.50	$66 – $891.43
Family psychotherapy, without the patient: 10 of 49 insurance plan rates Aetna — Commercial: $193.60 Aetna — Medicare Advantage: $100.51 Aetna Exchange Colorado — PPO: $193.60 Aetna First Health — Commercial: $193.60 Anthem — Medicare Advantage: $100.51 Anthem Blue Priority — Commercial: $66 Anthem CU Exclusive Employer Group — Commercial: $66 Anthem Indemnity — Commercial: $66 Anthem Pathway — Commercial: $66 Anthem Pathway Essentials — Commercial: $66
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT	$1,350	$675	$75 – $1,309.50
Family psychotherapy, without the patient: 10 of 45 insurance plan rates Aetna — Commercial: $532.04 Aetna — Medicare Advantage: $189.32 Aetna Exchange Colorado — PPO: $509.09 Aetna First Health — Commercial: $873.32 Anthem — Medicare Advantage: $189.32 Anthem Blue Priority — Commercial: $671.68 Anthem CU Exclusive Employer Group — Commercial: $608.10 Anthem Indemnity — Commercial: $803.79 Anthem Pathway — Commercial: $446.43 Anthem Pathway Essentials — Commercial: $367.24
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT	$1,350	$675	$470.61 – $1,309.50
Family psychotherapy, without the patient: 10 of 21 insurance plan rates Aetna First Health — Commercial: $1,175.72 Anthem Indemnity — Commercial: $777.87 Casualty Management Network BEH — Commercial: $1,147.50 Casualty Management Network BVIPA — Commercial: $1,215 Cigna Behavioral Health — Commercial: $1,080 Devoted Health — Medicare Advantage: $540 Health Management Network BCH Community Medical Associates — Commercial: $1,296 Health Management Network Community Medical Associates — Commercial: $1,296 Health Payors Organization — Commercial: $1,282.50 Integrated Health Plans BCH — Commercial: $1,012.50
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: HC FAMILY PSCHOTHERA WITH PATIENT-PR	$1,078	$539	$66 – $1,045.66
Family psychotherapy, with the patient: 10 of 49 insurance plan rates Aetna — Commercial: $201.08 Aetna — Medicare Advantage: $104.30 Aetna Exchange Colorado — PPO: $201.08 Aetna First Health — Commercial: $201.08 Anthem — Medicare Advantage: $104.30 Anthem Blue Priority — Commercial: $66 Anthem CU Exclusive Employer Group — Commercial: $66 Anthem Indemnity — Commercial: $66 Anthem Pathway — Commercial: $66 Anthem Pathway Essentials — Commercial: $66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$856	$428	$75 – $830.32
Family psychotherapy, with the patient: 10 of 45 insurance plan rates Aetna — Commercial: $337.35 Aetna — Medicare Advantage: $189.32 Aetna Exchange Colorado — PPO: $322.80 Aetna First Health — Commercial: $553.75 Anthem — Medicare Advantage: $189.32 Anthem Blue Priority — Commercial: $671.68 Anthem CU Exclusive Employer Group — Commercial: $608.10 Anthem Indemnity — Commercial: $509.66 Anthem Pathway — Commercial: $446.43 Anthem Pathway Essentials — Commercial: $367.24
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$856	$428	$298.40 – $830.32
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Aetna First Health — Commercial: $745.49 Anthem Indemnity — Commercial: $493.23 Casualty Management Network BEH — Commercial: $727.60 Casualty Management Network BVIPA — Commercial: $770.40 Cigna Behavioral Health — Commercial: $684.80 Devoted Health — Medicare Advantage: $342.40 Health Management Network BCH Community Medical Associates — Commercial: $821.76 Health Management Network Community Medical Associates — Commercial: $821.76 Health Payors Organization — Commercial: $813.20 Integrated Health Plans BCH — Commercial: $642
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC	$1,548	$774	$108.35 – $1,501.56
Group psychotherapy: 10 of 50 insurance plan rates Aetna — Commercial: $610.07 Aetna — Medicare Advantage: $108.35 Aetna Exchange Colorado — PPO: $583.75 Aetna First Health — Commercial: $1,001.40 Anthem — Medicare Advantage: $108.35 Anthem Blue Priority — Commercial: $384.45 Anthem CU Exclusive Employer Group — Commercial: $348.06 Anthem Indemnity — Commercial: $921.68 Anthem Pathway — Commercial: $255.52 Anthem Pathway Essentials — Commercial: $210.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY	$1,548	$774	$108.35 – $1,501.56
Group psychotherapy: 10 of 50 insurance plan rates Aetna — Commercial: $610.07 Aetna — Medicare Advantage: $108.35 Aetna Exchange Colorado — PPO: $583.75 Aetna First Health — Commercial: $1,001.40 Anthem — Medicare Advantage: $108.35 Anthem Blue Priority — Commercial: $384.45 Anthem CU Exclusive Employer Group — Commercial: $348.06 Anthem Indemnity — Commercial: $921.68 Anthem Pathway — Commercial: $255.52 Anthem Pathway Essentials — Commercial: $210.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$513	$256.50	$50 – $497.61
Group psychotherapy: 10 of 45 insurance plan rates Aetna — Commercial: $202.17 Aetna — Medicare Advantage: $108.35 Aetna Exchange Colorado — PPO: $193.45 Aetna First Health — Commercial: $331.86 Anthem — Medicare Advantage: $108.35 Anthem Blue Priority — Commercial: $384.45 Anthem CU Exclusive Employer Group — Commercial: $348.06 Anthem Indemnity — Commercial: $305.44 Anthem Pathway — Commercial: $255.52 Anthem Pathway Essentials — Commercial: $210.20

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$834	$417	$410.20 – $4,176.17
Removal of breast growth (open surgery): 10 of 46 insurance plan rates Aetna — Commercial: $815.73 Aetna — Medicare Advantage: $410.20 Aetna Exchange Colorado — PPO: $815.73 Aetna First Health — Commercial: $815.73 Anthem — Medicare Advantage: $410.20 Anthem Blue Priority — Commercial: $518.53 Anthem CU Exclusive Employer Group — Commercial: $698.48 Anthem Indemnity — Commercial: $698.48 Anthem Pathway — Commercial: $518.53 Anthem Pathway Essentials — Commercial: $518.53
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$678.13 – $15,762.90
Removal of breast growth (open surgery): 10 of 28 insurance plan rates Aetna — Medicare Advantage: $4,176.17 Anthem — Medicare Advantage: $4,176.17 Anthem Blue Priority — Commercial: $14,816.83 Anthem CU Exclusive Employer Group — Commercial: $13,414.35 Anthem Pathway — Commercial: $9,847.99 Anthem Pathway Essentials — Commercial: $8,101.12 Anthem Pathway Essentials Standard — Commercial: $8,839.34 Anthem Pathway Standard — Commercial: $8,557.09 Anthem PPO/HMO — Managed Care: $15,762.90 Cigna — Commercial: $678.13
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,547	$1,273.50	$1,164.91 – $13,693.64
Total hip replacement: 10 of 46 insurance plan rates Aetna — Commercial: $2,666.05 Aetna — Medicare Advantage: $1,164.91 Aetna Exchange Colorado — PPO: $2,666.05 Aetna First Health — Commercial: $2,666.05 Anthem — Medicare Advantage: $1,164.91 Anthem Blue Priority — Commercial: $1,589.08 Anthem CU Exclusive Employer Group — Commercial: $2,140.55 Anthem Indemnity — Commercial: $2,140.55 Anthem Pathway — Commercial: $1,589.08 Anthem Pathway Essentials — Commercial: $1,589.08
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$10,703 – $51,686.49
Total hip replacement: 10 of 29 insurance plan rates Aetna — Commercial: $21,318.65 Aetna — Medicare Advantage: $13,693.64 Aetna Exchange Colorado — PPO: $20,679.33 Anthem — Medicare Advantage: $13,693.64 Anthem Blue Priority — Commercial: $48,584.33 Anthem CU Exclusive Employer Group — Commercial: $43,985.60 Anthem Pathway — Commercial: $32,291.50 Anthem Pathway Essentials — Commercial: $26,563.54 Anthem Pathway Essentials Standard — Commercial: $28,984.15 Anthem Pathway Standard — Commercial: $28,058.67
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,162.35 – $13,693.64
Total knee replacement: 10 of 32 insurance plan rates Aetna — Commercial: $2,662.72 Aetna — Medicare Advantage: $1,162.35 Aetna Exchange Colorado — PPO: $2,662.72 Aetna First Health — Commercial: $2,662.72 Anthem — Medicare Advantage: $1,162.35 Anthem Blue Priority — Commercial: $1,587.43 Anthem CU Exclusive Employer Group — Commercial: $2,138.32 Anthem Indemnity — Commercial: $2,138.32 Anthem Pathway — Commercial: $1,587.43 Anthem Pathway Essentials — Commercial: $1,587.43
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$10,703 – $51,686.49
Total knee replacement: 10 of 29 insurance plan rates Aetna — Commercial: $21,318.65 Aetna — Medicare Advantage: $13,693.64 Aetna Exchange Colorado — PPO: $20,679.33 Anthem — Medicare Advantage: $13,693.64 Anthem Blue Priority — Commercial: $48,584.33 Anthem CU Exclusive Employer Group — Commercial: $43,985.60 Anthem Pathway — Commercial: $32,291.50 Anthem Pathway Essentials — Commercial: $26,563.54 Anthem Pathway Essentials Standard — Commercial: $28,984.15 Anthem Pathway Standard — Commercial: $28,058.67
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$335	$167.50	$146.51 – $966.54
Shoulder arthroscopy: shaving of shoulder bone: 10 of 46 insurance plan rates Aetna — Commercial: $342.27 Aetna — Medicare Advantage: $146.51 Aetna Exchange Colorado — PPO: $342.27 Aetna First Health — Commercial: $342.27 Anthem — Medicare Advantage: $146.51 Anthem Blue Priority — Commercial: $210.06 Anthem CU Exclusive Employer Group — Commercial: $282.96 Anthem Indemnity — Commercial: $282.96 Anthem Pathway — Commercial: $210.06 Anthem Pathway Essentials — Commercial: $210.06
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$140.65 – $1,899
Shoulder arthroscopy: shaving of shoulder bone: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $146.51 Anthem — Medicare Advantage: $146.51 Anthem Blue Priority — Commercial: $164.62 Anthem CU Exclusive Employer Group — Commercial: $421.26 Anthem Pathway — Commercial: $154.86 Anthem Pathway Essentials — Commercial: $154.83 Anthem Pathway Essentials Standard — Commercial: $177.28 Anthem Pathway Standard — Commercial: $140.65 Anthem PPO/HMO — Managed Care: $164.62 Cigna — Commercial: $271.85
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$523.58 – $3,489.89
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates Aetna — Commercial: $1,065.81 Aetna — Medicare Advantage: $523.58 Aetna Exchange Colorado — PPO: $1,065.81 Aetna First Health — Commercial: $1,065.81 Anthem — Medicare Advantage: $523.58 Anthem Blue Priority — Commercial: $681.86 Anthem CU Exclusive Employer Group — Commercial: $918.49 Anthem Indemnity — Commercial: $918.49 Anthem Pathway — Commercial: $681.86 Anthem Pathway Essentials — Commercial: $681.86
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$891.67 – $13,172.56
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 28 insurance plan rates Aetna — Medicare Advantage: $3,489.89 Anthem — Medicare Advantage: $3,489.89 Anthem Blue Priority — Commercial: $12,381.96 Anthem CU Exclusive Employer Group — Commercial: $11,209.95 Anthem Pathway — Commercial: $8,229.65 Anthem Pathway Essentials — Commercial: $6,769.85 Anthem Pathway Essentials Standard — Commercial: $7,386.76 Anthem Pathway Standard — Commercial: $7,150.89 Anthem PPO/HMO — Managed Care: $13,172.56 Cigna — Commercial: $891.67
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$264.84 – $6,314.04
Removal of tonsils and adenoids (under age 12): 10 of 32 insurance plan rates Aetna — Commercial: $564.53 Aetna — Medicare Advantage: $264.84 Aetna Exchange Colorado — PPO: $564.53 Aetna First Health — Commercial: $564.53 Anthem — Medicare Advantage: $264.84 Anthem Blue Priority — Commercial: $366.36 Anthem CU Exclusive Employer Group — Commercial: $493.50 Anthem Indemnity — Commercial: $493.50 Anthem Pathway — Commercial: $366.36 Anthem Pathway Essentials — Commercial: $366.36
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$478.88 – $23,832.30
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates Aetna — Medicare Advantage: $6,314.04 Anthem — Medicare Advantage: $6,314.04 Anthem Blue Priority — Commercial: $22,401.91 Anthem CU Exclusive Employer Group — Commercial: $20,281.47 Anthem Pathway — Commercial: $14,889.40 Anthem Pathway Essentials — Commercial: $12,248.27 Anthem Pathway Essentials Standard — Commercial: $13,364.40 Anthem Pathway Standard — Commercial: $12,937.67 Anthem PPO/HMO — Managed Care: $23,832.30 Cigna — Commercial: $478.88
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$241	$120.50	$111.82 – $967.38
Upper GI endoscopy (diagnostic): 10 of 46 insurance plan rates Aetna — Commercial: $241.17 Aetna — Medicare Advantage: $111.82 Aetna Exchange Colorado — PPO: $241.17 Aetna First Health — Commercial: $241.17 Anthem — Medicare Advantage: $111.82 Anthem Blue Priority — Commercial: $149.69 Anthem CU Exclusive Employer Group — Commercial: $201.63 Anthem Indemnity — Commercial: $201.63 Anthem Pathway — Commercial: $149.69 Anthem Pathway Essentials — Commercial: $149.69
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$195.44 – $4,875
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates Aetna — Medicare Advantage: $967.38 Anthem — Medicare Advantage: $967.38 Anthem Blue Priority — Commercial: $3,432.22 Anthem CU Exclusive Employer Group — Commercial: $3,107.34 Anthem Pathway — Commercial: $2,281.22 Anthem Pathway Essentials — Commercial: $1,876.57 Anthem Pathway Essentials Standard — Commercial: $2,047.57 Anthem Pathway Standard — Commercial: $1,982.19 Anthem PPO/HMO — Managed Care: $3,651.37 Cigna — Commercial: $195.44
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$124.89 – $967.38
Upper GI endoscopy with biopsy: 10 of 32 insurance plan rates Aetna — Commercial: $271.87 Aetna — Medicare Advantage: $124.89 Aetna Exchange Colorado — PPO: $271.87 Aetna First Health — Commercial: $271.87 Anthem — Medicare Advantage: $124.89 Anthem Blue Priority — Commercial: $168.71 Anthem CU Exclusive Employer Group — Commercial: $227.26 Anthem Indemnity — Commercial: $227.26 Anthem Pathway — Commercial: $168.71 Anthem Pathway Essentials — Commercial: $168.71
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$220.60 – $4,875
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $967.38 Anthem — Medicare Advantage: $967.38 Anthem Blue Priority — Commercial: $3,432.22 Anthem CU Exclusive Employer Group — Commercial: $3,107.34 Anthem Pathway — Commercial: $2,281.22 Anthem Pathway Essentials — Commercial: $1,876.57 Anthem Pathway Essentials Standard — Commercial: $2,047.57 Anthem Pathway Standard — Commercial: $1,982.19 Anthem PPO/HMO — Managed Care: $3,651.37 Cigna — Commercial: $220.60
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$360	$180	$165.81 – $991.89
Colonoscopy (diagnostic): 10 of 46 insurance plan rates Aetna — Commercial: $364.10 Aetna — Medicare Advantage: $165.81 Aetna Exchange Colorado — PPO: $364.10 Aetna First Health — Commercial: $364.10 Anthem — Medicare Advantage: $165.81 Anthem Blue Priority — Commercial: $224.94 Anthem CU Exclusive Employer Group — Commercial: $303.01 Anthem Indemnity — Commercial: $303.01 Anthem Pathway — Commercial: $224.94 Anthem Pathway Essentials — Commercial: $224.94
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$292.78 – $4,875
Colonoscopy (diagnostic): 10 of 28 insurance plan rates Aetna — Medicare Advantage: $991.89 Anthem — Medicare Advantage: $991.89 Anthem Blue Priority — Commercial: $3,519.17 Anthem CU Exclusive Employer Group — Commercial: $3,186.07 Anthem Pathway — Commercial: $2,339.01 Anthem Pathway Essentials — Commercial: $1,924.11 Anthem Pathway Essentials Standard — Commercial: $2,099.45 Anthem Pathway Standard — Commercial: $2,032.41 Anthem PPO/HMO — Managed Care: $3,743.87 Cigna — Commercial: $292.78
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$79.79 – $181.14
Colonoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — Commercial: $181.14 Aetna — Medicare Advantage: $83.03 Aetna Exchange Colorado — PPO: $181.14 Aetna First Health — Commercial: $181.14 Anthem — Medicare Advantage: $83.03 CMS Medicare — Medicare: $83.03 Devoted Health — Medicare Advantage: $83.03 Health Spring — Medicare Advantage: $91.33 Kaiser Medicare Advantage HMO — Medicare Advantage: $102.96 Kaiser Medicare Advantage PPO — Medicare Advantage: $102.96
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY - 45380	$3,887	$1,943.50	$510.93 – $6,238
Colonoscopy with biopsy: 10 of 47 insurance plan rates Aetna — Commercial: $1,531.87 Aetna — Medicare Advantage: $1,276.33 Aetna Exchange Colorado — PPO: $1,465.79 Aetna First Health — Commercial: $2,514.50 Anthem — Medicare Advantage: $1,276.33 Anthem Blue Priority — Commercial: $4,528.33 Anthem CU Exclusive Employer Group — Commercial: $4,099.71 Anthem Indemnity — Commercial: $2,314.32 Anthem Pathway — Commercial: $3,009.75 Anthem Pathway Essentials — Commercial: $2,475.87
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY - 45380	$3,887	$1,943.50	$1,355.01 – $3,770.39
Colonoscopy with biopsy: 10 of 21 insurance plan rates Aetna First Health — Commercial: $3,385.19 Anthem Indemnity — Commercial: $2,239.69 Casualty Management Network BEH — Commercial: $3,303.95 Casualty Management Network BVIPA — Commercial: $3,498.30 Cigna Behavioral Health — Commercial: $3,109.60 Devoted Health — Medicare Advantage: $1,554.80 Health Management Network BCH Community Medical Associates — Commercial: $3,731.52 Health Management Network Community Medical Associates — Commercial: $3,731.52 Health Payors Organization — Commercial: $3,692.65 Integrated Health Plans BCH — Commercial: $2,915.25
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$179.07 – $1,276.33
Colonoscopy with biopsy: 10 of 32 insurance plan rates Aetna — Commercial: $394.27 Aetna — Medicare Advantage: $179.07 Aetna Exchange Colorado — PPO: $394.27 Aetna First Health — Commercial: $394.27 Anthem — Medicare Advantage: $179.07 Anthem Blue Priority — Commercial: $244.38 Anthem CU Exclusive Employer Group — Commercial: $329.19 Anthem Indemnity — Commercial: $329.19 Anthem Pathway — Commercial: $244.38 Anthem Pathway Essentials — Commercial: $244.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$225.19 – $1,276.33
Colonoscopy with removal of polyps (snare): 10 of 32 insurance plan rates Aetna — Commercial: $500.40 Aetna — Medicare Advantage: $225.19 Aetna Exchange Colorado — PPO: $500.40 Aetna First Health — Commercial: $500.40 Anthem — Medicare Advantage: $225.19 Anthem Blue Priority — Commercial: $309.30 Anthem CU Exclusive Employer Group — Commercial: $416.64 Anthem Indemnity — Commercial: $416.64 Anthem Pathway — Commercial: $309.30 Anthem Pathway Essentials — Commercial: $309.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$402.37 – $4,875
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates Aetna — Medicare Advantage: $1,276.33 Anthem — Medicare Advantage: $1,276.33 Anthem Blue Priority — Commercial: $4,528.33 Anthem CU Exclusive Employer Group — Commercial: $4,099.71 Anthem Pathway — Commercial: $3,009.75 Anthem Pathway Essentials — Commercial: $2,475.87 Anthem Pathway Essentials Standard — Commercial: $2,701.49 Anthem Pathway Standard — Commercial: $2,615.23 Anthem PPO/HMO — Managed Care: $4,817.47 Cigna — Commercial: $402.37
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$211.23 – $1,276.33
Ultrasound of the lower bowel by endoscope: 10 of 36 insurance plan rates Aetna — Commercial: $506.10 Aetna — Medicare Advantage: $228.11 Aetna Exchange Colorado — PPO: $506.10 Aetna First Health — Commercial: $506.10 Anthem — Medicare Advantage: $228.11 Anthem Blue Priority — Commercial: $313.85 Anthem CU Exclusive Employer Group — Commercial: $422.76 Anthem Indemnity — Commercial: $422.76 Anthem Pathway — Commercial: $313.85 Anthem Pathway Essentials — Commercial: $313.85
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$408.05 – $4,875
Ultrasound of the lower bowel by endoscope: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $1,276.33 Anthem — Medicare Advantage: $1,276.33 Anthem Blue Priority — Commercial: $4,528.33 Anthem CU Exclusive Employer Group — Commercial: $4,099.71 Anthem Pathway — Commercial: $3,009.75 Anthem Pathway Essentials — Commercial: $2,475.87 Anthem Pathway Essentials Standard — Commercial: $2,701.49 Anthem Pathway Standard — Commercial: $2,615.23 Anthem PPO/HMO — Managed Care: $4,817.47 Cigna — Commercial: $408.05
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$166.07 – $991.89
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates Aetna — Commercial: $364.72 Aetna — Medicare Advantage: $204.10 Aetna Exchange Colorado — PPO: $364.72 Aetna First Health — Commercial: $364.72 Anthem — Medicare Advantage: $166.07 Anthem Blue Priority — Commercial: $225.36 Anthem CU Exclusive Employer Group — Commercial: $303.57 Anthem Indemnity — Commercial: $303.57 Anthem Pathway — Commercial: $225.36 Anthem Pathway Essentials — Commercial: $225.36
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$510.93 – $4,092.41
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates Aetna — Medicare Advantage: $991.89 Anthem — Medicare Advantage: $991.89 Anthem Blue Priority — Commercial: $3,519.17 Anthem CU Exclusive Employer Group — Commercial: $3,186.07 Anthem Pathway — Commercial: $2,339.01 Anthem Pathway Essentials — Commercial: $1,924.11 Anthem Pathway Essentials Standard — Commercial: $2,099.45 Anthem Pathway Standard — Commercial: $2,032.41 Anthem PPO/HMO — Managed Care: $3,743.87 Cigna — Commercial: $4,092.41
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$82.99 – $181.14
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Commercial: $181.14 Aetna — Medicare Advantage: $102.24 Aetna Exchange Colorado — PPO: $181.14 Aetna First Health — Commercial: $181.14 Anthem — Medicare Advantage: $83.03 CMS Medicare — Medicare: $83.03 Devoted Health — Medicare Advantage: $83.03 Health Spring — Medicare Advantage: $91.33 Kaiser Medicare Advantage HMO — Medicare Advantage: $102.96 Kaiser Medicare Advantage PPO — Medicare Advantage: $102.96
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,304	$652	$629.42 – $6,448.11
Gallbladder removal by laparoscope: 10 of 46 insurance plan rates Aetna — Commercial: $1,299.83 Aetna — Medicare Advantage: $629.42 Aetna Exchange Colorado — PPO: $1,299.83 Aetna First Health — Commercial: $1,299.83 Anthem — Medicare Advantage: $629.42 Anthem Blue Priority — Commercial: $811.70 Anthem CU Exclusive Employer Group — Commercial: $1,093.39 Anthem Indemnity — Commercial: $1,093.39 Anthem Pathway — Commercial: $811.70 Anthem Pathway Essentials — Commercial: $811.70
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,133.66 – $24,338.34
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $6,448.11 Anthem — Medicare Advantage: $6,448.11 Anthem Blue Priority — Commercial: $22,877.58 Anthem CU Exclusive Employer Group — Commercial: $20,712.11 Anthem Pathway — Commercial: $15,205.55 Anthem Pathway Essentials — Commercial: $12,508.35 Anthem Pathway Essentials Standard — Commercial: $13,648.17 Anthem Pathway Standard — Commercial: $13,212.37 Anthem PPO/HMO — Managed Care: $24,338.34 Cigna — Commercial: $14,169.61
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,038	$519	$507.69 – $3,818.83
Groin (inguinal) hernia repair, age 5 or older: 10 of 46 insurance plan rates Aetna — Commercial: $1,029 Aetna — Medicare Advantage: $507.69 Aetna Exchange Colorado — PPO: $1,029 Aetna First Health — Commercial: $1,029 Anthem — Medicare Advantage: $507.69 Anthem Blue Priority — Commercial: $646.71 Anthem CU Exclusive Employer Group — Commercial: $871.15 Anthem Indemnity — Commercial: $871.15 Anthem Pathway — Commercial: $646.71 Anthem Pathway Essentials — Commercial: $646.71
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$843.96 – $14,414.13
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $3,818.83 Anthem — Medicare Advantage: $3,818.83 Anthem Blue Priority — Commercial: $13,549.01 Anthem CU Exclusive Employer Group — Commercial: $12,266.54 Anthem Pathway — Commercial: $9,005.33 Anthem Pathway Essentials — Commercial: $7,407.94 Anthem Pathway Essentials Standard — Commercial: $8,082.99 Anthem Pathway Standard — Commercial: $7,824.89 Anthem PPO/HMO — Managed Care: $14,414.13 Cigna — Commercial: $843.96
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$125.11 – $290.46
Prostate biopsy: rates for 10 insurance plans Aetna — Commercial: $256.21 Aetna — Medicare Advantage: $145.83 Aetna Exchange Colorado — PPO: $256.21 Aetna First Health — Commercial: $256.21 Beech Street Community Medical Associates — Commercial: $290.46 Humana — Medicare Advantage: $125.72 Multiplan — Commercial: $197.38 PHCS — Commercial: $197.38 RMHP — Medicare Advantage: $125.11 United Healthcare — Commercial: $261.24
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$206.76 – $4,875
Prostate biopsy: rates for 5 insurance plans Cigna — Commercial: $206.76 Cigna Individual — Commercial: $206.76 Colorado Access — CHP+: $510.93 RMHP — Managed Medicaid: $1,910.53 United Healthcare — Commercial: $4,875
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING	$2,344	$1,172	$990.50 – $11,337.70
Prostate removal by laparoscope (radical prostatectomy): 10 of 50 insurance plan rates Aetna — Commercial: $2,835.10 Aetna — Medicare Advantage: $1,086.31 Aetna Exchange Colorado — PPO: $2,835.10 Aetna First Health — Commercial: $2,835.10 Anthem — Medicare Advantage: $1,086.31 Anthem Blue Priority — Commercial: $1,457.59 Anthem CU Exclusive Employer Group — Commercial: $1,963.43 Anthem Indemnity — Commercial: $1,963.43 Anthem Pathway — Commercial: $1,457.59 Anthem Pathway Essentials — Commercial: $1,457.59
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$1,905.81 – $42,794.03
Prostate removal by laparoscope (radical prostatectomy): 10 of 27 insurance plan rates Aetna — Medicare Advantage: $11,337.70 Anthem — Medicare Advantage: $11,337.70 Anthem Blue Priority — Commercial: $40,225.58 Anthem CU Exclusive Employer Group — Commercial: $36,418.05 Anthem Pathway — Commercial: $26,735.87 Anthem Pathway Essentials — Commercial: $21,993.39 Anthem Pathway Essentials Standard — Commercial: $23,997.54 Anthem Pathway Standard — Commercial: $23,231.28 Anthem PPO/HMO — Managed Care: $42,794.03 Cigna — Commercial: $1,905.81
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$455	$227.50	$203.62 – $3,452.69
Hysteroscopy with biopsy of the uterus lining: 10 of 46 insurance plan rates Aetna — Commercial: $457.50 Aetna — Medicare Advantage: $203.62 Aetna Exchange Colorado — PPO: $457.50 Aetna First Health — Commercial: $457.50 Anthem — Medicare Advantage: $203.62 Anthem Blue Priority — Commercial: $284.07 Anthem CU Exclusive Employer Group — Commercial: $382.66 Anthem Indemnity — Commercial: $382.66 Anthem Pathway — Commercial: $284.07 Anthem Pathway Essentials — Commercial: $284.07
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$369.55 – $13,032.15
Hysteroscopy with biopsy of the uterus lining: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $3,452.69 Anthem — Medicare Advantage: $3,452.69 Anthem Blue Priority — Commercial: $12,249.97 Anthem CU Exclusive Employer Group — Commercial: $11,090.46 Anthem Pathway — Commercial: $8,141.93 Anthem Pathway Essentials — Commercial: $6,697.69 Anthem Pathway Essentials Standard — Commercial: $7,308.02 Anthem Pathway Standard — Commercial: $7,074.67 Anthem PPO/HMO — Managed Care: $13,032.15 Cigna — Commercial: $369.55
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,447	$1,223.50	$446.08 – $6,238
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates Aetna — Commercial: $964.36 Aetna — Medicare Advantage: $752.89 Aetna Exchange Colorado — PPO: $922.76 Aetna First Health — Commercial: $1,582.96 Anthem — Medicare Advantage: $752.89 Anthem Blue Priority — Commercial: $2,671.22 Anthem CU Exclusive Employer Group — Commercial: $2,418.37 Anthem Indemnity — Commercial: $1,456.94 Anthem Pathway — Commercial: $1,775.42 Anthem Pathway Essentials — Commercial: $1,460.49
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$197	$98.50	$90.22 – $752.89
Spinal injection, lower back (epidural), with imaging guidance: 10 of 44 insurance plan rates Aetna — Commercial: $194.86 Aetna — Medicare Advantage: $90.22 Aetna Exchange Colorado — PPO: $194.86 Aetna First Health — Commercial: $194.86 Anthem — Medicare Advantage: $90.22 Anthem Blue Priority — Commercial: $121.57 Anthem CU Exclusive Employer Group — Commercial: $163.76 Anthem Indemnity — Commercial: $163.76 Anthem Pathway — Commercial: $121.57 Anthem Pathway Essentials — Commercial: $121.57
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,447	$1,223.50	$853.02 – $2,373.59
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates Aetna First Health — Commercial: $2,131.09 Anthem Indemnity — Commercial: $1,409.96 Casualty Management Network BEH — Commercial: $2,079.95 Casualty Management Network BVIPA — Commercial: $2,202.30 Cigna Behavioral Health — Commercial: $1,957.60 Devoted Health — Medicare Advantage: $978.80 Health Management Network BCH Community Medical Associates — Commercial: $2,349.12 Health Management Network Community Medical Associates — Commercial: $2,349.12 Health Payors Organization — Commercial: $2,324.65 Integrated Health Plans BCH — Commercial: $1,835.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,529	$1,264.50	$446.08 – $6,238
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates Aetna — Commercial: $996.68 Aetna — Medicare Advantage: $943.37 Aetna Exchange Colorado — PPO: $953.69 Aetna First Health — Commercial: $1,636.01 Anthem — Medicare Advantage: $943.37 Anthem Blue Priority — Commercial: $3,347.03 Anthem CU Exclusive Employer Group — Commercial: $3,030.22 Anthem Indemnity — Commercial: $1,505.77 Anthem Pathway — Commercial: $2,224.60 Anthem Pathway Essentials — Commercial: $1,829.99
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$221	$110.50	$101.08 – $943.37
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates Aetna — Commercial: $219.17 Aetna — Medicare Advantage: $101.08 Aetna Exchange Colorado — PPO: $219.17 Aetna First Health — Commercial: $219.17 Anthem — Medicare Advantage: $101.08 Anthem Blue Priority — Commercial: $136.46 Anthem CU Exclusive Employer Group — Commercial: $183.81 Anthem Indemnity — Commercial: $183.81 Anthem Pathway — Commercial: $136.46 Anthem Pathway Essentials — Commercial: $136.46
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,529	$1,264.50	$881.61 – $2,453.13
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates Aetna First Health — Commercial: $2,202.51 Anthem Indemnity — Commercial: $1,457.21 Casualty Management Network BEH — Commercial: $2,149.65 Casualty Management Network BVIPA — Commercial: $2,276.10 Cigna Behavioral Health — Commercial: $2,023.20 Devoted Health — Medicare Advantage: $1,011.60 Health Management Network BCH Community Medical Associates — Commercial: $2,427.84 Health Management Network Community Medical Associates — Commercial: $2,427.84 Health Payors Organization — Commercial: $2,402.55 Integrated Health Plans BCH — Commercial: $1,896.75
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$893	$446.50	$432.49 – $2,082.76
Carpal tunnel release: 10 of 46 insurance plan rates Aetna — Commercial: $847.52 Aetna — Medicare Advantage: $432.49 Aetna Exchange Colorado — PPO: $847.52 Aetna First Health — Commercial: $847.52 Anthem — Medicare Advantage: $432.49 Anthem Blue Priority — Commercial: $553.68 Anthem CU Exclusive Employer Group — Commercial: $745.82 Anthem Indemnity — Commercial: $745.82 Anthem Pathway — Commercial: $553.68 Anthem Pathway Essentials — Commercial: $553.68
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$510.93 – $7,861.37
Carpal tunnel release: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $2,082.76 Anthem — Medicare Advantage: $2,082.76 Anthem Blue Priority — Commercial: $7,389.54 Anthem CU Exclusive Employer Group — Commercial: $6,690.09 Anthem Pathway — Commercial: $4,911.45 Anthem Pathway Essentials — Commercial: $4,040.24 Anthem Pathway Essentials Standard — Commercial: $4,408.41 Anthem Pathway Standard — Commercial: $4,267.64 Anthem PPO/HMO — Managed Care: $7,861.37 Cigna — Commercial: $725.76
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$284.69 – $657.75
Laser treatment of clouding after cataract surgery: 10 of 32 insurance plan rates Aetna — Commercial: $607.56 Aetna — Medicare Advantage: $284.69 Aetna Exchange Colorado — PPO: $607.56 Aetna First Health — Commercial: $607.56 Anthem — Medicare Advantage: $284.69 Anthem Blue Priority — Commercial: $389.93 Anthem CU Exclusive Employer Group — Commercial: $525.25 Anthem Indemnity — Commercial: $525.25 Anthem Pathway — Commercial: $389.93 Anthem Pathway Essentials — Commercial: $389.93
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$509.80 – $3,054
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $586.62 Anthem — Medicare Advantage: $586.62 Anthem Blue Priority — Commercial: $2,081.31 Anthem CU Exclusive Employer Group — Commercial: $1,884.30 Anthem Pathway — Commercial: $1,383.34 Anthem Pathway Essentials — Commercial: $1,137.96 Anthem Pathway Essentials Standard — Commercial: $1,241.65 Anthem Pathway Standard — Commercial: $1,202.01 Anthem PPO/HMO — Managed Care: $2,214.20 Cigna — Commercial: $509.80
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$454.48 – $2,461.51
Cataract removal with lens implant: 10 of 36 insurance plan rates Aetna — Commercial: $1,061.79 Aetna — Medicare Advantage: $474.65 Aetna Exchange Colorado — PPO: $1,061.79 Aetna First Health — Commercial: $1,061.79 Anthem — Medicare Advantage: $474.65 Anthem Blue Priority — Commercial: $674.83 Anthem CU Exclusive Employer Group — Commercial: $909.02 Anthem Indemnity — Commercial: $909.02 Anthem Pathway — Commercial: $674.83 Anthem Pathway Essentials — Commercial: $674.83
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$880.94 – $9,290.94
Cataract removal with lens implant: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $2,461.51 Anthem — Medicare Advantage: $2,461.51 Anthem Blue Priority — Commercial: $8,733.31 Anthem CU Exclusive Employer Group — Commercial: $7,906.66 Anthem Pathway — Commercial: $5,804.58 Anthem Pathway Essentials — Commercial: $4,774.95 Anthem Pathway Essentials Standard — Commercial: $5,210.06 Anthem Pathway Standard — Commercial: $5,043.70 Anthem PPO/HMO — Managed Care: $9,290.94 Cigna — Commercial: $880.94

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,775	$2,387.50	$1,999.98 – $5,065.11
Vaginal delivery, with care before and after: 10 of 50 insurance plan rates Aetna — Commercial: $4,169.88 Aetna — Medicare Advantage: $2,192.31 Aetna Exchange Colorado — PPO: $4,169.88 Aetna First Health — Commercial: $4,169.88 Anthem — Medicare Advantage: $2,192.31 Anthem Blue Priority — Commercial: $2,949.91 Anthem CU Exclusive Employer Group — Commercial: $3,973.64 Anthem Indemnity — Commercial: $3,973.64 Anthem Pathway — Commercial: $2,949.91 Anthem Pathway Essentials — Commercial: $2,949.91
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$219.35 – $6,303.55
Vaginal delivery, with care before and after: 10 of 26 insurance plan rates Aetna — Medicare Advantage: $2,192.31 Anthem — Medicare Advantage: $2,192.31 Anthem Blue Priority — Commercial: $2,463.28 Anthem CU Exclusive Employer Group — Commercial: $6,303.55 Anthem Pathway — Commercial: $2,317.27 Anthem Pathway Essentials — Commercial: $2,316.83 Anthem Pathway Essentials Standard — Commercial: $2,652.70 Anthem Pathway Standard — Commercial: $2,104.62 Anthem PPO/HMO — Managed Care: $2,463.28 Cigna — Commercial: $3,036
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$5,292	$2,646	$2,214.69 – $5,631.48
Cesarean delivery (C-section), with care before and after: 10 of 50 insurance plan rates Aetna — Commercial: $4,618.39 Aetna — Medicare Advantage: $2,437.45 Aetna Exchange Colorado — PPO: $4,618.39 Aetna First Health — Commercial: $4,618.39 Anthem — Medicare Advantage: $2,437.45 Anthem Blue Priority — Commercial: $3,252.59 Anthem CU Exclusive Employer Group — Commercial: $4,381.36 Anthem Indemnity — Commercial: $4,381.36 Anthem Pathway — Commercial: $3,252.59 Anthem Pathway Essentials — Commercial: $3,252.59
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CESAREAN SECTION	$34,757	$17,378.50	$219.35 – $33,714.29
Cesarean delivery (C-section), with care before and after: 10 of 46 insurance plan rates Aetna — Commercial: $13,697.73 Aetna — Medicare Advantage: $2,437.45 Aetna Exchange Colorado — PPO: $13,106.86 Aetna First Health — Commercial: $22,484.30 Anthem — Medicare Advantage: $2,437.45 Anthem Blue Priority — Commercial: $2,738.72 Anthem CU Exclusive Employer Group — Commercial: $7,008.40 Anthem Indemnity — Commercial: $20,694.32 Anthem Pathway — Commercial: $2,576.38 Anthem Pathway Essentials — Commercial: $2,575.90
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CESAREAN SECTION	$34,757	$17,378.50	$12,116.29 – $33,714.29
Cesarean delivery (C-section), with care before and after: 10 of 21 insurance plan rates Aetna First Health — Commercial: $30,269.87 Anthem Indemnity — Commercial: $20,026.98 Casualty Management Network BEH — Commercial: $29,543.45 Casualty Management Network BVIPA — Commercial: $31,281.30 Cigna Behavioral Health — Commercial: $27,805.60 Devoted Health — Medicare Advantage: $13,902.80 Health Management Network BCH Community Medical Associates — Commercial: $33,366.72 Health Management Network Community Medical Associates — Commercial: $33,366.72 Health Payors Organization — Commercial: $33,019.15 Integrated Health Plans BCH — Commercial: $26,067.75
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$4,988	$2,494	$2,087.59 – $5,302.50
Vaginal delivery after a previous C-section, with care before and after: 10 of 50 insurance plan rates Aetna — Commercial: $4,380.34 Aetna — Medicare Advantage: $2,295.06 Aetna Exchange Colorado — PPO: $4,380.34 Aetna First Health — Commercial: $4,380.34 Anthem — Medicare Advantage: $2,295.06 Anthem Blue Priority — Commercial: $3,078.09 Anthem CU Exclusive Employer Group — Commercial: $4,146.31 Anthem Indemnity — Commercial: $4,146.31 Anthem Pathway — Commercial: $3,078.09 Anthem Pathway Essentials — Commercial: $3,078.09
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$219.35 – $6,598.99
Vaginal delivery after a previous C-section, with care before and after: 10 of 26 insurance plan rates Aetna — Medicare Advantage: $2,295.06 Anthem — Medicare Advantage: $2,295.06 Anthem Blue Priority — Commercial: $2,578.73 Anthem CU Exclusive Employer Group — Commercial: $6,598.99 Anthem Pathway — Commercial: $2,425.88 Anthem Pathway Essentials — Commercial: $2,425.42 Anthem Pathway Essentials Standard — Commercial: $2,777.02 Anthem Pathway Standard — Commercial: $2,203.26 Anthem PPO/HMO — Managed Care: $2,578.73 Cigna — Commercial: $3,036

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$4,307.18 – $318,621.39
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 29 insurance plan rates Aetna — Commercial: $244,209.50 Aetna — Medicare Advantage: $75,820.39 Aetna Exchange Colorado — PPO: $236,889.92 Anthem — Medicare Advantage: $75,820.39 Anthem Blue Priority — Commercial: $264,703 Anthem CU Exclusive Employer Group — Commercial: $226,481.60 Anthem Pathway — Commercial: $165,828.24 Anthem Pathway Essentials — Commercial: $138,358.14 Anthem Pathway Essentials Standard — Commercial: $147,945.28 Anthem Pathway Standard — Commercial: $142,623.44
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$15,341.27 – $52,192.18
Hip or knee replacement (major joint of the leg), without major complications: 10 of 28 insurance plan rates Aetna — Commercial: $48,151.42 Aetna — Medicare Advantage: $15,341.27 Aetna Exchange Colorado — PPO: $46,708.20 Anthem — Medicare Advantage: $15,341.27 Anthem Blue Priority — Commercial: $52,192.18 Anthem CU Exclusive Employer Group — Commercial: $44,655.96 Anthem Pathway — Commercial: $32,696.78 Anthem Pathway Essentials — Commercial: $27,280.43 Anthem Pathway Essentials Standard — Commercial: $29,170.75 Anthem Pathway Standard — Commercial: $28,121.43
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$19,287 – $67,370.04
Neck (cervical) spinal fusion, without complications: 10 of 28 insurance plan rates Aetna — Commercial: $67,370.04 Aetna — Medicare Advantage: $19,287 Aetna Exchange Colorado — PPO: $65,349.03 Anthem — Medicare Advantage: $19,287 Anthem Blue Priority — Commercial: $66,056.70 Anthem CU Exclusive Employer Group — Commercial: $56,518.54 Anthem Pathway — Commercial: $41,382.48 Anthem Pathway Essentials — Commercial: $34,527.31 Anthem Pathway Essentials Standard — Commercial: $36,919.78 Anthem Pathway Standard — Commercial: $35,591.71
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,153.59 – $33,570.86
Uterus and ovary surgery (not for cancer), without complications: 10 of 29 insurance plan rates Aetna — Commercial: $30,971.78 Aetna — Medicare Advantage: $10,041.76 Aetna Exchange Colorado — PPO: $30,043.48 Anthem — Medicare Advantage: $10,041.76 Anthem Blue Priority — Commercial: $33,570.86 Anthem CU Exclusive Employer Group — Commercial: $28,723.45 Anthem Pathway — Commercial: $21,031.11 Anthem Pathway Essentials — Commercial: $17,547.22 Anthem Pathway Essentials Standard — Commercial: $18,763.11 Anthem Pathway Standard — Commercial: $18,088.17

Source: Boulder Community Health’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 16, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	4747 Arapahoe Avenue, Boulder, CO 80304
County	Boulder County
State	Colorado
Phone	(303) 440‑2273
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	060027
Name in Medicare records	BOULDER COMMUNITY HEALTH
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(303) 415‑7000^[4]
Name on the hospital’s website	Boulder Community Health Foothills Hospital
Official website	bch.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Foothills Hospital | Medical Services in Boulder, CO — bch.org
About Boulder Community Health | Colorado Health System — bch.org
Awards & Accreditations | Boulder Community Health — bch.org
Fun Facts - BCH — bch.org

Boulder Community Health

Summary

Profile from official sources

At a glance