Does Family Health West Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Family Health West Hospital. In a medical emergency, call 911.

Where is Family Health West Hospital?

300 W Ottley Ave, Fruita, CO 81521, in Mesa County, Colorado.

What is the phone number of Family Health West Hospital?

(970) 858-9871, as listed by Medicare (CMS).

What is the Medicare star rating of Family Health West Hospital?

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.

Family Health West Hospital — Fruita, CO

Quick answers

Does Family Health West Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Family Health West Hospital. In a medical emergency, call 911.
Where is Family Health West Hospital?: 300 W Ottley Ave, Fruita, CO 81521, in Mesa County, Colorado.
What is the phone number of Family Health West Hospital?: (970) 858-9871, as listed by Medicare (CMS).
What is the Medicare star rating of Family Health West Hospital?: 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][6][7][8][9]}

Conditions treated^[8]

Stroke
Parkinson's disease
Head injury and concussion
Speech and language impairments
Sports injuries

Treatments^[4][8]

Hospital infusion
Physical therapy
Occupational therapy
Speech therapy
Hand therapy
Neurological rehabilitation
Vision therapy
Functional dry needling
Customized hand splinting
Wheelchair assessment

Procedures^[6]

Programs and centers^[8]

Aquatic therapy (pool therapy program)
Driver rehabilitation program
Adult rehabilitation program

Emergency care (hospital website)^[5]

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

Visiting and practical information

Patient portal	MyChart

Doctors and clinicians (223)

223 doctors and other clinicians list Family Health West 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 199 more: the button below opens the full list.

Other emergency rooms nearby

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

Community Hospital7.7 mi · Grand Junction, CO · Acute Care Hospital
Intermountain Health St. Mary's Regional Hospital11 mi · Grand Junction, CO · Acute Care Hospital
Grand Junction VA Medical Center12 mi · Grand Junction, CO · Federal/VA Acute Care Hospital
Delta County Memorial Hospital47 mi · Delta, CO · Acute Care Hospital
Grand River Hospital District52 mi · Rifle, CO · Critical Access Hospital

Other hospitals nearby

Moab Regional Hospital60 mi · Moab, UT · Critical Access 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 Foresight LLC9.2 mi · Grand Junction, CO · 5 of 5 stars
La Villa Grande Care Center11 mi · Grand Junction, CO · 2 of 5 stars
Red Cliffs Post Acute11 mi · Grand Junction, CO · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Abode Hospice of Colorado9.9 mi · Grand Junction, CO · 2 of 5 stars
Hopewest Grand Junction9.9 mi · Grand Junction, CO · 4 of 5 stars
Pasco/Sw Hospice Grand Junction9.9 mi · Grand Junction, CO

All hospice providers in the state →

Home health agencies

Human Touch Home Health Care Agency Inc Grand Junction8.6 mi · Grand Junction, CO
Adoration Home Health9.9 mi · Grand Junction, CO
Aveanna Healthcare9.9 mi · Grand Junction, CO

All home health agencies in the state →

Dialysis facilities

DaVita Mesa County Dialysis8.6 mi · Grand Junction, CO · 3 of 5 stars
062538 Grand Junction Dialysis (DCI)9.9 mi · Grand Junction, CO · 4 of 5 stars
DaVita Grand Junction Dialysis Center12 mi · Grand Junction, 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.

Canyon View Surgery Center8.6 mi · Grand Junction, CO
Endoscopy Center of Western Colorado8.6 mi · Grand Junction, CO
Day Surgery of Grand Junction12 mi · Grand Junction, 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

PrimeHealth+ GJHS Health Center11 mi · Grand Junction, CO · Community health center
PrimeHealth+ Primary Care Partners11 mi · Grand Junction, CO · Community health center
PrimeHealth+12th Street Clinic11 mi · Grand Junction, CO · Community health center

Clinics and urgent care

Lower Valley Hospital Association7.7 mi · Fruita, CO · Urgent care center
Bloom Colorado LLC8.6 mi · Grand Junction, CO · Urgent care center
Cedar Point Health LLC8.6 mi · Grand Junction, CO · Urgent care center

Pharmacies

Dedman Pharmacies LLC7.7 mi · Fruita, CO · Community/retail pharmacy
Walgreen Co7.7 mi · Fruita, CO · Community/retail pharmacy
Sams West Inc8.6 mi · Grand Junction, CO · Community/retail pharmacy

Assisted living nearby

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

Family Health West Memory Care7.7 mi · Fruita, CO
Bee Hive Homes of Grand Junction8.6 mi · Grand Junction, CO
La Colmena LLC8.6 mi · Grand Junction, CO
Aspen Ridge Alzheimers Special Care Center9.9 mi · Grand Junction, 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 Family Health West 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	88%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	80%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	48Response rate: 32%

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	0.488No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
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	Too few cases to report

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	Too few cases to report
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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)	48 minutesNational average: 162 minutes
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)	Too few cases to report

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Colorado Best hospitals in Colorado

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 67 common services exactly as Family Health West 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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 o/p new low 30 min	Not listed in the file	Not listed in the file	$80.64 – $208.10
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: CAH OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$224	$156.80	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 25 In the file: Office o/p new low 30 min	Not listed in the file	Not listed in the file	$82.50 – $91.94
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office o/p new mod 45 min	Not listed in the file	Not listed in the file	$55.28 – $82.50
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: CAH OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$335	$234.50	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 25 In the file: Office o/p new mod 45 min	Not listed in the file	Not listed in the file	$82.50 – $127.43
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: CAH OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$441	$308.70	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office o/p est low 20 min	Not listed in the file	Not listed in the file	$53.57 – $170.01
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: CAH OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$183	$128.10	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30 min	Not listed in the file	Not listed in the file	$7.36 – $82.50
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: CAH OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$258	$180.60	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: CAH OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$300	$210	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: CAH OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$430	$301	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: CAH INITIAL CAHEVENTIVE MEDICINE NEW PT AGE 18-39YRS	$317	$221.90	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: CAH INITIAL CAHEVENTIVE MEDICINE NEW PATIENT 40-64YRS	$365	$255.50	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency dept visit low mdm	Not listed in the file	Not listed in the file	$82.50 – $1,364.20
Emergency room visit (moderate): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC EMERGENCY ROOM-LEVEL 3	$1,487	$1,040.90	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC EMERGENCY ROOM - LEVEL 3 W/MOD	$1,487	$1,040.90	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency dept visit mod mdm	Not listed in the file	Not listed in the file	$82.50 – $2,588.66
Emergency room visit (moderately high): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC EMERGENCY ROOM-LEVEL 4	$2,332	$1,632.40	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC EMERGENCY ROOM - LEVEL 4 W/MOD	$2,332	$1,632.40	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency dept visit hi mdm	Not listed in the file	Not listed in the file	$82.50 – $3,320
Emergency room visit (high): 10 of 14 insurance plan rates Rocky Mountain — Commercial: $82.50 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC EMERGENCY ROOM-LEVEL 5	$3,437	$2,405.90	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC EMERGENCY ROOM - LEVEL 5 W/MOD	$3,437	$2,405.90	Not listed in the file

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: Basic metabolic pnl total ca	Not listed in the file	Not listed in the file	$0.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $61
Basic metabolic panel (blood test): 10 of 14 insurance plan rates Anthem — Commercial: $8.46 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL	$64	$44.80	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier 59 In the file: Basic metabolic pnl total ca	Not listed in the file	Not listed in the file	$8.46 – $23.18
Basic metabolic panel (blood test): 10 of 14 insurance plan rates Anthem — Commercial: $8.46 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $110.68
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates Anthem — Commercial: $10.56 Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL	$82	$57.40	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier 91 In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $11.89
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates Anthem — Commercial: $10.56 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel	Not listed in the file	Not listed in the file	$11.89 – $484.36
Obstetric blood test panel: 10 of 14 insurance plan rates Anthem — Commercial: $47.81 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel	Not listed in the file	Not listed in the file	$0.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $83.81
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates Anthem — Commercial: $13.39 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL	$65	$45.50	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.22 – $82
Kidney function panel: 10 of 14 insurance plan rates Anthem — Commercial: $8.68 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL	$85	$59.50	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $75
Liver function panel: 10 of 14 insurance plan rates Anthem — Commercial: $8.17 Rocky Mountain — Medicaid: $11.89 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC HEPATIC FUNCTION PANEL	$78	$54.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $51.30
Urine test (automated, with microscope): 10 of 15 insurance plan rates Anthem — Commercial: $3.17 Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $3.88 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · modifier 59 In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $3.88
Urine test (automated, with microscope): 10 of 14 insurance plan rates Anthem — Commercial: $3.17 Rocky Mountain — Medicaid: $3.88 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $17
Urine test (automated, without microscope): 10 of 15 insurance plan rates Anthem — Commercial: $2.25 Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $3.88 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS W/O MICRO AUTOMATED	$18	$12.60	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier 91 In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $6.46
Urine test (automated, without microscope): 10 of 14 insurance plan rates Anthem — Commercial: $2.25 Rocky Mountain — Medicaid: $3.88 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total	Not listed in the file	Not listed in the file	$7.05 – $75.05
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates Anthem — Commercial: $18.39 Rocky Mountain — Medicaid: $15.88 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL	$82	$57.40	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$5.84 – $97.42
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates Anthem — Commercial: $16.80 Rocky Mountain — Medicaid: $17.43 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORMONE	$79	$55.30	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $34
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates Anthem — Commercial: $7.77 Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $7.83 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC/PLT AUTO DIFFERENTIAL	$36	$25.20	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier 91 In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $32.30
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates Anthem — Commercial: $7.77 Rocky Mountain — Medicaid: $7.83 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $30
Complete blood count (CBC), automated: 10 of 15 insurance plan rates Anthem — Commercial: $6.47 Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $7.83 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC CBC W/O DIFFERENTIAL	$32	$22.40	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $37
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates Anthem — Commercial: $4.29 Rocky Mountain — Medicaid: $5.80 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PROTHROMBIN TIME	$39	$27.30	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 91 In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $74
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates Anthem — Commercial: $4.29 Rocky Mountain — Medicaid: $5.80 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$5.80 – $63.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates Anthem — Commercial: $6.01 Rocky Mountain — Medicaid: $5.80 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PARTIAL THROMBOPLASTIN TIME	$58	$40.60	Not listed in the file

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: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$310.68 – $1,726
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $850 Rocky Mountain — Medicaid: $510.78 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,787	$1,250.90	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CAH CT HEAD/BRAIN W/O CONTRAST MATERIAL	$222	$155.40	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$642.03 – $4,145.80
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $1,250 Rocky Mountain — Medicaid: $642.03 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI BRAIN W/WO CONTRAST	$4,517	$3,161.90	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: CAH MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$668	$467.60	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$62.21 – $356.25
Chest X-ray, 2 views: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $88.56 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC DI CHEST 2 VIEWS	$389	$272.30	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CAH RADIOLOGIC EXAM CHEST 2 VIEWS	$21	$14.70	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$88.56 – $436
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $88.56 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT	$452	$316.40	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: CAH RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$25	$17.50	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$381.78 – $2,588.75
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $1,250 Rocky Mountain — Medicaid: $381.78 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$2,821	$1,974.70	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: CAH MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$401	$280.70	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$510.78 – $1,990.25
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $850 Rocky Mountain — Medicaid: $510.78 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W/CONTRAST	$2,169	$1,518.30	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CAH CT PELVIS W/CONTRAST MATERIAL	$108	$75.60	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$381.78 – $2,588.75
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $1,250 Rocky Mountain — Medicaid: $381.78 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI LOWER JOINT UNILATERAL W/O CONTRAST	$2,821	$1,974.70	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: CAH MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$141	$98.70	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelvis w/contrast	Not listed in the file	Not listed in the file	$470.02 – $3,311.58
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $850 Rocky Mountain — Medicaid: $510.78 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN & PELVIS W/CONTRAST	$3,508	$2,455.60	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CAH CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$637	$445.90	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$263.05 – $788.50
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $263.05 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC ULTRASOUND ABDOMEN COMPLETE	$860	$602	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: CAH US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$75	$52.50	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$159.21 – $934.42
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $159.21 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREG 2ND/3RD TRIMESTER	$987	$690.90	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: CAH US CAHEG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$93	$65.10	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$58.23 – $786.60
Transvaginal ultrasound: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $173.61 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON-OB S&I	$857	$599.90	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: CAH US TRANSVAGINAL	$244	$170.80	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$74.60 – $350
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $350 Rocky Mountain — Medicaid: $74.60 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC DIAG MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$265	$185.50	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: CAH DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$76	$53.20	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$74.60 – $467.38
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $350 Rocky Mountain — Medicaid: $74.60 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC DIAG MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$498	$348.60	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: CAH DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$324	$226.80	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$22.80 – $350
Screening mammogram, both breasts: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $350 Rocky Mountain — Medicaid: $74.60 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC SCREEN MAMMO, UNILATERAL INCL CAD WHEN PERFORMED	$279	$195.30	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC SCREEN MAMMO, BILATERAL INCL CAD WHEN PERFORMED	$351	$245.70	Not listed in the file

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) In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$39.96 – $400.63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $56.32 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC PT THERAPEUTIC EX PER 15 MIN	$115	$80.50	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC OT THERAPEUTIC EX PER 15 MIN	$115	$80.50	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$79.51 – $371.15
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates Rocky Mountain — Medicaid: $371.15 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEXITY	$229	$160.30	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier KX In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$371.15
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates Rocky Mountain — Medicaid: $371.15 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$95.40 – $371.15
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $371.15 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MODERATE COMPLEXITY	$275	$192.50	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier KX In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$371.15
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates Rocky Mountain — Medicaid: $371.15 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$123.23 – $371.15
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates Rocky Mountain — Medicaid: $371.15 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEXITY	$350	$245	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier KX In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$371.15
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates Rocky Mountain — Medicaid: $371.15 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$82.50 – $206.70
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $206.70 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYTX PT&/FAMILY 30 MINUTES	$449	$314.30	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier 59 In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$82.50 – $206.70
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $206.70 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$82.50 – $232.66
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $232.66 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC PSYTX, 45 MIN WITH PATIENT	$483	$338.10	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: CAH PSYCHOTHERAPY W/PATIENT 45 MINUTES	$206	$144.20	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$82.50 – $232.66
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $232.66 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC PSYTX, 60 MIN WITH PATIENT	$494	$345.80	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: CAH PSYCHOTHERAPY W/PATIENT 60 MINUTES	$304	$212.80	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$82.50 – $401.24
Group psychotherapy: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $401.24 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC GROUP THERAPY	$440	$308	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier 59 In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$82.50 – $401.24
Group psychotherapy: 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $401.24 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)

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	Not listed in the file	Not listed in the file	$2,113.02 – $7,381.80
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $2,113.02 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: CAH EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$1,046	$732.20	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$7,497 – $35,077.80
Total hip replacement: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $15,019.73 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: CAH ARTHRP ACETBLR/CAHOX FEM CAHOSTC AGRFT/ALGRFT	$2,547	$1,782.90	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 80 In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$15,019.73
Total hip replacement: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $15,019.73 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$15,019.73
Total knee replacement: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $15,019.73 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: CAH ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,585	$1,809.50	Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 80 In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$15,019.73
Total knee replacement: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $15,019.73 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$1,273 – $3,457.83
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $3,457.83 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: CAH SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$334	$233.80	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$3,447 – $13,048.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $3,457.83 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: CAH ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,096	$767.20	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$345.60 – $2,148
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,600.21 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: CAH ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$585	$409.50	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$547.20 – $3,720
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,600.21 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: CAH EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$766	$536.20	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,179.36 – $3,762
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,590.13 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: CAH COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$687	$480.90	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 33 In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,304.64 – $4,480.39
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,590.13 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$892.08 – $4,126.80
Colonoscopy with biopsy: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,590.13 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: CAH COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$879	$615.30	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 33 In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,313.28 – $4,405.50
Colonoscopy with biopsy: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,590.13 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,457.97 – $6,062.40
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,590.13 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: CAH COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$916	$641.20	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 33 In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,504.80 – $5,305.23
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,590.13 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$82.50 – $1,590.13
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Rocky Mountain — Commercial: $82.50 Rocky Mountain — Medicaid: $1,590.13 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$5,517.90 – $18,190
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $5,791.40 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: CAH LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,304	$912.80	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$4,481.23 – $5,831.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $5,831.47 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: CAH RCAH 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,038	$726.60	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: CAH HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$2,705	$1,893.50	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$875.52 – $2,310.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,215.22 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC INJ DX/THER INTRALAMINAR LUMBAR/SACRAL W/IMAGING	$2,518	$1,762.60	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: CAH NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$527	$368.90	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$592.56 – $1,646
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $1,215.22 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJ ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$1,704	$1,192.80	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJ ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL BILAT	$2,885	$2,019.50	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,152.36 – $22,957.84
Carpal tunnel release: 10 of 15 insurance plan rates Rocky Mountain — Medicaid: $2,168.38 Aetna — Commercial: 93% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 36% (a percentage in the contract, not a dollar amount) Anthem — Commercial: 78.11% (a percentage in the contract, not a dollar amount) Anthem — Medicare: 36% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 90% (a percentage in the contract, not a dollar amount) Cigna — Medicare: 36.72% (a percentage in the contract, not a dollar amount) Health Net Federal Services — Tricare: 36% (a percentage in the contract, not a dollar amount) Humana — Medicare: 36.36% (a percentage in the contract, not a dollar amount) Kaiser Permanente — Commercial: 95% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$3,549	$2,484.30	Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CAH NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$909	$636.30	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: CAH OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,774	$3,341.80	Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CAH OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$5,292	$3,704.40	Not listed in the file

Source: Family Health West Hospital’s standard charges file (fhw.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 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	Critical Access Hospital
Address	300 W Ottley Ave, Fruita, CO 81521
County	Mesa County
State	Colorado
Phone	(970) 858‑9871
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	061302
Name in Medicare records	FAMILY HEALTH WEST HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(970) 858‑3900^[4]
Name on the hospital’s website	Family Health West
Official website	fhw.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Family Health West — fhw.org
Emergency Department - Family Health West — fhw.org
Radiology & Imaging - Family Health West — fhw.org
Urgent Care Clinic | Family Health West — fhw.org
Hospital Rehabilitation | Family Health West — fhw.org
Lab Services - Family Health West — fhw.org

Family Health West Hospital

Summary

Profile from official sources

At a glance