Does Children's Hospital Colorado - Colorado Springs have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Children's Hospital Colorado - Colorado Springs. In a medical emergency, call 911.

Where is Children's Hospital Colorado - Colorado Springs?

4090 Briargate Pkwy, Colorado Springs, CO 80920, in El Paso County, Colorado.

What is the phone number of Children's Hospital Colorado - Colorado Springs?

(719) 305-9590, as listed by Medicare (CMS).

What is the Medicare star rating of Children's Hospital Colorado - Colorado Springs?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Children's Hospital Colorado - Colorado Springs

Quick answers

Does Children's Hospital Colorado - Colorado Springs have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Children's Hospital Colorado - Colorado Springs. In a medical emergency, call 911.
Where is Children's Hospital Colorado - Colorado Springs?: 4090 Briargate Pkwy, Colorado Springs, CO 80920, in El Paso County, Colorado.
What is the phone number of Children's Hospital Colorado - Colorado Springs?: (719) 305-9590, as listed by Medicare (CMS).
What is the Medicare star rating of Children's Hospital Colorado - Colorado Springs?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5]

Pediatric surgery
Pediatric imaging
Pediatric emergency care
Cancer and blood disorders
Sleep medicine

Procedures^[5]

Pediatric sleep studies
Electroencephalography (EEG) testing
Epilepsy monitoring

Programs and centers^[4][5]

Neonatal intensive care (NICU)
Center for Cancer and Blood Disorders
Pediatric emergency department

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level 2

Visiting and practical information

Visiting	Weapons-free facility; visitors are screened at check-in, including at the ER and main entrance^[4]
Parking	Free parking is available in the lot surrounding the hospital^[4]
Interpreters and languages	Medical translators and interpreters are listed among family resources^[7]

Doctors and clinicians (1)

1 doctors and other clinicians list Children's Hospital Colorado - Colorado Springs 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

Cardiovascular Disease (Cardiology)1

Doctors with a page on this site (1)

Camila Londono Obregon, MDCardiovascular Disease (Cardiology)

Other emergency rooms nearby

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

UCHealth Grandview Hospital3.2 mi · Colorado Springs, CO · Acute Care Hospital
Peak View Behavioral Health3.5 mi · Colorado Springs, CO · Psychiatric Hospital
Centura Health-Penrose St Francis Health Services5.9 mi · Colorado Springs, CO · Acute Care Hospital
St Francis Hospital - Interquest7.7 mi · Colorado Springs, CO · Acute Care Hospital
Uch-Memorial Health System8.2 mi · Colorado Springs, CO · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of Co SPG…8.8 mi · Colorado Springs, 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

The Center at Cordera2.3 mi · Colorado Springs, CO · 5 of 5 stars
Liberty Heights3.7 mi · Colorado Springs, CO · 4 of 5 stars
Mount St Francis Nursing Center5.8 mi · Colorado Springs, CO · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Abode Hospice of Colorado0.0 mi · Colorado Springs, CO · 4 of 5 stars
Gentiva I3.2 mi · Colorado Springs, CO · 4 of 5 stars
Mountain Ridge Hospice, LLC5.1 mi · Colorado Springs, CO

All hospice providers in the state →

Home health agencies

Care to You Home Health0.0 mi · Colorado Springs, CO
Centercare Home Health0.0 mi · Colorado Springs, CO · 2 of 5 stars
Choice Health at Home0.0 mi · Colorado Springs, CO

All home health agencies in the state →

Dialysis facilities

062563 Liberty Dialysis - Colorado Springs North (FMC)3.2 mi · Colorado Springs, CO · 4 of 5 stars
DaVita North Colorado Springs Dialysis3.7 mi · Colorado Springs, CO · 3 of 5 stars
062594-Liberty Dialysis-Colorado Springs West5.9 mi · Colorado Springs, CO · 4 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.

Briargate Endoscopy Center0.0 mi · Colorado Springs, CO
Orthopaedic and Spine Center of Southern Colorado, LLC, The, LLC0.0 mi · Colorado Springs, CO
Surgical Center of the Rockies0.0 mi · Colorado Springs, 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

Lane Family Health Center4.4 mi · Colorado Springs, CO · Community health center
Convenient Care Center5.4 mi · Colorado Springs, CO · Community health center
Developmental Disabilities Health Center5.4 mi · Colorado Springs, CO · Community health center

Clinics and urgent care

Bloom Colorado LLC0.0 mi · Colorado Springs, CO · Urgent care center
American Current Care P.A.3.2 mi · Colorado Springs, CO · Urgent care center
American Current Care, P.A.3.7 mi · Colorado Springs, CO · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC0.0 mi · Colorado Springs, CO · Community/retail pharmacy
Albertsons LLC0.0 mi · Colorado Springs, CO · Community/retail pharmacy
Children's Hospital Colorado0.0 mi · Colorado Springs, CO · Pharmacy

Assisted living nearby

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

Briargate House0.0 mi · Colorado Springs, CO
Brookdale Briargate0.0 mi · Colorado Springs, CO
Legend of Colorado Springs0.0 mi · Colorado Springs, CO
New Day Cottages at Turner0.0 mi · Colorado Springs, 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 Children's Hospital Colorado - Colorado Springs 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.

Not reported to Medicare

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 Springs Best hospitals in Colorado

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Children's Hospital Colorado - Colorado Springs 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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$70	$45.50	$7 – $64.40
New patient office visit (about 30–44 minutes): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $56 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $46.90 Anthem Blue Cross Blue Shield — Commercial (PPO): $49 Carelon Behavioral Health — Commercial (All Contracted Plans): $49 Carelon Behavioral Health — Medicaid (All Contracted Plans): $31.50 CCHA Behavioral Health — Medicaid (All Contracted Plans): $7 Centivo — Commercial (EPO): $48.30 Cigna — Commercial (All Contracted Plans): $50.51 Cofinity — Commercial (All Contracted Plans): $63 Colorado Access — CHP+: $34.30
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL III NEW GLOBAL	$339	$220.35	$50.85 – $311.88
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $271.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $239 Anthem Blue Cross Blue Shield — Commercial (PPO): $239 Carelon Behavioral Health — Commercial (All Contracted Plans): $237.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $92 CCHA Behavioral Health — Medicaid (All Contracted Plans): $86 Centivo — Commercial (EPO): $233.91 Cofinity — Commercial (All Contracted Plans): $305.10 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $166.11 CompPsych Behavioral Health — Commercial (All Contracted Plans): $288.15
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL III NEW NONGLOBAL	$363	$235.95	$54.45 – $333.96
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $290.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $239 Anthem Blue Cross Blue Shield — Commercial (PPO): $239 Carelon Behavioral Health — Commercial (All Contracted Plans): $254.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $92 CCHA Behavioral Health — Medicaid (All Contracted Plans): $86 Centivo — Commercial (EPO): $250.47 Cofinity — Commercial (All Contracted Plans): $326.70 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $177.87 CompPsych Behavioral Health — Commercial (All Contracted Plans): $308.55
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$185	$120.25	$18.50 – $170.20
New patient office visit (about 45–59 minutes): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $148 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $123.95 Anthem Blue Cross Blue Shield — Commercial (PPO): $129.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $129.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $83.25 CCHA Behavioral Health — Medicaid (All Contracted Plans): $18.50 Centivo — Commercial (EPO): $127.65 Cigna — Commercial (All Contracted Plans): $133.48 Cofinity — Commercial (All Contracted Plans): $166.50 Colorado Access — CHP+: $90.65
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL IV NEW GLOBAL	$759	$493.35	$113.85 – $698.28
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $607.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $292 Anthem Blue Cross Blue Shield — Commercial (PPO): $292 Carelon Behavioral Health — Commercial (All Contracted Plans): $531.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $196 CCHA Behavioral Health — Medicaid (All Contracted Plans): $188 Centivo — Commercial (EPO): $523.71 Cofinity — Commercial (All Contracted Plans): $683.10 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $371.91 CompPsych Behavioral Health — Commercial (All Contracted Plans): $645.15
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL IV NEW NONGLOBAL	$629	$408.85	$94.35 – $578.68
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $503.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $292 Anthem Blue Cross Blue Shield — Commercial (PPO): $292 Carelon Behavioral Health — Commercial (All Contracted Plans): $440.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $196 CCHA Behavioral Health — Medicaid (All Contracted Plans): $188 Centivo — Commercial (EPO): $434.01 Cofinity — Commercial (All Contracted Plans): $566.10 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $308.21 CompPsych Behavioral Health — Commercial (All Contracted Plans): $534.65
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$522	$339.30	$52.20 – $480.24
New patient office visit (about 60–74 minutes): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $417.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $349.74 Anthem Blue Cross Blue Shield — Commercial (PPO): $365.40 Carelon Behavioral Health — Commercial (All Contracted Plans): $365.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $234.90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $52.20 Centivo — Commercial (EPO): $360.18 Cigna — Commercial (All Contracted Plans): $376.62 Cofinity — Commercial (All Contracted Plans): $469.80 Colorado Access — CHP+: $255.78
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL V NEW GLOBAL	$1,257	$817.05	$188.55 – $1,156.44
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,005.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $374 Anthem Blue Cross Blue Shield — Commercial (PPO): $374 Carelon Behavioral Health — Commercial (All Contracted Plans): $879.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $255 CCHA Behavioral Health — Medicaid (All Contracted Plans): $245 Centivo — Commercial (EPO): $867.33 Cofinity — Commercial (All Contracted Plans): $1,131.30 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $615.93 CompPsych Behavioral Health — Commercial (All Contracted Plans): $1,068.45
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL V NEW NONGLOBAL	$907	$589.55	$136.05 – $834.44
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $725.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $374 Anthem Blue Cross Blue Shield — Commercial (PPO): $374 Carelon Behavioral Health — Commercial (All Contracted Plans): $634.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $255 CCHA Behavioral Health — Medicaid (All Contracted Plans): $245 Centivo — Commercial (EPO): $625.83 Cofinity — Commercial (All Contracted Plans): $816.30 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $444.43 CompPsych Behavioral Health — Commercial (All Contracted Plans): $770.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$200	$130	$20 – $184
Established patient office visit (about 20–29 minutes): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $160 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $134 Anthem Blue Cross Blue Shield — Commercial (PPO): $140 Carelon Behavioral Health — Commercial (All Contracted Plans): $140 Carelon Behavioral Health — Medicaid (All Contracted Plans): $90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $20 Centivo — Commercial (EPO): $138 Cigna — Commercial (All Contracted Plans): $144.30 Cofinity — Commercial (All Contracted Plans): $180 Colorado Access — CHP+: $98
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL III EST GLOBAL	$483	$313.95	$72.45 – $444.36
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $386.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $218 Anthem Blue Cross Blue Shield — Commercial (PPO): $218 Carelon Behavioral Health — Commercial (All Contracted Plans): $338.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $99 CCHA Behavioral Health — Medicaid (All Contracted Plans): $94 Centivo — Commercial (EPO): $333.27 Cofinity — Commercial (All Contracted Plans): $434.70 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $236.67 CompPsych Behavioral Health — Commercial (All Contracted Plans): $410.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL III EST NONGLOBAL	$321	$208.65	$48.15 – $295.32
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $256.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $218 Anthem Blue Cross Blue Shield — Commercial (PPO): $218 Carelon Behavioral Health — Commercial (All Contracted Plans): $224.70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $99 CCHA Behavioral Health — Medicaid (All Contracted Plans): $94 Centivo — Commercial (EPO): $221.49 Cofinity — Commercial (All Contracted Plans): $288.90 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $157.29 CompPsych Behavioral Health — Commercial (All Contracted Plans): $272.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$300	$195	$30 – $276
Established patient office visit (about 30–39 minutes): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $240 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $201 Anthem Blue Cross Blue Shield — Commercial (PPO): $210 Carelon Behavioral Health — Commercial (All Contracted Plans): $210 Carelon Behavioral Health — Medicaid (All Contracted Plans): $135 CCHA Behavioral Health — Medicaid (All Contracted Plans): $30 Centivo — Commercial (EPO): $207 Cigna — Commercial (All Contracted Plans): $216.45 Cofinity — Commercial (All Contracted Plans): $270 Colorado Access — CHP+: $147
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL IV EST GLOBAL	$721	$468.65	$108.15 – $663.32
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $576.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $299 Anthem Blue Cross Blue Shield — Commercial (PPO): $299 Carelon Behavioral Health — Commercial (All Contracted Plans): $504.70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $140 CCHA Behavioral Health — Medicaid (All Contracted Plans): $133 Centivo — Commercial (EPO): $497.49 Cofinity — Commercial (All Contracted Plans): $648.90 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $353.29 CompPsych Behavioral Health — Commercial (All Contracted Plans): $612.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=E&M LEVEL IV EST NONGLOBAL	$643	$417.95	$96.45 – $591.56
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $514.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $299 Anthem Blue Cross Blue Shield — Commercial (PPO): $299 Carelon Behavioral Health — Commercial (All Contracted Plans): $450.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $140 CCHA Behavioral Health — Medicaid (All Contracted Plans): $133 Centivo — Commercial (EPO): $443.67 Cofinity — Commercial (All Contracted Plans): $578.70 Colorado Access Behavioral Health — Medicaid (All Contracted Plans): $315.07 CompPsych Behavioral Health — Commercial (All Contracted Plans): $546.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYCH CONSULT OP 30-39 MIN	$363	$235.95	$36.30 – $333.96
Office consultation with a specialist (moderate): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $290.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $243.21 Anthem Blue Cross Blue Shield — Commercial (PPO): $254.10 Carelon Behavioral Health — Commercial (All Contracted Plans): $254.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $163.35 CCHA Behavioral Health — Medicaid (All Contracted Plans): $36.30 Centivo — Commercial (EPO): $250.47 Cigna — Commercial (All Contracted Plans): $261.90 Cofinity — Commercial (All Contracted Plans): $326.70 Colorado Access — CHP+: $177.87
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$375	$243.75	$37.50 – $345
Office consultation with a specialist (moderate): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $300 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $251.25 Anthem Blue Cross Blue Shield — Commercial (PPO): $262.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $262.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $168.75 CCHA Behavioral Health — Medicaid (All Contracted Plans): $37.50 Centivo — Commercial (EPO): $258.75 Cigna — Commercial (All Contracted Plans): $270.56 Cofinity — Commercial (All Contracted Plans): $337.50 Colorado Access — CHP+: $183.75
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=PSYCH CONSULT OP 30-39 MIN	$363	$235.95	$54.45 – $333.96
Office consultation with a specialist (moderate): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $264.99 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $257.73 Anthem Blue Cross Blue Shield — Commercial (PPO): $272.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $254.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $163.35 Centivo — Commercial (EPO): $250.47 Cofinity — Commercial (All Contracted Plans): $326.70 CompPsych Behavioral Health — Commercial (All Contracted Plans): $308.55 Denver Health Medical Plan — CHP+: $163.35 Denver Health Medical Plan — Commercial (HMO): $272.25
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYCH CONSULT OP 40-54 MIN	$466	$302.90	$46.60 – $428.72
Office consultation with a specialist (moderate to high): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $372.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $312.22 Anthem Blue Cross Blue Shield — Commercial (PPO): $326.20 Carelon Behavioral Health — Commercial (All Contracted Plans): $326.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $209.70 CCHA Behavioral Health — Medicaid (All Contracted Plans): $46.60 Centivo — Commercial (EPO): $321.54 Cigna — Commercial (All Contracted Plans): $336.22 Cofinity — Commercial (All Contracted Plans): $419.40 Colorado Access — CHP+: $228.34
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=PSYCH CONSULT OP 40-54 MIN	$466	$302.90	$69.90 – $428.72
Office consultation with a specialist (moderate to high): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $340.18 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $330.86 Anthem Blue Cross Blue Shield — Commercial (PPO): $349.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $326.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $209.70 Centivo — Commercial (EPO): $321.54 Cofinity — Commercial (All Contracted Plans): $419.40 CompPsych Behavioral Health — Commercial (All Contracted Plans): $396.10 Denver Health Medical Plan — CHP+: $209.70 Denver Health Medical Plan — Commercial (HMO): $349.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: QPSYED=ER VISIT LVL III	$3,910	$2,541.50	$586.50 – $3,597.20
Emergency room visit (moderate): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $2,737 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,068 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,176 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,737 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,759.50 CCHA Behavioral Health — Medicaid (All Contracted Plans): $735 Centivo — Commercial (EPO): $2,697.90 Cigna — Commercial (All Contracted Plans): $2,015 Cofinity — Commercial (All Contracted Plans): $3,519 Colorado Access — CHP+: $1,258
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=ER VISIT LVL III	$2,550	$1,657.50	$382.50 – $2,697
Emergency room visit (moderate): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,785 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,068 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,176 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,785 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,147.50 CCHA Behavioral Health — Medicaid (All Contracted Plans): $735 Centivo — Commercial (EPO): $1,759.50 Cigna — Commercial (All Contracted Plans): $2,015 Cofinity — Commercial (All Contracted Plans): $2,295 Colorado Access — CHP+: $1,258
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM	$488	$317.20	$48.80 – $2,176
Emergency room visit (moderate): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $390.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,068 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,176 Carelon Behavioral Health — Commercial (All Contracted Plans): $341.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $219.60 CCHA Behavioral Health — Medicaid (All Contracted Plans): $48.80 Centivo — Commercial (EPO): $336.72 Cigna — Commercial (All Contracted Plans): $352.09 Cofinity — Commercial (All Contracted Plans): $439.20 Colorado Access — CHP+: $239.12
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: QPSYED=ER VISIT LVL IV	$6,180	$4,017	$650 – $5,685.60
Emergency room visit (moderately high): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $4,326 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,604 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,742 Carelon Behavioral Health — Commercial (All Contracted Plans): $4,326 Carelon Behavioral Health — Medicaid (All Contracted Plans): $2,781 CCHA Behavioral Health — Medicaid (All Contracted Plans): $973 Centivo — Commercial (EPO): $4,264.20 Cigna — Commercial (All Contracted Plans): $2,750 Cofinity — Commercial (All Contracted Plans): $5,562 Colorado Access — CHP+: $1,920
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=ER VISIT LVL IV	$4,843	$3,147.95	$650 – $5,121
Emergency room visit (moderately high): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $3,390.10 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,604 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,742 Carelon Behavioral Health — Commercial (All Contracted Plans): $3,390.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $2,179.35 CCHA Behavioral Health — Medicaid (All Contracted Plans): $973 Centivo — Commercial (EPO): $3,341.67 Cigna — Commercial (All Contracted Plans): $2,750 Cofinity — Commercial (All Contracted Plans): $4,358.70 Colorado Access — CHP+: $1,920
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$824	$535.60	$82.40 – $2,742
Emergency room visit (moderately high): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $659.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,604 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,742 Carelon Behavioral Health — Commercial (All Contracted Plans): $576.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $370.80 CCHA Behavioral Health — Medicaid (All Contracted Plans): $82.40 Centivo — Commercial (EPO): $568.56 Cigna — Commercial (All Contracted Plans): $594.52 Cofinity — Commercial (All Contracted Plans): $741.60 Colorado Access — CHP+: $403.76
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: QPSYED=ER VISIT LVL V	$14,802	$9,621.30	$650 – $13,617.84
Emergency room visit (high): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $10,361.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $3,647 Anthem Blue Cross Blue Shield — Commercial (PPO): $3,839 Carelon Behavioral Health — Commercial (All Contracted Plans): $10,361.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $6,660.90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $1,591 Centivo — Commercial (EPO): $10,213.38 Cigna — Commercial (All Contracted Plans): $4,650 Cofinity — Commercial (All Contracted Plans): $13,321.80 Colorado Access — CHP+: $4,062
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=ER VISIT LVL V	$10,297	$6,693.05	$650 – $9,473.24
Emergency room visit (high): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $7,207.90 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $3,647 Anthem Blue Cross Blue Shield — Commercial (PPO): $3,839 Carelon Behavioral Health — Commercial (All Contracted Plans): $7,207.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $4,633.65 CCHA Behavioral Health — Medicaid (All Contracted Plans): $1,591 Centivo — Commercial (EPO): $7,104.93 Cigna — Commercial (All Contracted Plans): $4,650 Cofinity — Commercial (All Contracted Plans): $9,267.30 Colorado Access — CHP+: $4,062
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$844	$548.60	$84.40 – $3,839
Emergency room visit (high): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $675.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $3,647 Anthem Blue Cross Blue Shield — Commercial (PPO): $3,839 Carelon Behavioral Health — Commercial (All Contracted Plans): $590.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $379.80 CCHA Behavioral Health — Medicaid (All Contracted Plans): $84.40 Centivo — Commercial (EPO): $582.36 Cigna — Commercial (All Contracted Plans): $608.95 Cofinity — Commercial (All Contracted Plans): $759.60 Colorado Access — CHP+: $413.56

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: HB=BASIC METABOLIC PANE	$115	$74.75	$11.50 – $105.80
Basic metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $92 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $59.80 Anthem Blue Cross Blue Shield — Commercial (PPO): $63.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $80.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $51.75 CCHA Behavioral Health — Medicaid (All Contracted Plans): $11.50 Centivo — Commercial (EPO): $79.35 Cigna — Commercial (All Contracted Plans): $82.97 Cofinity — Commercial (All Contracted Plans): $103.50 Colorado Access — CHP+: $56.35
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB BASIC METABOLIC PANEL	$308	$200.20	$30.80 – $283.36
Basic metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $246.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $160.16 Anthem Blue Cross Blue Shield — Commercial (PPO): $169.40 Carelon Behavioral Health — Commercial (All Contracted Plans): $215.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $138.60 CCHA Behavioral Health — Medicaid (All Contracted Plans): $30.80 Centivo — Commercial (EPO): $212.52 Cigna — Commercial (All Contracted Plans): $222.22 Cofinity — Commercial (All Contracted Plans): $277.20 Colorado Access — CHP+: $150.92
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=BASIC METABOLIC PANE	$115	$74.75	$17.25 – $105.80
Basic metabolic panel (blood test): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $83.95 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $81.65 Anthem Blue Cross Blue Shield — Commercial (PPO): $86.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $80.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $51.75 Centivo — Commercial (EPO): $79.35 Cofinity — Commercial (All Contracted Plans): $103.50 CompPsych Behavioral Health — Commercial (All Contracted Plans): $97.75 Denver Health Medical Plan — CHP+: $51.75 Denver Health Medical Plan — Commercial (HMO): $86.25
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=COMPREHENSIVE METABO	$178	$115.70	$17.80 – $163.76
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $142.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $92.56 Anthem Blue Cross Blue Shield — Commercial (PPO): $97.90 Carelon Behavioral Health — Commercial (All Contracted Plans): $124.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $80.10 CCHA Behavioral Health — Medicaid (All Contracted Plans): $17.80 Centivo — Commercial (EPO): $122.82 Cigna — Commercial (All Contracted Plans): $128.43 Cofinity — Commercial (All Contracted Plans): $160.20 Colorado Access — CHP+: $87.22
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=COMP METABOLIC ELTROMBOPAG	$178	$115.70	$17.80 – $163.76
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $142.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $92.56 Anthem Blue Cross Blue Shield — Commercial (PPO): $97.90 Carelon Behavioral Health — Commercial (All Contracted Plans): $124.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $80.10 CCHA Behavioral Health — Medicaid (All Contracted Plans): $17.80 Centivo — Commercial (EPO): $122.82 Cigna — Commercial (All Contracted Plans): $128.43 Cofinity — Commercial (All Contracted Plans): $160.20 Colorado Access — CHP+: $87.22
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB POCT COMPREHENSIVE METABOLIC PANEL	$384	$249.60	$38.40 – $353.28
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $307.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $199.68 Anthem Blue Cross Blue Shield — Commercial (PPO): $211.20 Carelon Behavioral Health — Commercial (All Contracted Plans): $268.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $172.80 CCHA Behavioral Health — Medicaid (All Contracted Plans): $38.40 Centivo — Commercial (EPO): $264.96 Cigna — Commercial (All Contracted Plans): $277.06 Cofinity — Commercial (All Contracted Plans): $345.60 Colorado Access — CHP+: $188.16
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB OBSTETRIC PANEL	$204	$132.60	$20.40 – $187.68
Obstetric blood test panel: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $163.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $106.08 Anthem Blue Cross Blue Shield — Commercial (PPO): $112.20 Carelon Behavioral Health — Commercial (All Contracted Plans): $142.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $91.80 CCHA Behavioral Health — Medicaid (All Contracted Plans): $20.40 Centivo — Commercial (EPO): $140.76 Cigna — Commercial (All Contracted Plans): $147.19 Cofinity — Commercial (All Contracted Plans): $183.60 Colorado Access — CHP+: $99.96
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=CSHB OBSTETRIC PANEL	$204	$132.60	$30.60 – $187.68
Obstetric blood test panel: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $148.92 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $144.84 Anthem Blue Cross Blue Shield — Commercial (PPO): $153 Carelon Behavioral Health — Commercial (All Contracted Plans): $142.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $91.80 Centivo — Commercial (EPO): $140.76 Cofinity — Commercial (All Contracted Plans): $183.60 CompPsych Behavioral Health — Commercial (All Contracted Plans): $173.40 Denver Health Medical Plan — CHP+: $91.80 Denver Health Medical Plan — Commercial (HMO): $153
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=LIPID PANEL.	$100	$65	$10 – $92
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $52 Anthem Blue Cross Blue Shield — Commercial (PPO): $55 Carelon Behavioral Health — Commercial (All Contracted Plans): $70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $45 CCHA Behavioral Health — Medicaid (All Contracted Plans): $10 Centivo — Commercial (EPO): $69 Cigna — Commercial (All Contracted Plans): $72.15 Cofinity — Commercial (All Contracted Plans): $90 Colorado Access — CHP+: $49
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=LIPID PANEL .	$105	$68.25	$10.50 – $96.60
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $84 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $54.60 Anthem Blue Cross Blue Shield — Commercial (PPO): $57.75 Carelon Behavioral Health — Commercial (All Contracted Plans): $73.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $47.25 CCHA Behavioral Health — Medicaid (All Contracted Plans): $10.50 Centivo — Commercial (EPO): $72.45 Cigna — Commercial (All Contracted Plans): $75.76 Cofinity — Commercial (All Contracted Plans): $94.50 Colorado Access — CHP+: $51.45
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB LIPOPROTEIN LIPID PANEL	$46	$29.90	$4.60 – $42.32
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $36.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $23.92 Anthem Blue Cross Blue Shield — Commercial (PPO): $25.30 Carelon Behavioral Health — Commercial (All Contracted Plans): $32.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $20.70 CCHA Behavioral Health — Medicaid (All Contracted Plans): $4.60 Centivo — Commercial (EPO): $31.74 Cigna — Commercial (All Contracted Plans): $33.19 Cofinity — Commercial (All Contracted Plans): $41.40 Colorado Access — CHP+: $22.54
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=RENAL FUNCTION PANEL.	$159	$103.35	$15.90 – $146.28
Kidney function panel: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $127.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $82.68 Anthem Blue Cross Blue Shield — Commercial (PPO): $87.45 Carelon Behavioral Health — Commercial (All Contracted Plans): $111.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $71.55 CCHA Behavioral Health — Medicaid (All Contracted Plans): $15.90 Centivo — Commercial (EPO): $109.71 Cigna — Commercial (All Contracted Plans): $114.72 Cofinity — Commercial (All Contracted Plans): $143.10 Colorado Access — CHP+: $77.91
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB RENAL FUNCTION PANEL	$242	$157.30	$24.20 – $222.64
Kidney function panel: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $193.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $125.84 Anthem Blue Cross Blue Shield — Commercial (PPO): $133.10 Carelon Behavioral Health — Commercial (All Contracted Plans): $169.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $108.90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $24.20 Centivo — Commercial (EPO): $166.98 Cigna — Commercial (All Contracted Plans): $174.60 Cofinity — Commercial (All Contracted Plans): $217.80 Colorado Access — CHP+: $118.58
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=RENAL FUNCTION PANEL.	$159	$103.35	$23.85 – $146.28
Kidney function panel: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $116.07 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $112.89 Anthem Blue Cross Blue Shield — Commercial (PPO): $119.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $111.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $71.55 Centivo — Commercial (EPO): $109.71 Cofinity — Commercial (All Contracted Plans): $143.10 CompPsych Behavioral Health — Commercial (All Contracted Plans): $135.15 Denver Health Medical Plan — CHP+: $71.55 Denver Health Medical Plan — Commercial (HMO): $119.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=HEPATIC FUNCTION PAN	$97	$63.05	$9.70 – $89.24
Liver function panel: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $77.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $50.44 Anthem Blue Cross Blue Shield — Commercial (PPO): $53.35 Carelon Behavioral Health — Commercial (All Contracted Plans): $67.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $43.65 CCHA Behavioral Health — Medicaid (All Contracted Plans): $9.70 Centivo — Commercial (EPO): $66.93 Cigna — Commercial (All Contracted Plans): $69.99 Cofinity — Commercial (All Contracted Plans): $87.30 Colorado Access — CHP+: $47.53
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB POCT LIVER FUNCTION PANEL	$240	$156	$24 – $220.80
Liver function panel: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $192 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $124.80 Anthem Blue Cross Blue Shield — Commercial (PPO): $132 Carelon Behavioral Health — Commercial (All Contracted Plans): $168 Carelon Behavioral Health — Medicaid (All Contracted Plans): $108 CCHA Behavioral Health — Medicaid (All Contracted Plans): $24 Centivo — Commercial (EPO): $165.60 Cigna — Commercial (All Contracted Plans): $173.16 Cofinity — Commercial (All Contracted Plans): $216 Colorado Access — CHP+: $117.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB HEPATIC FUNCTION PANEL A	$240	$156	$24 – $220.80
Liver function panel: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $192 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $124.80 Anthem Blue Cross Blue Shield — Commercial (PPO): $132 Carelon Behavioral Health — Commercial (All Contracted Plans): $168 Carelon Behavioral Health — Medicaid (All Contracted Plans): $108 CCHA Behavioral Health — Medicaid (All Contracted Plans): $24 Centivo — Commercial (EPO): $165.60 Cigna — Commercial (All Contracted Plans): $173.16 Cofinity — Commercial (All Contracted Plans): $216 Colorado Access — CHP+: $117.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=URINALYSIS ROUTINE &	$192	$124.80	$19.20 – $176.64
Urine test (automated, with microscope): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $153.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $99.84 Anthem Blue Cross Blue Shield — Commercial (PPO): $105.60 Carelon Behavioral Health — Commercial (All Contracted Plans): $134.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $86.40 CCHA Behavioral Health — Medicaid (All Contracted Plans): $19.20 Centivo — Commercial (EPO): $132.48 Cigna — Commercial (All Contracted Plans): $138.53 Cofinity — Commercial (All Contracted Plans): $172.80 Colorado Access — CHP+: $94.08
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB URINALYSIS AUTO W/MICRO	$208	$135.20	$20.80 – $191.36
Urine test (automated, with microscope): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $166.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $108.16 Anthem Blue Cross Blue Shield — Commercial (PPO): $114.40 Carelon Behavioral Health — Commercial (All Contracted Plans): $145.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $93.60 CCHA Behavioral Health — Medicaid (All Contracted Plans): $20.80 Centivo — Commercial (EPO): $143.52 Cigna — Commercial (All Contracted Plans): $150.07 Cofinity — Commercial (All Contracted Plans): $187.20 Colorado Access — CHP+: $101.92
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=URINALYSIS ROUTINE &	$192	$124.80	$28.80 – $176.64
Urine test (automated, with microscope): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $140.16 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $136.32 Anthem Blue Cross Blue Shield — Commercial (PPO): $144 Carelon Behavioral Health — Commercial (All Contracted Plans): $134.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $86.40 Centivo — Commercial (EPO): $132.48 Cofinity — Commercial (All Contracted Plans): $172.80 CompPsych Behavioral Health — Commercial (All Contracted Plans): $163.20 Denver Health Medical Plan — CHP+: $86.40 Denver Health Medical Plan — Commercial (HMO): $144
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB POCT URINALYSIS W/O MICROSCOPY	$119	$77.35	$11.90 – $109.48
Urine test (manual, without microscope): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $95.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $61.88 Anthem Blue Cross Blue Shield — Commercial (PPO): $65.45 Carelon Behavioral Health — Commercial (All Contracted Plans): $83.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $53.55 CCHA Behavioral Health — Medicaid (All Contracted Plans): $11.90 Centivo — Commercial (EPO): $82.11 Cigna — Commercial (All Contracted Plans): $85.86 Cofinity — Commercial (All Contracted Plans): $107.10 Colorado Access — CHP+: $58.31
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB URINALYSIS NON AUTO W/O MICROSCOPY	$119	$77.35	$11.90 – $109.48
Urine test (manual, without microscope): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $95.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $61.88 Anthem Blue Cross Blue Shield — Commercial (PPO): $65.45 Carelon Behavioral Health — Commercial (All Contracted Plans): $83.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $53.55 CCHA Behavioral Health — Medicaid (All Contracted Plans): $11.90 Centivo — Commercial (EPO): $82.11 Cigna — Commercial (All Contracted Plans): $85.86 Cofinity — Commercial (All Contracted Plans): $107.10 Colorado Access — CHP+: $58.31
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=CSHB POCT URINALYSIS W/O MICROSCOPY	$119	$77.35	$17.85 – $109.48
Urine test (manual, without microscope): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $86.87 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $84.49 Anthem Blue Cross Blue Shield — Commercial (PPO): $89.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $83.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $53.55 Centivo — Commercial (EPO): $82.11 Cofinity — Commercial (All Contracted Plans): $107.10 CompPsych Behavioral Health — Commercial (All Contracted Plans): $101.15 Denver Health Medical Plan — CHP+: $53.55 Denver Health Medical Plan — Commercial (HMO): $89.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=UA DIPSTICK (POC)	$62	$40.30	$6.20 – $57.04
Urine test (automated, without microscope): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $49.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $32.24 Anthem Blue Cross Blue Shield — Commercial (PPO): $34.10 Carelon Behavioral Health — Commercial (All Contracted Plans): $43.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $27.90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $6.20 Centivo — Commercial (EPO): $42.78 Cigna — Commercial (All Contracted Plans): $44.73 Cofinity — Commercial (All Contracted Plans): $55.80 Colorado Access — CHP+: $30.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=UA DIP STICK	$70	$45.50	$7 – $64.40
Urine test (automated, without microscope): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $56 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $36.40 Anthem Blue Cross Blue Shield — Commercial (PPO): $38.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $49 Carelon Behavioral Health — Medicaid (All Contracted Plans): $31.50 CCHA Behavioral Health — Medicaid (All Contracted Plans): $7 Centivo — Commercial (EPO): $48.30 Cigna — Commercial (All Contracted Plans): $50.51 Cofinity — Commercial (All Contracted Plans): $63 Colorado Access — CHP+: $34.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB POCT UA AUTO WITHOUT MICROSCOPY	$106	$68.90	$10.60 – $97.52
Urine test (automated, without microscope): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $84.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $55.12 Anthem Blue Cross Blue Shield — Commercial (PPO): $58.30 Carelon Behavioral Health — Commercial (All Contracted Plans): $74.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $47.70 CCHA Behavioral Health — Medicaid (All Contracted Plans): $10.60 Centivo — Commercial (EPO): $73.14 Cigna — Commercial (All Contracted Plans): $76.48 Cofinity — Commercial (All Contracted Plans): $95.40 Colorado Access — CHP+: $51.94
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PROSTATE-SPECIFIC AG, (PSA), S	$112	$72.80	$11.20 – $103.04
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $89.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $58.24 Anthem Blue Cross Blue Shield — Commercial (PPO): $61.60 Carelon Behavioral Health — Commercial (All Contracted Plans): $78.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $50.40 CCHA Behavioral Health — Medicaid (All Contracted Plans): $11.20 Centivo — Commercial (EPO): $77.28 Cigna — Commercial (All Contracted Plans): $80.81 Cofinity — Commercial (All Contracted Plans): $100.80 Colorado Access — CHP+: $54.88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=TOTAL PSA	$61	$39.65	$6.10 – $56.12
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $48.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $31.72 Anthem Blue Cross Blue Shield — Commercial (PPO): $33.55 Carelon Behavioral Health — Commercial (All Contracted Plans): $42.70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $27.45 CCHA Behavioral Health — Medicaid (All Contracted Plans): $6.10 Centivo — Commercial (EPO): $42.09 Cigna — Commercial (All Contracted Plans): $44.01 Cofinity — Commercial (All Contracted Plans): $54.90 Colorado Access — CHP+: $29.89
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB L-PSA TOTAL	$105	$68.25	$10.50 – $96.60
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $84 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $54.60 Anthem Blue Cross Blue Shield — Commercial (PPO): $57.75 Carelon Behavioral Health — Commercial (All Contracted Plans): $73.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $47.25 CCHA Behavioral Health — Medicaid (All Contracted Plans): $10.50 Centivo — Commercial (EPO): $72.45 Cigna — Commercial (All Contracted Plans): $75.76 Cofinity — Commercial (All Contracted Plans): $94.50 Colorado Access — CHP+: $51.45
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=TSH/THYROID STIMULAT	$96	$62.40	$9.60 – $88.32
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $76.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $49.92 Anthem Blue Cross Blue Shield — Commercial (PPO): $52.80 Carelon Behavioral Health — Commercial (All Contracted Plans): $67.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $43.20 CCHA Behavioral Health — Medicaid (All Contracted Plans): $9.60 Centivo — Commercial (EPO): $66.24 Cigna — Commercial (All Contracted Plans): $69.26 Cofinity — Commercial (All Contracted Plans): $86.40 Colorado Access — CHP+: $47.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CU INDEX-TSH	$243	$157.95	$24.30 – $223.56
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $194.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $126.36 Anthem Blue Cross Blue Shield — Commercial (PPO): $133.65 Carelon Behavioral Health — Commercial (All Contracted Plans): $170.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $109.35 CCHA Behavioral Health — Medicaid (All Contracted Plans): $24.30 Centivo — Commercial (EPO): $167.67 Cigna — Commercial (All Contracted Plans): $175.32 Cofinity — Commercial (All Contracted Plans): $218.70 Colorado Access — CHP+: $119.07
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=THYROID STIMULATING HORMONE- SENSITIVE	$207	$134.55	$20.70 – $190.44
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $165.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $107.64 Anthem Blue Cross Blue Shield — Commercial (PPO): $113.85 Carelon Behavioral Health — Commercial (All Contracted Plans): $144.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $93.15 CCHA Behavioral Health — Medicaid (All Contracted Plans): $20.70 Centivo — Commercial (EPO): $142.83 Cigna — Commercial (All Contracted Plans): $149.35 Cofinity — Commercial (All Contracted Plans): $186.30 Colorado Access — CHP+: $101.43
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=POC CBC WITH AUTO DIFF	$229	$148.85	$22.90 – $210.68
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $183.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $119.08 Anthem Blue Cross Blue Shield — Commercial (PPO): $125.95 Carelon Behavioral Health — Commercial (All Contracted Plans): $160.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $103.05 CCHA Behavioral Health — Medicaid (All Contracted Plans): $22.90 Centivo — Commercial (EPO): $158.01 Cigna — Commercial (All Contracted Plans): $165.22 Cofinity — Commercial (All Contracted Plans): $206.10 Colorado Access — CHP+: $112.21
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CBC PLATELET AUTO DI	$124	$80.60	$12.40 – $114.08
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $99.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $64.48 Anthem Blue Cross Blue Shield — Commercial (PPO): $68.20 Carelon Behavioral Health — Commercial (All Contracted Plans): $86.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $55.80 CCHA Behavioral Health — Medicaid (All Contracted Plans): $12.40 Centivo — Commercial (EPO): $85.56 Cigna — Commercial (All Contracted Plans): $89.47 Cofinity — Commercial (All Contracted Plans): $111.60 Colorado Access — CHP+: $60.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB POCT CBC W/AUTO DIFF	$217	$141.05	$21.70 – $199.64
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $173.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $112.84 Anthem Blue Cross Blue Shield — Commercial (PPO): $119.35 Carelon Behavioral Health — Commercial (All Contracted Plans): $151.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $97.65 CCHA Behavioral Health — Medicaid (All Contracted Plans): $21.70 Centivo — Commercial (EPO): $149.73 Cigna — Commercial (All Contracted Plans): $156.57 Cofinity — Commercial (All Contracted Plans): $195.30 Colorado Access — CHP+: $106.33
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CBC PLATELET MANUAL	$257	$167.05	$25.70 – $236.44
Complete blood count (CBC), automated: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $205.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $133.64 Anthem Blue Cross Blue Shield — Commercial (PPO): $141.35 Carelon Behavioral Health — Commercial (All Contracted Plans): $179.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $115.65 CCHA Behavioral Health — Medicaid (All Contracted Plans): $25.70 Centivo — Commercial (EPO): $177.33 Cigna — Commercial (All Contracted Plans): $185.43 Cofinity — Commercial (All Contracted Plans): $231.30 Colorado Access — CHP+: $125.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CBC WITH NO DIFF	$125	$81.25	$12.50 – $115
Complete blood count (CBC), automated: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $100 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $65 Anthem Blue Cross Blue Shield — Commercial (PPO): $68.75 Carelon Behavioral Health — Commercial (All Contracted Plans): $87.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $56.25 CCHA Behavioral Health — Medicaid (All Contracted Plans): $12.50 Centivo — Commercial (EPO): $86.25 Cigna — Commercial (All Contracted Plans): $90.19 Cofinity — Commercial (All Contracted Plans): $112.50 Colorado Access — CHP+: $61.25
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CBC AUTOMATED WITHOU	$173	$112.45	$17.30 – $159.16
Complete blood count (CBC), automated: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $138.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $89.96 Anthem Blue Cross Blue Shield — Commercial (PPO): $95.15 Carelon Behavioral Health — Commercial (All Contracted Plans): $121.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $77.85 CCHA Behavioral Health — Medicaid (All Contracted Plans): $17.30 Centivo — Commercial (EPO): $119.37 Cigna — Commercial (All Contracted Plans): $124.82 Cofinity — Commercial (All Contracted Plans): $155.70 Colorado Access — CHP+: $84.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB POCT PT/INR	$155	$100.75	$15.50 – $142.60
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $124 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $80.60 Anthem Blue Cross Blue Shield — Commercial (PPO): $85.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $108.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $69.75 CCHA Behavioral Health — Medicaid (All Contracted Plans): $15.50 Centivo — Commercial (EPO): $106.95 Cigna — Commercial (All Contracted Plans): $111.83 Cofinity — Commercial (All Contracted Plans): $139.50 Colorado Access — CHP+: $75.95
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PT MIXING PROTHROMBIN TIME	$69	$44.85	$6.90 – $63.48
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $55.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $35.88 Anthem Blue Cross Blue Shield — Commercial (PPO): $37.95 Carelon Behavioral Health — Commercial (All Contracted Plans): $48.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $31.05 CCHA Behavioral Health — Medicaid (All Contracted Plans): $6.90 Centivo — Commercial (EPO): $47.61 Cigna — Commercial (All Contracted Plans): $49.78 Cofinity — Commercial (All Contracted Plans): $62.10 Colorado Access — CHP+: $33.81
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PROTHROMBIN TIME.	$118	$76.70	$11.80 – $108.56
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $94.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $61.36 Anthem Blue Cross Blue Shield — Commercial (PPO): $64.90 Carelon Behavioral Health — Commercial (All Contracted Plans): $82.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $53.10 CCHA Behavioral Health — Medicaid (All Contracted Plans): $11.80 Centivo — Commercial (EPO): $81.42 Cigna — Commercial (All Contracted Plans): $85.14 Cofinity — Commercial (All Contracted Plans): $106.20 Colorado Access — CHP+: $57.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PARTIAL THROMBO (PTT	$182	$118.30	$18.20 – $167.44
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $145.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $94.64 Anthem Blue Cross Blue Shield — Commercial (PPO): $100.10 Carelon Behavioral Health — Commercial (All Contracted Plans): $127.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $81.90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $18.20 Centivo — Commercial (EPO): $125.58 Cigna — Commercial (All Contracted Plans): $131.31 Cofinity — Commercial (All Contracted Plans): $163.80 Colorado Access — CHP+: $89.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=ACTIVATED PARTIAL THROMBOPLASTIN TIME PLASMA	$290	$188.50	$29 – $266.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $232 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $150.80 Anthem Blue Cross Blue Shield — Commercial (PPO): $159.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $203 Carelon Behavioral Health — Medicaid (All Contracted Plans): $130.50 CCHA Behavioral Health — Medicaid (All Contracted Plans): $29 Centivo — Commercial (EPO): $200.10 Cigna — Commercial (All Contracted Plans): $209.24 Cofinity — Commercial (All Contracted Plans): $261 Colorado Access — CHP+: $142.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CSHB SILICA CLITTING TIME SCREEN	$99.24	$64.51	$9.92 – $91.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $79.39 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $51.60 Anthem Blue Cross Blue Shield — Commercial (PPO): $54.58 Carelon Behavioral Health — Commercial (All Contracted Plans): $69.47 Carelon Behavioral Health — Medicaid (All Contracted Plans): $44.66 CCHA Behavioral Health — Medicaid (All Contracted Plans): $9.92 Centivo — Commercial (EPO): $68.48 Cigna — Commercial (All Contracted Plans): $71.60 Cofinity — Commercial (All Contracted Plans): $89.32 Colorado Access — CHP+: $48.63

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: HB=CT HEAD BRAIN WO CONTRAST	$2,369	$1,539.85	$236.90 – $2,179.48
CT scan of the head or brain, without contrast: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $572 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,093 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,150 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,658.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,066.05 CCHA Behavioral Health — Medicaid (All Contracted Plans): $236.90 Centivo — Commercial (EPO): $1,634.61 Cigna — Commercial (All Contracted Plans): $1,893 Cofinity — Commercial (All Contracted Plans): $2,132.10 Colorado Access — CHP+: $1,160.81
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=CT HEAD BRAIN WO CONTRAST	$2,369	$1,539.85	$355.35 – $2,179.48
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,729.37 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,681.99 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,776.75 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,658.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,066.05 Centivo — Commercial (EPO): $1,634.61 Cofinity — Commercial (All Contracted Plans): $2,132.10 CompPsych Behavioral Health — Commercial (All Contracted Plans): $2,013.65 Denver Health Medical Plan — CHP+: $1,066.05 Denver Health Medical Plan — Commercial (HMO): $1,776.75
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	$155.90
CT scan of the head or brain, without contrast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $155.90
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=MRI BRAIN WO/W CONTRAST	$4,896	$3,182.40	$489.60 – $4,504.32
MRI of the brain, before and after contrast: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $881 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,505 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,584 Carelon Behavioral Health — Commercial (All Contracted Plans): $3,427.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $2,203.20 CCHA Behavioral Health — Medicaid (All Contracted Plans): $489.60 Centivo — Commercial (EPO): $3,378.24 Cigna — Commercial (All Contracted Plans): $3,015 Cofinity — Commercial (All Contracted Plans): $4,406.40 Colorado Access — CHP+: $2,399.04
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=MRI BRAIN WO/W CONTRAST	$4,896	$3,182.40	$734.40 – $4,504.32
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $3,574.08 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $3,476.16 Anthem Blue Cross Blue Shield — Commercial (PPO): $3,672 Carelon Behavioral Health — Commercial (All Contracted Plans): $3,427.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $2,203.20 Centivo — Commercial (EPO): $3,378.24 Cofinity — Commercial (All Contracted Plans): $4,406.40 CompPsych Behavioral Health — Commercial (All Contracted Plans): $4,161.60 Denver Health Medical Plan — CHP+: $2,203.20 Denver Health Medical Plan — Commercial (HMO): $3,672
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	$464.63
MRI of the brain, before and after contrast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $464.63
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=XR CHEST 2 VIEWS	$774	$503.10	$77.40 – $712.08
Chest X-ray, 2 views: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $619.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $518.58 Anthem Blue Cross Blue Shield — Commercial (PPO): $541.80 Carelon Behavioral Health — Commercial (All Contracted Plans): $541.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $348.30 CCHA Behavioral Health — Medicaid (All Contracted Plans): $77.40 Centivo — Commercial (EPO): $534.06 Cigna — Commercial (All Contracted Plans): $558.44 Cofinity — Commercial (All Contracted Plans): $696.60 Colorado Access — CHP+: $379.26
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=XR CHEST 2 VIEWS	$774	$503.10	$116.10 – $712.08
Chest X-ray, 2 views: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $565.02 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $549.54 Anthem Blue Cross Blue Shield — Commercial (PPO): $580.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $541.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $348.30 Centivo — Commercial (EPO): $534.06 Cofinity — Commercial (All Contracted Plans): $696.60 CompPsych Behavioral Health — Commercial (All Contracted Plans): $657.90 Denver Health Medical Plan — CHP+: $348.30 Denver Health Medical Plan — Commercial (HMO): $580.50
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	$48.48
Chest X-ray, 2 views: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $48.48
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=XR SPINE LUMBOSACRAL 4+ VIEWS	$553	$359.45	$55.30 – $508.76
X-ray of the lower spine, at least 4 views: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $442.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $370.51 Anthem Blue Cross Blue Shield — Commercial (PPO): $387.10 Carelon Behavioral Health — Commercial (All Contracted Plans): $387.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $248.85 CCHA Behavioral Health — Medicaid (All Contracted Plans): $55.30 Centivo — Commercial (EPO): $381.57 Cigna — Commercial (All Contracted Plans): $398.99 Cofinity — Commercial (All Contracted Plans): $497.70 Colorado Access — CHP+: $270.97
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=XR SPINE LUMBOSACRAL 4+ VIEWS	$553	$359.45	$82.95 – $508.76
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $403.69 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $392.63 Anthem Blue Cross Blue Shield — Commercial (PPO): $414.75 Carelon Behavioral Health — Commercial (All Contracted Plans): $387.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $248.85 Centivo — Commercial (EPO): $381.57 Cofinity — Commercial (All Contracted Plans): $497.70 CompPsych Behavioral Health — Commercial (All Contracted Plans): $470.05 Denver Health Medical Plan — CHP+: $248.85 Denver Health Medical Plan — Commercial (HMO): $414.75
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	$78.60
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $78.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=MRI LUMBAR SPINE WO CONTRAST	$4,267	$2,773.55	$426.70 – $3,925.64
MRI of the lower back (lumbar spine), without contrast: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $881 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,505 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,584 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,986.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,920.15 CCHA Behavioral Health — Medicaid (All Contracted Plans): $426.70 Centivo — Commercial (EPO): $2,944.23 Cigna — Commercial (All Contracted Plans): $3,015 Cofinity — Commercial (All Contracted Plans): $3,840.30 Colorado Access — CHP+: $2,090.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=MRI LUMBAR SPINE WO CONTRAST	$4,267	$2,773.55	$640.05 – $3,925.64
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $3,114.91 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $3,029.57 Anthem Blue Cross Blue Shield — Commercial (PPO): $3,200.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,986.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,920.15 Centivo — Commercial (EPO): $2,944.23 Cofinity — Commercial (All Contracted Plans): $3,840.30 CompPsych Behavioral Health — Commercial (All Contracted Plans): $3,626.95 Denver Health Medical Plan — CHP+: $1,920.15 Denver Health Medical Plan — Commercial (HMO): $3,200.25
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	$280.77
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $280.77
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CT PELVIS W CONTRAST	$2,787	$1,811.55	$278.70 – $2,564.04
CT scan of the pelvis, with contrast: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $572 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,093 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,150 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,950.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,254.15 CCHA Behavioral Health — Medicaid (All Contracted Plans): $278.70 Centivo — Commercial (EPO): $1,923.03 Cigna — Commercial (All Contracted Plans): $1,893 Cofinity — Commercial (All Contracted Plans): $2,508.30 Colorado Access — CHP+: $1,365.63
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=CT PELVIS W CONTRAST	$2,787	$1,811.55	$418.05 – $2,564.04
CT scan of the pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $2,034.51 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,978.77 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,090.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,950.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,254.15 Centivo — Commercial (EPO): $1,923.03 Cofinity — Commercial (All Contracted Plans): $2,508.30 CompPsych Behavioral Health — Commercial (All Contracted Plans): $2,368.95 Denver Health Medical Plan — CHP+: $1,254.15 Denver Health Medical Plan — Commercial (HMO): $2,090.25
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	$332.40
CT scan of the pelvis, with contrast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $332.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=MRI LOWER EXT ANY JOINT WO CONTRAST	$4,267	$2,773.55	$426.70 – $3,925.64
MRI of a leg joint (such as the knee), without contrast: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $881 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,505 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,584 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,986.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,920.15 CCHA Behavioral Health — Medicaid (All Contracted Plans): $426.70 Centivo — Commercial (EPO): $2,944.23 Cigna — Commercial (All Contracted Plans): $3,015 Cofinity — Commercial (All Contracted Plans): $3,840.30 Colorado Access — CHP+: $2,090.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=MRI LOWER EXT ANY JOINT WO CONTRAST	$4,267	$2,773.55	$640.05 – $3,925.64
MRI of a leg joint (such as the knee), without contrast: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $3,114.91 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $3,029.57 Anthem Blue Cross Blue Shield — Commercial (PPO): $3,200.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,986.90 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,920.15 Centivo — Commercial (EPO): $2,944.23 Cofinity — Commercial (All Contracted Plans): $3,840.30 CompPsych Behavioral Health — Commercial (All Contracted Plans): $3,626.95 Denver Health Medical Plan — CHP+: $1,920.15 Denver Health Medical Plan — Commercial (HMO): $3,200.25
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	$300.09
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $300.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=CT ABDOMEN/PELVIS W CONTRAST	$3,434	$2,232.10	$343.40 – $3,159.28
CT scan of the abdomen and pelvis, with contrast: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $572 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,093 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,150 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,403.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,545.30 CCHA Behavioral Health — Medicaid (All Contracted Plans): $343.40 Centivo — Commercial (EPO): $2,369.46 Cigna — Commercial (All Contracted Plans): $1,893 Cofinity — Commercial (All Contracted Plans): $3,090.60 Colorado Access — CHP+: $1,682.66
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=CT ABDOMEN/PELVIS W CONTRAST	$3,434	$2,232.10	$515.10 – $3,159.28
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $2,506.82 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,438.14 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,575.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,403.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,545.30 Centivo — Commercial (EPO): $2,369.46 Cofinity — Commercial (All Contracted Plans): $3,090.60 CompPsych Behavioral Health — Commercial (All Contracted Plans): $2,918.90 Denver Health Medical Plan — CHP+: $1,545.30 Denver Health Medical Plan — Commercial (HMO): $2,575.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$441.27
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $441.27
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=US ABDOMEN COMPLETE	$1,042	$677.30	$104.20 – $958.64
Ultrasound of the abdomen, complete: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $833.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $698.14 Anthem Blue Cross Blue Shield — Commercial (PPO): $729.40 Carelon Behavioral Health — Commercial (All Contracted Plans): $729.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $468.90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $104.20 Centivo — Commercial (EPO): $718.98 Cigna — Commercial (All Contracted Plans): $751.80 Cofinity — Commercial (All Contracted Plans): $937.80 Colorado Access — CHP+: $510.58
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=US ABDOMEN COMPLETE	$1,042	$677.30	$156.30 – $958.64
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $760.66 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $739.82 Anthem Blue Cross Blue Shield — Commercial (PPO): $781.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $729.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $468.90 Centivo — Commercial (EPO): $718.98 Cofinity — Commercial (All Contracted Plans): $937.80 CompPsych Behavioral Health — Commercial (All Contracted Plans): $885.70 Denver Health Medical Plan — CHP+: $468.90 Denver Health Medical Plan — Commercial (HMO): $781.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$167.44
Ultrasound of the abdomen, complete: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $167.44
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US > 14 WKS SINGLE FETUS	$1,425	$926.25	$142.50 – $1,311
Pregnancy ultrasound (after the first trimester): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,140 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $954.75 Anthem Blue Cross Blue Shield — Commercial (PPO): $997.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $997.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $641.25 CCHA Behavioral Health — Medicaid (All Contracted Plans): $142.50 Centivo — Commercial (EPO): $983.25 Cigna — Commercial (All Contracted Plans): $1,028.14 Cofinity — Commercial (All Contracted Plans): $1,282.50 Colorado Access — CHP+: $698.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB US > 14 WKS SINGLE FETUS	$1,425	$926.25	$213.75 – $1,311
Pregnancy ultrasound (after the first trimester): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,040.25 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,011.75 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,068.75 Carelon Behavioral Health — Commercial (All Contracted Plans): $997.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $641.25 Centivo — Commercial (EPO): $983.25 Cofinity — Commercial (All Contracted Plans): $1,282.50 CompPsych Behavioral Health — Commercial (All Contracted Plans): $1,211.25 Denver Health Medical Plan — CHP+: $641.25 Denver Health Medical Plan — Commercial (HMO): $1,068.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$199.22
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $199.22
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=US TRANSVAGINAL	$960	$624	$96 – $883.20
Transvaginal ultrasound: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $768 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $643.20 Anthem Blue Cross Blue Shield — Commercial (PPO): $672 Carelon Behavioral Health — Commercial (All Contracted Plans): $672 Carelon Behavioral Health — Medicaid (All Contracted Plans): $432 CCHA Behavioral Health — Medicaid (All Contracted Plans): $96 Centivo — Commercial (EPO): $662.40 Cigna — Commercial (All Contracted Plans): $692.64 Cofinity — Commercial (All Contracted Plans): $864 Colorado Access — CHP+: $470.40
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=US TRANSVAGINAL	$960	$624	$144 – $883.20
Transvaginal ultrasound: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $700.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $681.60 Anthem Blue Cross Blue Shield — Commercial (PPO): $720 Carelon Behavioral Health — Commercial (All Contracted Plans): $672 Carelon Behavioral Health — Medicaid (All Contracted Plans): $432 Centivo — Commercial (EPO): $662.40 Cofinity — Commercial (All Contracted Plans): $864 CompPsych Behavioral Health — Commercial (All Contracted Plans): $816 Denver Health Medical Plan — CHP+: $432 Denver Health Medical Plan — Commercial (HMO): $720
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$172.70
Transvaginal ultrasound: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $172.70
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	$181.87
Diagnostic mammogram, one breast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $181.87
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$128.23
Diagnostic mammogram, one breast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $128.23
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$53.63
Diagnostic mammogram, one breast: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $53.63
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	$230.40
Diagnostic mammogram, both breasts: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $230.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$164.42
Diagnostic mammogram, both breasts: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $164.42
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$65.98
Diagnostic mammogram, both breasts: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $65.98
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	$185.61
Screening mammogram, both breasts: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $185.61
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$135.70
Screening mammogram, both breasts: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $135.70
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$49.91
Screening mammogram, both breasts: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $49.91

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	$22.20
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $22.20
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=LEFT HEART CATH ONLY	$22,409	$14,565.85	$2,240.90 – $20,616.28
Left heart catheterization (diagnostic): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $14,565.85 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $12,773.13 Anthem Blue Cross Blue Shield — Commercial (PPO): $13,445.40 Carelon Behavioral Health — Commercial (All Contracted Plans): $15,686.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $10,084.05 CCHA Behavioral Health — Medicaid (All Contracted Plans): $2,240.90 Centivo — Commercial (EPO): $15,462.21 Cigna — Commercial (All Contracted Plans): $16,168.09 Cofinity — Commercial (All Contracted Plans): $20,168.10 Colorado Access — CHP+: $10,980.41
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=LEFT HEART CATH ONLY	$22,409	$14,565.85	$3,361.35 – $20,616.28
Left heart catheterization (diagnostic): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $16,358.57 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $15,910.39 Anthem Blue Cross Blue Shield — Commercial (PPO): $16,806.75 Carelon Behavioral Health — Commercial (All Contracted Plans): $15,686.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $10,084.05 Centivo — Commercial (EPO): $15,462.21 Cofinity — Commercial (All Contracted Plans): $20,168.10 CompPsych Behavioral Health — Commercial (All Contracted Plans): $19,047.65 Denver Health Medical Plan — CHP+: $10,084.05 Denver Health Medical Plan — Commercial (HMO): $16,806.75
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$1,282.46
Left heart catheterization (diagnostic): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $1,282.46
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=EP EVAL RT A/V WO INDUCTION ARRHYTHMIA	$25,926	$16,851.90	$2,592.60 – $23,851.92
Heart rhythm study (electrophysiology evaluation): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $16,851.90 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $14,777.82 Anthem Blue Cross Blue Shield — Commercial (PPO): $15,555.60 Carelon Behavioral Health — Commercial (All Contracted Plans): $18,148.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $11,666.70 CCHA Behavioral Health — Medicaid (All Contracted Plans): $2,592.60 Centivo — Commercial (EPO): $17,888.94 Cigna — Commercial (All Contracted Plans): $18,705.61 Cofinity — Commercial (All Contracted Plans): $23,333.40 Colorado Access — CHP+: $12,703.74
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=EP EVAL RT A/V WO INDUCTION ARRHYTHMIA	$25,926	$16,851.90	$3,888.90 – $23,851.92
Heart rhythm study (electrophysiology evaluation): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $18,925.98 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $18,407.46 Anthem Blue Cross Blue Shield — Commercial (PPO): $19,444.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $18,148.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $11,666.70 Centivo — Commercial (EPO): $17,888.94 Cofinity — Commercial (All Contracted Plans): $23,333.40 CompPsych Behavioral Health — Commercial (All Contracted Plans): $22,037.10 Denver Health Medical Plan — CHP+: $11,666.70 Denver Health Medical Plan — Commercial (HMO): $19,444.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$525.41
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $525.41
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=COMP EP EVAL W ABLATION PULM VEIN ISOLATION	$92,235	$59,952.75	$9,223.50 – $84,856.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $59,952.75 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $52,573.95 Anthem Blue Cross Blue Shield — Commercial (PPO): $55,341 Carelon Behavioral Health — Commercial (All Contracted Plans): $64,564.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $41,505.75 CCHA Behavioral Health — Medicaid (All Contracted Plans): $9,223.50 Centivo — Commercial (EPO): $63,642.15 Cigna — Commercial (All Contracted Plans): $66,547.55 Cofinity — Commercial (All Contracted Plans): $83,011.50 Colorado Access — CHP+: $45,195.15
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=COMP EP EVAL W ABLATION PULM VEIN ISOLATION	$92,235	$59,952.75	$13,835.25 – $84,856.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $67,331.55 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $65,486.85 Anthem Blue Cross Blue Shield — Commercial (PPO): $69,176.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $64,564.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $41,505.75 Centivo — Commercial (EPO): $63,642.15 Cofinity — Commercial (All Contracted Plans): $83,011.50 CompPsych Behavioral Health — Commercial (All Contracted Plans): $78,399.75 Denver Health Medical Plan — CHP+: $41,505.75 Denver Health Medical Plan — Commercial (HMO): $69,176.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$1,109.50
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $1,109.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=POLYSOM 6/> YRS 4/> PARAM	$7,636	$4,963.40	$763.60 – $7,025.12
Sleep study (overnight, in a sleep lab): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $6,108.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $4,750 Anthem Blue Cross Blue Shield — Commercial (PPO): $5,000 Carelon Behavioral Health — Commercial (All Contracted Plans): $5,345.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $3,436.20 CCHA Behavioral Health — Medicaid (All Contracted Plans): $763.60 Centivo — Commercial (EPO): $5,268.84 Cigna — Commercial (All Contracted Plans): $5,509.37 Cofinity — Commercial (All Contracted Plans): $6,872.40 Colorado Access — CHP+: $3,741.64
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=POLYSOM 6/> YRS 4/> PARAM	$7,636	$4,963.40	$1,145.40 – $7,025.12
Sleep study (overnight, in a sleep lab): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $5,574.28 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $5,421.56 Anthem Blue Cross Blue Shield — Commercial (PPO): $5,727 Carelon Behavioral Health — Commercial (All Contracted Plans): $5,345.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $3,436.20 Centivo — Commercial (EPO): $5,268.84 Cofinity — Commercial (All Contracted Plans): $6,872.40 CompPsych Behavioral Health — Commercial (All Contracted Plans): $6,490.60 Denver Health Medical Plan — CHP+: $3,436.20 Denver Health Medical Plan — Commercial (HMO): $5,727
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$994.17
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $994.17

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: HB=PT THERAPEUTIC PROCEDURE EA 15 MIN	$136	$88.40	$13.60 – $125.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $108.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $80 Anthem Blue Cross Blue Shield — Commercial (PPO): $84 Carelon Behavioral Health — Commercial (All Contracted Plans): $95.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $61.20 CCHA Behavioral Health — Medicaid (All Contracted Plans): $13.60 Centivo — Commercial (EPO): $93.84 Cigna — Commercial (All Contracted Plans): $98.12 Cofinity — Commercial (All Contracted Plans): $122.40 Colorado Access — CHP+: $66.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=OT THERAPEUTIC PROCEDURE EA 15 MIN	$136	$88.40	$13.60 – $125.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $108.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $90 Anthem Blue Cross Blue Shield — Commercial (PPO): $95 Carelon Behavioral Health — Commercial (All Contracted Plans): $95.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $61.20 CCHA Behavioral Health — Medicaid (All Contracted Plans): $13.60 Centivo — Commercial (EPO): $93.84 Cigna — Commercial (All Contracted Plans): $98.12 Cofinity — Commercial (All Contracted Plans): $122.40 Colorado Access — CHP+: $66.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=PT THERAPEUTIC PROCEDURE EA 15 MIN	$136	$88.40	$20.40 – $125.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $99.28 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $96.56 Anthem Blue Cross Blue Shield — Commercial (PPO): $102 Carelon Behavioral Health — Commercial (All Contracted Plans): $95.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $61.20 Centivo — Commercial (EPO): $93.84 Cofinity — Commercial (All Contracted Plans): $122.40 CompPsych Behavioral Health — Commercial (All Contracted Plans): $115.60 Denver Health Medical Plan — CHP+: $61.20 Denver Health Medical Plan — Commercial (HMO): $102
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PT EVAL LOW COMPLEXITY	$431	$280.15	$43.10 – $396.52
Physical therapy evaluation (low complexity): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $344.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $268 Anthem Blue Cross Blue Shield — Commercial (PPO): $282 Carelon Behavioral Health — Commercial (All Contracted Plans): $301.70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $193.95 CCHA Behavioral Health — Medicaid (All Contracted Plans): $43.10 Centivo — Commercial (EPO): $297.39 Cigna — Commercial (All Contracted Plans): $310.97 Cofinity — Commercial (All Contracted Plans): $387.90 Colorado Access — CHP+: $211.19
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=PT EVAL LOW COMPLEXITY	$431	$280.15	$64.65 – $396.52
Physical therapy evaluation (low complexity): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $314.63 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $306.01 Anthem Blue Cross Blue Shield — Commercial (PPO): $323.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $301.70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $193.95 Centivo — Commercial (EPO): $297.39 Cofinity — Commercial (All Contracted Plans): $387.90 CompPsych Behavioral Health — Commercial (All Contracted Plans): $366.35 Denver Health Medical Plan — CHP+: $193.95 Denver Health Medical Plan — Commercial (HMO): $323.25
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$141.90
Physical therapy evaluation (low complexity): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $141.90
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PT EVAL MODERATE COMPLEXITY	$472	$306.80	$47.20 – $434.24
Physical therapy evaluation (moderate complexity): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $377.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $268 Anthem Blue Cross Blue Shield — Commercial (PPO): $282 Carelon Behavioral Health — Commercial (All Contracted Plans): $330.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $212.40 CCHA Behavioral Health — Medicaid (All Contracted Plans): $47.20 Centivo — Commercial (EPO): $325.68 Cigna — Commercial (All Contracted Plans): $340.55 Cofinity — Commercial (All Contracted Plans): $424.80 Colorado Access — CHP+: $231.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=PT EVAL MODERATE COMPLEXITY	$472	$306.80	$70.80 – $434.24
Physical therapy evaluation (moderate complexity): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $344.56 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $335.12 Anthem Blue Cross Blue Shield — Commercial (PPO): $354 Carelon Behavioral Health — Commercial (All Contracted Plans): $330.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $212.40 Centivo — Commercial (EPO): $325.68 Cofinity — Commercial (All Contracted Plans): $424.80 CompPsych Behavioral Health — Commercial (All Contracted Plans): $401.20 Denver Health Medical Plan — CHP+: $212.40 Denver Health Medical Plan — Commercial (HMO): $354
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$141.90
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $141.90
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PT EVAL HIGH COMPLEXITY	$519	$337.35	$51.90 – $477.48
Physical therapy evaluation (high complexity): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $415.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $268 Anthem Blue Cross Blue Shield — Commercial (PPO): $282 Carelon Behavioral Health — Commercial (All Contracted Plans): $363.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $233.55 CCHA Behavioral Health — Medicaid (All Contracted Plans): $51.90 Centivo — Commercial (EPO): $358.11 Cigna — Commercial (All Contracted Plans): $374.46 Cofinity — Commercial (All Contracted Plans): $467.10 Colorado Access — CHP+: $254.31
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=PT EVAL HIGH COMPLEXITY	$519	$337.35	$77.85 – $477.48
Physical therapy evaluation (high complexity): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $378.87 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $368.49 Anthem Blue Cross Blue Shield — Commercial (PPO): $389.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $363.30 Carelon Behavioral Health — Medicaid (All Contracted Plans): $233.55 Centivo — Commercial (EPO): $358.11 Cofinity — Commercial (All Contracted Plans): $467.10 CompPsych Behavioral Health — Commercial (All Contracted Plans): $441.15 Denver Health Medical Plan — CHP+: $233.55 Denver Health Medical Plan — Commercial (HMO): $389.25
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$141.90
Physical therapy evaluation (high complexity): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $141.90
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYTX PT 30 MIN NONMD GLOBAL	$611	$397.15	$91.65 – $562.12
Psychotherapy, 30 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $488.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $427.70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $103 CCHA Behavioral Health — Medicaid (All Contracted Plans): $99 Centivo — Commercial (EPO): $421.59 Cigna — Commercial (All Contracted Plans): $440.84 Cofinity — Commercial (All Contracted Plans): $549.90 Colorado Access — CHP+: $94
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYTX PT 30 MIN NONMD NONGLOBAL	$356	$231.40	$53.40 – $327.52
Psychotherapy, 30 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $284.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $249.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $103 CCHA Behavioral Health — Medicaid (All Contracted Plans): $99 Centivo — Commercial (EPO): $245.64 Cigna — Commercial (All Contracted Plans): $256.85 Cofinity — Commercial (All Contracted Plans): $320.40 Colorado Access — CHP+: $94
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$130	$84.50	$13 – $254
Psychotherapy, 30 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $104 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $91 Carelon Behavioral Health — Medicaid (All Contracted Plans): $58.50 CCHA Behavioral Health — Medicaid (All Contracted Plans): $13 Centivo — Commercial (EPO): $89.70 Cigna — Commercial (All Contracted Plans): $93.80 Cofinity — Commercial (All Contracted Plans): $117 Colorado Access — CHP+: $63.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYTX PT 45 MIN NONMD GLOBAL	$754	$490.10	$113.10 – $693.68
Psychotherapy, 45 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $603.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $299 Anthem Blue Cross Blue Shield — Commercial (PPO): $299 Carelon Behavioral Health — Commercial (All Contracted Plans): $527.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $133 CCHA Behavioral Health — Medicaid (All Contracted Plans): $127 Centivo — Commercial (EPO): $520.26 Cigna — Commercial (All Contracted Plans): $544.01 Cofinity — Commercial (All Contracted Plans): $678.60 Colorado Access — CHP+: $122
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYTX PT 45 MIN NONMD NONGLOBAL	$350	$227.50	$52.50 – $322
Psychotherapy, 45 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $280 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $299 Anthem Blue Cross Blue Shield — Commercial (PPO): $299 Carelon Behavioral Health — Commercial (All Contracted Plans): $245 Carelon Behavioral Health — Medicaid (All Contracted Plans): $133 CCHA Behavioral Health — Medicaid (All Contracted Plans): $127 Centivo — Commercial (EPO): $241.50 Cigna — Commercial (All Contracted Plans): $252.53 Cofinity — Commercial (All Contracted Plans): $315 Colorado Access — CHP+: $122
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$181	$117.65	$18.10 – $299
Psychotherapy, 45 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $144.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $299 Anthem Blue Cross Blue Shield — Commercial (PPO): $299 Carelon Behavioral Health — Commercial (All Contracted Plans): $126.70 Carelon Behavioral Health — Medicaid (All Contracted Plans): $81.45 CCHA Behavioral Health — Medicaid (All Contracted Plans): $18.10 Centivo — Commercial (EPO): $124.89 Cigna — Commercial (All Contracted Plans): $130.59 Cofinity — Commercial (All Contracted Plans): $162.90 Colorado Access — CHP+: $88.69
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYTX PT 60 MINUTES GLOBAL	$830	$539.50	$124.50 – $763.60
Psychotherapy, 60 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $664 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $343 Anthem Blue Cross Blue Shield — Commercial (PPO): $343 Carelon Behavioral Health — Commercial (All Contracted Plans): $581 Carelon Behavioral Health — Medicaid (All Contracted Plans): $171 CCHA Behavioral Health — Medicaid (All Contracted Plans): $163 Centivo — Commercial (EPO): $572.70 Cigna — Commercial (All Contracted Plans): $598.85 Cofinity — Commercial (All Contracted Plans): $747 Colorado Access — CHP+: $157
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=PSYTX PT 60 MINUTES NONGLOBAL	$570	$370.50	$85.50 – $524.40
Psychotherapy, 60 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $456 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $343 Anthem Blue Cross Blue Shield — Commercial (PPO): $343 Carelon Behavioral Health — Commercial (All Contracted Plans): $399 Carelon Behavioral Health — Medicaid (All Contracted Plans): $171 CCHA Behavioral Health — Medicaid (All Contracted Plans): $163 Centivo — Commercial (EPO): $393.30 Cigna — Commercial (All Contracted Plans): $411.26 Cofinity — Commercial (All Contracted Plans): $513 Colorado Access — CHP+: $157
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$244	$158.60	$24.40 – $343
Psychotherapy, 60 minutes: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $195.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $343 Anthem Blue Cross Blue Shield — Commercial (PPO): $343 Carelon Behavioral Health — Commercial (All Contracted Plans): $170.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $109.80 CCHA Behavioral Health — Medicaid (All Contracted Plans): $24.40 Centivo — Commercial (EPO): $168.36 Cigna — Commercial (All Contracted Plans): $176.05 Cofinity — Commercial (All Contracted Plans): $219.60 Colorado Access — CHP+: $119.56
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=FAMILY PSYTX W/O PT GLOBAL	$782	$508.30	$117.30 – $719.44
Family psychotherapy, without the patient: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $625.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $547.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $139 CCHA Behavioral Health — Medicaid (All Contracted Plans): $131 Centivo — Commercial (EPO): $539.58 Cigna — Commercial (All Contracted Plans): $564.21 Cofinity — Commercial (All Contracted Plans): $703.80 Colorado Access — CHP+: $127
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=FAMILY PSYTX W/O PT NONGLOBAL	$545	$354.25	$81.75 – $501.40
Family psychotherapy, without the patient: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $436 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $381.50 Carelon Behavioral Health — Medicaid (All Contracted Plans): $139 CCHA Behavioral Health — Medicaid (All Contracted Plans): $131 Centivo — Commercial (EPO): $376.05 Cigna — Commercial (All Contracted Plans): $393.22 Cofinity — Commercial (All Contracted Plans): $490.50 Colorado Access — CHP+: $127
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=FAMILY PSYTX W/O PT GLOBAL	$782	$508.30	$117.30 – $719.44
Family psychotherapy, without the patient: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $570.86 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $555.22 Anthem Blue Cross Blue Shield — Commercial (PPO): $586.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $547.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $351.90 Centivo — Commercial (EPO): $539.58 Cofinity — Commercial (All Contracted Plans): $703.80 CompPsych Behavioral Health — Commercial (All Contracted Plans): $664.70 Denver Health Medical Plan — CHP+: $351.90 Denver Health Medical Plan — Commercial (HMO): $586.50
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=FAMILY PSYTX W/PT GLOBAL	$1,018	$661.70	$152.70 – $936.56
Family psychotherapy, with the patient: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $814.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $712.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $171 CCHA Behavioral Health — Medicaid (All Contracted Plans): $163 Centivo — Commercial (EPO): $702.42 Cigna — Commercial (All Contracted Plans): $734.49 Cofinity — Commercial (All Contracted Plans): $916.20 Colorado Access — CHP+: $158
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=FAMILY PSYTX W/PATIENT NONGLOBAL	$624	$405.60	$93.60 – $574.08
Family psychotherapy, with the patient: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $499.20 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $436.80 Carelon Behavioral Health — Medicaid (All Contracted Plans): $171 CCHA Behavioral Health — Medicaid (All Contracted Plans): $163 Centivo — Commercial (EPO): $430.56 Cigna — Commercial (All Contracted Plans): $450.22 Cofinity — Commercial (All Contracted Plans): $561.60 Colorado Access — CHP+: $158
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$182	$118.30	$18.20 – $254
Family psychotherapy, with the patient: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $145.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $127.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $81.90 CCHA Behavioral Health — Medicaid (All Contracted Plans): $18.20 Centivo — Commercial (EPO): $125.58 Cigna — Commercial (All Contracted Plans): $131.31 Cofinity — Commercial (All Contracted Plans): $163.80 Colorado Access — CHP+: $89.18
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=GROUP PSYCHOTHERAPY GLOBAL	$542	$352.30	$50 – $498.64
Group psychotherapy: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $433.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $379.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $65 CCHA Behavioral Health — Medicaid (All Contracted Plans): $61 Centivo — Commercial (EPO): $373.98 Cigna — Commercial (All Contracted Plans): $391.05 Cofinity — Commercial (All Contracted Plans): $487.80 Colorado Access — CHP+: $60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=GROUP PSYCHOTHERAPY NONGLOBAL	$343	$222.95	$50 – $315.56
Group psychotherapy: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $274.40 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $240.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $65 CCHA Behavioral Health — Medicaid (All Contracted Plans): $61 Centivo — Commercial (EPO): $236.67 Cigna — Commercial (All Contracted Plans): $247.47 Cofinity — Commercial (All Contracted Plans): $308.70 Colorado Access — CHP+: $60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR GROUP PSYCHOTHERAPY	$76	$49.40	$7.60 – $254
Group psychotherapy: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $60.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $254 Anthem Blue Cross Blue Shield — Commercial (PPO): $254 Carelon Behavioral Health — Commercial (All Contracted Plans): $53.20 Carelon Behavioral Health — Medicaid (All Contracted Plans): $34.20 CCHA Behavioral Health — Medicaid (All Contracted Plans): $7.60 Centivo — Commercial (EPO): $52.44 Cigna — Commercial (All Contracted Plans): $54.83 Cofinity — Commercial (All Contracted Plans): $68.40 Colorado Access — CHP+: $37.24

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: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$574.28
Removal of breast growth (open surgery): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $574.28
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,630.87
Total hip replacement: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $1,630.87
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	$1,627.29
Total knee replacement: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $1,627.29
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$205.11
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $205.11
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$733.01
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $733.01
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	$370.78
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $370.78
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=ENDO UPPER GI DX BRUSH/WASH	$3,550	$2,307.50	$355 – $3,266
Upper GI endoscopy (diagnostic): 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $2,307.50 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,520.50 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,662.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,485 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,597.50 CCHA Behavioral Health — Medicaid (All Contracted Plans): $355 Centivo — Commercial (EPO): $2,449.50 Cigna — Commercial (All Contracted Plans): $2,561.33 Cofinity — Commercial (All Contracted Plans): $3,195 Colorado Access — CHP+: $1,739.50
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=ENDO UPPER GI DX BRUSH/WASH	$3,550	$2,307.50	$532.50 – $3,266
Upper GI endoscopy (diagnostic): 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $2,591.50 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $2,520.50 Anthem Blue Cross Blue Shield — Commercial (PPO): $2,662.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $2,485 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,597.50 Centivo — Commercial (EPO): $2,449.50 Cofinity — Commercial (All Contracted Plans): $3,195 CompPsych Behavioral Health — Commercial (All Contracted Plans): $3,017.50 Denver Health Medical Plan — CHP+: $1,597.50 Denver Health Medical Plan — Commercial (HMO): $2,662.50
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$156.55
Upper GI endoscopy (diagnostic): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $156.55
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	$174.85
Upper GI endoscopy with biopsy: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $174.85
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$232.13
Colonoscopy (diagnostic): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $232.13
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	$116.24
Colonoscopy (diagnostic): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $116.24
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	$250.70
Colonoscopy with biopsy: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $250.70
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	$315.27
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $315.27
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	$319.35
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $319.35
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	$232.50
Screening colonoscopy (not high risk): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $232.50
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	$116.24
Screening colonoscopy (not high risk): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $116.24
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$881.19
Gallbladder removal by laparoscope: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $881.19
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$710.77
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $710.77
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,520.83
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Denver Health Medical Plan — CHP+: $1,520.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=HYSTEROSCOPY BIOPSY	$658	$427.70	$65.80 – $605.36
Hysteroscopy with biopsy of the uterus lining: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $460.60 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $440.86 Anthem Blue Cross Blue Shield — Commercial (PPO): $460.60 Carelon Behavioral Health — Commercial (All Contracted Plans): $460.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $296.10 CCHA Behavioral Health — Medicaid (All Contracted Plans): $65.80 Centivo — Commercial (EPO): $454.02 Cigna — Commercial (All Contracted Plans): $474.75 Cofinity — Commercial (All Contracted Plans): $592.20 Colorado Access — CHP+: $322.42
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=HYSTEROSCOPY BIOPSY	$658	$427.70	$98.70 – $605.36
Hysteroscopy with biopsy of the uterus lining: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $480.34 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $467.18 Anthem Blue Cross Blue Shield — Commercial (PPO): $493.50 Carelon Behavioral Health — Commercial (All Contracted Plans): $460.60 Carelon Behavioral Health — Medicaid (All Contracted Plans): $296.10 Centivo — Commercial (EPO): $454.02 Cofinity — Commercial (All Contracted Plans): $592.20 CompPsych Behavioral Health — Commercial (All Contracted Plans): $559.30 Denver Health Medical Plan — CHP+: $296.10 Denver Health Medical Plan — Commercial (HMO): $493.50
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$285.07
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $285.07
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=INJECT LUMB/SACR W IMG	$2,472	$1,606.80	$247.20 – $2,274.24
Spinal injection, lower back (epidural), with imaging guidance: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,606.80 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,755.12 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,854 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,730.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,112.40 CCHA Behavioral Health — Medicaid (All Contracted Plans): $247.20 Centivo — Commercial (EPO): $1,705.68 Cigna — Commercial (All Contracted Plans): $1,783.55 Cofinity — Commercial (All Contracted Plans): $2,224.80 Colorado Access — CHP+: $1,211.28
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=INJECT LUMB/SACR W IMG	$2,472	$1,606.80	$370.80 – $2,274.24
Spinal injection, lower back (epidural), with imaging guidance: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,804.56 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,755.12 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,854 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,730.40 Carelon Behavioral Health — Medicaid (All Contracted Plans): $1,112.40 Centivo — Commercial (EPO): $1,705.68 Cofinity — Commercial (All Contracted Plans): $2,224.80 CompPsych Behavioral Health — Commercial (All Contracted Plans): $2,101.20 Denver Health Medical Plan — CHP+: $1,112.40 Denver Health Medical Plan — Commercial (HMO): $1,854
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$126.31
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $126.31
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB=INJECT ANES LUMB/SACR SGL LEVEL	$1,583	$1,028.95	$158.30 – $1,456.36
Nerve root injection, lower back, with imaging guidance: 10 of 45 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,028.95 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,123.93 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,187.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,108.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $712.35 CCHA Behavioral Health — Medicaid (All Contracted Plans): $158.30 Centivo — Commercial (EPO): $1,092.27 Cigna — Commercial (All Contracted Plans): $1,142.13 Cofinity — Commercial (All Contracted Plans): $1,424.70 Colorado Access — CHP+: $775.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB=INJECT ANES LUMB/SACR SGL LEVEL	$1,583	$1,028.95	$237.45 – $1,456.36
Nerve root injection, lower back, with imaging guidance: 10 of 40 insurance plan rates Aetna — Commercial (HMO/EPO/POS/PPO): $1,155.59 Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $1,123.93 Anthem Blue Cross Blue Shield — Commercial (PPO): $1,187.25 Carelon Behavioral Health — Commercial (All Contracted Plans): $1,108.10 Carelon Behavioral Health — Medicaid (All Contracted Plans): $712.35 Centivo — Commercial (EPO): $1,092.27 Cofinity — Commercial (All Contracted Plans): $1,424.70 CompPsych Behavioral Health — Commercial (All Contracted Plans): $1,345.55 Denver Health Medical Plan — CHP+: $712.35 Denver Health Medical Plan — Commercial (HMO): $1,187.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$141.51
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $141.51
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$605.49
Carpal tunnel release: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $605.49
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	$398.57
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $398.57
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	$664.51
Cataract removal with lens implant: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $664.51

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: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$3,069.23
Vaginal delivery, with care before and after: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $3,069.23
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$3,412.43
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $3,412.43
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$3,213.08
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Denver Health Medical Plan — CHP+: $3,213.08

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	$115,407.69 – $283,143.58
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 8 insurance plans Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $217,804.26 Anthem Blue Cross Blue Shield — Commercial (PPO): $222,813.05 Cigna — Commercial (All Contracted Plans): $261,914.90 Kaiser — CHP+: $115,407.69 Kaiser — Commercial (HMO, POS): $202,464.83 Kaiser — Commercial (PPO): $244,990.66 United Healthcare — Commercial (All Contracted Plans): $283,143.58 United Healthcare — Commercial (Select CO): $263,323.63
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	$22,755.23 – $55,828.15
Hip or knee replacement (major joint of the leg), without major complications: rates for 8 insurance plans Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $42,945.03 Anthem Blue Cross Blue Shield — Commercial (PPO): $43,932.63 Cigna — Commercial (All Contracted Plans): $51,642.44 Kaiser — CHP+: $22,755.23 Kaiser — Commercial (HMO, POS): $39,920.51 Kaiser — Commercial (PPO): $48,305.44 United Healthcare — Commercial (All Contracted Plans): $55,828.15 United Healthcare — Commercial (Select CO): $51,920.20
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	$28,800.02 – $70,658.55
Neck (cervical) spinal fusion, without complications: rates for 8 insurance plans Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $54,353.10 Anthem Blue Cross Blue Shield — Commercial (PPO): $55,603.05 Cigna — Commercial (All Contracted Plans): $65,360.92 Kaiser — CHP+: $28,800.02 Kaiser — Commercial (HMO, POS): $50,525.14 Kaiser — Commercial (PPO): $61,137.48 United Healthcare — Commercial (All Contracted Plans): $70,658.55 United Healthcare — Commercial (Select CO): $65,712.47
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	$14,636.54 – $35,909.58
Uterus and ovary surgery (not for cancer), without complications: rates for 8 insurance plans Anthem Blue Cross Blue Shield — Commercial (HMO/EPO/POS): $27,622.94 Anthem Blue Cross Blue Shield — Commercial (PPO): $28,258.18 Cigna — Commercial (All Contracted Plans): $33,217.26 Kaiser — CHP+: $14,636.54 Kaiser — Commercial (HMO, POS): $25,677.53 Kaiser — Commercial (PPO): $31,070.85 United Healthcare — Commercial (All Contracted Plans): $35,909.58 United Healthcare — Commercial (Select CO): $33,395.92

Source: Children's Hospital Colorado - Colorado Springs’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 April 17, 2026; retrieved November 1, 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	Children's Hospital
Address	4090 Briargate Pkwy, Colorado Springs, CO 80920
County	El Paso County
State	Colorado
Phone	(719) 305‑9590
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	063303
Name in Medicare records	CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(719) 305‑1234^[4]
Official website	childrenscolorado.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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Colorado Springs Hospital — childrenscolorado.org
Colorado Springs Services | Children's Hospital Colorado — childrenscolorado.org
Department of Pediatric Surgery | Children's Hospital Colorado — childrenscolorado.org
Resources in Colorado Springs | Children's Hospital Colorado — childrenscolorado.org