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Critical Access Hospital

Middle Park Medical Center

Kremmling, Colorado · Grand County · Emergency services listed

Summary

Middle Park Medical Center is a critical access hospital in Kremmling, Colorado. Medicare data lists emergency services. Its official website lists 23 services, specialties and programs. Medicare lists 114 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
23Services listed

Quick answers

Does Middle Park Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Middle Park Medical Center. In a medical emergency, call 911.
Where is Middle Park Medical Center?
214 S 4th St, Kremmling, CO 80459, in Grand County, Colorado.
What is the phone number of Middle Park Medical Center?
(970) 724-3442, as listed by Medicare (CMS).
What is the Medicare star rating of Middle Park Medical Center?
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[4][5][6]

Treatments[4][5]

Procedures[4][5]

  • X-ray imaging
  • CT imaging
  • Laboratory testing

Programs and centers[6]

  • Colorado Pediatric Preparedness for the Emergency Room (COPPER) Pediatric Advanced Designation

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

Patient portalMyChart

Recognition[4][5][6][7]

  • Critical Access Hospital
  • Level IV Trauma Center
  • COPPER Pediatric Advanced Designation (Colorado Pediatric Preparedness for the ER)
  • Press Ganey Guardian of Excellence Award for Patient Experience (Emergency Department; 2019, 2022, 2023, 2024)

Doctors and clinicians (114)

114 doctors and other clinicians list Middle Park Medical Center 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

Doctors with a page on this site (114)

And 90 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

Clinics and urgent care

Assisted living nearby

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

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

What patients said (patient survey)

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

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo 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 replacementToo 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 attackNot reported to Medicare
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo 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.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)132 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Middle Park Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: HC URGENT LEVEL 3 NEW PT $440.23 $352.19 $368.03 – $418.22
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $418.22
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $374.20
  • Cigna — All Plans: $396.21
  • Denver Medical Health Plan — Elevate Only: $374.20
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $374.20
  • Humana — All Plans: $396.21
  • Kaiser — Colorado Commercial PPO: $418.22
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $374.20
  • United Healthcare — All Plans: $368.03
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CLINIC NEW PATIENT-DETAIL $329.61 $263.69 $275.55 – $313.13
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $313.13
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $280.17
  • Cigna — All Plans: $296.65
  • Denver Medical Health Plan — Elevate Only: $280.17
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $280.17
  • Humana — All Plans: $296.65
  • Kaiser — Colorado Commercial PPO: $313.13
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $280.17
  • United Healthcare — All Plans: $275.55
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $81.93 – $135.18
New patient office visit (about 30–44 minutes): rates for 4 insurance plans
  • Aetna — Medicare Advantage: $110.61
  • Humana — Medicare Advantage: $81.93
  • Kaiser — Medicare PPO: $135.18
  • United Healthcare — Medicare Advantage: $81.93
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: HC URGENT LEVEL 4 NEW PT $520.27 $416.22 $434.95 – $494.26
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $494.26
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $442.23
  • Cigna — All Plans: $468.24
  • Denver Medical Health Plan — Elevate Only: $442.23
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $442.23
  • Humana — All Plans: $468.24
  • Kaiser — Colorado Commercial PPO: $494.26
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $442.23
  • United Healthcare — All Plans: $434.95
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CLINIC NEW PATIENT-MODERA $536.94 $429.56 $448.88 – $510.09
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $510.09
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $456.40
  • Cigna — All Plans: $483.25
  • Denver Medical Health Plan — Elevate Only: $456.40
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $456.40
  • Humana — All Plans: $483.25
  • Kaiser — Colorado Commercial PPO: $510.09
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $456.40
  • United Healthcare — All Plans: $448.88
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $133.46 – $220.21
New patient office visit (about 45–59 minutes): rates for 4 insurance plans
  • Aetna — Medicare Advantage: $180.17
  • Humana — Medicare Advantage: $133.46
  • Kaiser — Medicare PPO: $220.21
  • United Healthcare — Medicare Advantage: $133.46
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: HC URGENT LEVEL 5 NEW PT $630.85 $504.68 $527.39 – $599.31
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $599.31
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $536.22
  • Cigna — All Plans: $567.77
  • Denver Medical Health Plan — Elevate Only: $536.22
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $536.22
  • Humana — All Plans: $567.77
  • Kaiser — Colorado Commercial PPO: $599.31
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $536.22
  • United Healthcare — All Plans: $527.39
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CLINIC NEW PATIENT-COMPLX $730.43 $584.35 $610.64 – $693.91
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $693.91
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $620.87
  • Cigna — All Plans: $657.39
  • Denver Medical Health Plan — Elevate Only: $620.87
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $620.87
  • Humana — All Plans: $657.39
  • Kaiser — Colorado Commercial PPO: $693.91
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $620.87
  • United Healthcare — All Plans: $610.64
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $181.55 – $299.56
New patient office visit (about 60–74 minutes): rates for 4 insurance plans
  • Aetna — Medicare Advantage: $245.09
  • Humana — Medicare Advantage: $181.55
  • Kaiser — Medicare PPO: $299.56
  • United Healthcare — Medicare Advantage: $181.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: HC URGENT LEVEL 3 E & M $240.12 $192.10 $200.74 – $228.11
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $228.11
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $204.10
  • Cigna — All Plans: $216.11
  • Denver Medical Health Plan — Elevate Only: $204.10
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $204.10
  • Humana — All Plans: $216.11
  • Kaiser — Colorado Commercial PPO: $228.11
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $204.10
  • United Healthcare — All Plans: $200.74
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: HC OBSERVATION-DETAILED $265.52 $212.42 $221.97 – $252.24
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $252.24
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $225.69
  • Cigna — All Plans: $238.97
  • Denver Medical Health Plan — Elevate Only: $225.69
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $225.69
  • Humana — All Plans: $238.97
  • Kaiser — Colorado Commercial PPO: $252.24
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $225.69
  • United Healthcare — All Plans: $221.97
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file $66 – $108.90
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans
  • Aetna — Medicare Advantage: $89.10
  • Humana — Medicare Advantage: $66
  • Kaiser — Medicare PPO: $108.90
  • United Healthcare — Medicare Advantage: $66
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC URGENT LEVEL 4 E & M $319.11 $255.29 $266.78 – $303.15
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $303.15
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $271.24
  • Cigna — All Plans: $287.20
  • Denver Medical Health Plan — Elevate Only: $271.24
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $271.24
  • Humana — All Plans: $287.20
  • Kaiser — Colorado Commercial PPO: $303.15
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $271.24
  • United Healthcare — All Plans: $266.78
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC OUTPATIENT VISIT-MODERATE $391.74 $313.40 $327.49 – $372.15
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $372.15
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $332.98
  • Cigna — All Plans: $352.57
  • Denver Medical Health Plan — Elevate Only: $332.98
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $332.98
  • Humana — All Plans: $352.57
  • Kaiser — Colorado Commercial PPO: $372.15
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $332.98
  • United Healthcare — All Plans: $327.49
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file $97.37 – $160.66
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • Aetna — Medicare Advantage: $131.45
  • Humana — Medicare Advantage: $97.37
  • Kaiser — Medicare PPO: $160.66
  • United Healthcare — Medicare Advantage: $97.37
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: HC OUTPATIENT CONSULT DETAIL $315.95 $252.76 $264.13 – $300.15
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $300.15
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $268.56
  • Cigna — All Plans: $284.36
  • Denver Medical Health Plan — Elevate Only: $268.56
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $268.56
  • Humana — All Plans: $284.36
  • Kaiser — Colorado Commercial PPO: $300.15
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $268.56
  • United Healthcare — All Plans: $264.13
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CONSULTATION DETAILED $324.38 $259.51 $271.18 – $308.16
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $308.16
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $275.72
  • Cigna — All Plans: $291.94
  • Denver Medical Health Plan — Elevate Only: $275.72
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $275.72
  • Humana — All Plans: $291.94
  • Kaiser — Colorado Commercial PPO: $308.16
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $275.72
  • United Healthcare — All Plans: $271.18
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL III $1,002.09 $801.68 $430.90 – $951.99
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $951.99
  • Aetna — Medicare Advantage: $430.90
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $888.85
  • Anthem Blue Cross — Medicare Advantage: $430.90
  • Cigna — All Plans: $901.88
  • CMS Medicare — Medicare PPO: $430.90
  • Denver Medical Health Plan — Elevate Only: $851.78
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $851.78
  • Humana — All Plans: $901.88
  • Humana — Medicare Advantage: $430.90
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: HC EMERGENCY DEPARTMENT VISIT LOW MDM $463.40 $370.72 $387.40 – $440.23
Emergency room visit (moderate): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $440.23
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $411.04
  • Cigna — All Plans: $417.06
  • Denver Medical Health Plan — Elevate Only: $393.89
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $393.89
  • Humana — All Plans: $417.06
  • Kaiser — Colorado Commercial PPO: $440.23
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $393.89
  • United Healthcare — All Plans: $387.40
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL III $1,002.09 $801.68 $837.75 – $951.99
Emergency room visit (moderate): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $951.99
  • Cigna — All Plans: $901.88
  • Denver Medical Health Plan — Elevate Only: $851.78
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $851.78
  • Humana — All Plans: $901.88
  • Kaiser — Colorado Commercial PPO: $951.99
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $851.78
  • United Healthcare — All Plans: $837.75
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL IV $2,000.98 $1,600.79 $860.42 – $1,900.93
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,900.93
  • Aetna — Medicare Advantage: $860.42
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,774.87
  • Anthem Blue Cross — Medicare Advantage: $860.42
  • Cigna — All Plans: $1,800.88
  • CMS Medicare — Medicare PPO: $860.42
  • Denver Medical Health Plan — Elevate Only: $1,700.83
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,700.83
  • Humana — All Plans: $1,800.88
  • Humana — Medicare Advantage: $860.42
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: HC EMERGENCY DEPARTMENT VISIT MODERATE MDM $617.16 $493.73 $515.95 – $586.30
Emergency room visit (moderately high): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $586.30
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $547.42
  • Cigna — All Plans: $555.44
  • Denver Medical Health Plan — Elevate Only: $524.59
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $524.59
  • Humana — All Plans: $555.44
  • Kaiser — Colorado Commercial PPO: $586.30
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $524.59
  • United Healthcare — All Plans: $515.95
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL IV $2,000.98 $1,600.79 $1,672.82 – $1,900.93
Emergency room visit (moderately high): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $1,900.93
  • Cigna — All Plans: $1,800.88
  • Denver Medical Health Plan — Elevate Only: $1,700.83
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,700.83
  • Humana — All Plans: $1,800.88
  • Kaiser — Colorado Commercial PPO: $1,900.93
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,700.83
  • United Healthcare — All Plans: $1,672.82
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL V $2,998.80 $2,399.04 $1,289.48 – $2,848.86
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,848.86
  • Aetna — Medicare Advantage: $1,289.48
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,659.94
  • Anthem Blue Cross — Medicare Advantage: $1,289.48
  • Cigna — All Plans: $2,698.92
  • CMS Medicare — Medicare PPO: $1,289.48
  • Denver Medical Health Plan — Elevate Only: $2,548.98
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,548.98
  • Humana — All Plans: $2,698.92
  • Humana — Medicare Advantage: $1,289.48
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: HC EMERGENCY DEPARTMENT VISIT HIGH MDM $694.04 $555.24 $580.22 – $659.34
Emergency room visit (high): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $659.34
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $615.61
  • Cigna — All Plans: $624.64
  • Denver Medical Health Plan — Elevate Only: $589.93
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $589.93
  • Humana — All Plans: $624.64
  • Kaiser — Colorado Commercial PPO: $659.34
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $589.93
  • United Healthcare — All Plans: $580.22
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL V $2,998.80 $2,399.04 $2,507 – $2,848.86
Emergency room visit (high): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $2,848.86
  • Cigna — All Plans: $2,698.92
  • Denver Medical Health Plan — Elevate Only: $2,548.98
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,548.98
  • Humana — All Plans: $2,698.92
  • Kaiser — Colorado Commercial PPO: $2,848.86
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $2,548.98
  • United Healthcare — All Plans: $2,507

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $90.95 $72.76 $39.11 – $86.40
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $86.40
  • Aetna — Medicare Advantage: $39.11
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $77.31
  • Anthem Blue Cross — Medicare Advantage: $39.11
  • Cigna — All Plans: $81.86
  • CMS Medicare — Medicare PPO: $39.11
  • Denver Medical Health Plan — Elevate Only: $77.31
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $77.31
  • Humana — All Plans: $81.86
  • Humana — Medicare Advantage: $39.11
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $90.95 $72.76 $76.03 – $86.40
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $86.40
  • Cigna — All Plans: $81.86
  • Denver Medical Health Plan — Elevate Only: $77.31
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $77.31
  • Humana — All Plans: $81.86
  • Kaiser — Colorado Commercial PPO: $86.40
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $77.31
  • United Healthcare — All Plans: $76.03
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $222.68 $178.15 $95.75 – $211.55
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $211.55
  • Aetna — Medicare Advantage: $95.75
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $189.28
  • Anthem Blue Cross — Medicare Advantage: $95.75
  • Cigna — All Plans: $200.41
  • CMS Medicare — Medicare PPO: $95.75
  • Denver Medical Health Plan — Elevate Only: $189.28
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $189.28
  • Humana — All Plans: $200.41
  • Humana — Medicare Advantage: $95.75
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $222.68 $178.15 $186.16 – $211.55
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $211.55
  • Cigna — All Plans: $200.41
  • Denver Medical Health Plan — Elevate Only: $189.28
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $189.28
  • Humana — All Plans: $200.41
  • Kaiser — Colorado Commercial PPO: $211.55
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $189.28
  • United Healthcare — All Plans: $186.16
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $514.36 $411.49 $221.17 – $488.64
Obstetric blood test panel: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $488.64
  • Aetna — Medicare Advantage: $221.17
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $437.21
  • Anthem Blue Cross — Medicare Advantage: $221.17
  • Cigna — All Plans: $462.92
  • CMS Medicare — Medicare PPO: $221.17
  • Denver Medical Health Plan — Elevate Only: $437.21
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $437.21
  • Humana — All Plans: $462.92
  • Humana — Medicare Advantage: $221.17
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $514.36 $411.49 $430 – $488.64
Obstetric blood test panel: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $488.64
  • Cigna — All Plans: $462.92
  • Denver Medical Health Plan — Elevate Only: $437.21
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $437.21
  • Humana — All Plans: $462.92
  • Kaiser — Colorado Commercial PPO: $488.64
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $437.21
  • United Healthcare — All Plans: $430
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $159.95 $127.96 $68.78 – $151.95
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $151.95
  • Aetna — Medicare Advantage: $68.78
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $135.96
  • Anthem Blue Cross — Medicare Advantage: $68.78
  • Cigna — All Plans: $143.96
  • CMS Medicare — Medicare PPO: $68.78
  • Denver Medical Health Plan — Elevate Only: $135.96
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $135.96
  • Humana — All Plans: $143.96
  • Humana — Medicare Advantage: $68.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL $159.95 $127.96 $133.72 – $151.95
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $151.95
  • Cigna — All Plans: $143.96
  • Denver Medical Health Plan — Elevate Only: $135.96
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $135.96
  • Humana — All Plans: $143.96
  • Kaiser — Colorado Commercial PPO: $151.95
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $135.96
  • United Healthcare — All Plans: $133.72
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $93.05 $74.44 $40.01 – $88.40
Kidney function panel: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $88.40
  • Aetna — Medicare Advantage: $40.01
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $79.09
  • Anthem Blue Cross — Medicare Advantage: $40.01
  • Cigna — All Plans: $83.75
  • CMS Medicare — Medicare PPO: $40.01
  • Denver Medical Health Plan — Elevate Only: $79.09
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $79.09
  • Humana — All Plans: $83.75
  • Humana — Medicare Advantage: $40.01
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $93.05 $74.44 $77.79 – $88.40
Kidney function panel: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $88.40
  • Cigna — All Plans: $83.75
  • Denver Medical Health Plan — Elevate Only: $79.09
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $79.09
  • Humana — All Plans: $83.75
  • Kaiser — Colorado Commercial PPO: $88.40
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $79.09
  • United Healthcare — All Plans: $77.79
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $513.32 $410.66 $220.73 – $487.65
Liver function panel: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $487.65
  • Aetna — Medicare Advantage: $220.73
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $436.32
  • Anthem Blue Cross — Medicare Advantage: $220.73
  • Cigna — All Plans: $461.99
  • CMS Medicare — Medicare PPO: $220.73
  • Denver Medical Health Plan — Elevate Only: $436.32
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $436.32
  • Humana — All Plans: $461.99
  • Humana — Medicare Advantage: $220.73
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $513.32 $410.66 $429.14 – $487.65
Liver function panel: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $487.65
  • Cigna — All Plans: $461.99
  • Denver Medical Health Plan — Elevate Only: $436.32
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $436.32
  • Humana — All Plans: $461.99
  • Kaiser — Colorado Commercial PPO: $487.65
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $436.32
  • United Healthcare — All Plans: $429.14
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W SCOPE $34.50 $27.60 $14.84 – $32.78
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $32.78
  • Aetna — Medicare Advantage: $14.84
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $29.33
  • Anthem Blue Cross — Medicare Advantage: $14.84
  • Cigna — All Plans: $31.05
  • CMS Medicare — Medicare PPO: $14.84
  • Denver Medical Health Plan — Elevate Only: $29.33
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $29.33
  • Humana — All Plans: $31.05
  • Humana — Medicare Advantage: $14.84
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W SCOPE $34.50 $27.60 $28.84 – $32.78
Urine test (automated, with microscope): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $32.78
  • Cigna — All Plans: $31.05
  • Denver Medical Health Plan — Elevate Only: $29.33
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $29.33
  • Humana — All Plans: $31.05
  • Kaiser — Colorado Commercial PPO: $32.78
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $29.33
  • United Healthcare — All Plans: $28.84
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE $37.64 $30.12 $16.19 – $35.76
Urine test (manual, without microscope): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $35.76
  • Aetna — Medicare Advantage: $16.19
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $31.99
  • Anthem Blue Cross — Medicare Advantage: $16.19
  • Cigna — All Plans: $33.88
  • CMS Medicare — Medicare PPO: $16.19
  • Denver Medical Health Plan — Elevate Only: $31.99
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $31.99
  • Humana — All Plans: $33.88
  • Humana — Medicare Advantage: $16.19
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE $37.64 $30.12 $31.47 – $35.76
Urine test (manual, without microscope): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $35.76
  • Cigna — All Plans: $33.88
  • Denver Medical Health Plan — Elevate Only: $31.99
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $31.99
  • Humana — All Plans: $33.88
  • Kaiser — Colorado Commercial PPO: $35.76
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $31.99
  • United Healthcare — All Plans: $31.47
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $24.05 $19.24 $10.34 – $22.85
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $22.85
  • Aetna — Medicare Advantage: $10.34
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $20.44
  • Anthem Blue Cross — Medicare Advantage: $10.34
  • Cigna — All Plans: $21.65
  • CMS Medicare — Medicare PPO: $10.34
  • Denver Medical Health Plan — Elevate Only: $20.44
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $20.44
  • Humana — All Plans: $21.65
  • Humana — Medicare Advantage: $10.34
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $24.05 $19.24 $20.11 – $22.85
Urine test (automated, without microscope): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $22.85
  • Cigna — All Plans: $21.65
  • Denver Medical Health Plan — Elevate Only: $20.44
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $20.44
  • Humana — All Plans: $21.65
  • Kaiser — Colorado Commercial PPO: $22.85
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $20.44
  • United Healthcare — All Plans: $20.11
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN(PSA) $197.59 $158.08 $84.96 – $187.71
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $187.71
  • Aetna — Medicare Advantage: $84.96
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $167.95
  • Anthem Blue Cross — Medicare Advantage: $84.96
  • Cigna — All Plans: $177.83
  • CMS Medicare — Medicare PPO: $84.96
  • Denver Medical Health Plan — Elevate Only: $167.95
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $167.95
  • Humana — All Plans: $177.83
  • Humana — Medicare Advantage: $84.96
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN(PSA) $197.59 $158.08 $165.19 – $187.71
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $187.71
  • Cigna — All Plans: $177.83
  • Denver Medical Health Plan — Elevate Only: $167.95
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $167.95
  • Humana — All Plans: $177.83
  • Kaiser — Colorado Commercial PPO: $187.71
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $167.95
  • United Healthcare — All Plans: $165.19
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $180.86 $144.69 $77.77 – $171.82
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $171.82
  • Aetna — Medicare Advantage: $77.77
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $153.73
  • Anthem Blue Cross — Medicare Advantage: $77.77
  • Cigna — All Plans: $162.77
  • CMS Medicare — Medicare PPO: $77.77
  • Denver Medical Health Plan — Elevate Only: $153.73
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $153.73
  • Humana — All Plans: $162.77
  • Humana — Medicare Advantage: $77.77
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $180.86 $144.69 $151.20 – $171.82
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $171.82
  • Cigna — All Plans: $162.77
  • Denver Medical Health Plan — Elevate Only: $153.73
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $153.73
  • Humana — All Plans: $162.77
  • Kaiser — Colorado Commercial PPO: $171.82
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $153.73
  • United Healthcare — All Plans: $151.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF $99.32 $79.46 $42.71 – $94.35
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $94.35
  • Aetna — Medicare Advantage: $42.71
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $84.42
  • Anthem Blue Cross — Medicare Advantage: $42.71
  • Cigna — All Plans: $89.39
  • CMS Medicare — Medicare PPO: $42.71
  • Denver Medical Health Plan — Elevate Only: $84.42
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $84.42
  • Humana — All Plans: $89.39
  • Humana — Medicare Advantage: $42.71
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF $99.32 $79.46 $83.03 – $94.35
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $94.35
  • Cigna — All Plans: $89.39
  • Denver Medical Health Plan — Elevate Only: $84.42
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $84.42
  • Humana — All Plans: $89.39
  • Kaiser — Colorado Commercial PPO: $94.35
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $84.42
  • United Healthcare — All Plans: $83.03
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC PLT AUTO NO DIFF $70.05 $56.04 $30.12 – $66.55
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $66.55
  • Aetna — Medicare Advantage: $30.12
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $59.54
  • Anthem Blue Cross — Medicare Advantage: $30.12
  • Cigna — All Plans: $63.05
  • CMS Medicare — Medicare PPO: $30.12
  • Denver Medical Health Plan — Elevate Only: $59.54
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $59.54
  • Humana — All Plans: $63.05
  • Humana — Medicare Advantage: $30.12
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC PLT AUTO NO DIFF $70.05 $56.04 $58.56 – $66.55
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $66.55
  • Cigna — All Plans: $63.05
  • Denver Medical Health Plan — Elevate Only: $59.54
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $59.54
  • Humana — All Plans: $63.05
  • Kaiser — Colorado Commercial PPO: $66.55
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $59.54
  • United Healthcare — All Plans: $58.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $46 $36.80 $19.78 – $43.70
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $43.70
  • Aetna — Medicare Advantage: $19.78
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $39.10
  • Anthem Blue Cross — Medicare Advantage: $19.78
  • Cigna — All Plans: $41.40
  • CMS Medicare — Medicare PPO: $19.78
  • Denver Medical Health Plan — Elevate Only: $39.10
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $39.10
  • Humana — All Plans: $41.40
  • Humana — Medicare Advantage: $19.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $46 $36.80 $38.46 – $43.70
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $43.70
  • Cigna — All Plans: $41.40
  • Denver Medical Health Plan — Elevate Only: $39.10
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $39.10
  • Humana — All Plans: $41.40
  • Kaiser — Colorado Commercial PPO: $43.70
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $39.10
  • United Healthcare — All Plans: $38.46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME APTT $64.82 $51.86 $27.87 – $61.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $61.58
  • Aetna — Medicare Advantage: $27.87
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $55.10
  • Anthem Blue Cross — Medicare Advantage: $27.87
  • Cigna — All Plans: $58.34
  • CMS Medicare — Medicare PPO: $27.87
  • Denver Medical Health Plan — Elevate Only: $55.10
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $55.10
  • Humana — All Plans: $58.34
  • Humana — Medicare Advantage: $27.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME APTT $64.82 $51.86 $54.19 – $61.58
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $61.58
  • Cigna — All Plans: $58.34
  • Denver Medical Health Plan — Elevate Only: $55.10
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $55.10
  • Humana — All Plans: $58.34
  • Kaiser — Colorado Commercial PPO: $61.58
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $55.10
  • United Healthcare — All Plans: $54.19

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD W/O CONTRAST $1,377.38 $1,101.91 $592.27 – $1,308.51
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,308.51
  • Aetna — Medicare Advantage: $592.27
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,170.77
  • Anthem Blue Cross — Medicare Advantage: $592.27
  • Cigna — All Plans: $1,239.64
  • CMS Medicare — Medicare PPO: $592.27
  • Denver Medical Health Plan — Elevate Only: $1,170.77
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,170.77
  • Humana — All Plans: $1,239.64
  • Humana — Medicare Advantage: $592.27
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD W/O CONTRAST $1,377.38 $1,101.91 $1,151.49 – $1,308.51
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $1,308.51
  • Cigna — All Plans: $1,239.64
  • Denver Medical Health Plan — Elevate Only: $1,170.77
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,170.77
  • Humana — All Plans: $1,239.64
  • Kaiser — Colorado Commercial PPO: $1,308.51
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,170.77
  • United Healthcare — All Plans: $1,151.49
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & W/O CONTRAST $3,997.18 $3,197.75 $1,718.79 – $3,797.32
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,797.32
  • Aetna — Medicare Advantage: $1,718.79
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $3,397.60
  • Anthem Blue Cross — Medicare Advantage: $1,718.79
  • Cigna — All Plans: $3,597.46
  • CMS Medicare — Medicare PPO: $1,718.79
  • Denver Medical Health Plan — Elevate Only: $3,397.60
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $3,397.60
  • Humana — All Plans: $3,597.46
  • Humana — Medicare Advantage: $1,718.79
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & W/O CONTRAST $3,997.18 $3,197.75 $3,341.64 – $3,797.32
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $3,797.32
  • Cigna — All Plans: $3,597.46
  • Denver Medical Health Plan — Elevate Only: $3,397.60
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $3,397.60
  • Humana — All Plans: $3,597.46
  • Kaiser — Colorado Commercial PPO: $3,797.32
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $3,397.60
  • United Healthcare — All Plans: $3,341.64
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $387.51 $310.01 $166.63 – $368.13
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $368.13
  • Aetna — Medicare Advantage: $166.63
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $329.38
  • Anthem Blue Cross — Medicare Advantage: $166.63
  • Cigna — All Plans: $348.76
  • CMS Medicare — Medicare PPO: $166.63
  • Denver Medical Health Plan — Elevate Only: $329.38
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $329.38
  • Humana — All Plans: $348.76
  • Humana — Medicare Advantage: $166.63
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEW EMPLOYEE HEALTH $387.51 $310.01 $166.63 – $368.13
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $368.13
  • Aetna — Medicare Advantage: $166.63
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $329.38
  • Anthem Blue Cross — Medicare Advantage: $166.63
  • Cigna — All Plans: $348.76
  • CMS Medicare — Medicare PPO: $166.63
  • Denver Medical Health Plan — Elevate Only: $329.38
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $329.38
  • Humana — All Plans: $348.76
  • Humana — Medicare Advantage: $166.63
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $387.51 $310.01 $323.96 – $368.13
Chest X-ray, 2 views: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $368.13
  • Cigna — All Plans: $348.76
  • Denver Medical Health Plan — Elevate Only: $329.38
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $329.38
  • Humana — All Plans: $348.76
  • Kaiser — Colorado Commercial PPO: $368.13
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $329.38
  • United Healthcare — All Plans: $323.96
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR SPINE LUMBAR MIN 4 VIEW $575.11 $460.09 $247.30 – $546.35
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $546.35
  • Aetna — Medicare Advantage: $247.30
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $488.84
  • Anthem Blue Cross — Medicare Advantage: $247.30
  • Cigna — All Plans: $517.60
  • CMS Medicare — Medicare PPO: $247.30
  • Denver Medical Health Plan — Elevate Only: $488.84
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $488.84
  • Humana — All Plans: $517.60
  • Humana — Medicare Advantage: $247.30
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR SPINE LUMBAR MIN 4 VIEW $575.11 $460.09 $480.79 – $546.35
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $546.35
  • Cigna — All Plans: $517.60
  • Denver Medical Health Plan — Elevate Only: $488.84
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $488.84
  • Humana — All Plans: $517.60
  • Kaiser — Colorado Commercial PPO: $546.35
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $488.84
  • United Healthcare — All Plans: $480.79
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $2,379.76 $1,903.81 $1,023.30 – $2,260.77
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,260.77
  • Aetna — Medicare Advantage: $1,023.30
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,022.80
  • Anthem Blue Cross — Medicare Advantage: $1,023.30
  • Cigna — All Plans: $2,141.78
  • CMS Medicare — Medicare PPO: $1,023.30
  • Denver Medical Health Plan — Elevate Only: $2,022.80
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,022.80
  • Humana — All Plans: $2,141.78
  • Humana — Medicare Advantage: $1,023.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $2,379.76 $1,903.81 $1,989.48 – $2,260.77
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $2,260.77
  • Cigna — All Plans: $2,141.78
  • Denver Medical Health Plan — Elevate Only: $2,022.80
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,022.80
  • Humana — All Plans: $2,141.78
  • Kaiser — Colorado Commercial PPO: $2,260.77
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $2,022.80
  • United Healthcare — All Plans: $1,989.48
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,917.53 $2,334.03 $1,254.54 – $2,771.65
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,771.65
  • Aetna — Medicare Advantage: $1,254.54
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,479.90
  • Anthem Blue Cross — Medicare Advantage: $1,254.54
  • Cigna — All Plans: $2,625.78
  • CMS Medicare — Medicare PPO: $1,254.54
  • Denver Medical Health Plan — Elevate Only: $2,479.90
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,479.90
  • Humana — All Plans: $2,625.78
  • Humana — Medicare Advantage: $1,254.54
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,917.53 $2,334.03 $2,439.06 – $2,771.65
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $2,771.65
  • Cigna — All Plans: $2,625.78
  • Denver Medical Health Plan — Elevate Only: $2,479.90
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,479.90
  • Humana — All Plans: $2,625.78
  • Kaiser — Colorado Commercial PPO: $2,771.65
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $2,479.90
  • United Healthcare — All Plans: $2,439.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI EXTR LOW JOINT W/O CONT $2,507.51 $2,006.01 $1,078.23 – $2,382.13
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,382.13
  • Aetna — Medicare Advantage: $1,078.23
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,131.38
  • Anthem Blue Cross — Medicare Advantage: $1,078.23
  • Cigna — All Plans: $2,256.76
  • CMS Medicare — Medicare PPO: $1,078.23
  • Denver Medical Health Plan — Elevate Only: $2,131.38
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,131.38
  • Humana — All Plans: $2,256.76
  • Humana — Medicare Advantage: $1,078.23
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI EXTR LOW JOINT W/O CONT $2,507.51 $2,006.01 $2,096.28 – $2,382.13
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $2,382.13
  • Cigna — All Plans: $2,256.76
  • Denver Medical Health Plan — Elevate Only: $2,131.38
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,131.38
  • Humana — All Plans: $2,256.76
  • Kaiser — Colorado Commercial PPO: $2,382.13
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $2,131.38
  • United Healthcare — All Plans: $2,096.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD PELVIS W CONTRAST $3,913.73 $3,130.99 $1,682.90 – $3,718.04
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,718.04
  • Aetna — Medicare Advantage: $1,682.90
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $3,326.67
  • Anthem Blue Cross — Medicare Advantage: $1,682.90
  • Cigna — All Plans: $3,522.36
  • CMS Medicare — Medicare PPO: $1,682.90
  • Denver Medical Health Plan — Elevate Only: $3,326.67
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $3,326.67
  • Humana — All Plans: $3,522.36
  • Humana — Medicare Advantage: $1,682.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD PELVIS W CONTRAST $3,913.73 $3,130.99 $3,271.88 – $3,718.04
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $3,718.04
  • Cigna — All Plans: $3,522.36
  • Denver Medical Health Plan — Elevate Only: $3,326.67
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $3,326.67
  • Humana — All Plans: $3,522.36
  • Kaiser — Colorado Commercial PPO: $3,718.04
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $3,326.67
  • United Healthcare — All Plans: $3,271.88
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMINAL COMPLETE $980.75 $784.60 $421.72 – $931.71
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $931.71
  • Aetna — Medicare Advantage: $421.72
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $833.64
  • Anthem Blue Cross — Medicare Advantage: $421.72
  • Cigna — All Plans: $882.68
  • CMS Medicare — Medicare PPO: $421.72
  • Denver Medical Health Plan — Elevate Only: $833.64
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $833.64
  • Humana — All Plans: $882.68
  • Humana — Medicare Advantage: $421.72
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMINAL COMPLETE $980.75 $784.60 $819.91 – $931.71
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $931.71
  • Cigna — All Plans: $882.68
  • Denver Medical Health Plan — Elevate Only: $833.64
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $833.64
  • Humana — All Plans: $882.68
  • Kaiser — Colorado Commercial PPO: $931.71
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $833.64
  • United Healthcare — All Plans: $819.91
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG UTERUS >14WK TRANSAB $1,116.74 $893.40 $480.20 – $1,060.90
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,060.90
  • Aetna — Medicare Advantage: $480.20
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $949.23
  • Anthem Blue Cross — Medicare Advantage: $480.20
  • Cigna — All Plans: $1,005.07
  • CMS Medicare — Medicare PPO: $480.20
  • Denver Medical Health Plan — Elevate Only: $949.23
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $949.23
  • Humana — All Plans: $1,005.07
  • Humana — Medicare Advantage: $480.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREG UTERUS >14WK TRANSAB $1,116.74 $893.40 $933.59 – $1,060.90
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $1,060.90
  • Cigna — All Plans: $1,005.07
  • Denver Medical Health Plan — Elevate Only: $949.23
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $949.23
  • Humana — All Plans: $1,005.07
  • Kaiser — Colorado Commercial PPO: $1,060.90
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $949.23
  • United Healthcare — All Plans: $933.59
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB $982.81 $786.25 $422.61 – $933.67
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $933.67
  • Aetna — Medicare Advantage: $422.61
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $835.39
  • Anthem Blue Cross — Medicare Advantage: $422.61
  • Cigna — All Plans: $884.53
  • CMS Medicare — Medicare PPO: $422.61
  • Denver Medical Health Plan — Elevate Only: $835.39
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $835.39
  • Humana — All Plans: $884.53
  • Humana — Medicare Advantage: $422.61
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB $982.81 $786.25 $821.63 – $933.67
Transvaginal ultrasound: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $933.67
  • Cigna — All Plans: $884.53
  • Denver Medical Health Plan — Elevate Only: $835.39
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $835.39
  • Humana — All Plans: $884.53
  • Kaiser — Colorado Commercial PPO: $933.67
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $835.39
  • United Healthcare — All Plans: $821.63
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD UNILATERAL $453.49 $362.80 $195 – $430.82
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $430.82
  • Aetna — Medicare Advantage: $195
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $385.47
  • Anthem Blue Cross — Medicare Advantage: $195
  • Cigna — All Plans: $408.14
  • CMS Medicare — Medicare PPO: $195
  • Denver Medical Health Plan — Elevate Only: $385.47
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $385.47
  • Humana — All Plans: $408.14
  • Humana — Medicare Advantage: $195
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD UNILATERAL $454.97 $363.98 $380.35 – $432.22
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $432.22
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $386.72
  • Cigna — All Plans: $409.47
  • Denver Medical Health Plan — Elevate Only: $386.72
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $386.72
  • Humana — All Plans: $409.47
  • Kaiser — Colorado Commercial PPO: $432.22
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $386.72
  • United Healthcare — All Plans: $380.35
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD UNILATERAL $453.49 $362.80 $379.12 – $430.82
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $430.82
  • Cigna — All Plans: $408.14
  • Denver Medical Health Plan — Elevate Only: $385.47
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $385.47
  • Humana — All Plans: $408.14
  • Kaiser — Colorado Commercial PPO: $430.82
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $385.47
  • United Healthcare — All Plans: $379.12
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD BILATERAL $563.58 $450.87 $242.34 – $535.40
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $535.40
  • Aetna — Medicare Advantage: $242.34
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $479.04
  • Anthem Blue Cross — Medicare Advantage: $242.34
  • Cigna — All Plans: $507.22
  • CMS Medicare — Medicare PPO: $242.34
  • Denver Medical Health Plan — Elevate Only: $479.04
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $479.04
  • Humana — All Plans: $507.22
  • Humana — Medicare Advantage: $242.34
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD BILATERAL $572.93 $458.35 $478.97 – $544.28
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $544.28
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $486.99
  • Cigna — All Plans: $515.64
  • Denver Medical Health Plan — Elevate Only: $486.99
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $486.99
  • Humana — All Plans: $515.64
  • Kaiser — Colorado Commercial PPO: $544.28
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $486.99
  • United Healthcare — All Plans: $478.97
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD BILATERAL $563.58 $450.87 $471.15 – $535.40
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $535.40
  • Cigna — All Plans: $507.22
  • Denver Medical Health Plan — Elevate Only: $479.04
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $479.04
  • Humana — All Plans: $507.22
  • Kaiser — Colorado Commercial PPO: $535.40
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $479.04
  • United Healthcare — All Plans: $471.15
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING WITH OR WITHOUT CAD BILATERAL $410.06 $328.05 $176.33 – $389.56
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $389.56
  • Aetna — Medicare Advantage: $176.33
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $348.55
  • Anthem Blue Cross — Medicare Advantage: $176.33
  • Cigna — All Plans: $369.05
  • CMS Medicare — Medicare PPO: $176.33
  • Denver Medical Health Plan — Elevate Only: $348.55
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $348.55
  • Humana — All Plans: $369.05
  • Humana — Medicare Advantage: $176.33
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: HC MAMMOGRAM SCREENING WITH OR WITHOUT CAD BILATERAL $380.20 $304.16 $317.85 – $361.19
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $361.19
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $323.17
  • Cigna — All Plans: $342.18
  • Denver Medical Health Plan — Elevate Only: $323.17
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $323.17
  • Humana — All Plans: $342.18
  • Kaiser — Colorado Commercial PPO: $361.19
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $323.17
  • United Healthcare — All Plans: $317.85
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING WITH OR WITHOUT CAD BILATERAL $410.06 $328.05 $342.81 – $389.56
Screening mammogram, both breasts: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $389.56
  • Cigna — All Plans: $369.05
  • Denver Medical Health Plan — Elevate Only: $348.55
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $348.55
  • Humana — All Plans: $369.05
  • Kaiser — Colorado Commercial PPO: $389.56
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $348.55
  • United Healthcare — All Plans: $342.81

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ELECTROCARDIOGRAM (EKG/ECG) $202.63 $162.11 $87.13 – $192.50
Electrocardiogram (ECG/EKG) with reading: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $192.50
  • Aetna — Medicare Advantage: $87.13
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $172.24
  • Anthem Blue Cross — Medicare Advantage: $87.13
  • Cigna — All Plans: $182.37
  • CMS Medicare — Medicare PPO: $87.13
  • Denver Medical Health Plan — Elevate Only: $172.24
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $172.24
  • Humana — All Plans: $182.37
  • Humana — Medicare Advantage: $87.13
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ELECTROCARDIOGRAM (EKG/ECG) $202.63 $162.11 $169.40 – $192.50
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $192.50
  • Cigna — All Plans: $182.37
  • Denver Medical Health Plan — Elevate Only: $172.24
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $172.24
  • Humana — All Plans: $182.37
  • Kaiser — Colorado Commercial PPO: $192.50
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $172.24
  • United Healthcare — All Plans: $169.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 4+ PARAMETERS 6YRS/> $2,081.49 $1,665.20 $895.04 – $1,977.42
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,977.42
  • Aetna — Medicare Advantage: $895.04
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,769.27
  • Anthem Blue Cross — Medicare Advantage: $895.04
  • Cigna — All Plans: $1,873.34
  • CMS Medicare — Medicare PPO: $895.04
  • Denver Medical Health Plan — Elevate Only: $1,769.27
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,769.27
  • Humana — All Plans: $1,873.34
  • Humana — Medicare Advantage: $895.04
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 4+ PARAMETERS 6YRS/> $2,081.49 $1,665.20 $1,740.13 – $1,977.42
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $1,977.42
  • Cigna — All Plans: $1,873.34
  • Denver Medical Health Plan — Elevate Only: $1,769.27
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,769.27
  • Humana — All Plans: $1,873.34
  • Kaiser — Colorado Commercial PPO: $1,977.42
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,769.27
  • United Healthcare — All Plans: $1,740.13

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES EA 15 MIN $130.91 $104.73 $56.29 – $124.36
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $124.36
  • Aetna — Medicare Advantage: $56.29
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $111.27
  • Anthem Blue Cross — Medicare Advantage: $56.29
  • Cigna — All Plans: $117.82
  • CMS Medicare — Medicare PPO: $56.29
  • Denver Medical Health Plan — Elevate Only: $111.27
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $111.27
  • Humana — All Plans: $117.82
  • Humana — Medicare Advantage: $56.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXECISES EA15 MIN $130.91 $104.73 $56.29 – $124.36
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $124.36
  • Aetna — Medicare Advantage: $56.29
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $111.27
  • Anthem Blue Cross — Medicare Advantage: $56.29
  • Cigna — All Plans: $117.82
  • CMS Medicare — Medicare PPO: $56.29
  • Denver Medical Health Plan — Elevate Only: $111.27
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $111.27
  • Humana — All Plans: $117.82
  • Humana — Medicare Advantage: $56.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES EA 15 MIN $130.91 $104.73 $109.44 – $124.36
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $124.36
  • Cigna — All Plans: $117.82
  • Denver Medical Health Plan — Elevate Only: $111.27
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $111.27
  • Humana — All Plans: $117.82
  • Kaiser — Colorado Commercial PPO: $124.36
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $111.27
  • United Healthcare — All Plans: $109.44
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX $353.68 $282.95 $152.08 – $336
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $336
  • Aetna — Medicare Advantage: $152.08
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $300.63
  • Anthem Blue Cross — Medicare Advantage: $152.08
  • Cigna — All Plans: $318.31
  • CMS Medicare — Medicare PPO: $152.08
  • Denver Medical Health Plan — Elevate Only: $300.63
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $300.63
  • Humana — All Plans: $318.31
  • Humana — Medicare Advantage: $152.08
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX $353.68 $282.95 $295.68 – $336
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $336
  • Cigna — All Plans: $318.31
  • Denver Medical Health Plan — Elevate Only: $300.63
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $300.63
  • Humana — All Plans: $318.31
  • Kaiser — Colorado Commercial PPO: $336
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $300.63
  • United Healthcare — All Plans: $295.68
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX $353.68 $282.95 $152.08 – $336
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $336
  • Aetna — Medicare Advantage: $152.08
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $300.63
  • Anthem Blue Cross — Medicare Advantage: $152.08
  • Cigna — All Plans: $318.31
  • CMS Medicare — Medicare PPO: $152.08
  • Denver Medical Health Plan — Elevate Only: $300.63
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $300.63
  • Humana — All Plans: $318.31
  • Humana — Medicare Advantage: $152.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX $353.68 $282.95 $295.68 – $336
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $336
  • Cigna — All Plans: $318.31
  • Denver Medical Health Plan — Elevate Only: $300.63
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $300.63
  • Humana — All Plans: $318.31
  • Kaiser — Colorado Commercial PPO: $336
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $300.63
  • United Healthcare — All Plans: $295.68
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX $353.68 $282.95 $152.08 – $336
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $336
  • Aetna — Medicare Advantage: $152.08
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $300.63
  • Anthem Blue Cross — Medicare Advantage: $152.08
  • Cigna — All Plans: $318.31
  • CMS Medicare — Medicare PPO: $152.08
  • Denver Medical Health Plan — Elevate Only: $300.63
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $300.63
  • Humana — All Plans: $318.31
  • Humana — Medicare Advantage: $152.08
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX $353.68 $282.95 $295.68 – $336
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Aetna — HMO/PPO/POS: $336
  • Cigna — All Plans: $318.31
  • Denver Medical Health Plan — Elevate Only: $300.63
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $300.63
  • Humana — All Plans: $318.31
  • Kaiser — Colorado Commercial PPO: $336
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $300.63
  • United Healthcare — All Plans: $295.68
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $68.81 – $113.54
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $92.89
  • Humana — Medicare Advantage: $68.81
  • Kaiser — Medicare PPO: $113.54
  • United Healthcare — Medicare Advantage: $68.81
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $91.02 – $150.18
Psychotherapy, 45 minutes: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $122.88
  • Humana — Medicare Advantage: $91.02
  • Kaiser — Medicare PPO: $150.18
  • United Healthcare — Medicare Advantage: $91.02
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $134.33 – $221.64
Psychotherapy, 60 minutes: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $181.35
  • Humana — Medicare Advantage: $134.33
  • Kaiser — Medicare PPO: $221.64
  • United Healthcare — Medicare Advantage: $134.33
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $98.06 – $161.80
Family psychotherapy, without the patient: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $132.38
  • Humana — Medicare Advantage: $98.06
  • Kaiser — Medicare PPO: $161.80
  • United Healthcare — Medicare Advantage: $98.06
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $102.46 – $169.06
Family psychotherapy, with the patient: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $138.32
  • Humana — Medicare Advantage: $102.46
  • Kaiser — Medicare PPO: $169.06
  • United Healthcare — Medicare Advantage: $102.46
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $24.16 – $39.86
Group psychotherapy: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $32.62
  • Humana — Medicare Advantage: $24.16
  • Kaiser — Medicare PPO: $39.86
  • United Healthcare — Medicare Advantage: $24.16

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC EXCISE BREAST CYST $8,916.44 $7,133.16 $3,834.07 – $8,470.62
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $8,470.62
  • Aetna — Medicare Advantage: $3,834.07
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $7,578.97
  • Anthem Blue Cross — Medicare Advantage: $3,834.07
  • Cigna — All Plans: $8,024.80
  • CMS Medicare — Medicare PPO: $3,834.07
  • Denver Medical Health Plan — Elevate Only: $7,578.97
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $7,578.97
  • Humana — All Plans: $8,024.80
  • Humana — Medicare Advantage: $3,834.07
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC EXCISE BREAST CYST $8,916.44 $7,133.16 $5,355 – $8,470.62
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $8,470.62
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $6,687.33
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $8,024.80
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $7,578.97
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $7,578.97
  • Humana — All Plans: $8,024.80
  • Humana — Medicare Advantage: $7,011
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: HC REMOVE CYST BREAST $1,769.33 $1,415.47 $1,479.16 – $1,680.86
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $1,680.86
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,503.93
  • Cigna — All Plans: $1,592.40
  • Denver Medical Health Plan — Elevate Only: $1,503.93
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,503.93
  • Humana — All Plans: $1,592.40
  • Kaiser — Colorado Commercial PPO: $1,680.86
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,503.93
  • United Healthcare — All Plans: $1,479.16
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TOTAL HIP ARTHROPLASTY $25,191.83 $20,153.47 $10,832.49 – $23,932.24
Total hip replacement: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $23,932.24
  • Aetna — Medicare Advantage: $10,832.49
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $21,413.06
  • Anthem Blue Cross — Medicare Advantage: $10,832.49
  • Cigna — All Plans: $22,672.65
  • CMS Medicare — Medicare PPO: $10,832.49
  • Denver Medical Health Plan — Elevate Only: $21,413.06
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $21,413.06
  • Humana — All Plans: $22,672.65
  • Humana — Medicare Advantage: $10,832.49
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TOTAL HIP ARTHROPLASTY $25,191.83 $20,153.47 $5,355 – $23,932.24
Total hip replacement: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $23,932.24
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $18,893.87
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $22,672.65
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $21,413.06
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $21,413.06
  • Humana — All Plans: $22,672.65
  • Humana — Medicare Advantage: $7,011
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: HC TOTAL HIP ARTHROPLASTY $7,723.99 $6,179.20 $6,457.26 – $7,337.79
Total hip replacement: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $7,337.79
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $6,565.39
  • Cigna — All Plans: $6,951.59
  • Denver Medical Health Plan — Elevate Only: $6,565.39
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $6,565.39
  • Humana — All Plans: $6,951.59
  • Kaiser — Colorado Commercial PPO: $7,337.79
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $6,565.39
  • United Healthcare — All Plans: $6,457.26
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TOTAL KNEE ARTHROPLASTY $25,160.91 $20,128.73 $10,819.19 – $23,902.86
Total knee replacement: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $23,902.86
  • Aetna — Medicare Advantage: $10,819.19
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $21,386.77
  • Anthem Blue Cross — Medicare Advantage: $10,819.19
  • Cigna — All Plans: $22,644.82
  • CMS Medicare — Medicare PPO: $10,819.19
  • Denver Medical Health Plan — Elevate Only: $21,386.77
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $21,386.77
  • Humana — All Plans: $22,644.82
  • Humana — Medicare Advantage: $10,819.19
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TOTAL KNEE ARTHROPLASTY $25,160.91 $20,128.73 $5,355 – $23,902.86
Total knee replacement: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $23,902.86
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $18,870.68
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $22,644.82
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $21,386.77
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $21,386.77
  • Humana — All Plans: $22,644.82
  • Humana — Medicare Advantage: $7,011
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: HC TOTAL KNEE ARTHROPLASTY $5,846.17 $4,676.94 $4,887.40 – $5,553.86
Total knee replacement: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $5,553.86
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $4,969.24
  • Cigna — All Plans: $5,261.55
  • Denver Medical Health Plan — Elevate Only: $4,969.24
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $4,969.24
  • Humana — All Plans: $5,261.55
  • Kaiser — Colorado Commercial PPO: $5,553.86
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $4,969.24
  • United Healthcare — All Plans: $4,887.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC SHLDR ARTHROSCOP,PART ACROMIOPLAS $5,994.40 $4,795.52 $2,577.59 – $5,694.68
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,694.68
  • Aetna — Medicare Advantage: $2,577.59
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $5,095.24
  • Anthem Blue Cross — Medicare Advantage: $2,577.59
  • Cigna — All Plans: $5,394.96
  • CMS Medicare — Medicare PPO: $2,577.59
  • Denver Medical Health Plan — Elevate Only: $5,095.24
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $5,095.24
  • Humana — All Plans: $5,394.96
  • Humana — Medicare Advantage: $2,577.59
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC SHLDR ARTHROSCOP,PART ACROMIOPLAS $5,994.40 $4,795.52 $4,495.80 – $7,011
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,694.68
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $4,495.80
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $5,394.96
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $5,095.24
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $5,095.24
  • Humana — All Plans: $5,394.96
  • Humana — Medicare Advantage: $7,011
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CC SHLDR ARHROSCOP, PART ACROMIOPLAS $2,048.43 $1,638.75 $1,712.49 – $1,946.01
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $1,946.01
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,741.17
  • Cigna — All Plans: $1,843.59
  • Denver Medical Health Plan — Elevate Only: $1,741.17
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,741.17
  • Humana — All Plans: $1,843.59
  • Kaiser — Colorado Commercial PPO: $1,946.01
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,741.17
  • United Healthcare — All Plans: $1,712.49
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC KNEE SCOPE,MED/LAT MENISECTOMY $12,181.75 $9,745.40 $5,238.15 – $11,572.66
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $11,572.66
  • Aetna — Medicare Advantage: $5,238.15
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $10,354.49
  • Anthem Blue Cross — Medicare Advantage: $5,238.15
  • Cigna — All Plans: $10,963.58
  • CMS Medicare — Medicare PPO: $5,238.15
  • Denver Medical Health Plan — Elevate Only: $10,354.49
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $10,354.49
  • Humana — All Plans: $10,963.58
  • Humana — Medicare Advantage: $5,238.15
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC KNEE SCOPE,MED/LAT MENISECTOMY $12,181.75 $9,745.40 $5,355 – $11,572.66
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $11,572.66
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $9,136.31
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $10,963.58
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $10,354.49
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $10,354.49
  • Humana — All Plans: $10,963.58
  • Humana — Medicare Advantage: $7,011
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: HC ARTHROSCOPY KNEE LATERAL $4,162.15 $3,329.72 $3,479.56 – $3,954.04
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $3,954.04
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $3,537.83
  • Cigna — All Plans: $3,745.94
  • Denver Medical Health Plan — Elevate Only: $3,537.83
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $3,537.83
  • Humana — All Plans: $3,745.94
  • Kaiser — Colorado Commercial PPO: $3,954.04
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $3,537.83
  • United Healthcare — All Plans: $3,479.56
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,076.48 $1,661.19 $892.89 – $1,972.66
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,972.66
  • Aetna — Medicare Advantage: $892.89
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,765.01
  • Anthem Blue Cross — Medicare Advantage: $892.89
  • Cigna — All Plans: $1,868.83
  • CMS Medicare — Medicare PPO: $892.89
  • Denver Medical Health Plan — Elevate Only: $1,765.01
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,765.01
  • Humana — All Plans: $1,868.83
  • Humana — Medicare Advantage: $892.89
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,076.48 $1,661.19 $1,557.36 – $7,011
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,972.66
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,557.36
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $1,868.83
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $1,765.01
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,765.01
  • Humana — All Plans: $1,868.83
  • Humana — Medicare Advantage: $7,011
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: HC EGD DIAGNOSTIC BRUSH WASH $781.46 $625.17 $653.30 – $742.39
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $742.39
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $664.24
  • Cigna — All Plans: $703.31
  • Denver Medical Health Plan — Elevate Only: $664.24
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $664.24
  • Humana — All Plans: $703.31
  • Kaiser — Colorado Commercial PPO: $742.39
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $664.24
  • United Healthcare — All Plans: $653.30
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE $2,340.16 $1,872.13 $1,006.27 – $2,223.15
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,223.15
  • Aetna — Medicare Advantage: $1,006.27
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,989.14
  • Anthem Blue Cross — Medicare Advantage: $1,006.27
  • Cigna — All Plans: $2,106.14
  • CMS Medicare — Medicare PPO: $1,006.27
  • Denver Medical Health Plan — Elevate Only: $1,989.14
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,989.14
  • Humana — All Plans: $2,106.14
  • Humana — Medicare Advantage: $1,006.27
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE $2,340.16 $1,872.13 $1,755.12 – $7,011
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,223.15
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,755.12
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $2,106.14
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $1,989.14
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,989.14
  • Humana — All Plans: $2,106.14
  • Humana — Medicare Advantage: $7,011
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: HC EGD BIOPSY SINGLE/MULTIPLE $972.08 $777.67 $812.66 – $923.48
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $923.48
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $826.27
  • Cigna — All Plans: $874.87
  • Denver Medical Health Plan — Elevate Only: $826.27
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $826.27
  • Humana — All Plans: $874.87
  • Kaiser — Colorado Commercial PPO: $923.48
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $826.27
  • United Healthcare — All Plans: $812.66
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $3,132.23 $2,505.79 $1,346.86 – $2,975.62
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,975.62
  • Aetna — Medicare Advantage: $1,346.86
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,662.40
  • Anthem Blue Cross — Medicare Advantage: $1,346.86
  • Cigna — All Plans: $2,819.01
  • CMS Medicare — Medicare PPO: $1,346.86
  • Denver Medical Health Plan — Elevate Only: $2,662.40
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,662.40
  • Humana — All Plans: $2,819.01
  • Humana — Medicare Advantage: $1,346.86
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $3,132.23 $2,505.79 $2,349.17 – $7,011
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,975.62
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,349.17
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $2,819.01
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $2,662.40
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,662.40
  • Humana — All Plans: $2,819.01
  • Humana — Medicare Advantage: $7,011
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: HC DIAGNOSTIC COLONOSCOPY $1,021.58 $817.27 $854.04 – $970.50
Colonoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $970.50
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $868.34
  • Cigna — All Plans: $919.42
  • Denver Medical Health Plan — Elevate Only: $868.34
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $868.34
  • Humana — All Plans: $919.42
  • Kaiser — Colorado Commercial PPO: $970.50
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $868.34
  • United Healthcare — All Plans: $854.04
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $3,396.94 $2,717.56 $1,460.68 – $3,227.09
Colonoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,227.09
  • Aetna — Medicare Advantage: $1,460.68
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,887.40
  • Anthem Blue Cross — Medicare Advantage: $1,460.68
  • Cigna — All Plans: $3,057.25
  • CMS Medicare — Medicare PPO: $1,460.68
  • Denver Medical Health Plan — Elevate Only: $2,887.40
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,887.40
  • Humana — All Plans: $3,057.25
  • Humana — Medicare Advantage: $1,460.68
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $3,396.94 $2,717.56 $2,547.71 – $7,011
Colonoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,227.09
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,547.71
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $3,057.25
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $2,887.40
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,887.40
  • Humana — All Plans: $3,057.25
  • Humana — Medicare Advantage: $7,011
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: HC COLONOSCOPY AND BIOPSY $1,121.63 $897.31 $937.68 – $1,065.55
Colonoscopy with biopsy: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $1,065.55
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $953.39
  • Cigna — All Plans: $1,009.47
  • Denver Medical Health Plan — Elevate Only: $953.39
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $953.39
  • Humana — All Plans: $1,009.47
  • Kaiser — Colorado Commercial PPO: $1,065.55
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $953.39
  • United Healthcare — All Plans: $937.68
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $4,292.01 $3,433.61 $1,845.56 – $4,077.41
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,077.41
  • Aetna — Medicare Advantage: $1,845.56
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $3,648.21
  • Anthem Blue Cross — Medicare Advantage: $1,845.56
  • Cigna — All Plans: $3,862.81
  • CMS Medicare — Medicare PPO: $1,845.56
  • Denver Medical Health Plan — Elevate Only: $3,648.21
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $3,648.21
  • Humana — All Plans: $3,862.81
  • Humana — Medicare Advantage: $1,845.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $4,292.01 $3,433.61 $3,219.01 – $7,011
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,077.41
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $3,219.01
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $3,862.81
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $3,648.21
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $3,648.21
  • Humana — All Plans: $3,862.81
  • Humana — Medicare Advantage: $7,011
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: HC COLONOSCOPY W/LESION REMOVA $1,419.68 $1,135.75 $1,186.85 – $1,348.70
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $1,348.70
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,206.73
  • Cigna — All Plans: $1,277.71
  • Denver Medical Health Plan — Elevate Only: $1,206.73
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,206.73
  • Humana — All Plans: $1,277.71
  • Kaiser — Colorado Commercial PPO: $1,348.70
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,206.73
  • United Healthcare — All Plans: $1,186.85
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC COLON CA SCRN NOT HI RSK IND $3,137.38 $2,509.91 $1,349.07 – $2,980.51
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,980.51
  • Aetna — Medicare Advantage: $1,349.07
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,666.77
  • Anthem Blue Cross — Medicare Advantage: $1,349.07
  • Cigna — All Plans: $2,823.64
  • CMS Medicare — Medicare PPO: $1,349.07
  • Denver Medical Health Plan — Elevate Only: $2,666.77
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,666.77
  • Humana — All Plans: $2,823.64
  • Humana — Medicare Advantage: $1,349.07
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC COLON CA SCRN NOT HI RSK IND $3,137.38 $2,509.91 $2,353.04 – $7,011
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,980.51
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,353.04
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $2,823.64
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $2,666.77
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,666.77
  • Humana — All Plans: $2,823.64
  • Humana — Medicare Advantage: $7,011
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: HC SCRN COLONOSCOPY PT NOT HI RISK $1,021.58 $817.27 $854.04 – $970.50
Screening colonoscopy (not high risk): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $970.50
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $868.34
  • Cigna — All Plans: $919.42
  • Denver Medical Health Plan — Elevate Only: $868.34
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $868.34
  • Humana — All Plans: $919.42
  • Kaiser — Colorado Commercial PPO: $970.50
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $868.34
  • United Healthcare — All Plans: $854.04
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAP CHOLECYSTECTOMY $9,482.51 $7,586.01 $4,077.48 – $9,008.38
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $9,008.38
  • Aetna — Medicare Advantage: $4,077.48
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $8,060.13
  • Anthem Blue Cross — Medicare Advantage: $4,077.48
  • Cigna — All Plans: $8,534.26
  • CMS Medicare — Medicare PPO: $4,077.48
  • Denver Medical Health Plan — Elevate Only: $8,060.13
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $8,060.13
  • Humana — All Plans: $8,534.26
  • Humana — Medicare Advantage: $4,077.48
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LAP CHOLECYSTECTOMY $9,482.51 $7,586.01 $5,355 – $9,008.38
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $9,008.38
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $7,111.88
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $8,534.26
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $8,060.13
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $8,060.13
  • Humana — All Plans: $8,534.26
  • Humana — Medicare Advantage: $7,011
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: HC LAP CHOLECYSTECTOMY $3,138.46 $2,510.77 $2,623.75 – $2,981.54
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $2,981.54
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,667.69
  • Cigna — All Plans: $2,824.61
  • Denver Medical Health Plan — Elevate Only: $2,667.69
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,667.69
  • Humana — All Plans: $2,824.61
  • Kaiser — Colorado Commercial PPO: $2,981.54
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $2,667.69
  • United Healthcare — All Plans: $2,623.75
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REPAIR INGUINAL HERNIA $10,229.82 $8,183.86 $4,398.82 – $9,718.33
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $9,718.33
  • Aetna — Medicare Advantage: $4,398.82
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $8,695.35
  • Anthem Blue Cross — Medicare Advantage: $4,398.82
  • Cigna — All Plans: $9,206.84
  • CMS Medicare — Medicare PPO: $4,398.82
  • Denver Medical Health Plan — Elevate Only: $8,695.35
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $8,695.35
  • Humana — All Plans: $9,206.84
  • Humana — Medicare Advantage: $4,398.82
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC REPAIR INGUINAL HERNIA $10,229.82 $8,183.86 $5,355 – $9,718.33
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $9,718.33
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $7,672.37
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $9,206.84
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $8,695.35
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $8,695.35
  • Humana — All Plans: $9,206.84
  • Humana — Medicare Advantage: $7,011
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: HC REPAIR INGUINAL HERNIA $1,918.88 $1,535.11 $1,604.18 – $1,822.94
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $1,822.94
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,631.05
  • Cigna — All Plans: $1,726.99
  • Denver Medical Health Plan — Elevate Only: $1,631.05
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,631.05
  • Humana — All Plans: $1,726.99
  • Kaiser — Colorado Commercial PPO: $1,822.94
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,631.05
  • United Healthcare — All Plans: $1,604.18
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: Professional Services Not listed in the file Not listed in the file $129.22 – $213.21
Prostate biopsy: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $174.45
  • Humana — Medicare Advantage: $129.22
  • Kaiser — Medicare PPO: $213.21
  • United Healthcare — Medicare Advantage: $129.22
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $230.97 – $381.10
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $311.81
  • Humana — Medicare Advantage: $230.97
  • Kaiser — Medicare PPO: $381.10
  • United Healthcare — Medicare Advantage: $230.97
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT EPIDURAL TRANS-LAMINAR LUMB/SACR WITH GUIDANCE $1,642.78 $1,314.23 $706.40 – $1,560.64
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,560.64
  • Aetna — Medicare Advantage: $706.40
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,396.36
  • Anthem Blue Cross — Medicare Advantage: $706.40
  • Cigna — All Plans: $1,478.50
  • CMS Medicare — Medicare PPO: $706.40
  • Denver Medical Health Plan — Elevate Only: $1,396.36
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,396.36
  • Humana — All Plans: $1,478.50
  • Humana — Medicare Advantage: $706.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT EPIDURAL TRANS-LAMINAR LUMB/SACR WITH GUIDANCE $1,642.78 $1,314.23 $1,232.09 – $7,011
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,560.64
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,232.09
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $1,478.50
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $1,396.36
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,396.36
  • Humana — All Plans: $1,478.50
  • Humana — Medicare Advantage: $7,011
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: HC INJECT EPIDURAL TRANS-LAMINAR LUMB/SACR WITH GUIDANCE $875.19 $700.16 $731.66 – $831.43
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $831.43
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $743.91
  • Cigna — All Plans: $787.67
  • Denver Medical Health Plan — Elevate Only: $743.91
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $743.91
  • Humana — All Plans: $787.67
  • Kaiser — Colorado Commercial PPO: $831.43
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $743.91
  • United Healthcare — All Plans: $731.66
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT EPIDURAL TRANS-FORAMINAL LUMB/SACR INIT LVL FLUORO/CT GUIDANCE $1,847.46 $1,477.97 $794.41 – $1,755.09
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,755.09
  • Aetna — Medicare Advantage: $794.41
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,570.34
  • Anthem Blue Cross — Medicare Advantage: $794.41
  • Cigna — All Plans: $1,662.71
  • CMS Medicare — Medicare PPO: $794.41
  • Denver Medical Health Plan — Elevate Only: $1,570.34
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,570.34
  • Humana — All Plans: $1,662.71
  • Humana — Medicare Advantage: $794.41
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT EPIDURAL TRANS-FORAMINAL LUMB/SACR INIT LVL FLUORO/CT GUIDANCE $1,847.46 $1,477.97 $1,385.60 – $7,011
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,755.09
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,385.60
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $1,662.71
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $1,570.34
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,570.34
  • Humana — All Plans: $1,662.71
  • Humana — Medicare Advantage: $7,011
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: HC INJECT EPIDURAL TRANS-FORAMINAL LUMB/SACR WITH GUIDANCE INIT LVL $806.73 $645.39 $674.43 – $766.39
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $766.39
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $685.72
  • Cigna — All Plans: $726.06
  • Denver Medical Health Plan — Elevate Only: $685.72
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $685.72
  • Humana — All Plans: $726.06
  • Kaiser — Colorado Commercial PPO: $766.39
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $685.72
  • United Healthcare — All Plans: $674.43
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CC REVISE MEDIAN N/CARPAL TUNNEL SURG $8,646.73 $6,917.39 $3,718.09 – $8,214.39
Carpal tunnel release: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $8,214.39
  • Aetna — Medicare Advantage: $3,718.09
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $7,349.72
  • Anthem Blue Cross — Medicare Advantage: $3,718.09
  • Cigna — All Plans: $7,782.06
  • CMS Medicare — Medicare PPO: $3,718.09
  • Denver Medical Health Plan — Elevate Only: $7,349.72
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $7,349.72
  • Humana — All Plans: $7,782.06
  • Humana — Medicare Advantage: $3,718.09
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CC REVISE MEDIAN N/CARPAL TUNNEL SURG $8,646.73 $6,917.39 $5,355 – $8,214.39
Carpal tunnel release: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $8,214.39
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $6,485.05
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $7,782.06
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $7,349.72
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $7,349.72
  • Humana — All Plans: $7,782.06
  • Humana — Medicare Advantage: $7,011
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CARPAL TUNNEL RELEASE $2,474.96 $1,979.97 $2,069.07 – $2,351.21
Carpal tunnel release: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $2,351.21
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $2,103.72
  • Cigna — All Plans: $2,227.46
  • Denver Medical Health Plan — Elevate Only: $2,103.72
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $2,103.72
  • Humana — All Plans: $2,227.46
  • Kaiser — Colorado Commercial PPO: $2,351.21
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $2,103.72
  • United Healthcare — All Plans: $2,069.07
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee · modifier NULL In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $318.63 – $525.74
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $430.15
  • Humana — Medicare Advantage: $318.63
  • Kaiser — Medicare PPO: $525.74
  • United Healthcare — Medicare Advantage: $318.63
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATARACT SURG W/IOL 1 STAGE EXTRACAPSULAR $6,007.19 $4,805.76 $2,583.09 – $5,706.83
Cataract removal with lens implant: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,706.83
  • Aetna — Medicare Advantage: $2,583.09
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $5,106.11
  • Anthem Blue Cross — Medicare Advantage: $2,583.09
  • Cigna — All Plans: $5,406.47
  • CMS Medicare — Medicare PPO: $2,583.09
  • Denver Medical Health Plan — Elevate Only: $5,106.11
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $5,106.11
  • Humana — All Plans: $5,406.47
  • Humana — Medicare Advantage: $2,583.09
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATARACT SURG W/IOL 1 STAGE EXTRACAPSULAR $6,007.19 $4,805.76 $4,505.39 – $7,011
Cataract removal with lens implant: 10 of 15 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,706.83
  • Aetna — Medicare Advantage: $7,011
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $4,505.39
  • Anthem Blue Cross — Medicare Advantage: $7,011
  • Cigna — All Plans: $5,406.47
  • CMS Medicare — Medicare PPO: $7,011
  • Denver Medical Health Plan — Elevate Only: $5,106.11
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $5,106.11
  • Humana — All Plans: $5,406.47
  • Humana — Medicare Advantage: $7,011
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: HC CATARACT SURG W/IOL 1 STAGE EXTRACAPSULAR $2,215.88 $1,772.71 $1,852.48 – $2,105.09
Cataract removal with lens implant: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $2,105.09
  • Anthem Blue Cross — Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PP: $1,883.50
  • Cigna — All Plans: $1,994.29
  • Denver Medical Health Plan — Elevate Only: $1,883.50
  • EBMS Peak Health Alliance — Summit County Government Employee Benefit Plan: $1,883.50
  • Humana — All Plans: $1,994.29
  • Kaiser — Colorado Commercial PPO: $2,105.09
  • Lucent Health Solutions — Grand County Government Employee Benefit Plan: $1,883.50
  • United Healthcare — All Plans: $1,852.48

Source: Middle Park Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 27, 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 typeCritical Access Hospital
Address214 S 4th St, Kremmling, CO 80459
CountyGrand County
StateColorado
Phone(970) 724‑3442
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number061318
Name in Medicare recordsMIDDLE PARK MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteMiddle Park Health Kremmling Campus
Official websitemiddleparkhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Middle Park Health Kremmling Campus — middleparkhealth.org
  2. Kremmling Hospital & 24/7 ER Services | Middle Park Health — middleparkhealth.org
  3. Emergency Medicine: 24/7 Emergent Care | Middle Park Health — middleparkhealth.org
  4. About Us | Middle Park Health — middleparkhealth.org