Does Pagosa Springs Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Pagosa Springs Medical Center. In a medical emergency, call 911.

Where is Pagosa Springs Medical Center?

95 S Pagosa Blvd, Pagosa Springs, CO 81147, in Archuleta County, Colorado.

What is the phone number of Pagosa Springs Medical Center?

(970) 731-3700, as listed by Medicare (CMS).

What is the Medicare star rating of Pagosa Springs 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.

Pagosa Springs Medical Center — Pagosa Springs, CO

Quick answers

Does Pagosa Springs Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Pagosa Springs Medical Center. In a medical emergency, call 911.
Where is Pagosa Springs Medical Center?: 95 S Pagosa Blvd, Pagosa Springs, CO 81147, in Archuleta County, Colorado.
What is the phone number of Pagosa Springs Medical Center?: (970) 731-3700, as listed by Medicare (CMS).
What is the Medicare star rating of Pagosa Springs 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][9][15]}

Cardiology
Cancer and blood disorders
Emergency medicine
General surgery
Integrated behavioral health
Interventional pain management
Neurology
Orthopedics and sports medicine
Pulmonary critical care
Women's health
Physical therapy
Occupational therapy
Diagnostic imaging
Laboratory services
Hospital medicine
Infusion services
Primary care
Telemedicine

Conditions treated^{[12][13][16][18]}

Arrhythmias
Congestive heart failure
Valvular heart disease
Coronary artery disease
Alzheimer's disease
Behavioral changes
Blackouts
Brain disorders
Concussions
Dementia
Epilepsy
Guillain-Barre syndrome
Headache
Huntington's disease
Idiopathic intracranial hypertension
Movement disorders
Multiple sclerosis
Myasthenia gravis
Nerve pain
Neuromuscular junction disorders
Neuropathy
Parkinson's disease
Pediatric neurology
Seizure disorders
Stroke
Transient ischemic attack (TIA)
Traumatic brain injury (TBI)
Brain tumors
Iron deficiency anemia
Erythrocytosis
Hereditary hemochromatosis
Bladder cancer
Breast cancer
Colorectal cancer
Head and neck cancer
Leukemia
Lung cancer
Lymphoma
Melanoma
Multiple myeloma
Ovarian and other gynecological cancers
Pancreatic cancer
Prostate cancer
Anxiety
Depression
Grief/loss
PTSD
Situational stress
Health related stress

Treatments^{[4][9][12][13][15][17]}

Infusion services
Antibiotics
Blood transfusions
Chemotherapy
Immunotherapy
Intravenous immunoglobulin therapy (IVIG)
Therapeutic phlebotomy
Injection therapies
Cardioversion
Echocardiography
Electrocardiogram (ECG) stress testing
Holter and event monitoring
Pacemaker interrogation
Vascular access device care
Physical therapy with lymphedema specialty
Palliative care
Genetic counseling and testing for hereditary cancer

Procedures^{[4][14][16][17][19]}

Robotic-assisted surgery
Electromyography (EMG)
Arthroscopy of the knee
Arthroscopy of the shoulder
Anterior cruciate ligament repair
Rotator cuff repair
Carpal tunnel release
Trigger finger release
Total joint replacement (hip, knee, shoulder, elbow)
Operative fixation of fractures
Magnetic resonance imaging (MRI)
Computed tomography (CT)
Dual-energy X-ray absorptiometry (DEXA) bone density
Echocardiogram
Fluoroscopy
Mammography
Treadmill stress test
Ultrasound
X-ray
Colposcopy
Endometrial biopsy

Programs and centers^{[5][11][13][18]}

Center for Cancer and Blood Disorders
Integrated Behavioral Health
Hospital Discounted Care program
Financial Assistance Program

Emergency care (hospital website)^[4][8]

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

Recognition^[6]

CLIA-accredited laboratory

Doctors and clinicians (151)

151 doctors and other clinicians list Pagosa Springs 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 (151)

Aashutosh U. Goswami, MDHospitalist
Aldiana Soljic, MDUrology
Allen W. McCulloch, MDUrology
Alyson Fix, PAPhysician Assistant
Amanda Irons, PAPhysician Assistant
Amanda W. Dunaway, NPNurse Practitioner
Amber C. Reiss-Holt, MDEmergency Medicine
Amber L. Price, MDOrthopedic Surgery
Amy C. Gundelach, CNSCertified Clinical Nurse Specialist (CNS)
Andrea C. Cameron, PAPhysician Assistant
Anthony E. Velasquez, MDEmergency Medicine
Anthony Sandoval, MDCardiovascular Disease (Cardiology)
Ashley Iverson, CNMCertified Nurse Midwife (CNM)
Barry W. Holcomb Jr., MDInternal Medicine
Blake T. Morris, MDInterventional Cardiology
Brandon J. Messerli, DOPhysical Medicine and Rehabilitation
Brett M. Englund, MDDiagnostic Radiology
Brian P. Butzen, MDOrthopedic Surgery
Brian S. Smith, CNACertified Registered Nurse Anesthetist (CRNA)
Brianna Muller, MDHospitalist
Brinceton M. Phipps, MDOrthopedic Surgery
Brittiany M. Newsome, NPNurse Practitioner
Brock Baker, MDRadiation Oncology
Bruce E. Andrea, MDCardiovascular Disease (Cardiology)

And 127 more: the button below opens the full list.

Other emergency rooms nearby

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

Animas Surgical Hospital, LLC44 mi · Durango, CO · Acute Care Hospital
Mercy Regional Medical Center45 mi · Durango, CO · Acute Care Hospital
Rio Grande Hospital56 mi · Del Norte, CO · Critical Access Hospital
San Luis Valley Regional Medical Center67 mi · Alamosa, CO · Acute Care Hospital
San Juan Regional Medical Center Inc73 mi · Farmington, NM · Acute Care Hospital

Other hospitals nearby

San Luis Valley Health Conejos County Hospital61 mi · La Jara, CO · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Pine Ridge Rehabilitation and Healthcare Center0.1 mi · Pagosa Springs, CO · 3 of 5 stars

All nursing homes in the state →

Community care nearby

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

Community health centers

Pagosa Springs Integrated Healthcare0.1 mi · Pagosa Springs, CO · Community health center
Pagosa Springs Comprehensive Primary Care0.3 mi · Pagosa Springs, CO · Community health center

Clinics and urgent care

Pagosa Springs Medical Center2.2 mi · Pagosa Springs, CO · Rural health clinic

Pharmacies

Jackisch Drug, Inc.2.2 mi · Pagosa Springs, CO · Community/retail pharmacy
Selah Mountain Pharmacy LLC2.2 mi · Pagosa Springs, CO · Community/retail pharmacy
Southwest Colorado Mental Health Center Inc2.2 mi · Pagosa Springs, CO · Community/retail pharmacy

Assisted living nearby

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

Beehive Homes of Pagosa Springs2.2 mi · Pagosa Springs, CO

About the Medicare star rating

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

Medicare quality data

What Pagosa Springs 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 surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

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

Complications and deaths

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

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

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

Return visits to the hospital (readmissions)

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

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

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	141 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%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.

ER wait times in Colorado Best hospitals in Colorado

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as Pagosa Springs 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office/OP New Visit Level 3 99203	$244.60	$195.68	$183.45 – $548.74
New patient office visit (about 30–44 minutes): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $183.45 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $193.72 CIGNA_PLAN — COMMERCIAL: $207.91 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $244.60 COLORADO_NETWORK_PLAN — MEDICARE: $232.37 COVER_COLORADO_PLAN — COMMERCIAL: $195.68 FIRST_HEALTH_PLAN — COMMERCIAL: $207.91 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $220.14 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $244.60
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office/OP New Visit Level 4 99204	$297.50	$238	$223.13 – $650.70
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $223.13 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $235.62 CIGNA_PLAN — COMMERCIAL: $252.88 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $297.50 COLORADO_NETWORK_PLAN — MEDICARE: $282.63 COVER_COLORADO_PLAN — COMMERCIAL: $238 FIRST_HEALTH_PLAN — COMMERCIAL: $252.88 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $267.75 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $297.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office/OP New Visit Level 5 99205 Tech Chg	$370.60	$296.48	$277.95 – $746.92
New patient office visit (about 60–74 minutes): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $277.95 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $293.52 CIGNA_PLAN — COMMERCIAL: $315.01 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $370.60 COLORADO_NETWORK_PLAN — MEDICARE: $352.07 COVER_COLORADO_PLAN — COMMERCIAL: $296.48 FIRST_HEALTH_PLAN — COMMERCIAL: $315.01 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $333.54 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $370.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office/Outpatient Visit Level 3 Established - 99213	$158.90	$127.12	$119.18 – $515.28
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $119.18 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $125.85 CIGNA_PLAN — COMMERCIAL: $135.07 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $158.90 COLORADO_NETWORK_PLAN — MEDICARE: $150.96 COVER_COLORADO_PLAN — COMMERCIAL: $127.12 FIRST_HEALTH_PLAN — COMMERCIAL: $135.07 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $143.01 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $158.90
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office/OP Established Visit Level 4 99214	$224.60	$179.68	$168.45 – $578.88
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $168.45 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $177.88 CIGNA_PLAN — COMMERCIAL: $190.91 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $224.60 COLORADO_NETWORK_PLAN — MEDICARE: $213.37 COVER_COLORADO_PLAN — COMMERCIAL: $179.68 FIRST_HEALTH_PLAN — COMMERCIAL: $190.91 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $202.14 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $224.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Preventive Medicine 18-39 years New - 99385	$309.40	$247.52	$113.44 – $572.12
Preventive checkup, new patient, age 18–39: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $232.05 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $245.04 CIGNA_PLAN — COMMERCIAL: $262.99 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $309.40 COLORADO_NETWORK_PLAN — MEDICARE: $293.93 COVER_COLORADO_PLAN — COMMERCIAL: $247.52 FIRST_HEALTH_PLAN — COMMERCIAL: $262.99 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $278.46 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $113.44
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Preventive Medicine 40-64 years New - 99386	$309.40	$247.52	$232.05 – $612.50
Preventive checkup, new patient, age 40–64: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $232.05 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $245.04 CIGNA_PLAN — COMMERCIAL: $262.99 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $309.40 COLORADO_NETWORK_PLAN — MEDICARE: $293.93 COVER_COLORADO_PLAN — COMMERCIAL: $247.52 FIRST_HEALTH_PLAN — COMMERCIAL: $262.99 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $278.46 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $309.40
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - Level 3	$1,003.60	$802.88	$143.60 – $1,003.60
Emergency room visit (moderate): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $752.70 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $401.44 ANTHEM_BCBS_HMO_PLAN — HMO: $794.85 CIGNA_PLAN — COMMERCIAL: $853.06 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $1,003.60 COLORADO_NETWORK_PLAN — MEDICARE: $953.42 COVER_COLORADO_PLAN — COMMERCIAL: $802.88 FIRST_HEALTH_PLAN — COMMERCIAL: $853.06 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $903.24 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $245.03
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - Level 4	$1,455	$1,164	$241.76 – $1,455
Emergency room visit (moderately high): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,091.25 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $582 ANTHEM_BCBS_HMO_PLAN — HMO: $1,152.36 CIGNA_PLAN — COMMERCIAL: $1,236.75 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $1,455 COLORADO_NETWORK_PLAN — MEDICARE: $1,382.25 COVER_COLORADO_PLAN — COMMERCIAL: $1,164 FIRST_HEALTH_PLAN — COMMERCIAL: $1,236.75 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,309.50 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $381.61
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - Level 5	$2,048.80	$1,639.04	$351.34 – $2,048.80
Emergency room visit (high): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,536.60 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $819.52 ANTHEM_BCBS_HMO_PLAN — HMO: $1,622.65 CIGNA_PLAN — COMMERCIAL: $1,741.48 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $2,048.80 COLORADO_NETWORK_PLAN — MEDICARE: $1,946.36 COVER_COLORADO_PLAN — COMMERCIAL: $1,639.04 FIRST_HEALTH_PLAN — COMMERCIAL: $1,741.48 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,843.92 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $548.11

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel 4	$112.80	$90.24	$7.95 – $107.16
Basic metabolic panel (blood test): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $84.60 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $45.12 ANTHEM_BCBS_HMO_PLAN — HMO: $89.34 CIGNA_PLAN — COMMERCIAL: $95.88 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $107.16 COVER_COLORADO_PLAN — COMMERCIAL: $90.24 FIRST_HEALTH_PLAN — COMMERCIAL: $95.88 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $101.52 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $7.95
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comp. Metabolic Panel (14) LC	$18.40	$14.72	$7.14 – $21.12
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $13.80 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $7.36 ANTHEM_BCBS_HMO_PLAN — HMO: $14.57 CIGNA_PLAN — COMMERCIAL: $15.64 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $17.48 COVER_COLORADO_PLAN — COMMERCIAL: $14.72 FIRST_HEALTH_PLAN — COMMERCIAL: $15.64 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $16.56 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $9.93
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel 4	$144.60	$115.68	$9.93 – $137.37
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $108.45 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $57.84 ANTHEM_BCBS_HMO_PLAN — HMO: $114.52 CIGNA_PLAN — COMMERCIAL: $122.91 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $137.37 COVER_COLORADO_PLAN — COMMERCIAL: $115.68 FIRST_HEALTH_PLAN — COMMERCIAL: $122.91 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $130.14 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $9.93
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel 1	$155.20	$124.16	$10.92 – $147.44
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $116.40 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $62.08 ANTHEM_BCBS_HMO_PLAN — HMO: $122.92 CIGNA_PLAN — COMMERCIAL: $131.92 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $147.44 COVER_COLORADO_PLAN — COMMERCIAL: $124.16 FIRST_HEALTH_PLAN — COMMERCIAL: $131.92 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $139.68 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $12.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel LC	$22	$17.60	$8.54 – $26.78
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $16.50 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.80 ANTHEM_BCBS_HMO_PLAN — HMO: $17.42 CIGNA_PLAN — COMMERCIAL: $18.70 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $20.90 COVER_COLORADO_PLAN — COMMERCIAL: $17.60 FIRST_HEALTH_PLAN — COMMERCIAL: $18.70 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $19.80 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $12.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: NMR Lipoprof+Graph LC	$22	$17.60	$8.54 – $26.78
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $16.50 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $8.80 ANTHEM_BCBS_HMO_PLAN — HMO: $17.42 CIGNA_PLAN — COMMERCIAL: $18.70 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $20.90 COVER_COLORADO_PLAN — COMMERCIAL: $17.60 FIRST_HEALTH_PLAN — COMMERCIAL: $18.70 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $19.80 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $12.59
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Panel 1	$76.60	$61.28	$8.16 – $72.77
Kidney function panel: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $57.45 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $30.64 ANTHEM_BCBS_HMO_PLAN — HMO: $60.67 CIGNA_PLAN — COMMERCIAL: $65.11 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $72.77 COVER_COLORADO_PLAN — COMMERCIAL: $61.28 FIRST_HEALTH_PLAN — COMMERCIAL: $65.11 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $68.94 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $8.16
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Panel 1	$180.70	$144.56	$7.68 – $171.67
Liver function panel: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $135.53 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $72.28 ANTHEM_BCBS_HMO_PLAN — HMO: $143.11 CIGNA_PLAN — COMMERCIAL: $153.60 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $10.92 COLORADO_NETWORK_PLAN — MEDICARE: $171.67 COVER_COLORADO_PLAN — COMMERCIAL: $144.56 FIRST_HEALTH_PLAN — COMMERCIAL: $153.60 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $162.63 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $7.68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA Complete 1	$74.30	$59.44	$2.98 – $70.59
Urine test (automated, with microscope): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $55.73 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $29.72 ANTHEM_BCBS_HMO_PLAN — HMO: $58.85 CIGNA_PLAN — COMMERCIAL: $63.16 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $3.61 COLORADO_NETWORK_PLAN — MEDICARE: $70.59 COVER_COLORADO_PLAN — COMMERCIAL: $59.44 FIRST_HEALTH_PLAN — COMMERCIAL: $63.16 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $66.87 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $2.98
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urine Dipstick POC	$35.10	$28.08	$3.27 – $33.35
Urine test (manual, without microscope): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $26.33 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $14.04 ANTHEM_BCBS_HMO_PLAN — HMO: $27.80 CIGNA_PLAN — COMMERCIAL: $29.84 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $3.61 COLORADO_NETWORK_PLAN — MEDICARE: $33.35 COVER_COLORADO_PLAN — COMMERCIAL: $28.08 FIRST_HEALTH_PLAN — COMMERCIAL: $29.84 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $31.59 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $3.27
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urine Dipstick POC	$35	$28	$2.12 – $33.25
Urine test (automated, without microscope): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $26.25 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $14 ANTHEM_BCBS_HMO_PLAN — HMO: $27.72 CIGNA_PLAN — COMMERCIAL: $29.75 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $3.61 COLORADO_NETWORK_PLAN — MEDICARE: $33.25 COVER_COLORADO_PLAN — COMMERCIAL: $28 FIRST_HEALTH_PLAN — COMMERCIAL: $29.75 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $31.50 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $2.12
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis Dipstick	$40.30	$32.24	$2.12 – $38.29
Urine test (automated, without microscope): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $30.23 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $16.12 ANTHEM_BCBS_HMO_PLAN — HMO: $31.92 CIGNA_PLAN — COMMERCIAL: $34.26 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $3.61 COLORADO_NETWORK_PLAN — MEDICARE: $38.29 COVER_COLORADO_PLAN — COMMERCIAL: $32.24 FIRST_HEALTH_PLAN — COMMERCIAL: $34.26 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $36.27 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $2.12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA Screen	$127.50	$102	$16.03 – $121.13
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $95.63 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $51 ANTHEM_BCBS_HMO_PLAN — HMO: $100.98 CIGNA_PLAN — COMMERCIAL: $108.38 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $16.03 COLORADO_NETWORK_PLAN — MEDICARE: $121.13 COVER_COLORADO_PLAN — COMMERCIAL: $102 FIRST_HEALTH_PLAN — COMMERCIAL: $108.38 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $114.75 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $17.29
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA Diagnostic	$127.50	$102	$16.03 – $121.13
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $95.63 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $51 ANTHEM_BCBS_HMO_PLAN — HMO: $100.98 CIGNA_PLAN — COMMERCIAL: $108.38 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $16.03 COLORADO_NETWORK_PLAN — MEDICARE: $121.13 COVER_COLORADO_PLAN — COMMERCIAL: $102 FIRST_HEALTH_PLAN — COMMERCIAL: $108.38 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $114.75 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $17.29
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone	$138.20	$110.56	$15.79 – $131.29
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $103.65 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $55.28 ANTHEM_BCBS_HMO_PLAN — HMO: $109.45 CIGNA_PLAN — COMMERCIAL: $117.47 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $16.57 COLORADO_NETWORK_PLAN — MEDICARE: $131.29 COVER_COLORADO_PLAN — COMMERCIAL: $110.56 FIRST_HEALTH_PLAN — COMMERCIAL: $117.47 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $124.38 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $15.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: T4, Total	$138.20	$110.56	$15.79 – $131.29
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $103.65 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $55.28 ANTHEM_BCBS_HMO_PLAN — HMO: $109.45 CIGNA_PLAN — COMMERCIAL: $117.47 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $16.57 COLORADO_NETWORK_PLAN — MEDICARE: $131.29 COVER_COLORADO_PLAN — COMMERCIAL: $110.56 FIRST_HEALTH_PLAN — COMMERCIAL: $117.47 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $124.38 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $15.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone with Reflex	$136.90	$109.52	$15.79 – $130.06
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $102.68 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $54.76 ANTHEM_BCBS_HMO_PLAN — HMO: $108.42 CIGNA_PLAN — COMMERCIAL: $116.37 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $16.57 COLORADO_NETWORK_PLAN — MEDICARE: $130.06 COVER_COLORADO_PLAN — COMMERCIAL: $109.52 FIRST_HEALTH_PLAN — COMMERCIAL: $116.37 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $123.21 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $15.79
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC w/ Auto Diff 3	$103.20	$82.56	$7.30 – $98.04
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $77.40 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $41.28 ANTHEM_BCBS_HMO_PLAN — HMO: $81.73 CIGNA_PLAN — COMMERCIAL: $87.72 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $7.45 COLORADO_NETWORK_PLAN — MEDICARE: $98.04 COVER_COLORADO_PLAN — COMMERCIAL: $82.56 FIRST_HEALTH_PLAN — COMMERCIAL: $87.72 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $92.88 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $7.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hemogram 2	$103.20	$82.56	$6.08 – $98.04
Complete blood count (CBC), automated: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $77.40 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $41.28 ANTHEM_BCBS_HMO_PLAN — HMO: $81.73 CIGNA_PLAN — COMMERCIAL: $87.72 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $7.45 COLORADO_NETWORK_PLAN — MEDICARE: $98.04 COVER_COLORADO_PLAN — COMMERCIAL: $82.56 FIRST_HEALTH_PLAN — COMMERCIAL: $87.72 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $92.88 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $6.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time	$73.50	$58.80	$4.03 – $69.83
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $55.13 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $29.40 ANTHEM_BCBS_HMO_PLAN — HMO: $58.21 CIGNA_PLAN — COMMERCIAL: $62.48 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $4.89 COLORADO_NETWORK_PLAN — MEDICARE: $69.83 COVER_COLORADO_PLAN — COMMERCIAL: $58.80 FIRST_HEALTH_PLAN — COMMERCIAL: $62.48 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $66.15 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $4.03
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Partial Thromboplastin Time	$85.10	$68.08	$4.89 – $80.85
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $63.83 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $34.04 ANTHEM_BCBS_HMO_PLAN — HMO: $67.40 CIGNA_PLAN — COMMERCIAL: $72.34 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $4.89 COLORADO_NETWORK_PLAN — MEDICARE: $80.85 COVER_COLORADO_PLAN — COMMERCIAL: $68.08 FIRST_HEALTH_PLAN — COMMERCIAL: $72.34 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $76.59 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $5.65

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head or Brain w/o Cont	$1,303.50	$1,042.80	$106.88 – $1,238.33
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $977.63 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $521.40 ANTHEM_BCBS_HMO_PLAN — HMO: $514 CIGNA_PLAN — COMMERCIAL: $1,107.98 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $416.44 COLORADO_NETWORK_PLAN — MEDICARE: $1,238.33 COVER_COLORADO_PLAN — COMMERCIAL: $1,042.80 FIRST_HEALTH_PLAN — COMMERCIAL: $1,107.98 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,173.15 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $106.88
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain w/ + w/o Cont	$3,250.10	$2,600.08	$368.43 – $3,087.60
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $2,437.58 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,300.04 ANTHEM_BCBS_HMO_PLAN — HMO: $730 CIGNA_PLAN — COMMERCIAL: $2,762.59 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $588.01 COLORADO_NETWORK_PLAN — MEDICARE: $3,087.60 COVER_COLORADO_PLAN — COMMERCIAL: $2,600.08 FIRST_HEALTH_PLAN — COMMERCIAL: $2,762.59 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $2,925.09 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $368.43
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: RADIOLOGIC EXAM, CHES, 2 VIEWS	$303.80	$243.04	$70.86 – $288.61
Chest X-ray, 2 views: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $227.85 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $121.52 ANTHEM_BCBS_HMO_PLAN — HMO: $240.61 CIGNA_PLAN — COMMERCIAL: $258.23 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $75.44 COLORADO_NETWORK_PLAN — MEDICARE: $288.61 COVER_COLORADO_PLAN — COMMERCIAL: $243.04 FIRST_HEALTH_PLAN — COMMERCIAL: $258.23 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $273.42 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $86.88
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR Spine Lumbosacral Min 4 Views w/ Obl	$466.90	$373.52	$75.44 – $443.56
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $350.18 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $186.76 ANTHEM_BCBS_HMO_PLAN — HMO: $369.78 CIGNA_PLAN — COMMERCIAL: $396.87 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $75.44 COLORADO_NETWORK_PLAN — MEDICARE: $443.56 COVER_COLORADO_PLAN — COMMERCIAL: $373.52 FIRST_HEALTH_PLAN — COMMERCIAL: $396.87 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $420.21 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $106.88
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Spine Lumbar w/o Cont	$2,539.70	$2,031.76	$233.52 – $2,412.72
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,904.78 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,015.88 ANTHEM_BCBS_HMO_PLAN — HMO: $730 CIGNA_PLAN — COMMERCIAL: $2,158.75 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $335.59 COLORADO_NETWORK_PLAN — MEDICARE: $2,412.72 COVER_COLORADO_PLAN — COMMERCIAL: $2,031.76 FIRST_HEALTH_PLAN — COMMERCIAL: $2,158.75 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $2,285.73 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $233.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis w/ Cont	$1,653.20	$1,322.56	$180.34 – $1,570.54
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,239.90 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $661.28 ANTHEM_BCBS_HMO_PLAN — HMO: $514 CIGNA_PLAN — COMMERCIAL: $1,405.22 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $416.44 COLORADO_NETWORK_PLAN — MEDICARE: $1,570.54 COVER_COLORADO_PLAN — COMMERCIAL: $1,322.56 FIRST_HEALTH_PLAN — COMMERCIAL: $1,405.22 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,487.88 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $180.34
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Ankle w/o Cont Lt	$2,514.50	$2,011.60	$233.52 – $2,388.78
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,885.88 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $1,005.80 ANTHEM_BCBS_HMO_PLAN — HMO: $730 CIGNA_PLAN — COMMERCIAL: $2,137.33 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $335.59 COLORADO_NETWORK_PLAN — MEDICARE: $2,388.78 COVER_COLORADO_PLAN — COMMERCIAL: $2,011.60 FIRST_HEALTH_PLAN — COMMERCIAL: $2,137.33 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $2,263.05 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $233.52
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abdomen +Pelvis w/ Cont	$1,653.20	$1,322.56	$368.43 – $1,570.54
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,239.90 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $661.28 ANTHEM_BCBS_HMO_PLAN — HMO: $514 CIGNA_PLAN — COMMERCIAL: $1,405.22 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $416.44 COLORADO_NETWORK_PLAN — MEDICARE: $1,570.54 COVER_COLORADO_PLAN — COMMERCIAL: $1,322.56 FIRST_HEALTH_PLAN — COMMERCIAL: $1,405.22 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,487.88 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $368.43
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Comp	$642.90	$514.32	$106.88 – $610.76
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $482.18 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $257.16 ANTHEM_BCBS_HMO_PLAN — HMO: $509.18 CIGNA_PLAN — COMMERCIAL: $546.47 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $221.27 COLORADO_NETWORK_PLAN — MEDICARE: $610.76 COVER_COLORADO_PLAN — COMMERCIAL: $514.32 FIRST_HEALTH_PLAN — COMMERCIAL: $546.47 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $578.61 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $106.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Pregnant > 14 Weeks 1st Gest	$684.70	$547.76	$106.88 – $650.47
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $513.53 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $273.88 ANTHEM_BCBS_HMO_PLAN — HMO: $542.28 CIGNA_PLAN — COMMERCIAL: $582 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $134 COLORADO_NETWORK_PLAN — MEDICARE: $650.47 COVER_COLORADO_PLAN — COMMERCIAL: $547.76 FIRST_HEALTH_PLAN — COMMERCIAL: $582 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $616.23 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $106.88
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal	$581.60	$465.28	$106.88 – $552.52
Transvaginal ultrasound: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $436.20 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $232.64 ANTHEM_BCBS_HMO_PLAN — HMO: $460.63 CIGNA_PLAN — COMMERCIAL: $494.36 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $145.77 COLORADO_NETWORK_PLAN — MEDICARE: $552.52 COVER_COLORADO_PLAN — COMMERCIAL: $465.28 FIRST_HEALTH_PLAN — COMMERCIAL: $494.36 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $523.44 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $106.88
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MA Post Procedure Lt	$35.90	$28.72	$66.74
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $26.93 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $14.36 ANTHEM_BCBS_HMO_PLAN — HMO: $28.43 CIGNA_PLAN — COMMERCIAL: $30.52 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $35.90 COLORADO_NETWORK_PLAN — MEDICARE: $34.11 COVER_COLORADO_PLAN — COMMERCIAL: $28.72 FIRST_HEALTH_PLAN — COMMERCIAL: $30.52 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $32.31 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $35.90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MA Diag Rt.	$373.10	$298.48	$66.74 – $354.45
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $279.83 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $149.24 ANTHEM_BCBS_HMO_PLAN — HMO: $295.50 CIGNA_PLAN — COMMERCIAL: $317.14 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $66.74 COLORADO_NETWORK_PLAN — MEDICARE: $354.45 COVER_COLORADO_PLAN — COMMERCIAL: $298.48 FIRST_HEALTH_PLAN — COMMERCIAL: $317.14 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $335.79 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $125.59
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MA Diag Breast Tomo Lt.	$373.10	$298.48	$66.74 – $354.45
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $279.83 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $149.24 ANTHEM_BCBS_HMO_PLAN — HMO: $295.50 CIGNA_PLAN — COMMERCIAL: $317.14 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $66.74 COLORADO_NETWORK_PLAN — MEDICARE: $354.45 COVER_COLORADO_PLAN — COMMERCIAL: $298.48 FIRST_HEALTH_PLAN — COMMERCIAL: $317.14 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $335.79 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $125.59
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MA Diag Bil.	$477.30	$381.84	$66.74 – $453.44
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $357.98 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $190.92 ANTHEM_BCBS_HMO_PLAN — HMO: $378.02 CIGNA_PLAN — COMMERCIAL: $405.71 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $66.74 COLORADO_NETWORK_PLAN — MEDICARE: $453.44 COVER_COLORADO_PLAN — COMMERCIAL: $381.84 FIRST_HEALTH_PLAN — COMMERCIAL: $405.71 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $429.57 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $158.59
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MA Diag Breast Tomo Bil.	$477.30	$381.84	$66.74 – $453.44
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $357.98 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $190.92 ANTHEM_BCBS_HMO_PLAN — HMO: $378.02 CIGNA_PLAN — COMMERCIAL: $405.71 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $66.74 COLORADO_NETWORK_PLAN — MEDICARE: $453.44 COVER_COLORADO_PLAN — COMMERCIAL: $381.84 FIRST_HEALTH_PLAN — COMMERCIAL: $405.71 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $429.57 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $158.59
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Routine Screen Bil.	$395.10	$316.08	$66.74 – $375.35
Screening mammogram, both breasts: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $296.33 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $158.04 ANTHEM_BCBS_HMO_PLAN — HMO: $312.92 CIGNA_PLAN — COMMERCIAL: $335.84 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $66.74 COLORADO_NETWORK_PLAN — MEDICARE: $375.35 COVER_COLORADO_PLAN — COMMERCIAL: $316.08 FIRST_HEALTH_PLAN — COMMERCIAL: $335.84 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $355.59 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $127.61
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Routine Screen Lt.	$186.50	$149.20	$66.74 – $270.80
Screening mammogram, both breasts: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $139.88 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $74.60 ANTHEM_BCBS_HMO_PLAN — HMO: $147.71 CIGNA_PLAN — COMMERCIAL: $158.53 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $66.74 COLORADO_NETWORK_PLAN — MEDICARE: $177.18 COVER_COLORADO_PLAN — COMMERCIAL: $149.20 FIRST_HEALTH_PLAN — COMMERCIAL: $158.53 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $167.85 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $127.61
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Routine Screen Breast w/ Tomo Bil.	$395.10	$316.08	$66.74 – $375.35
Screening mammogram, both breasts: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $296.33 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $158.04 ANTHEM_BCBS_HMO_PLAN — HMO: $312.92 CIGNA_PLAN — COMMERCIAL: $335.84 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $66.74 COLORADO_NETWORK_PLAN — MEDICARE: $375.35 COVER_COLORADO_PLAN — COMMERCIAL: $316.08 FIRST_HEALTH_PLAN — COMMERCIAL: $335.84 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $355.59 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $127.61

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT Therapeutic Exercise Charges	$119.30	$95.44	$27.31 – $113.34
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $89.48 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $47.72 ANTHEM_BCBS_HMO_PLAN — HMO: $94.49 CIGNA_PLAN — COMMERCIAL: $101.41 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $50.89 COLORADO_NETWORK_PLAN — MEDICARE: $113.34 COVER_COLORADO_PLAN — COMMERCIAL: $95.44 FIRST_HEALTH_PLAN — COMMERCIAL: $101.41 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $107.37 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $27.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT Therapeutic Exercise Charges	$119.30	$95.44	$27.31 – $113.34
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $89.48 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $47.72 ANTHEM_BCBS_HMO_PLAN — HMO: $94.49 CIGNA_PLAN — COMMERCIAL: $101.41 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $50.89 COLORADO_NETWORK_PLAN — MEDICARE: $113.34 COVER_COLORADO_PLAN — COMMERCIAL: $95.44 FIRST_HEALTH_PLAN — COMMERCIAL: $101.41 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $107.37 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $27.31
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT Low Complex Units	$290.30	$232.24	$22.77 – $315.42
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $217.73 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $116.12 ANTHEM_BCBS_HMO_PLAN — HMO: $229.92 CIGNA_PLAN — COMMERCIAL: $246.76 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $290.30 COLORADO_NETWORK_PLAN — MEDICARE: $275.79 COVER_COLORADO_PLAN — COMMERCIAL: $232.24 FIRST_HEALTH_PLAN — COMMERCIAL: $246.76 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $261.27 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $22.77
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT Moderate Complex Units	$290.30	$232.24	$45.53 – $315.42
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $217.73 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $116.12 ANTHEM_BCBS_HMO_PLAN — HMO: $229.92 CIGNA_PLAN — COMMERCIAL: $246.76 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $290.30 COLORADO_NETWORK_PLAN — MEDICARE: $275.79 COVER_COLORADO_PLAN — COMMERCIAL: $232.24 FIRST_HEALTH_PLAN — COMMERCIAL: $246.76 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $261.27 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $45.53
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT High Complex Units	$290.30	$232.24	$68.98 – $315.42
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $217.73 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $116.12 ANTHEM_BCBS_HMO_PLAN — HMO: $229.92 CIGNA_PLAN — COMMERCIAL: $246.76 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $290.30 COLORADO_NETWORK_PLAN — MEDICARE: $275.79 COVER_COLORADO_PLAN — COMMERCIAL: $232.24 FIRST_HEALTH_PLAN — COMMERCIAL: $246.76 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $261.27 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $68.98
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy; 30 mins	$141.40	$113.12	$54.86 – $159.70
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $106.05 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $56.56 ANTHEM_BCBS_HMO_PLAN — HMO: $111.99 CIGNA_PLAN — COMMERCIAL: $120.19 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $141.40 COLORADO_NETWORK_PLAN — MEDICARE: $134.33 COVER_COLORADO_PLAN — COMMERCIAL: $113.12 FIRST_HEALTH_PLAN — COMMERCIAL: $120.19 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $127.26 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $141.40
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy; 45 mins	$217.10	$173.68	$84.23 – $206.25
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $162.83 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $86.84 ANTHEM_BCBS_HMO_PLAN — HMO: $171.94 CIGNA_PLAN — COMMERCIAL: $184.54 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $192.61 COLORADO_NETWORK_PLAN — MEDICARE: $206.25 COVER_COLORADO_PLAN — COMMERCIAL: $173.68 FIRST_HEALTH_PLAN — COMMERCIAL: $184.54 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $195.39 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $145.69
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy; 60 mins	$252.20	$201.76	$97.85 – $260.36
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $189.15 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $100.88 ANTHEM_BCBS_HMO_PLAN — HMO: $199.74 CIGNA_PLAN — COMMERCIAL: $214.37 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $192.61 COLORADO_NETWORK_PLAN — MEDICARE: $239.59 COVER_COLORADO_PLAN — COMMERCIAL: $201.76 FIRST_HEALTH_PLAN — COMMERCIAL: $214.37 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $226.98 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $145.69
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: 90846 Family Psychotherapy w/o Patient 50 mins	$350.60	$280.48	$136.03 – $333.07
Family psychotherapy, without the patient: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $262.95 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $140.24 ANTHEM_BCBS_HMO_PLAN — HMO: $277.68 CIGNA_PLAN — COMMERCIAL: $298.01 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $198.82 COLORADO_NETWORK_PLAN — MEDICARE: $333.07 COVER_COLORADO_PLAN — COMMERCIAL: $280.48 FIRST_HEALTH_PLAN — COMMERCIAL: $298.01 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $315.54 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $145.69
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: 90847 FAMILY PSYCHOTHERAPY WITH PT CHARGE	$234.10	$187.28	$90.83 – $222.40
Family psychotherapy, with the patient: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $175.58 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $93.64 ANTHEM_BCBS_HMO_PLAN — HMO: $185.41 CIGNA_PLAN — COMMERCIAL: $198.99 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $198.82 COLORADO_NETWORK_PLAN — MEDICARE: $222.40 COVER_COLORADO_PLAN — COMMERCIAL: $187.28 FIRST_HEALTH_PLAN — COMMERCIAL: $198.99 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $210.69 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $145.69
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: 90853 Group Psychotherapy	$243.30	$194.64	$46.96 – $282.08
Group psychotherapy: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $182.48 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $97.32 ANTHEM_BCBS_HMO_PLAN — HMO: $192.69 CIGNA_PLAN — COMMERCIAL: $206.81 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $243.30 COLORADO_NETWORK_PLAN — MEDICARE: $231.14 COVER_COLORADO_PLAN — COMMERCIAL: $194.64 FIRST_HEALTH_PLAN — COMMERCIAL: $206.81 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $218.97 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $75.84

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: 19120 Excision Of Cyst, Fibroadenoma, Or Other Benign Or Mal	$1,488.80	$1,191.04	$370.73 – $1,843.84
Removal of breast growth (open surgery): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,116.60 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $382.20 ANTHEM_BCBS_HMO_PLAN — HMO: $1,179.13 CIGNA_PLAN — COMMERCIAL: $1,265.48 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $1,488.80 COLORADO_NETWORK_PLAN — MEDICARE: $1,414.36 COVER_COLORADO_PLAN — COMMERCIAL: $1,191.04 FIRST_HEALTH_PLAN — COMMERCIAL: $1,265.48 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,339.92 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $1,488.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy	$2,478	$1,982.40	$276.66 – $2,354.10
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,858.50 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $991.20 ANTHEM_BCBS_HMO_PLAN — HMO: $1,962.58 CIGNA_PLAN — COMMERCIAL: $2,106.30 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $1,260.54 COLORADO_NETWORK_PLAN — MEDICARE: $2,354.10 COVER_COLORADO_PLAN — COMMERCIAL: $1,982.40 FIRST_HEALTH_PLAN — COMMERCIAL: $2,106.30 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $2,230.20 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $825.51
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy with	$2,478	$1,982.40	$276.66 – $2,354.10
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,858.50 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $991.20 ANTHEM_BCBS_HMO_PLAN — HMO: $1,962.58 CIGNA_PLAN — COMMERCIAL: $2,106.30 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $1,260.54 COLORADO_NETWORK_PLAN — MEDICARE: $2,354.10 COVER_COLORADO_PLAN — COMMERCIAL: $1,982.40 FIRST_HEALTH_PLAN — COMMERCIAL: $2,106.30 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $2,230.20 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $825.51
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy	$1,271	$1,016.80	$368.54 – $1,279.37
Colonoscopy (diagnostic): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $953.25 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $508.40 ANTHEM_BCBS_HMO_PLAN — HMO: $1,006.63 CIGNA_PLAN — COMMERCIAL: $1,080.35 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $1,271 COLORADO_NETWORK_PLAN — MEDICARE: $1,207.45 COVER_COLORADO_PLAN — COMMERCIAL: $1,016.80 FIRST_HEALTH_PLAN — COMMERCIAL: $1,080.35 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,143.90 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $831.04
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy With	$1,906	$1,524.80	$368.54 – $1,810.70
Colonoscopy (diagnostic): 10 of 21 insurance plan rates AETNA_COMMERCIAL_PLAN — COMMERCIAL: $1,429.50 AETNA_MEDICARE_ADVANTAGE_PLAN — MEDICARE: $762.40 ANTHEM_BCBS_HMO_PLAN — HMO: $1,509.55 CIGNA_PLAN — COMMERCIAL: $1,620.10 COLORADO_ACCESS_MEDICAID_HMO_PLAN — MEDICAID_HMO: $1,279.37 COLORADO_NETWORK_PLAN — MEDICARE: $1,810.70 COVER_COLORADO_PLAN — COMMERCIAL: $1,524.80 FIRST_HEALTH_PLAN — COMMERCIAL: $1,620.10 HUMANA_CHOICECARE_PLAN — COMMERCIAL: $1,715.40 MEDICAID_NEW_MEXICO_PLAN — MEDICAID: $831.04

Source: Pagosa Springs Medical Center’s standard charges file (pagosaspringsmedicalcenter.pg.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 24, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	95 S Pagosa Blvd, Pagosa Springs, CO 81147
County	Archuleta County
State	Colorado
Phone	(970) 731‑3700
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	061328
Name in Medicare records	PAGOSA SPRINGS MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	pagosaspringsmedicalcenter.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

All Services — pagosaspringsmedicalcenter.org
Home - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Lab Services - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Emergency Department - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Infusion Services - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Financial Assistance - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Cardiology - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Center for Cancer and Blood Disorders - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Diagnostic Imaging - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Hospital/Inpatient - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Neurology - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Orthopedics and Sports Medicine - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Integrated Behavioral Health - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org
Women's Health - Pagosa Springs Medical Center — pagosaspringsmedicalcenter.org

Pagosa Springs Medical Center

Summary

Profile from official sources

At a glance