Does Delta County Memorial Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Delta County Memorial Hospital. In a medical emergency, call 911.

Where is Delta County Memorial Hospital?

1501 E 3rd St, Delta, CO 81416, in Delta County, Colorado.

What is the phone number of Delta County Memorial Hospital?

(970) 874-7681, as listed by Medicare (CMS).

What is the Medicare star rating of Delta County Memorial Hospital?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Delta County Memorial Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Delta County Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.6758; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Delta County Memorial Hospital — Phone, Address & ER

Quick answers

Does Delta County Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Delta County Memorial Hospital. In a medical emergency, call 911.
Where is Delta County Memorial Hospital?: 1501 E 3rd St, Delta, CO 81416, in Delta County, Colorado.
What is the phone number of Delta County Memorial Hospital?: (970) 874-7681, as listed by Medicare (CMS).
What is the Medicare star rating of Delta County Memorial Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Delta County Memorial Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Delta County Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.6758; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[5][8][9]

Conditions treated^[7]

Treatments^[7]

Intravenous antibiotic administration
Anti-hormonal treatment
Blood product infusions
Chemotherapy and immunotherapy infusion
Electrolyte replacement
Immunoglobulin infusion therapy
IV fluids for hydration
Port access, flushing and lab draws
Subcutaneous injections
Intravenous anti-rejection drugs

Procedures^[8][9]

3-D mammography
Bone density scan
Nuclear medicine
Magnetic resonance imaging (MRI)
Computed tomography (CT)
Positron emission tomography (PET)
Ultrasound
X-ray
Fluoroscopy
Colonoscopy
EGD (upper endoscopy)
Bronchoscopy
Total joint replacement

Programs and centers^[5][6][7][9]

Emergency and Trauma Services (24 hours, 7 days)
Infusion Center
24-hour laboratory service within the hospital
Anesthesia by certified registered nurse anesthetists (CRNAs), on call 24 hours

Emergency care (hospital website)^[5]

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

Visiting and practical information

Interpreters and languages	Free translation and/or interpretation services offered to patients and families^[10]
Patient portal	https://deltahealthco.org/portal/

Recognition^[8]

FDA and MQSA certified imaging (mammography)

Doctors and clinicians (336)

336 doctors and other clinicians list Delta County Memorial Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 312 more: the button below opens the full list.

Other emergency rooms nearby

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

Montrose Regional Health21 mi · Montrose, CO · Acute Care Hospital
Grand Junction VA Medical Center35 mi · Grand Junction, CO · Federal/VA Acute Care Hospital
Intermountain Health St. Mary's Regional Hospital37 mi · Grand Junction, CO · Acute Care Hospital
Community Hospital39 mi · Grand Junction, CO · Acute Care Hospital
Family Health West Hospital47 mi · Fruita, CO · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Delta

Gunnison Valley Hospital62 mi · Gunnison, CO · Critical Access Hospital

Hospitals in Delta County · Hospitals near me

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

Willow Tree Care Center1.7 mi · Delta, CO · 2 of 5 stars
Horizons Care Center6.5 mi · Eckert, CO · 3 of 5 stars
Colorow Care Center9.8 mi · Olathe, CO · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Touch of Care Hospice22 mi · Montrose, CO

All hospice providers in the state →

Home health agencies

Delta Health Home Health13 mi · Delta, CO · 2 of 5 stars
Star Light Home Health22 mi · Montrose, CO · 2 of 5 stars
Volunteers of America Home Health of Western Colo22 mi · Montrose, CO · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Black Canyon Dialysis22 mi · Montrose, CO · 4 of 5 stars
Montrose Dialysis (DCI)22 mi · Montrose, 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.

Black Canyon Surgical Center, LLC22 mi · Montrose, CO
River Landing Surgery Center LLC22 mi · Montrose, 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

River Valley Family Health Center of Delta0.6 mi · Delta, CO · Community health center
Axis Health System - Delta1.4 mi · Delta, CO · Community health center
River Valley Family Health Center20 mi · Olathe, CO · Community health center

Clinics and urgent care

Delta Health Adult Primary Care13 mi · Delta, CO · Rural health clinic
Delta Health Rural Care Clinic13 mi · Delta, CO · Rural health clinic
Pediatric Associates Prof LLC13 mi · Delta, CO · Rural health clinic

Assisted living nearby

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

Carelink at Delta House Assisted Living Inc13 mi · Delta, CO
Crossroads at Delta Memory13 mi · Delta, CO
Delta Springs Care13 mi · Delta, 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 Delta County Memorial Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	69%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	75%National average: 80%
“Always” got help as soon as they wanted	68%National average: 64%
Staff “always” explained medicines before giving them	66%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	72%National average: 73%
Completed surveys	230Response rate: 26%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart failure patients	12.9%
Deaths within 30 days: pneumonia patients	17.6%
Deaths within 30 days: stroke patients	19.2%
Serious complications (patient safety indicator PSI-90)	1.01No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	14.4%
Readmitted within 30 days: heart failure	20.4%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	18.7%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	136 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	83%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Delta County Memorial Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.6758Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	1.0056More readmissions than expected
Pneumonia	0.9694Fewer readmissions than expected
No result published	Heart attack; COPD (chronic lung disease); Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	35.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	0.00 out of 100
Person and community engagement (patient survey)	40.00 out of 100
Safety (infections and sepsis care)	60.00 out of 100
Efficiency and cost reduction (Medicare spending)	40.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.96Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

ER wait times in Colorado Best hospitals in Colorado

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as Delta County Memorial Hospital 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 →

Show the prices of 51 common services

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) In the file: OFFICE VISIT NEW PATIENT LEV 3	$283.93	$113.57	$113.57 – $278.25
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates AETNA — AETNA: $278.25 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $227.14 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $204.63 CIGNA — CIGNA: $278.25 HUMANA — HUMANA COMMERCIAL PLAN: $278.25 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $140.44 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $140.44 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $147.47 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $140.44 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $140.44
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT NEW PATIENT LEV 4	$431.53	$172.61	$140.44 – $422.90
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates AETNA — AETNA: $422.90 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $345.22 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $311 CIGNA — CIGNA: $422.90 HUMANA — HUMANA COMMERCIAL PLAN: $422.90 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $140.44 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $140.44 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $147.47 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $140.44 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $140.44
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE VISIT NEW PATIENT LEV 5	$549.03	$219.61	$140.44 – $538.05
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates AETNA — AETNA: $538.05 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $439.22 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $395.69 CIGNA — CIGNA: $538.05 HUMANA — HUMANA COMMERCIAL PLAN: $538.05 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $140.44 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $140.44 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $147.47 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $140.44 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $140.44
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULT LEV 3	$287	$114.80	$114.80 – $281.26
Office consultation with a specialist (moderate): rates for 9 insurance plans AETNA — AETNA: $281.26 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $229.60 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $206.84 CIGNA — CIGNA: $281.26 HUMANA — HUMANA COMMERCIAL PLAN: $281.26 MONUMENT_HEALTH — MONUMENT HEALTH: $215.25 SELF_PAY — SELF PAY DISCOUNT: $114.80 UCHEALTH — UCHEALTH PLAN ADMINISTRATORS: $249.69 UHC — UNITED HEALTHCARE: $223.86
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF OP CNSLTJ NEW EST MOD 40	$455	$182	$182 – $445.90
Office consultation with a specialist (moderate to high): rates for 9 insurance plans AETNA — AETNA: $445.90 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $364 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $327.92 CIGNA — CIGNA: $445.90 HUMANA — HUMANA COMMERCIAL PLAN: $445.90 MONUMENT_HEALTH — MONUMENT HEALTH: $341.25 SELF_PAY — SELF PAY DISCOUNT: $182 UCHEALTH — UCHEALTH PLAN ADMINISTRATORS: $395.85 UHC — UNITED HEALTHCARE: $354.90
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER ACUITY 3 W O MODIFIER	$719.90	$287.96	$225 – $9,493.88
Emergency room visit (moderate): 10 of 17 insurance plan rates AETNA — AETNA: $705.50 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $575.92 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $518.83 CIGNA — CIGNA: $705.50 HUMANA — HUMANA COMMERCIAL PLAN: $705.50 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $287.96 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $287.96 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $302.36 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $287.96 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $287.96
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: TTA FULL W O NTC ED LEVEL 3	$9,687.63	$3,875.05	$225 – $9,493.88
Emergency room visit (moderate): 10 of 17 insurance plan rates AETNA — AETNA: $9,493.88 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $750 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $676 CIGNA — CIGNA: $9,493.88 HUMANA — HUMANA COMMERCIAL PLAN: $9,493.88 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $287.96 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $287.96 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $302.36 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $287.96 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $287.96
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: TTA MOD W O NTC ED LEVEL 3	$5,487.63	$2,195.05	$225 – $9,493.88
Emergency room visit (moderate): 10 of 17 insurance plan rates AETNA — AETNA: $5,377.88 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $750 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $676 CIGNA — CIGNA: $5,377.88 HUMANA — HUMANA COMMERCIAL PLAN: $5,377.88 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $287.96 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $287.96 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $302.36 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $287.96 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $287.96
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: TTA MOD W O NTC ED LEVEL 4	$5,823.84	$2,329.54	$225 – $9,823.36
Emergency room visit (moderately high): 10 of 17 insurance plan rates AETNA — AETNA: $5,707.36 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $2,000 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,802 CIGNA — CIGNA: $5,707.36 HUMANA — HUMANA COMMERCIAL PLAN: $5,707.36 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $440.16 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $440.16 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $462.17 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $440.16 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $440.16
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER ACUITY 4 W O MODIFIER	$1,205.76	$482.30	$225 – $9,823.36
Emergency room visit (moderately high): 10 of 17 insurance plan rates AETNA — AETNA: $1,181.64 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $964.61 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $868.99 CIGNA — CIGNA: $1,181.64 HUMANA — HUMANA COMMERCIAL PLAN: $1,181.64 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $440.16 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $440.16 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $462.17 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $440.16 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $440.16
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: TTA FULL W O NTC ED LEVEL 4	$10,023.84	$4,009.54	$225 – $9,823.36
Emergency room visit (moderately high): 10 of 17 insurance plan rates AETNA — AETNA: $9,823.36 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $2,000 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,802 CIGNA — CIGNA: $9,823.36 HUMANA — HUMANA COMMERCIAL PLAN: $9,823.36 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $440.16 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $440.16 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $462.17 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $440.16 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $440.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER ACUITY 5 W O MODIFIER	$1,749.07	$699.63	$225 – $10,371.81
Emergency room visit (high): 10 of 17 insurance plan rates AETNA — AETNA: $1,714.09 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,399.26 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,260.55 CIGNA — CIGNA: $1,714.09 HUMANA — HUMANA COMMERCIAL PLAN: $1,714.09 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $628.22 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $628.22 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $659.63 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $628.22 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $628.22
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: TTA FULL W O NTC ED LEVEL 5	$10,583.48	$4,233.39	$225 – $10,371.81
Emergency room visit (high): 10 of 17 insurance plan rates AETNA — AETNA: $10,371.81 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $2,000 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,802 CIGNA — CIGNA: $10,371.81 HUMANA — HUMANA COMMERCIAL PLAN: $10,371.81 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $628.22 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $628.22 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $659.63 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $628.22 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $628.22
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: TTA MOD W O NTC ED LEVEL 5	$6,383.48	$2,553.39	$225 – $10,371.81
Emergency room visit (high): 10 of 17 insurance plan rates AETNA — AETNA: $6,255.81 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $2,000 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,802 CIGNA — CIGNA: $6,255.81 HUMANA — HUMANA COMMERCIAL PLAN: $6,255.81 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $628.22 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $628.22 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $659.63 MCRADV_HUMANA — HUMANA MEDICARE ADVANTAGE: $628.22 MCRADV_SELECT_HEALTH — SELECT HEALTH MEDICARE ADVANTAGE: $628.22

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Z BASIC METABOLIC PANEL	$17.77	$7.11	$7.11 – $17.41
Basic metabolic panel (blood test): 10 of 18 insurance plan rates AETNA — AETNA: $17.41 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $13.33 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $12.01 CIGNA — CIGNA: $17.41 HUMANA — HUMANA COMMERCIAL PLAN: $17.41 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $10.55 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $10.55 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $8.46 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $8.46 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $8.88
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Z LIPID PANEL	$144.90	$57.96	$10.55 – $142
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates AETNA — AETNA: $142 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $108.68 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $97.91 CIGNA — CIGNA: $142 HUMANA — HUMANA COMMERCIAL PLAN: $142 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $10.55 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $10.55 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $13.39 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $13.39 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $14.06
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$195.83	$78.33	$8.68 – $191.91
Kidney function panel: 10 of 18 insurance plan rates AETNA — AETNA: $191.91 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $146.87 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $132.32 CIGNA — CIGNA: $191.91 HUMANA — HUMANA COMMERCIAL PLAN: $191.91 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $10.55 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $10.55 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $8.68 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $8.68 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $9.11
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE DIP	$40.16	$16.06	$3.48 – $39.36
Urine test (manual, without microscope): 10 of 18 insurance plan rates AETNA — AETNA: $39.36 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $30.12 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $27.14 CIGNA — CIGNA: $39.36 HUMANA — HUMANA COMMERCIAL PLAN: $39.36 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $3.50 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $3.50 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $3.48 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $3.48 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $3.65
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NON AUTOMATED	$9.45	$3.78	$3.48 – $39.36
Urine test (manual, without microscope): 10 of 18 insurance plan rates AETNA — AETNA: $9.26 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $7.09 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $6.39 CIGNA — CIGNA: $9.26 HUMANA — HUMANA COMMERCIAL PLAN: $9.26 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $3.50 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $3.50 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $3.48 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $3.48 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $3.65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINE KETONES	$59.33	$23.73	$2.25 – $58.14
Urine test (automated, without microscope): 10 of 18 insurance plan rates AETNA — AETNA: $58.14 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $44.50 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $40.09 CIGNA — CIGNA: $58.14 HUMANA — HUMANA COMMERCIAL PLAN: $58.14 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $3.50 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $3.50 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $2.25 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $2.25 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $2.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Z TOTAL PSA	$65.36	$26.14	$15.49 – $155.38
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates AETNA — AETNA: $64.05 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $49.02 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $44.16 CIGNA — CIGNA: $64.05 HUMANA — HUMANA COMMERCIAL PLAN: $64.05 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $15.49 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $15.49 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $18.39 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $18.39 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $19.31
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: MAYO PSAD SENDOUT	$158.55	$63.42	$15.49 – $155.38
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates AETNA — AETNA: $155.38 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $118.91 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $107.13 CIGNA — CIGNA: $155.38 HUMANA — HUMANA COMMERCIAL PLAN: $155.38 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $15.49 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $15.49 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $18.39 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $18.39 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $19.31
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM	$61.69	$24.68	$6.47 – $60.46
Complete blood count (CBC), automated: 10 of 18 insurance plan rates AETNA — AETNA: $60.46 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $46.27 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $41.68 CIGNA — CIGNA: $60.46 HUMANA — HUMANA COMMERCIAL PLAN: $60.46 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $7.20 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $7.20 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $6.47 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $6.47 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Z PT (PROTIME)	$49.61	$19.84	$4.29 – $48.62
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates AETNA — AETNA: $48.62 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $37.21 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $33.52 CIGNA — CIGNA: $48.62 HUMANA — HUMANA COMMERCIAL PLAN: $48.62 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $4.73 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $4.73 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $4.29 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $4.29 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: I-STAT PT (INR)	$49.61	$19.84	$4.29 – $48.62
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates AETNA — AETNA: $48.62 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $37.21 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $33.52 CIGNA — CIGNA: $48.62 HUMANA — HUMANA COMMERCIAL PLAN: $48.62 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $4.73 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $4.73 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $4.29 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $4.29 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$13.65	$5.46	$4.29 – $48.62
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates AETNA — AETNA: $13.38 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $10.24 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $9.22 CIGNA — CIGNA: $13.38 HUMANA — HUMANA COMMERCIAL PLAN: $13.38 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $4.73 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $4.73 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $4.29 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $4.29 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Z APTT	$56.70	$22.68	$4.73 – $55.57
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates AETNA — AETNA: $55.57 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $42.53 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $38.31 CIGNA — CIGNA: $55.57 HUMANA — HUMANA COMMERCIAL PLAN: $55.57 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $4.73 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $4.73 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $6.01 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $6.01 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $6.31

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) In the file: STROKE HEAD W OUT CONTRAST	$1,646.43	$658.57	$110.28 – $1,613.50
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $1,613.50 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,317.14 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,186.58 CIGNA — CIGNA: $1,613.50 HUMANA — HUMANA COMMERCIAL PLAN: $1,613.50 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $402.31 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $402.31 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD W O CONTRAST (HDWO)	$1,646.43	$658.57	$110.28 – $1,613.50
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $1,613.50 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,317.14 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,186.58 CIGNA — CIGNA: $1,613.50 HUMANA — HUMANA COMMERCIAL PLAN: $1,613.50 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $402.31 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $402.31 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT HEADBRAIN WO CONT	$272.75	$109.10	$109.10 – $272.75
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $267.30 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $218.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $196.57 CIGNA — CIGNA: $267.30 HUMANA — HUMANA COMMERCIAL PLAN: $267.30 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $272.75 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $272.75 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI HEAD W WO CONTRAST	$3,858.49	$1,543.40	$368.02 – $5,323.02
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates AETNA — AETNA: $3,781.32 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $3,086.79 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $2,780.81 CIGNA — CIGNA: $3,781.32 HUMANA — HUMANA COMMERCIAL PLAN: $3,781.32 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $568.05 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $568.05 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $368.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $368.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $386.42
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI PITUITARY IAC W WO CONTRST	$5,431.65	$2,172.66	$368.02 – $5,323.02
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates AETNA — AETNA: $5,323.02 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $4,345.32 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $3,914.59 CIGNA — CIGNA: $5,323.02 HUMANA — HUMANA COMMERCIAL PLAN: $5,323.02 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $568.05 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $568.05 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $368.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $368.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $386.42
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI HEADBRAIN WWO CONT	$815.58	$326.23	$326.23 – $799.27
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates AETNA — AETNA: $799.27 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $652.46 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $587.79 CIGNA — CIGNA: $799.27 HUMANA — HUMANA COMMERCIAL PLAN: $799.27 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $568.05 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $568.05 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $368.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $368.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $386.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST DECUBITUS	$255.68	$102.27	$72.88 – $343.18
Chest X-ray, 2 views: 10 of 19 insurance plan rates AETNA — AETNA: $250.57 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $204.54 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $184.27 CIGNA — CIGNA: $250.57 HUMANA — HUMANA COMMERCIAL PLAN: $250.57 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $72.88 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $72.88 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $91.80 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $91.80 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $96.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST (MINE) 2 VIEWS PRE-EMP	$350.18	$140.07	$72.88 – $343.18
Chest X-ray, 2 views: 10 of 19 insurance plan rates AETNA — AETNA: $343.18 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $280.14 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $252.37 CIGNA — CIGNA: $343.18 HUMANA — HUMANA COMMERCIAL PLAN: $343.18 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $72.88 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $72.88 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $91.80 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $91.80 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $96.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST 2 VIEWS	$350.18	$140.07	$72.88 – $343.18
Chest X-ray, 2 views: 10 of 19 insurance plan rates AETNA — AETNA: $343.18 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $280.14 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $252.37 CIGNA — CIGNA: $343.18 HUMANA — HUMANA COMMERCIAL PLAN: $343.18 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $72.88 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $72.88 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $91.80 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $91.80 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $96.39
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR 4 VIEWS	$624.75	$249.90	$72.88 – $612.26
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates AETNA — AETNA: $612.26 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $499.80 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $450.26 CIGNA — CIGNA: $612.26 HUMANA — HUMANA COMMERCIAL PLAN: $612.26 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $72.88 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $72.88 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: SPINE LUMBAR MIN 4 VWS	$131.53	$52.61	$52.61 – $128.90
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates AETNA — AETNA: $128.90 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $105.22 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $94.79 CIGNA — CIGNA: $128.90 HUMANA — HUMANA COMMERCIAL PLAN: $128.90 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $72.88 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $72.88 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W O CONTRAST	$3,078.08	$1,231.23	$251.70 – $3,016.52
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $3,016.52 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $2,462.46 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $2,218.37 CIGNA — CIGNA: $3,016.52 HUMANA — HUMANA COMMERCIAL PLAN: $3,016.52 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $324.20 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $324.20 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $251.70 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $251.70 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $264.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI LUMBAR SPINE WO CONT	$488.55	$195.42	$195.42 – $478.78
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $478.78 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $390.84 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $352.10 CIGNA — CIGNA: $478.78 HUMANA — HUMANA COMMERCIAL PLAN: $478.78 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $324.20 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $324.20 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $251.70 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $251.70 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $264.28
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CONTRAST (PELW)	$2,019.98	$807.99	$185.03 – $1,979.58
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates AETNA — AETNA: $1,979.58 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,615.98 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,455.80 CIGNA — CIGNA: $1,979.58 HUMANA — HUMANA COMMERCIAL PLAN: $1,979.58 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $402.31 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $402.31 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $185.03 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $185.03 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $194.28
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT PELVIS W CONT	$582.05	$232.82	$185.03 – $570.41
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates AETNA — AETNA: $570.41 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $465.64 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $419.48 CIGNA — CIGNA: $570.41 HUMANA — HUMANA COMMERCIAL PLAN: $570.41 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $402.31 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $402.31 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $185.03 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $185.03 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $194.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI HIP WO CONT LT	$2,262.23	$904.89	$251.70 – $2,216.99
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $2,216.99 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,809.78 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,630.39 CIGNA — CIGNA: $2,216.99 HUMANA — HUMANA COMMERCIAL PLAN: $2,216.99 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $324.20 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $324.20 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $251.70 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $251.70 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $264.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI ANKLE W O CONT RT	$2,262.23	$904.89	$251.70 – $2,216.99
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $2,216.99 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,809.78 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,630.39 CIGNA — CIGNA: $2,216.99 HUMANA — HUMANA COMMERCIAL PLAN: $2,216.99 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $324.20 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $324.20 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $251.70 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $251.70 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $264.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI ANKLE W O CONT LT	$2,262.23	$904.89	$251.70 – $2,216.99
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates AETNA — AETNA: $2,216.99 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,809.78 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,630.39 CIGNA — CIGNA: $2,216.99 HUMANA — HUMANA COMMERCIAL PLAN: $2,216.99 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $324.20 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $324.20 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $251.70 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $251.70 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $264.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD PELVIS W CONT (ABPE)	$4,114.26	$1,645.70	$368.02 – $4,031.97
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AETNA — AETNA: $4,031.97 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $3,291.41 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $2,965.15 CIGNA — CIGNA: $4,031.97 HUMANA — HUMANA COMMERCIAL PLAN: $4,031.97 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $402.31 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $402.31 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $368.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $368.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $386.42
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD AND PELVIS W CONTRAST	$4,114.26	$1,645.70	$368.02 – $4,031.97
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AETNA — AETNA: $4,031.97 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $3,291.41 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $2,965.15 CIGNA — CIGNA: $4,031.97 HUMANA — HUMANA COMMERCIAL PLAN: $4,031.97 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $402.31 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $402.31 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $368.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $368.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $386.42
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT ABDPELVIS W CONT	$773.73	$309.49	$309.49 – $758.26
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AETNA — AETNA: $758.26 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $618.98 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $557.63 CIGNA — CIGNA: $758.26 HUMANA — HUMANA COMMERCIAL PLAN: $758.26 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $402.31 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $402.31 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $368.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $368.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $386.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: BEDSIDE US ABDOMEN COMPLETE	$635.78	$254.31	$110.28 – $760.33
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AETNA — AETNA: $623.06 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $508.62 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $458.21 CIGNA — CIGNA: $623.06 HUMANA — HUMANA COMMERCIAL PLAN: $623.06 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $213.76 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $213.76 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMINAL COMPLETE	$775.85	$310.34	$110.28 – $760.33
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AETNA — AETNA: $760.33 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $620.68 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $559.16 CIGNA — CIGNA: $760.33 HUMANA — HUMANA COMMERCIAL PLAN: $760.33 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $213.76 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $213.76 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: US ABD COMP	$290.58	$116.23	$110.28 – $284.77
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AETNA — AETNA: $284.77 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $232.46 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $209.42 CIGNA — CIGNA: $284.77 HUMANA — HUMANA COMMERCIAL PLAN: $284.77 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $213.76 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $213.76 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB TRAB>14 WKS DETAILED	$849.75	$339.90	$110.28 – $832.76
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates AETNA — AETNA: $832.76 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $679.80 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $612.41 CIGNA — CIGNA: $832.76 HUMANA — HUMANA COMMERCIAL PLAN: $832.76 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $129.45 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $129.45 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: US OB =>14WK 0 DY FIRST GESTA	$337.63	$135.05	$110.28 – $330.88
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates AETNA — AETNA: $330.88 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $270.10 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $243.33 CIGNA — CIGNA: $330.88 HUMANA — HUMANA COMMERCIAL PLAN: $330.88 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $129.45 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $129.45 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$419.25	$167.70	$110.28 – $410.87
Transvaginal ultrasound: 10 of 19 insurance plan rates AETNA — AETNA: $410.87 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $335.40 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $302.15 CIGNA — CIGNA: $410.87 HUMANA — HUMANA COMMERCIAL PLAN: $410.87 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $140.82 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $140.82 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: US TRANSVAG NON-OB	$297.18	$118.87	$110.28 – $291.24
Transvaginal ultrasound: 10 of 19 insurance plan rates AETNA — AETNA: $291.24 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $237.74 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $214.18 CIGNA — CIGNA: $291.24 HUMANA — HUMANA COMMERCIAL PLAN: $291.24 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $140.82 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $140.82 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $110.28 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $110.28 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $115.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: DIGITAL MAMM UNILAT LT DIAG	$315.50	$126.20	$64.48 – $400
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates AETNA — AETNA: $309.19 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $252.40 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $227.38 CIGNA — CIGNA: $309.19 HUMANA — HUMANA COMMERCIAL PLAN: $309.19 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $91.59 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $91.59 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $96.17
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: DIGITAL MAMM UNILAT RT DIAG	$315.50	$126.20	$64.48 – $400
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates AETNA — AETNA: $309.19 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $252.40 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $227.38 CIGNA — CIGNA: $309.19 HUMANA — HUMANA COMMERCIAL PLAN: $309.19 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $91.59 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $91.59 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $96.17
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: MAMMOGRAPHY DX UNI INCL CAD	$316.98	$126.79	$64.48 – $310.64
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates AETNA — AETNA: $310.64 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $253.58 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $228.45 CIGNA — CIGNA: $310.64 HUMANA — HUMANA COMMERCIAL PLAN: $310.64 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $91.59 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $91.59 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $96.17
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIGITAL MAMM BILATERAL DIAG	$404	$161.60	$64.48 – $400
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates AETNA — AETNA: $395.92 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $323.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $291.16 CIGNA — CIGNA: $395.92 HUMANA — HUMANA COMMERCIAL PLAN: $395.92 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $117.44 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $117.44 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $123.31
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26\|50 In the file: MAMMOGRAPHY DX BIL INCLU CAD	$399.73	$159.89	$64.48 – $391.74
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates AETNA — AETNA: $391.74 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $319.78 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $288.09 CIGNA — CIGNA: $391.74 HUMANA — HUMANA COMMERCIAL PLAN: $391.74 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $117.44 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $117.44 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $123.31
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: DIGITAL MAM BILAT SCREENING	$318.47	$127.39	$64.48 – $400
Screening mammogram, both breasts: 10 of 19 insurance plan rates AETNA — AETNA: $312.10 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $254.78 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $229.52 CIGNA — CIGNA: $312.10 HUMANA — HUMANA COMMERCIAL PLAN: $312.10 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $96.93 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $96.93 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $101.78
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier LT\|52 In the file: DIGITAL MAM UNI LT SCREEN	$323	$129.20	$64.48 – $400
Screening mammogram, both breasts: 10 of 19 insurance plan rates AETNA — AETNA: $316.54 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $258.40 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $232.79 CIGNA — CIGNA: $316.54 HUMANA — HUMANA COMMERCIAL PLAN: $316.54 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $96.93 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $96.93 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $101.78
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier RT\|52 In the file: DIGITAL MAM UNI RT SCREEN	$323	$129.20	$64.48 – $400
Screening mammogram, both breasts: 10 of 19 insurance plan rates AETNA — AETNA: $316.54 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $258.40 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $232.79 CIGNA — CIGNA: $316.54 HUMANA — HUMANA COMMERCIAL PLAN: $316.54 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $64.48 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $64.48 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $96.93 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $96.93 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $101.78

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAM STAGING T	$4,585.82	$1,834.33	$905.87 – $4,494.10
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates AETNA — AETNA: $4,494.10 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $3,668.66 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $3,305 CIGNA — CIGNA: $4,494.10 HUMANA — HUMANA COMMERCIAL PLAN: $4,494.10 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $970.06 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $970.06 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $905.87 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $905.87 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $951.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 26 In the file: POLYSOMNO SLP STAGNG W 4 ADD	$1,588.23	$635.29	$635.29 – $1,556.47
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates AETNA — AETNA: $1,556.47 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,270.58 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,144.64 CIGNA — CIGNA: $1,556.47 HUMANA — HUMANA COMMERCIAL PLAN: $1,556.47 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $970.06 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $970.06 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $905.87 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $905.87 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $951.16

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) · modifier GP In the file: THERAPEUTIC EXERCISE 15 MINS	$162	$64.80	$30.04 – $158.76
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates AETNA — AETNA: $158.76 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $129.60 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $116.75 CIGNA — CIGNA: $158.76 HUMANA — HUMANA COMMERCIAL PLAN: $158.76 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $49.16 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $49.16 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $30.04 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $30.04 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $31.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THERAPEUTIC EXERCISES 15 MIN	$151.20	$60.48	$30.04 – $148.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates AETNA — AETNA: $148.18 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $120.96 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $108.97 CIGNA — CIGNA: $148.18 HUMANA — HUMANA COMMERCIAL PLAN: $148.18 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $49.16 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $49.16 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $30.04 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $30.04 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $31.54
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT THERAPY EVAL LOW COMPLEXITY	$270	$108	$101.35 – $311.79
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates AETNA — AETNA: $264.60 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $216 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $194.59 CIGNA — CIGNA: $264.60 HUMANA — HUMANA COMMERCIAL PLAN: $264.60 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $270 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $270 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $101.36 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $101.36 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $106.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: OP-PT WOUND CARE EVL-LOW CMPLX	$318.15	$127.26	$101.35 – $311.79
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates AETNA — AETNA: $311.79 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $254.52 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $229.29 CIGNA — CIGNA: $311.79 HUMANA — HUMANA COMMERCIAL PLAN: $311.79 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $304.71 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $304.71 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $101.36 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $101.36 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $106.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: OP-PT WOUND CARE EVL-MOD CMPLX	$366.45	$146.58	$101.35 – $359.12
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates AETNA — AETNA: $359.12 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $293.16 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $264.10 CIGNA — CIGNA: $359.12 HUMANA — HUMANA COMMERCIAL PLAN: $359.12 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $304.71 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $304.71 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $101.36 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $101.36 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $106.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT THERAPY EVAL MODERATE COMP	$293.16	$117.26	$101.35 – $359.12
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates AETNA — AETNA: $287.30 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $234.53 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $211.28 CIGNA — CIGNA: $287.30 HUMANA — HUMANA COMMERCIAL PLAN: $287.30 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $293.16 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $293.16 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $101.36 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $101.36 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $106.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: OP-PT WOUND CARE EVL-HGH CMPLX	$413.70	$165.48	$101.35 – $405.43
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates AETNA — AETNA: $405.43 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $330.96 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $298.15 CIGNA — CIGNA: $405.43 HUMANA — HUMANA COMMERCIAL PLAN: $405.43 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $304.71 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $304.71 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $101.36 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $101.36 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $106.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT THERAPY EVALHIGH COMPLEXITY	$310	$124	$101.35 – $405.43
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates AETNA — AETNA: $303.80 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $248 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $223.42 CIGNA — CIGNA: $303.80 HUMANA — HUMANA COMMERCIAL PLAN: $303.80 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $304.71 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $304.71 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $101.36 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $101.36 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $106.43

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	$1,026	$410.40	$410.40 – $4,423.58
Removal of breast growth (open surgery): 10 of 19 insurance plan rates AETNA — AETNA: $1,005.48 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $820.80 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $739.44 CIGNA — CIGNA: $1,005.48 HUMANA — HUMANA COMMERCIAL PLAN: $1,005.48 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,026 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,026 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,026 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $4,423.58 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,026
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	$2,912	$1,164.80	$1,164.80 – $14,504.89
Total hip replacement: 10 of 19 insurance plan rates AETNA — AETNA: $2,853.76 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $2,329.60 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $2,098.68 CIGNA — CIGNA: $2,853.76 HUMANA — HUMANA COMMERCIAL PLAN: $2,853.76 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $2,912 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $2,912 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $2,912 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $14,504.89 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $2,912
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier AS In the file: TOTAL HIP ARTHROPLASTY (AS)	$1,747	$698.80	$698.80 – $14,504.89
Total hip replacement: 10 of 19 insurance plan rates AETNA — AETNA: $1,712.06 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,397.60 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,259.06 CIGNA — CIGNA: $1,712.06 HUMANA — HUMANA COMMERCIAL PLAN: $1,712.06 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,747 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,747 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,747 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $14,504.89 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,747
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	$2,906	$1,162.40	$1,162.40 – $14,504.89
Total knee replacement: 10 of 19 insurance plan rates AETNA — AETNA: $2,847.88 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $2,324.80 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $2,094.35 CIGNA — CIGNA: $2,847.88 HUMANA — HUMANA COMMERCIAL PLAN: $2,847.88 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $2,906 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $2,906 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $2,906 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $14,504.89 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $2,906
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier AS In the file: TOTAL KNEE ARTHROPLASTY (AS)	$1,744	$697.60	$697.60 – $14,504.89
Total knee replacement: 10 of 19 insurance plan rates AETNA — AETNA: $1,709.12 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,395.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,256.90 CIGNA — CIGNA: $1,709.12 HUMANA — HUMANA COMMERCIAL PLAN: $1,709.12 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,744 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,744 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,744 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $14,504.89 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,744
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: TOTAL KNEE ARTHROPLASTY (50)	$4,359	$1,743.60	$1,743.60 – $14,504.89
Total knee replacement: 10 of 19 insurance plan rates AETNA — AETNA: $4,271.82 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $3,487.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $3,141.53 CIGNA — CIGNA: $4,271.82 HUMANA — HUMANA COMMERCIAL PLAN: $4,271.82 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $4,359 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $4,359 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $4,359 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $14,504.89 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $4,359
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	$366	$146.40	$146.40 – $366
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates AETNA — AETNA: $358.68 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $292.80 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $263.78 CIGNA — CIGNA: $358.68 HUMANA — HUMANA COMMERCIAL PLAN: $358.68 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $366 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $366 MONUMENT_HEALTH — MONUMENT HEALTH: $274.50 SELF_PAY — SELF PAY DISCOUNT: $146.40 UCHEALTH — UCHEALTH PLAN ADMINISTRATORS: $318.42
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier AS In the file: ARTHRS KNE SURG SYNVCT MJ (AS)	$220	$88	$88 – $220
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates AETNA — AETNA: $215.60 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $176 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $158.55 CIGNA — CIGNA: $215.60 HUMANA — HUMANA COMMERCIAL PLAN: $215.60 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $220 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $220 MONUMENT_HEALTH — MONUMENT HEALTH: $165 SELF_PAY — SELF PAY DISCOUNT: $88 UCHEALTH — UCHEALTH PLAN ADMINISTRATORS: $191.40
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHRS KNE SRG MNISECTMY M L	$1,309	$523.60	$523.60 – $3,696.64
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates AETNA — AETNA: $1,282.82 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,047.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $943.40 CIGNA — CIGNA: $1,282.82 HUMANA — HUMANA COMMERCIAL PLAN: $1,282.82 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,309 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,309 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,309 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $3,696.64 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,309
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier AS In the file: ARTHRS KNE SRG MNSTMY M L (AS)	$785	$314	$314 – $3,696.64
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates AETNA — AETNA: $769.30 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $628 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $565.75 CIGNA — CIGNA: $769.30 HUMANA — HUMANA COMMERCIAL PLAN: $769.30 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $785 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $785 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $785 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $3,696.64 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $785
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	$280	$112	$112 – $956.76
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates AETNA — AETNA: $274.40 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $224 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $201.80 CIGNA — CIGNA: $274.40 HUMANA — HUMANA COMMERCIAL PLAN: $274.40 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $280 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $280 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $280 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $956.76 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $280
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE MULTIPLE	$312	$124.80	$124.80 – $956.76
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates AETNA — AETNA: $305.76 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $249.60 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $224.86 CIGNA — CIGNA: $305.76 HUMANA — HUMANA COMMERCIAL PLAN: $305.76 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $312 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $312 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $312 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $956.76 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $312
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	$415	$166	$166 – $981
Colonoscopy (diagnostic): 10 of 19 insurance plan rates AETNA — AETNA: $406.70 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $332 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $299.09 CIGNA — CIGNA: $406.70 HUMANA — HUMANA COMMERCIAL PLAN: $406.70 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $415 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $415 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $415 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $981 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $415
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	$448	$179.20	$179.20 – $1,262.32
Colonoscopy with biopsy: 10 of 19 insurance plan rates AETNA — AETNA: $439.04 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $358.40 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $322.87 CIGNA — CIGNA: $439.04 HUMANA — HUMANA COMMERCIAL PLAN: $439.04 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $448 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $448 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $448 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $1,262.32 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $448
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W LESION REMOVAL	$563	$225.20	$225.20 – $1,262.32
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates AETNA — AETNA: $551.74 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $450.40 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $405.75 CIGNA — CIGNA: $551.74 HUMANA — HUMANA COMMERCIAL PLAN: $551.74 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $563 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $563 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $563 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $1,262.32 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $563
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPCHOL	$10,049.55	$4,019.82	$4,019.82 – $9,848.56
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates AETNA — AETNA: $9,848.56 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $8,039.64 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $7,242.71 CIGNA — CIGNA: $9,848.56 HUMANA — HUMANA COMMERCIAL PLAN: $9,848.56 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $4,390.86 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $4,390.86 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $6,830.12 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $6,830.12 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $7,171.63
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$1,574	$629.60	$629.60 – $6,830.12
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates AETNA — AETNA: $1,542.52 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,259.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,134.38 CIGNA — CIGNA: $1,542.52 HUMANA — HUMANA COMMERCIAL PLAN: $1,542.52 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,574 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,574 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,574 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $6,830.12 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,574
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I HERN INIT REDUC >5 YR	$1,269	$507.60	$507.60 – $4,045.07
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates AETNA — AETNA: $1,243.62 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,015.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $914.57 CIGNA — CIGNA: $1,243.62 HUMANA — HUMANA COMMERCIAL PLAN: $1,243.62 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,269 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,269 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,269 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $4,045.07 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,269
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: PRP I HERN INIT REDC >5YR (50)	$1,904	$761.60	$761.60 – $4,045.07
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates AETNA — AETNA: $1,865.92 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,523.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,372.21 CIGNA — CIGNA: $1,865.92 HUMANA — HUMANA COMMERCIAL PLAN: $1,865.92 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,904 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,904 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,904 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $4,045.07 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,904
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: ESI INTLMNR (LUMBAR SACRAL)	$1,861.55	$744.62	$250 – $1,824.32
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates AETNA — AETNA: $1,824.32 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,489.24 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,341.62 CIGNA — CIGNA: $1,824.32 HUMANA — HUMANA COMMERCIAL PLAN: $1,824.32 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,088.96 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,088.96 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $744.62 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $744.62 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $781.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ LUMBSAC W IMG	$640.05	$256.02	$256.02 – $744.62
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates AETNA — AETNA: $627.25 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $512.04 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $461.28 CIGNA — CIGNA: $627.25 HUMANA — HUMANA COMMERCIAL PLAN: $627.25 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $640.05 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $640.05 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $640.05 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $744.62 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $640.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR SAC	$225.55	$90.22	$90.22 – $744.62
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates AETNA — AETNA: $221.04 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $180.44 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $162.55 CIGNA — CIGNA: $221.04 HUMANA — HUMANA COMMERCIAL PLAN: $221.04 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $225.55 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $225.55 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $225.55 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $744.62 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $225.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: ESI TRNSFRMNL(1LVL UNILAT) L S	$2,332.55	$933.02	$250 – $2,285.90
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates AETNA — AETNA: $2,285.90 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,866.04 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,681.07 CIGNA — CIGNA: $2,285.90 HUMANA — HUMANA COMMERCIAL PLAN: $2,285.90 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,088.96 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,088.96 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $933.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $933.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $979.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: XESI TRNSFRMNL (1 LVL UNILAT+)	$2,332.55	$933.02	$250 – $2,285.90
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates AETNA — AETNA: $2,285.90 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,866.04 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,681.07 CIGNA — CIGNA: $2,285.90 HUMANA — HUMANA COMMERCIAL PLAN: $2,285.90 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,088.96 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,088.96 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $933.02 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $933.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $979.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ FORAMEN EPIDURAL LS	$611.78	$244.71	$244.71 – $933.02
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates AETNA — AETNA: $599.54 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $489.42 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $440.91 CIGNA — CIGNA: $599.54 HUMANA — HUMANA COMMERCIAL PLAN: $599.54 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $611.78 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $611.78 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $611.78 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $933.02 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $611.78
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	$1,081	$432.40	$432.40 – $2,206.15
Carpal tunnel release: 10 of 19 insurance plan rates AETNA — AETNA: $1,059.38 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $864.80 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $779.08 CIGNA — CIGNA: $1,059.38 HUMANA — HUMANA COMMERCIAL PLAN: $1,059.38 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,081 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,081 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,081 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $2,206.15 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,081
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: CARPAL TUNNEL SURGERY (50)	$1,622	$648.80	$648.80 – $2,206.15
Carpal tunnel release: 10 of 19 insurance plan rates AETNA — AETNA: $1,589.56 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $1,297.60 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $1,168.98 CIGNA — CIGNA: $1,589.56 HUMANA — HUMANA COMMERCIAL PLAN: $1,589.56 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $1,622 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $1,622 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $1,622 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $2,206.15 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $1,622
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier AS In the file: CARPAL TUNNEL SURGERY (AS)	$649	$259.60	$259.60 – $2,206.15
Carpal tunnel release: 10 of 19 insurance plan rates AETNA — AETNA: $636.02 ANTHEM_NS — ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY): $519.20 ANTHEM_ST — ANTHEM BCBS- PPO/HMO STANDARD NETWORK: $467.73 CIGNA — CIGNA: $636.02 HUMANA — HUMANA COMMERCIAL PLAN: $636.02 MCO_UHC_CHIP — UNITED HEALTHCARE CHIP: $649 MCO_UHC_RMHP — UHC RMHP MEDICAID COLORADO: $649 MCRADV_AETNA — AETNA MEDICARE ADVANTAGE: $649 MCRADV_BCBS — BCBS MEDICARE ADVANTAGE: $2,206.15 MCRADV_CIGNA — CIGNA MEDICARE ADVANTAGE: $649

Source: Delta County Memorial Hospital’s standard charges file (deltahealthco.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 24, 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	Acute Care Hospital
Address	1501 E 3rd St, Delta, CO 81416
County	Delta County
State	Colorado
Phone	(970) 874‑7681
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	3 of 5 stars
CMS Certification Number	060071
Name in Medicare records	DELTA COUNTY MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Delta Health Hospital
Official website	deltahealthco.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Delta Health Hospital — deltahealthco.org
Emergency Room Near Me in Delta, CO | Trauma Services | Delta Health — deltahealthco.org
Laboratory Services Near me in Delta, Hotchkiss and Cedaredge, CO | Delta Health — deltahealthco.org
Infusion Services Near Me in Delta, CO | Delta Health | Hospital — deltahealthco.org
Imaging - MRI - CT Scan - Mammogram near me in Delta, CO - Delta Health — deltahealthco.org
Surgical Center Near me in Delta, CO | Delta Health | Hospital — deltahealthco.org
Patient Advocacy & Satisfaction - Delta Health — deltahealthco.org

Delta County Memorial Hospital

Summary

Profile from official sources

At a glance