Does St Anthony Summit Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Anthony Summit Medical Center. In a medical emergency, call 911.

Where is St Anthony Summit Medical Center?

340 Peak One Drive, Frisco, CO 80443, in Summit County, Colorado.

What is the phone number of St Anthony Summit Medical Center?

(970) 668-3300, as listed by Medicare (CMS).

What is the Medicare star rating of St Anthony Summit 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.

St Anthony Summit Medical Center — Frisco, CO

Quick answers

Does St Anthony Summit Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Anthony Summit Medical Center. In a medical emergency, call 911.
Where is St Anthony Summit Medical Center?: 340 Peak One Drive, Frisco, CO 80443, in Summit County, Colorado.
What is the phone number of St Anthony Summit Medical Center?: (970) 668-3300, as listed by Medicare (CMS).
What is the Medicare star rating of St Anthony Summit 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][8]

Surgical
Emergency
Critical care
Birth center
Orthopedic
Breast care
Radiology and imaging
Infusion therapy
Nuclear medicine
Cardiology
Oncology
Sleep disorders center
Ear, nose and throat (ENT)
Gastroenterology
Total joint replacement
Obstetrics

Conditions treated^[11]

Heart attack

Treatments^{[5][7][9][14]}

Total joint replacement
Breast conservation and partial mastectomy
Sentinel lymph node biopsy
Chemotherapy
Infusion therapy
Radiation therapy
Genetic counseling

Procedures^{[4][5][7][9][12]}

Digital mammography
Breast MRI
3D mammography
Breast ultrasound
X-ray
CT scan
Coronary CT angiogram
MRI
Echocardiogram
Nuclear stress test
Nuclear medicine
DEXA bone density scan
Fluoroscopy

Programs and centers^{[5][8][9][10]}

Birth Center
Lactation support
Birth classes and family education
Pre-admission program (birth)
Forensic Nurse Examiner Program
Oncology nurse navigator program

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Emergency Stroke Ready

Visiting and practical information

Visiting	Enhanced Visitor Management System began March 17, 2026; nonstaff visitors aged 18+ must be tracked (text truncated)^[13]
Interpreters and languages	Free qualified interpreters and written information in other languages available on request^[13]

Recognition^[5][6]

The Joint Commission Gold Seal of Approval for Orthopedic Trauma
The Joint Commission Top Performer on Key Quality Measures

Doctors and clinicians (251)

251 doctors and other clinicians list St Anthony Summit 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

And 227 more: the button below opens the full list.

Other emergency rooms nearby

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

Vail Health Hospital14 mi · Vail, CO · Acute Care Hospital
St Vincent General Hospital District19 mi · Leadville, CO · Critical Access Hospital
Middle Park Medical Center40 mi · Kremmling, CO · Critical Access Hospital
Aspen Valley Hospital District42 mi · Aspen, CO · Critical Access Hospital
Orthocolorado Hosp at St Anthony Med Campus58 mi · Lakewood, CO · Acute Care Hospital

Other hospitals nearby

Centura Health-St Anthony Hospital58 mi · Lakewood, CO · Acute Care 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.

Home health agencies

Home Health Bristlecone0.0 mi · Frisco, CO

All home health agencies in the state →

Dialysis facilities

062589-KIDNEY Center of the Rockies19 mi · Avon, CO · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Peak One Surgery Center LLC0.0 mi · Frisco, CO
Vail Valley Surgery Center Vail13 mi · Vail, CO
Dillon Surgery Center14 mi · Dillon, CO

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Copper Mountain WBHC0.8 mi · Frisco, CO · Community health center
Frisco Elementary6.5 mi · Frisco, CO · Community health center
Upper Blue Elementary6.7 mi · Breckenridge, CO · Community health center

Clinics and urgent care

Colorado Mountain Medical, LLC13 mi · Vail, CO · Urgent care center
Colorado Mountain Medical, LLC14 mi · Dillon, CO · Urgent care center
Peaks Medical PC14 mi · Dillon, CO · Rural health clinic

Pharmacies

1918 Winter Street Operating Co LLC0.0 mi · Frisco, CO · Community/retail pharmacy
Catholic Health Iniatives Colorado0.0 mi · Frisco, CO · Community/retail pharmacy
Safeway Inc0.0 mi · Frisco, CO · Community/retail pharmacy

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 St Anthony Summit 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.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	85%National average: 72%
Would definitely recommend the hospital	87%National average: 71%
Nurses “always” communicated well	87%National average: 80%
Doctors “always” communicated well	84%National average: 80%
Staff “always” explained medicines before giving them	71%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	66%National average: 60%
Completed surveys	176Response rate: 14%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.696No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	12.2%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

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

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	151 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	81%National average: 65%

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 87 common services exactly as St Anthony Summit 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) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$78.35 – $985.91
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — Managed Medicare: $78.35 Anthem Blue Cross Blue Shield — Managed Medicare: $78.35 Cigna Healthcare — Managed Medicare: $78.35 Devoted Health — Managed Medicare: $78.35 Humana — Managed Medicare: $78.35 Kaiser — Managed Medicare: $78.35 Managed Medicare — Managed Medicare: $78.35 Medicare — Medicare: $78.35 Optum Care Network — Managed Medicare: $78.35 United Healthcare — Managed Medicare: $78.35
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	Not listed in the file	Not listed in the file	$78.35 – $985.91
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $985.91
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$127.75 – $1,607.55
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — Managed Medicare: $127.75 Anthem Blue Cross Blue Shield — Managed Medicare: $127.75 Cigna Healthcare — Managed Medicare: $127.75 Devoted Health — Managed Medicare: $127.75 Humana — Managed Medicare: $127.75 Kaiser — Managed Medicare: $127.75 Managed Medicare — Managed Medicare: $127.75 Medicare — Medicare: $127.75 Optum Care Network — Managed Medicare: $127.75 United Healthcare — Managed Medicare: $127.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	Not listed in the file	Not listed in the file	$127.75 – $1,607.55
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,607.55
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$173.82 – $2,187.26
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — Managed Medicare: $173.82 Anthem Blue Cross Blue Shield — Managed Medicare: $173.82 Cigna Healthcare — Managed Medicare: $173.82 Devoted Health — Managed Medicare: $173.82 Humana — Managed Medicare: $173.82 Kaiser — Managed Medicare: $173.82 Managed Medicare — Managed Medicare: $173.82 Medicare — Medicare: $173.82 Optum Care Network — Managed Medicare: $173.82 United Healthcare — Managed Medicare: $173.82
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	Not listed in the file	Not listed in the file	$173.82 – $2,187.26
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $2,187.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$63.19 – $795.14
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — Managed Medicare: $63.19 Anthem Blue Cross Blue Shield — Managed Medicare: $63.19 Cigna Healthcare — Managed Medicare: $63.19 Devoted Health — Managed Medicare: $63.19 Humana — Managed Medicare: $63.19 Kaiser — Managed Medicare: $63.19 Managed Medicare — Managed Medicare: $63.19 Medicare — Medicare: $63.19 Optum Care Network — Managed Medicare: $63.19 United Healthcare — Managed Medicare: $63.19
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	Not listed in the file	Not listed in the file	$63.19 – $795.14
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $795.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$92.99 – $1,170.15
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — Managed Medicare: $92.99 Anthem Blue Cross Blue Shield — Managed Medicare: $92.99 Cigna Healthcare — Managed Medicare: $92.99 Devoted Health — Managed Medicare: $92.99 Humana — Managed Medicare: $92.99 Kaiser — Managed Medicare: $92.99 Managed Medicare — Managed Medicare: $92.99 Medicare — Medicare: $92.99 Optum Care Network — Managed Medicare: $92.99 United Healthcare — Managed Medicare: $92.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	Not listed in the file	Not listed in the file	$92.99 – $1,170.15
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,170.15
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$113.29
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Managed Medicare: $113.29 Anthem Blue Cross Blue Shield — Managed Medicare: $113.29 Cigna Healthcare — Managed Medicare: $113.29 Devoted Health — Managed Medicare: $113.29 Humana — Managed Medicare: $113.29 Kaiser — Managed Medicare: $113.29 Managed Medicare — Managed Medicare: $113.29 Medicare — Medicare: $113.29 Optum Care Network — Managed Medicare: $113.29 United Healthcare — Managed Medicare: $113.29
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$161.72
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Managed Medicare: $161.72 Anthem Blue Cross Blue Shield — Managed Medicare: $161.72 Cigna Healthcare — Managed Medicare: $161.72 Devoted Health — Managed Medicare: $161.72 Humana — Managed Medicare: $161.72 Kaiser — Managed Medicare: $161.72 Managed Medicare — Managed Medicare: $161.72 Medicare — Medicare: $161.72 Optum Care Network — Managed Medicare: $161.72 United Healthcare — Managed Medicare: $161.72
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$135.98
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans Aetna — Managed Medicare: $135.98 Anthem Blue Cross Blue Shield — Managed Medicare: $135.98 Cigna Healthcare — Managed Medicare: $135.98 Devoted Health — Managed Medicare: $135.98 Humana — Managed Medicare: $135.98 Kaiser — Managed Medicare: $135.98 Managed Medicare — Managed Medicare: $135.98 Medicare — Medicare: $135.98 Optum Care Network — Managed Medicare: $135.98 United Healthcare — Managed Medicare: $135.98
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$156.94
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans Aetna — Managed Medicare: $156.94 Anthem Blue Cross Blue Shield — Managed Medicare: $156.94 Cigna Healthcare — Managed Medicare: $156.94 Devoted Health — Managed Medicare: $156.94 Humana — Managed Medicare: $156.94 Kaiser — Managed Medicare: $156.94 Managed Medicare — Managed Medicare: $156.94 Medicare — Medicare: $156.94 Optum Care Network — Managed Medicare: $156.94 United Healthcare — Managed Medicare: $156.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL III	$3,705.14	$1,482.06	$67 – $3,705.14
Emergency room visit (moderate): 10 of 35 insurance plan rates Aetna — Commercial PPO/POS/HMO: $3,223.47 Aetna — Managed Medicare: $67 Aetna Rental Network — Commercial PPO/POS/HMO: $3,334.63 Anthem Blue Cross Blue Shield — Commercial Indemnity: $3,260.52 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $484.41 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,002.24 Anthem Blue Cross Blue Shield — Commercial Pathways: $1,375.12 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,700.29 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $3,705.14 Anthem Blue Cross Blue Shield — Managed Medicare: $67
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL III	$3,705.14	$1,482.06	$1,002.24 – $3,408.73
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $3,223.47 Aetna Rental Network — Commercial PPO/POS/HMO: $3,334.63 Anthem Blue Cross Blue Shield — Commercial Indemnity: $3,260.52 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,002.24 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,700.29 Cigna Healthcare — Commercial Local Plus: $3,019.69 Cigna Healthcare — Commercial PPO/POS/HMO: $3,186.42 Denver Health — Commercial PPO/POS/HMO: $1,100.43 Denver Health — Summit County Government: $2,223.08 Direct to Employer — Breckenridge Grand Vacations: $2,186.03
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL IV	$7,950.67	$3,180.27	$114.18 – $7,950.67
Emergency room visit (moderately high): 10 of 35 insurance plan rates Aetna — Commercial PPO/POS/HMO: $6,917.08 Aetna — Managed Medicare: $114.18 Aetna Rental Network — Commercial PPO/POS/HMO: $7,155.60 Anthem Blue Cross Blue Shield — Commercial Indemnity: $6,996.59 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $825.49 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $2,150.66 Anthem Blue Cross Blue Shield — Commercial Pathways: $2,343.35 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $3,648.56 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $7,950.67 Anthem Blue Cross Blue Shield — Managed Medicare: $114.18
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL IV	$7,950.67	$3,180.27	$2,150.66 – $7,314.62
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $6,917.08 Aetna Rental Network — Commercial PPO/POS/HMO: $7,155.60 Anthem Blue Cross Blue Shield — Commercial Indemnity: $6,996.59 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $2,150.66 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $3,648.56 Cigna Healthcare — Commercial Local Plus: $6,479.80 Cigna Healthcare — Commercial PPO/POS/HMO: $6,837.58 Denver Health — Commercial PPO/POS/HMO: $2,361.35 Denver Health — Summit County Government: $4,770.40 Direct to Employer — Breckenridge Grand Vacations: $4,690.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL V	$16,710.55	$6,684.22	$165.45 – $16,710.55
Emergency room visit (high): 10 of 35 insurance plan rates Aetna — Commercial PPO/POS/HMO: $14,538.18 Aetna — Managed Medicare: $165.45 Aetna Rental Network — Commercial PPO/POS/HMO: $15,039.50 Anthem Blue Cross Blue Shield — Commercial Indemnity: $14,705.28 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $1,196.18 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $4,520.20 Anthem Blue Cross Blue Shield — Commercial Pathways: $3,395.66 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $7,668.47 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $16,710.55 Anthem Blue Cross Blue Shield — Managed Medicare: $165.45
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL V	$16,710.55	$6,684.22	$4,520.20 – $15,373.71
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $14,538.18 Aetna Rental Network — Commercial PPO/POS/HMO: $15,039.50 Anthem Blue Cross Blue Shield — Commercial Indemnity: $14,705.28 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $4,520.20 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $7,668.47 Cigna Healthcare — Commercial Local Plus: $13,619.10 Cigna Healthcare — Commercial PPO/POS/HMO: $14,371.07 Denver Health — Commercial PPO/POS/HMO: $4,963.03 Denver Health — Summit County Government: $10,026.33 Direct to Employer — Breckenridge Grand Vacations: $9,859.22

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$123.06	$49.23	$8.29 – $113.22
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $107.06 Aetna — Managed Medicare: $8.29 Aetna Rental Network — Commercial PPO/POS/HMO: $110.75 Anthem Blue Cross Blue Shield — Commercial Indemnity: $108.29 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $31.99 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $17.83 Anthem Blue Cross Blue Shield — Commercial Pathways: $90.83 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $56.47 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $55.69 Anthem Blue Cross Blue Shield — Managed Medicare: $8.29
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$123.06	$49.23	$33.29 – $113.22
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $107.06 Aetna Rental Network — Commercial PPO/POS/HMO: $110.75 Anthem Blue Cross Blue Shield — Commercial Indemnity: $108.29 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $33.29 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $56.47 Cigna Healthcare — Commercial Local Plus: $100.29 Cigna Healthcare — Commercial PPO/POS/HMO: $105.83 Denver Health — Commercial PPO/POS/HMO: $36.55 Denver Health — Summit County Government: $73.84 Direct to Employer — Breckenridge Grand Vacations: $72.61
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$175.02	$70.01	$10.35 – $161.02
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $152.27 Aetna — Managed Medicare: $10.35 Aetna Rental Network — Commercial PPO/POS/HMO: $157.52 Anthem Blue Cross Blue Shield — Commercial Indemnity: $154.02 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $39.95 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $25.36 Anthem Blue Cross Blue Shield — Commercial Pathways: $113.41 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $80.32 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $69.53 Anthem Blue Cross Blue Shield — Managed Medicare: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$175.02	$70.01	$47.34 – $161.02
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $152.27 Aetna Rental Network — Commercial PPO/POS/HMO: $157.52 Anthem Blue Cross Blue Shield — Commercial Indemnity: $154.02 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $47.34 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $80.32 Cigna Healthcare — Commercial Local Plus: $142.64 Cigna Healthcare — Commercial PPO/POS/HMO: $150.52 Denver Health — Commercial PPO/POS/HMO: $51.98 Denver Health — Summit County Government: $105.01 Direct to Employer — Breckenridge Grand Vacations: $103.26
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$46.04 – $321.66
Obstetric blood test panel: rates for 10 insurance plans Aetna — Managed Medicare: $46.85 Anthem Blue Cross Blue Shield — Managed Medicare: $46.85 Cigna Healthcare — Managed Medicare: $46.85 Devoted Health — Managed Medicare: $46.85 Humana — Managed Medicare: $46.85 Kaiser — Managed Medicare: $46.85 Managed Medicare — Managed Medicare: $46.85 Medicare — Medicare: $46.85 Optum Care Network — Managed Medicare: $46.85 United Healthcare — Managed Medicare: $46.85
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$46.04 – $321.66
Obstetric blood test panel: rates for 3 insurance plans Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $321.66 Centura Employee Plan — Commercial PPO/POS/HMO/EPO: $46.04 Peak Health — Commercial PPO/POS/HMO: $71.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$195.85	$78.34	$13.12 – $180.18
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $170.39 Aetna — Managed Medicare: $13.12 Aetna Rental Network — Commercial PPO/POS/HMO: $176.27 Anthem Blue Cross Blue Shield — Commercial Indemnity: $172.35 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $50.65 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $28.38 Anthem Blue Cross Blue Shield — Commercial Pathways: $143.79 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $89.88 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $88.16 Anthem Blue Cross Blue Shield — Managed Medicare: $13.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$195.85	$78.34	$52.98 – $180.18
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $170.39 Aetna Rental Network — Commercial PPO/POS/HMO: $176.27 Anthem Blue Cross Blue Shield — Commercial Indemnity: $172.35 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $52.98 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $89.88 Cigna Healthcare — Commercial Local Plus: $159.62 Cigna Healthcare — Commercial PPO/POS/HMO: $168.43 Denver Health — Commercial PPO/POS/HMO: $58.17 Denver Health — Summit County Government: $117.51 Direct to Employer — Breckenridge Grand Vacations: $115.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$131.36	$52.55	$8.51 – $120.85
Kidney function panel: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $114.28 Aetna — Managed Medicare: $8.51 Aetna Rental Network — Commercial PPO/POS/HMO: $118.22 Anthem Blue Cross Blue Shield — Commercial Indemnity: $115.60 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $32.85 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $19.03 Anthem Blue Cross Blue Shield — Commercial Pathways: $93.27 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $60.28 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $57.18 Anthem Blue Cross Blue Shield — Managed Medicare: $8.51
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$131.36	$52.55	$35.53 – $120.85
Kidney function panel: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $114.28 Aetna Rental Network — Commercial PPO/POS/HMO: $118.22 Anthem Blue Cross Blue Shield — Commercial Indemnity: $115.60 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $35.53 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $60.28 Cigna Healthcare — Commercial Local Plus: $107.06 Cigna Healthcare — Commercial PPO/POS/HMO: $112.97 Denver Health — Commercial PPO/POS/HMO: $39.01 Denver Health — Summit County Government: $78.82 Direct to Employer — Breckenridge Grand Vacations: $77.50
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$125.82	$50.33	$8.01 – $115.75
Liver function panel: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $109.46 Aetna — Managed Medicare: $8.01 Aetna Rental Network — Commercial PPO/POS/HMO: $113.24 Anthem Blue Cross Blue Shield — Commercial Indemnity: $110.72 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $30.89 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $18.23 Anthem Blue Cross Blue Shield — Commercial Pathways: $87.68 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $57.74 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $53.75 Anthem Blue Cross Blue Shield — Managed Medicare: $8.01
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$125.82	$50.33	$34.03 – $115.75
Liver function panel: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $109.46 Aetna Rental Network — Commercial PPO/POS/HMO: $113.24 Anthem Blue Cross Blue Shield — Commercial Indemnity: $110.72 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $34.03 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $57.74 Cigna Healthcare — Commercial Local Plus: $102.54 Cigna Healthcare — Commercial PPO/POS/HMO: $108.21 Denver Health — Commercial PPO/POS/HMO: $37.37 Denver Health — Summit County Government: $75.49 Direct to Employer — Breckenridge Grand Vacations: $74.23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W SCOPE	$42.23	$16.90	$3.11 – $38.85
Urine test (automated, with microscope): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $36.74 Aetna — Managed Medicare: $3.11 Aetna Rental Network — Commercial PPO/POS/HMO: $38.01 Anthem Blue Cross Blue Shield — Commercial Indemnity: $37.16 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $11.98 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $6.12 Anthem Blue Cross Blue Shield — Commercial Pathways: $34 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $19.38 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $20.85 Anthem Blue Cross Blue Shield — Managed Medicare: $3.11
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W SCOPE	$42.23	$16.90	$11.42 – $38.85
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $36.74 Aetna Rental Network — Commercial PPO/POS/HMO: $38.01 Anthem Blue Cross Blue Shield — Commercial Indemnity: $37.16 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $11.42 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $19.38 Cigna Healthcare — Commercial Local Plus: $34.42 Cigna Healthcare — Commercial PPO/POS/HMO: $36.32 Denver Health — Commercial PPO/POS/HMO: $12.54 Denver Health — Summit County Government: $25.34 Direct to Employer — Breckenridge Grand Vacations: $24.92
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$35.15	$14.06	$3.21 – $32.34
Urine test (manual, without microscope): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $30.58 Aetna — Managed Medicare: $3.41 Aetna Rental Network — Commercial PPO/POS/HMO: $31.64 Anthem Blue Cross Blue Shield — Commercial Indemnity: $30.93 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $9.68 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $5.09 Anthem Blue Cross Blue Shield — Commercial Pathways: $27.47 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $16.13 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $16.84 Anthem Blue Cross Blue Shield — Managed Medicare: $3.41
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$35.15	$14.06	$9.51 – $32.34
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $30.58 Aetna Rental Network — Commercial PPO/POS/HMO: $31.64 Anthem Blue Cross Blue Shield — Commercial Indemnity: $30.93 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $9.51 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $16.13 Cigna Healthcare — Commercial Local Plus: $28.65 Cigna Healthcare — Commercial PPO/POS/HMO: $30.23 Denver Health — Commercial PPO/POS/HMO: $10.44 Denver Health — Summit County Government: $21.09 Direct to Employer — Breckenridge Grand Vacations: $20.74
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$30.10	$12.04	$2.21 – $27.69
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $26.19 Aetna — Managed Medicare: $2.21 Aetna Rental Network — Commercial PPO/POS/HMO: $27.09 Anthem Blue Cross Blue Shield — Commercial Indemnity: $26.49 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $8.48 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $4.36 Anthem Blue Cross Blue Shield — Commercial Pathways: $24.08 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $13.81 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $14.77 Anthem Blue Cross Blue Shield — Managed Medicare: $2.21
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$30.10	$12.04	$8.14 – $27.69
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $26.19 Aetna Rental Network — Commercial PPO/POS/HMO: $27.09 Anthem Blue Cross Blue Shield — Commercial Indemnity: $26.49 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $8.14 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $13.81 Cigna Healthcare — Commercial Local Plus: $24.53 Cigna Healthcare — Commercial PPO/POS/HMO: $25.89 Denver Health — Commercial PPO/POS/HMO: $8.94 Denver Health — Summit County Government: $18.06 Direct to Employer — Breckenridge Grand Vacations: $17.76
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN(PSA)	$268.77	$107.51	$18.02 – $247.27
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $233.83 Aetna — Managed Medicare: $18.02 Aetna Rental Network — Commercial PPO/POS/HMO: $241.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $236.52 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $69.56 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $38.94 Anthem Blue Cross Blue Shield — Commercial Pathways: $197.47 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $123.34 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $121.07 Anthem Blue Cross Blue Shield — Managed Medicare: $18.02
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN(PSA)	$268.77	$107.51	$72.70 – $247.27
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $233.83 Aetna Rental Network — Commercial PPO/POS/HMO: $241.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $236.52 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $72.70 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $123.34 Cigna Healthcare — Commercial Local Plus: $219.05 Cigna Healthcare — Commercial PPO/POS/HMO: $231.14 Denver Health — Commercial PPO/POS/HMO: $79.82 Denver Health — Summit County Government: $161.26 Direct to Employer — Breckenridge Grand Vacations: $158.57
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE	$232.05	$92.82	$16.46 – $213.49
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $201.88 Aetna — Managed Medicare: $16.46 Aetna Rental Network — Commercial PPO/POS/HMO: $208.85 Anthem Blue Cross Blue Shield — Commercial Indemnity: $204.20 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $63.57 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $33.62 Anthem Blue Cross Blue Shield — Commercial Pathways: $180.47 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $106.49 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $110.65 Anthem Blue Cross Blue Shield — Managed Medicare: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE	$232.05	$92.82	$62.77 – $213.49
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $201.88 Aetna Rental Network — Commercial PPO/POS/HMO: $208.85 Anthem Blue Cross Blue Shield — Commercial Indemnity: $204.20 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $62.77 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $106.49 Cigna Healthcare — Commercial Local Plus: $189.12 Cigna Healthcare — Commercial PPO/POS/HMO: $199.56 Denver Health — Commercial PPO/POS/HMO: $68.92 Denver Health — Summit County Government: $139.23 Direct to Employer — Breckenridge Grand Vacations: $136.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF	$95.43	$38.18	$7.61 – $87.80
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $83.02 Aetna — Managed Medicare: $7.61 Aetna Rental Network — Commercial PPO/POS/HMO: $85.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $83.98 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $26.73 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $13.83 Anthem Blue Cross Blue Shield — Commercial Pathways: $75.87 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $43.79 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $46.52 Anthem Blue Cross Blue Shield — Managed Medicare: $7.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF	$95.43	$38.18	$25.81 – $87.80
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $83.02 Aetna Rental Network — Commercial PPO/POS/HMO: $85.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $83.98 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $25.81 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $43.79 Cigna Healthcare — Commercial Local Plus: $77.78 Cigna Healthcare — Commercial PPO/POS/HMO: $82.07 Denver Health — Commercial PPO/POS/HMO: $28.34 Denver Health — Summit County Government: $57.26 Direct to Employer — Breckenridge Grand Vacations: $56.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC PLT AUTO NO DIFF	$70.99	$28.40	$6.34 – $65.31
Complete blood count (CBC), automated: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $61.76 Aetna — Managed Medicare: $6.34 Aetna Rental Network — Commercial PPO/POS/HMO: $63.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $62.47 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $18.85 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $10.29 Anthem Blue Cross Blue Shield — Commercial Pathways: $53.52 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $32.58 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $32.81 Anthem Blue Cross Blue Shield — Managed Medicare: $6.34
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC PLT AUTO NO DIFF	$70.99	$28.40	$19.20 – $65.31
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $61.76 Aetna Rental Network — Commercial PPO/POS/HMO: $63.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $62.47 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $19.20 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $32.58 Cigna Healthcare — Commercial Local Plus: $57.86 Cigna Healthcare — Commercial PPO/POS/HMO: $61.05 Denver Health — Commercial PPO/POS/HMO: $21.08 Denver Health — Summit County Government: $42.59 Direct to Employer — Breckenridge Grand Vacations: $41.88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$55.04	$22.02	$4.20 – $50.64
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $47.88 Aetna — Managed Medicare: $4.20 Aetna Rental Network — Commercial PPO/POS/HMO: $49.54 Anthem Blue Cross Blue Shield — Commercial Indemnity: $48.44 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $14.89 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $7.98 Anthem Blue Cross Blue Shield — Commercial Pathways: $42.26 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $25.26 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $25.91 Anthem Blue Cross Blue Shield — Managed Medicare: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$55.04	$22.02	$14.89 – $50.64
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $47.88 Aetna Rental Network — Commercial PPO/POS/HMO: $49.54 Anthem Blue Cross Blue Shield — Commercial Indemnity: $48.44 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $14.89 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $25.26 Cigna Healthcare — Commercial Local Plus: $44.86 Cigna Healthcare — Commercial PPO/POS/HMO: $47.33 Denver Health — Commercial PPO/POS/HMO: $16.35 Denver Health — Summit County Government: $33.02 Direct to Employer — Breckenridge Grand Vacations: $32.47
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME APTT	$86.61	$34.65	$5.89 – $79.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $75.35 Aetna — Managed Medicare: $5.89 Aetna Rental Network — Commercial PPO/POS/HMO: $77.95 Anthem Blue Cross Blue Shield — Commercial Indemnity: $76.22 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $22.71 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $12.55 Anthem Blue Cross Blue Shield — Commercial Pathways: $64.46 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $39.75 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $39.52 Anthem Blue Cross Blue Shield — Managed Medicare: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME APTT	$86.61	$34.65	$23.43 – $79.68
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $75.35 Aetna Rental Network — Commercial PPO/POS/HMO: $77.95 Anthem Blue Cross Blue Shield — Commercial Indemnity: $76.22 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $23.43 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $39.75 Cigna Healthcare — Commercial Local Plus: $70.59 Cigna Healthcare — Commercial PPO/POS/HMO: $74.48 Denver Health — Commercial PPO/POS/HMO: $25.72 Denver Health — Summit County Government: $51.97 Direct to Employer — Breckenridge Grand Vacations: $51.10

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD W/O CONTRAST	$2,691.20	$1,076.48	$68.36 – $2,475.90
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $2,341.34 Aetna — Managed Medicare: $68.36 Aetna Rental Network — Commercial PPO/POS/HMO: $2,422.08 Anthem Blue Cross Blue Shield — Commercial Indemnity: $2,368.26 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $574 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $350 Anthem Blue Cross Blue Shield — Commercial Pathways: $1,626 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,234.99 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $997 Anthem Blue Cross Blue Shield — Managed Medicare: $68.36
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	$2,691.20	$1,076.48	$727.97 – $2,475.90
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $2,341.34 Aetna Rental Network — Commercial PPO/POS/HMO: $2,422.08 Anthem Blue Cross Blue Shield — Commercial Indemnity: $2,368.26 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $727.97 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,234.99 Cigna Healthcare — Commercial Local Plus: $2,193.33 Cigna Healthcare — Commercial PPO/POS/HMO: $2,314.43 Denver Health — Commercial PPO/POS/HMO: $799.29 Denver Health — Summit County Government: $1,614.72 Direct to Employer — Breckenridge Grand Vacations: $1,587.81
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$104.63
CT scan of the head or brain, without contrast: rates for 1 insurance plan Peak Health — Commercial PPO/POS/HMO: $104.63
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	$8,089.96	$3,235.99	$215.75 – $7,442.76
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $7,038.27 Aetna — Managed Medicare: $215.75 Aetna Rental Network — Commercial PPO/POS/HMO: $7,280.96 Anthem Blue Cross Blue Shield — Commercial Indemnity: $7,119.16 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $802 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $456 Anthem Blue Cross Blue Shield — Commercial Pathways: $2,275 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $3,712.48 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,394 Anthem Blue Cross Blue Shield — Managed Medicare: $215.75
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	$8,089.96	$3,235.99	$2,188.33 – $7,442.76
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $7,038.27 Aetna Rental Network — Commercial PPO/POS/HMO: $7,280.96 Anthem Blue Cross Blue Shield — Commercial Indemnity: $7,119.16 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $2,188.33 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $3,712.48 Cigna Healthcare — Commercial Local Plus: $6,593.32 Cigna Healthcare — Commercial PPO/POS/HMO: $6,957.37 Denver Health — Commercial PPO/POS/HMO: $2,402.72 Denver Health — Summit County Government: $4,853.98 Direct to Employer — Breckenridge Grand Vacations: $4,773.08
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEW EMPLOYEE HEALTH	$304.79	$121.92	$23.29 – $297
Chest X-ray, 2 views: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $265.17 Aetna — Managed Medicare: $23.29 Aetna Rental Network — Commercial PPO/POS/HMO: $274.31 Anthem Blue Cross Blue Shield — Commercial Indemnity: $268.22 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $43.93 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $182 Anthem Blue Cross Blue Shield — Commercial Pathways: $124.71 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $139.87 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $76.46 Anthem Blue Cross Blue Shield — Managed Medicare: $23.29
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$682.67	$273.07	$23.29 – $628.06
Chest X-ray, 2 views: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $593.92 Aetna — Managed Medicare: $23.29 Aetna Rental Network — Commercial PPO/POS/HMO: $614.40 Anthem Blue Cross Blue Shield — Commercial Indemnity: $600.75 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $43.93 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $182 Anthem Blue Cross Blue Shield — Commercial Pathways: $124.71 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $313.28 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $76.46 Anthem Blue Cross Blue Shield — Managed Medicare: $23.29
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEW EMPLOYEE HEALTH	$304.79	$121.92	$82.45 – $280.41
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $265.17 Aetna Rental Network — Commercial PPO/POS/HMO: $274.31 Anthem Blue Cross Blue Shield — Commercial Indemnity: $268.22 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $82.45 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $139.87 Cigna Healthcare — Commercial Local Plus: $248.40 Cigna Healthcare — Commercial PPO/POS/HMO: $262.12 Denver Health — Commercial PPO/POS/HMO: $90.52 Denver Health — Summit County Government: $182.87 Direct to Employer — Breckenridge Grand Vacations: $179.83
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	$814.97	$325.99	$39.32 – $749.77
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $709.02 Aetna — Managed Medicare: $39.32 Aetna Rental Network — Commercial PPO/POS/HMO: $733.47 Anthem Blue Cross Blue Shield — Commercial Indemnity: $717.17 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $74.15 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $182 Anthem Blue Cross Blue Shield — Commercial Pathways: $210.50 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $373.99 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $129.06 Anthem Blue Cross Blue Shield — Managed Medicare: $39.32
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	$814.97	$325.99	$220.45 – $749.77
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $709.02 Aetna Rental Network — Commercial PPO/POS/HMO: $733.47 Anthem Blue Cross Blue Shield — Commercial Indemnity: $717.17 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $220.45 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $373.99 Cigna Healthcare — Commercial Local Plus: $664.20 Cigna Healthcare — Commercial PPO/POS/HMO: $700.87 Denver Health — Commercial PPO/POS/HMO: $242.05 Denver Health — Summit County Government: $488.98 Direct to Employer — Breckenridge Grand Vacations: $480.83
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	$6,174.55	$2,469.82	$124.36 – $5,680.59
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,371.86 Aetna — Managed Medicare: $124.36 Aetna Rental Network — Commercial PPO/POS/HMO: $5,557.10 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,433.60 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $802 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $456 Anthem Blue Cross Blue Shield — Commercial Pathways: $2,275 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,833.50 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,394 Anthem Blue Cross Blue Shield — Managed Medicare: $124.36
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	$6,174.55	$2,469.82	$1,670.22 – $5,680.59
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,371.86 Aetna Rental Network — Commercial PPO/POS/HMO: $5,557.10 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,433.60 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,670.22 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,833.50 Cigna Healthcare — Commercial Local Plus: $5,032.26 Cigna Healthcare — Commercial PPO/POS/HMO: $5,310.11 Denver Health — Commercial PPO/POS/HMO: $1,833.84 Denver Health — Summit County Government: $3,704.73 Direct to Employer — Breckenridge Grand Vacations: $3,642.98
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$5,833.21	$2,333.29	$175.76 – $5,366.55
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,074.89 Aetna — Managed Medicare: $175.76 Aetna Rental Network — Commercial PPO/POS/HMO: $5,249.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,133.22 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $574 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $350 Anthem Blue Cross Blue Shield — Commercial Pathways: $1,626 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,676.86 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $997 Anthem Blue Cross Blue Shield — Managed Medicare: $175.76
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$5,833.21	$2,333.29	$1,577.88 – $5,366.55
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,074.89 Aetna Rental Network — Commercial PPO/POS/HMO: $5,249.89 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,133.22 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,577.88 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,676.86 Cigna Healthcare — Commercial Local Plus: $4,754.07 Cigna Healthcare — Commercial PPO/POS/HMO: $5,016.56 Denver Health — Commercial PPO/POS/HMO: $1,732.46 Denver Health — Summit County Government: $3,499.93 Direct to Employer — Breckenridge Grand Vacations: $3,441.59
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	$6,174.55	$2,469.82	$142.65 – $5,680.59
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,371.86 Aetna — Managed Medicare: $142.65 Aetna Rental Network — Commercial PPO/POS/HMO: $5,557.10 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,433.60 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $802 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $456 Anthem Blue Cross Blue Shield — Commercial Pathways: $2,275 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,833.50 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,394 Anthem Blue Cross Blue Shield — Managed Medicare: $142.65
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	$6,174.55	$2,469.82	$1,670.22 – $5,680.59
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,371.86 Aetna Rental Network — Commercial PPO/POS/HMO: $5,557.10 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,433.60 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,670.22 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,833.50 Cigna Healthcare — Commercial Local Plus: $5,032.26 Cigna Healthcare — Commercial PPO/POS/HMO: $5,310.11 Denver Health — Commercial PPO/POS/HMO: $1,833.84 Denver Health — Summit County Government: $3,704.73 Direct to Employer — Breckenridge Grand Vacations: $3,642.98
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC MRI EXTR LOW JOINT W/O CONT	$8,811.66	$3,524.67	$142.65 – $8,106.73
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $7,666.14 Aetna — Managed Medicare: $142.65 Aetna Rental Network — Commercial PPO/POS/HMO: $7,930.49 Anthem Blue Cross Blue Shield — Commercial Indemnity: $7,754.26 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $802 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $456 Anthem Blue Cross Blue Shield — Commercial Pathways: $2,275 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $4,043.67 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,394 Anthem Blue Cross Blue Shield — Managed Medicare: $142.65
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	$5,946.85	$2,378.74	$220.50 – $5,471.10
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,173.76 Aetna — Managed Medicare: $220.50 Aetna Rental Network — Commercial PPO/POS/HMO: $5,352.17 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,233.23 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $574 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $350 Anthem Blue Cross Blue Shield — Commercial Pathways: $1,626 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,729.01 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $997 Anthem Blue Cross Blue Shield — Managed Medicare: $220.50
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	$5,946.85	$2,378.74	$1,608.62 – $5,471.10
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,173.76 Aetna Rental Network — Commercial PPO/POS/HMO: $5,352.17 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,233.23 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,608.62 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,729.01 Cigna Healthcare — Commercial Local Plus: $4,846.68 Cigna Healthcare — Commercial PPO/POS/HMO: $5,114.29 Denver Health — Commercial PPO/POS/HMO: $1,766.21 Denver Health — Summit County Government: $3,568.11 Direct to Employer — Breckenridge Grand Vacations: $3,508.64
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMINAL COMPLETE	$2,526.20	$1,010.48	$77.29 – $2,324.10
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $2,197.79 Aetna — Managed Medicare: $77.29 Aetna Rental Network — Commercial PPO/POS/HMO: $2,273.58 Anthem Blue Cross Blue Shield — Commercial Indemnity: $2,223.06 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $260 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $106 Anthem Blue Cross Blue Shield — Commercial Pathways: $739 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,159.27 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $454 Anthem Blue Cross Blue Shield — Managed Medicare: $77.29
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMINAL COMPLETE	$2,526.20	$1,010.48	$683.34 – $2,324.10
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $2,197.79 Aetna Rental Network — Commercial PPO/POS/HMO: $2,273.58 Anthem Blue Cross Blue Shield — Commercial Indemnity: $2,223.06 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $683.34 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,159.27 Cigna Healthcare — Commercial Local Plus: $2,058.85 Cigna Healthcare — Commercial PPO/POS/HMO: $2,172.53 Denver Health — Commercial PPO/POS/HMO: $750.28 Denver Health — Summit County Government: $1,515.72 Direct to Employer — Breckenridge Grand Vacations: $1,490.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG UTERUS >14WK TRANSAB	$916.78	$366.72	$86.98 – $843.44
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $797.60 Aetna — Managed Medicare: $86.98 Aetna Rental Network — Commercial PPO/POS/HMO: $825.10 Anthem Blue Cross Blue Shield — Commercial Indemnity: $806.77 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $260 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $106 Anthem Blue Cross Blue Shield — Commercial Pathways: $739 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $420.71 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $454 Anthem Blue Cross Blue Shield — Managed Medicare: $86.98
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREG UTERUS >14WK TRANSAB	$916.78	$366.72	$247.99 – $843.44
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $797.60 Aetna Rental Network — Commercial PPO/POS/HMO: $825.10 Anthem Blue Cross Blue Shield — Commercial Indemnity: $806.77 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $247.99 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $420.71 Cigna Healthcare — Commercial Local Plus: $747.18 Cigna Healthcare — Commercial PPO/POS/HMO: $788.43 Denver Health — Commercial PPO/POS/HMO: $272.28 Denver Health — Summit County Government: $550.07 Direct to Employer — Breckenridge Grand Vacations: $540.90
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB	$1,369.44	$547.78	$84.98 – $1,259.88
Transvaginal ultrasound: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $1,191.41 Aetna — Managed Medicare: $84.98 Aetna Rental Network — Commercial PPO/POS/HMO: $1,232.50 Anthem Blue Cross Blue Shield — Commercial Indemnity: $1,205.11 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $260 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $106 Anthem Blue Cross Blue Shield — Commercial Pathways: $739 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $628.44 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $454 Anthem Blue Cross Blue Shield — Managed Medicare: $84.98
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB	$1,369.44	$547.78	$370.43 – $1,259.88
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $1,191.41 Aetna Rental Network — Commercial PPO/POS/HMO: $1,232.50 Anthem Blue Cross Blue Shield — Commercial Indemnity: $1,205.11 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $370.43 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $628.44 Cigna Healthcare — Commercial Local Plus: $1,116.09 Cigna Healthcare — Commercial PPO/POS/HMO: $1,177.72 Denver Health — Commercial PPO/POS/HMO: $406.72 Denver Health — Summit County Government: $821.66 Direct to Employer — Breckenridge Grand Vacations: $807.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD UNILATERAL	$609.73	$243.90	$76 – $594.33
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $530.47 Aetna — Managed Medicare: $87.64 Aetna Rental Network — Commercial PPO/POS/HMO: $548.76 Anthem Blue Cross Blue Shield — Commercial Indemnity: $536.56 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $209.37 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $76 Anthem Blue Cross Blue Shield — Commercial Pathways: $594.33 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $279.81 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $364.40 Anthem Blue Cross Blue Shield — Managed Medicare: $87.64
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD UNILATERAL	$609.73	$243.90	$164.93 – $560.95
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $530.47 Aetna Rental Network — Commercial PPO/POS/HMO: $548.76 Anthem Blue Cross Blue Shield — Commercial Indemnity: $536.56 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $164.93 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $279.81 Cigna Healthcare — Commercial Local Plus: $496.93 Cigna Healthcare — Commercial PPO/POS/HMO: $524.37 Denver Health — Commercial PPO/POS/HMO: $181.09 Denver Health — Summit County Government: $365.84 Direct to Employer — Breckenridge Grand Vacations: $359.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD BILATERAL	$678.04	$271.22	$76 – $757.36
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $589.89 Aetna — Managed Medicare: $111.68 Aetna Rental Network — Commercial PPO/POS/HMO: $610.24 Anthem Blue Cross Blue Shield — Commercial Indemnity: $596.68 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $266.80 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $76 Anthem Blue Cross Blue Shield — Commercial Pathways: $757.36 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $311.15 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $464.35 Anthem Blue Cross Blue Shield — Managed Medicare: $111.68
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD BILATERAL	$678.04	$271.22	$183.41 – $623.80
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $589.89 Aetna Rental Network — Commercial PPO/POS/HMO: $610.24 Anthem Blue Cross Blue Shield — Commercial Indemnity: $596.68 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $183.41 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $311.15 Cigna Healthcare — Commercial Local Plus: $552.60 Cigna Healthcare — Commercial PPO/POS/HMO: $583.11 Denver Health — Commercial PPO/POS/HMO: $201.38 Denver Health — Summit County Government: $406.82 Direct to Employer — Breckenridge Grand Vacations: $400.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING WITH OR WITHOUT CAD BILATERAL	$924.66	$369.87	$76 – $850.69
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $804.45 Aetna — Managed Medicare: $92.39 Aetna Rental Network — Commercial PPO/POS/HMO: $832.19 Anthem Blue Cross Blue Shield — Commercial Indemnity: $813.70 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $220.73 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $76 Anthem Blue Cross Blue Shield — Commercial Pathways: $626.57 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $424.33 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $384.16 Anthem Blue Cross Blue Shield — Managed Medicare: $92.39
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING WITH OR WITHOUT CAD BILATERAL	$924.66	$369.87	$250.12 – $850.69
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $804.45 Aetna Rental Network — Commercial PPO/POS/HMO: $832.19 Anthem Blue Cross Blue Shield — Commercial Indemnity: $813.70 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $250.12 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $424.33 Cigna Healthcare — Commercial Local Plus: $753.60 Cigna Healthcare — Commercial PPO/POS/HMO: $795.21 Denver Health — Commercial PPO/POS/HMO: $274.62 Denver Health — Summit County Government: $554.80 Direct to Employer — Breckenridge Grand Vacations: $545.55

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$13.97 – $175.73
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans Aetna — Managed Medicare: $13.97 Anthem Blue Cross Blue Shield — Managed Medicare: $13.97 Cigna Healthcare — Managed Medicare: $13.97 Devoted Health — Managed Medicare: $13.97 Humana — Managed Medicare: $13.97 Kaiser — Managed Medicare: $13.97 Managed Medicare — Managed Medicare: $13.97 Medicare — Medicare: $13.97 Optum Care Network — Managed Medicare: $13.97 United Healthcare — Managed Medicare: $13.97
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR ELECTROCARDIOGRAM, COMPLETE	Not listed in the file	Not listed in the file	$13.97 – $175.73
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $175.73
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$626.25 – $7,880.26
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — Managed Medicare: $626.25 Anthem Blue Cross Blue Shield — Managed Medicare: $626.25 Cigna Healthcare — Managed Medicare: $626.25 Devoted Health — Managed Medicare: $626.25 Humana — Managed Medicare: $626.25 Kaiser — Managed Medicare: $626.25 Managed Medicare — Managed Medicare: $626.25 Medicare — Medicare: $626.25 Optum Care Network — Managed Medicare: $626.25 United Healthcare — Managed Medicare: $626.25
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	Not listed in the file	Not listed in the file	$626.25 – $7,880.26
Left heart catheterization (diagnostic): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $7,880.26
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$4,452.82 – $7,809.23
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans Aetna — Managed Medicare: $7,809.23 Anthem Blue Cross Blue Shield — Managed Medicare: $7,809.23 Cigna Healthcare — Managed Medicare: $7,809.23 Devoted Health — Managed Medicare: $7,809.23 Humana — Managed Medicare: $7,809.23 Kaiser — Managed Medicare: $7,809.23 Managed Medicare — Managed Medicare: $7,809.23 Medicare — Medicare: $7,809.23 Optum Care Network — Managed Medicare: $7,809.23 United Healthcare — Managed Medicare: $7,809.23
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR ELECTROPHYS EV,R A-V PACE/REC,W/ INDUCT	Not listed in the file	Not listed in the file	$4,452.82 – $7,809.23
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $4,452.82
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$873.74 – $10,994.48
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans Aetna — Managed Medicare: $873.74 Anthem Blue Cross Blue Shield — Managed Medicare: $873.74 Cigna Healthcare — Managed Medicare: $873.74 Devoted Health — Managed Medicare: $873.74 Humana — Managed Medicare: $873.74 Kaiser — Managed Medicare: $873.74 Managed Medicare — Managed Medicare: $873.74 Medicare — Medicare: $873.74 Optum Care Network — Managed Medicare: $873.74 United Healthcare — Managed Medicare: $873.74
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	Not listed in the file	Not listed in the file	$873.74 – $10,994.48
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $10,994.48
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 4+ PARAMETERS 6YRS/>	$6,574.26	$2,629.71	$510.89 – $10,485.26
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,719.61 Aetna — Managed Medicare: $510.89 Aetna Rental Network — Commercial PPO/POS/HMO: $5,916.83 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,785.35 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $3,693.60 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $730 Anthem Blue Cross Blue Shield — Commercial Pathways: $10,485.26 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $3,016.93 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $6,428.71 Anthem Blue Cross Blue Shield — Managed Medicare: $510.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 4+ PARAMETERS 6YRS/>	$6,574.26	$2,629.71	$1,778.34 – $6,048.32
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $5,719.61 Aetna Rental Network — Commercial PPO/POS/HMO: $5,916.83 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,785.35 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,778.34 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $3,016.93 Cigna Healthcare — Commercial Local Plus: $5,358.02 Cigna Healthcare — Commercial PPO/POS/HMO: $5,653.86 Denver Health — Commercial PPO/POS/HMO: $1,952.56 Denver Health — Summit County Government: $3,944.56 Direct to Employer — Breckenridge Grand Vacations: $3,878.81

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXECISES EA15 MIN	$204.54	$81.82	$29 – $716
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $177.95 Aetna — Managed Medicare: $29.59 Aetna Rental Network — Commercial PPO/POS/HMO: $184.09 Anthem Blue Cross Blue Shield — Commercial Indemnity: $180 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $221 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $59 Anthem Blue Cross Blue Shield — Commercial Pathways: $716 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $93.86 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $385 Anthem Blue Cross Blue Shield — Managed Medicare: $29.59
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	$204.54	$81.82	$29 – $630
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $177.95 Aetna — Managed Medicare: $29.59 Aetna Rental Network — Commercial PPO/POS/HMO: $184.09 Anthem Blue Cross Blue Shield — Commercial Indemnity: $180 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $221 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $59 Anthem Blue Cross Blue Shield — Commercial Pathways: $630 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $93.86 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $385 Anthem Blue Cross Blue Shield — Managed Medicare: $29.59
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	$204.54	$81.82	$55.33 – $188.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $177.95 Aetna Rental Network — Commercial PPO/POS/HMO: $184.09 Anthem Blue Cross Blue Shield — Commercial Indemnity: $180 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $55.33 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $93.86 Cigna Healthcare — Commercial Local Plus: $166.70 Cigna Healthcare — Commercial PPO/POS/HMO: $175.90 Denver Health — Commercial PPO/POS/HMO: $60.75 Denver Health — Summit County Government: $122.72 Direct to Employer — Breckenridge Grand Vacations: $120.68
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX	$312.63	$125.06	$59 – $630
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $271.99 Aetna — Managed Medicare: $100.67 Aetna Rental Network — Commercial PPO/POS/HMO: $281.37 Anthem Blue Cross Blue Shield — Commercial Indemnity: $275.11 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $221 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $59 Anthem Blue Cross Blue Shield — Commercial Pathways: $630 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $143.47 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $385 Anthem Blue Cross Blue Shield — Managed Medicare: $100.67
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX	$312.63	$125.06	$84.57 – $287.62
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $271.99 Aetna Rental Network — Commercial PPO/POS/HMO: $281.37 Anthem Blue Cross Blue Shield — Commercial Indemnity: $275.11 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $84.57 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $143.47 Cigna Healthcare — Commercial Local Plus: $254.79 Cigna Healthcare — Commercial PPO/POS/HMO: $268.86 Denver Health — Commercial PPO/POS/HMO: $92.85 Denver Health — Summit County Government: $187.58 Direct to Employer — Breckenridge Grand Vacations: $184.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX	$344.02	$137.61	$59 – $630
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $299.30 Aetna — Managed Medicare: $100.67 Aetna Rental Network — Commercial PPO/POS/HMO: $309.62 Anthem Blue Cross Blue Shield — Commercial Indemnity: $302.74 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $221 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $59 Anthem Blue Cross Blue Shield — Commercial Pathways: $630 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $157.87 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $385 Anthem Blue Cross Blue Shield — Managed Medicare: $100.67
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX	$344.02	$137.61	$93.06 – $316.50
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $299.30 Aetna Rental Network — Commercial PPO/POS/HMO: $309.62 Anthem Blue Cross Blue Shield — Commercial Indemnity: $302.74 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $93.06 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $157.87 Cigna Healthcare — Commercial Local Plus: $280.38 Cigna Healthcare — Commercial PPO/POS/HMO: $295.86 Denver Health — Commercial PPO/POS/HMO: $102.17 Denver Health — Summit County Government: $206.41 Direct to Employer — Breckenridge Grand Vacations: $202.97
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX	$513.12	$205.25	$59 – $630
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $446.41 Aetna — Managed Medicare: $100.67 Aetna Rental Network — Commercial PPO/POS/HMO: $461.81 Anthem Blue Cross Blue Shield — Commercial Indemnity: $451.55 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $221 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $59 Anthem Blue Cross Blue Shield — Commercial Pathways: $630 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $235.47 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $385 Anthem Blue Cross Blue Shield — Managed Medicare: $100.67
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX	$513.12	$205.25	$138.80 – $472.07
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $446.41 Aetna Rental Network — Commercial PPO/POS/HMO: $461.81 Anthem Blue Cross Blue Shield — Commercial Indemnity: $451.55 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $138.80 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $235.47 Cigna Healthcare — Commercial Local Plus: $418.19 Cigna Healthcare — Commercial PPO/POS/HMO: $441.28 Denver Health — Commercial PPO/POS/HMO: $152.40 Denver Health — Summit County Government: $307.87 Direct to Employer — Breckenridge Grand Vacations: $302.74
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$68.16 – $857.66
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — Managed Medicare: $68.16 Anthem Blue Cross Blue Shield — Managed Medicare: $68.16 Cigna Healthcare — Managed Medicare: $68.16 Devoted Health — Managed Medicare: $68.16 Humana — Managed Medicare: $68.16 Kaiser — Managed Medicare: $68.16 Managed Medicare — Managed Medicare: $68.16 Medicare — Medicare: $68.16 Optum Care Network — Managed Medicare: $68.16 United Healthcare — Managed Medicare: $68.16
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR PSYCHOTHERAPY PATIENT &/FAMILY 30 MINUTES	Not listed in the file	Not listed in the file	$68.16 – $857.66
Psychotherapy, 30 minutes: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $857.66
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$89.94 – $1,131.79
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — Managed Medicare: $89.94 Anthem Blue Cross Blue Shield — Managed Medicare: $89.94 Cigna Healthcare — Managed Medicare: $89.94 Devoted Health — Managed Medicare: $89.94 Humana — Managed Medicare: $89.94 Kaiser — Managed Medicare: $89.94 Managed Medicare — Managed Medicare: $89.94 Medicare — Medicare: $89.94 Optum Care Network — Managed Medicare: $89.94 United Healthcare — Managed Medicare: $89.94
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR PSYCHOTHERAPY PATIENT &/FAMILY 45 MINUTES	Not listed in the file	Not listed in the file	$89.94 – $1,131.79
Psychotherapy, 45 minutes: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,131.79
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$133.10 – $1,674.88
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — Managed Medicare: $133.10 Anthem Blue Cross Blue Shield — Managed Medicare: $133.10 Cigna Healthcare — Managed Medicare: $133.10 Devoted Health — Managed Medicare: $133.10 Humana — Managed Medicare: $133.10 Kaiser — Managed Medicare: $133.10 Managed Medicare — Managed Medicare: $133.10 Medicare — Medicare: $133.10 Optum Care Network — Managed Medicare: $133.10 United Healthcare — Managed Medicare: $133.10
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR PSYCHOTHERAPY PATIENT &/FAMILY 60 MINUTES	Not listed in the file	Not listed in the file	$133.10 – $1,674.88
Psychotherapy, 60 minutes: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,674.88
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$97.29 – $1,224.28
Family psychotherapy, without the patient: rates for 10 insurance plans Aetna — Managed Medicare: $97.29 Anthem Blue Cross Blue Shield — Managed Medicare: $97.29 Cigna Healthcare — Managed Medicare: $97.29 Devoted Health — Managed Medicare: $97.29 Humana — Managed Medicare: $97.29 Kaiser — Managed Medicare: $97.29 Managed Medicare — Managed Medicare: $97.29 Medicare — Medicare: $97.29 Optum Care Network — Managed Medicare: $97.29 United Healthcare — Managed Medicare: $97.29
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR FAMILY PSYCHOTHERAPY,NO PT	Not listed in the file	Not listed in the file	$97.29 – $1,224.28
Family psychotherapy, without the patient: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,224.28
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$101.48 – $1,276.94
Family psychotherapy, with the patient: rates for 10 insurance plans Aetna — Managed Medicare: $101.48 Anthem Blue Cross Blue Shield — Managed Medicare: $101.48 Cigna Healthcare — Managed Medicare: $101.48 Devoted Health — Managed Medicare: $101.48 Humana — Managed Medicare: $101.48 Kaiser — Managed Medicare: $101.48 Managed Medicare — Managed Medicare: $101.48 Medicare — Medicare: $101.48 Optum Care Network — Managed Medicare: $101.48 United Healthcare — Managed Medicare: $101.48
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR FAMILY PSYCHOTHERAPY W PHYS	Not listed in the file	Not listed in the file	$101.48 – $1,276.94
Family psychotherapy, with the patient: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,276.94
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$23.96 – $301.51
Group psychotherapy: rates for 10 insurance plans Aetna — Managed Medicare: $23.96 Anthem Blue Cross Blue Shield — Managed Medicare: $23.96 Cigna Healthcare — Managed Medicare: $23.96 Devoted Health — Managed Medicare: $23.96 Humana — Managed Medicare: $23.96 Kaiser — Managed Medicare: $23.96 Managed Medicare — Managed Medicare: $23.96 Medicare — Medicare: $23.96 Optum Care Network — Managed Medicare: $23.96 United Healthcare — Managed Medicare: $23.96
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$23.96 – $301.51
Group psychotherapy: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $301.51

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$407.02 – $5,121.68
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — Managed Medicare: $407.02 Anthem Blue Cross Blue Shield — Managed Medicare: $407.02 Cigna Healthcare — Managed Medicare: $407.02 Devoted Health — Managed Medicare: $407.02 Humana — Managed Medicare: $407.02 Kaiser — Managed Medicare: $407.02 Managed Medicare — Managed Medicare: $407.02 Medicare — Medicare: $407.02 Optum Care Network — Managed Medicare: $407.02 United Healthcare — Managed Medicare: $407.02
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR EXCISE BREAST CYST	Not listed in the file	Not listed in the file	$407.02 – $5,121.68
Removal of breast growth (open surgery): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $5,121.68
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,242.92 – $15,640.04
Total hip replacement: rates for 10 insurance plans Aetna — Managed Medicare: $1,242.92 Anthem Blue Cross Blue Shield — Managed Medicare: $1,242.92 Cigna Healthcare — Managed Medicare: $1,242.92 Devoted Health — Managed Medicare: $1,242.92 Humana — Managed Medicare: $1,242.92 Kaiser — Managed Medicare: $1,242.92 Managed Medicare — Managed Medicare: $1,242.92 Medicare — Medicare: $1,242.92 Optum Care Network — Managed Medicare: $1,242.92 United Healthcare — Managed Medicare: $1,242.92
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,242.92 – $15,640.04
Total hip replacement: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $15,640.04
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,241.33 – $15,619.94
Total knee replacement: rates for 10 insurance plans Aetna — Managed Medicare: $1,241.33 Anthem Blue Cross Blue Shield — Managed Medicare: $1,241.33 Cigna Healthcare — Managed Medicare: $1,241.33 Devoted Health — Managed Medicare: $1,241.33 Humana — Managed Medicare: $1,241.33 Kaiser — Managed Medicare: $1,241.33 Managed Medicare — Managed Medicare: $1,241.33 Medicare — Medicare: $1,241.33 Optum Care Network — Managed Medicare: $1,241.33 United Healthcare — Managed Medicare: $1,241.33
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,241.33 – $15,619.94
Total knee replacement: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $15,619.94
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$163.40 – $2,056.05
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Aetna — Managed Medicare: $163.40 Anthem Blue Cross Blue Shield — Managed Medicare: $163.40 Cigna Healthcare — Managed Medicare: $163.40 Devoted Health — Managed Medicare: $163.40 Humana — Managed Medicare: $163.40 Kaiser — Managed Medicare: $163.40 Managed Medicare — Managed Medicare: $163.40 Medicare — Medicare: $163.40 Optum Care Network — Managed Medicare: $163.40 United Healthcare — Managed Medicare: $163.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR SHLDR ARTHROSCOP,PART ACROMIOPLAS	Not listed in the file	Not listed in the file	$163.40 – $2,056.05
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $2,056.05
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$535.45 – $6,737.74
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — Managed Medicare: $535.45 Anthem Blue Cross Blue Shield — Managed Medicare: $535.45 Cigna Healthcare — Managed Medicare: $535.45 Devoted Health — Managed Medicare: $535.45 Humana — Managed Medicare: $535.45 Kaiser — Managed Medicare: $535.45 Managed Medicare — Managed Medicare: $535.45 Medicare — Medicare: $535.45 Optum Care Network — Managed Medicare: $535.45 United Healthcare — Managed Medicare: $535.45
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR KNEE SCOPE,MED/LAT MENISECTOMY	Not listed in the file	Not listed in the file	$535.45 – $6,737.74
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $6,737.74
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$286.36 – $3,603.29
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — Managed Medicare: $286.36 Anthem Blue Cross Blue Shield — Managed Medicare: $286.36 Cigna Healthcare — Managed Medicare: $286.36 Devoted Health — Managed Medicare: $286.36 Humana — Managed Medicare: $286.36 Kaiser — Managed Medicare: $286.36 Managed Medicare — Managed Medicare: $286.36 Medicare — Medicare: $286.36 Optum Care Network — Managed Medicare: $286.36 United Healthcare — Managed Medicare: $286.36
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR REMOVE TONSILS/ADENOIDS,<12 Y/O	Not listed in the file	Not listed in the file	$286.36 – $3,603.29
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $3,603.29
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$116.92 – $1,471.28
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — Managed Medicare: $116.92 Anthem Blue Cross Blue Shield — Managed Medicare: $116.92 Cigna Healthcare — Managed Medicare: $116.92 Devoted Health — Managed Medicare: $116.92 Humana — Managed Medicare: $116.92 Kaiser — Managed Medicare: $116.92 Managed Medicare — Managed Medicare: $116.92 Medicare — Medicare: $116.92 Optum Care Network — Managed Medicare: $116.92 United Healthcare — Managed Medicare: $116.92
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	Not listed in the file	Not listed in the file	$116.92 – $1,471.28
Upper GI endoscopy (diagnostic): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,471.28
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$131.37 – $1,653.05
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — Managed Medicare: $131.37 Anthem Blue Cross Blue Shield — Managed Medicare: $131.37 Cigna Healthcare — Managed Medicare: $131.37 Devoted Health — Managed Medicare: $131.37 Humana — Managed Medicare: $131.37 Kaiser — Managed Medicare: $131.37 Managed Medicare — Managed Medicare: $131.37 Medicare — Medicare: $131.37 Optum Care Network — Managed Medicare: $131.37 United Healthcare — Managed Medicare: $131.37
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR EDG TRANSORAL BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$131.37 – $1,653.05
Upper GI endoscopy with biopsy: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,653.05
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$175.18 – $2,256.56
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — Managed Medicare: $175.18 Anthem Blue Cross Blue Shield — Managed Medicare: $175.18 Cigna Healthcare — Managed Medicare: $175.18 Devoted Health — Managed Medicare: $175.18 Humana — Managed Medicare: $175.18 Kaiser — Managed Medicare: $175.18 Managed Medicare — Managed Medicare: $175.18 Medicare — Medicare: $175.18 Optum Care Network — Managed Medicare: $175.18 United Healthcare — Managed Medicare: $175.18
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	Not listed in the file	Not listed in the file	$175.18 – $2,256.56
Colonoscopy (diagnostic): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $2,256.56
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$190.49 – $2,397.02
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — Managed Medicare: $190.49 Anthem Blue Cross Blue Shield — Managed Medicare: $190.49 Cigna Healthcare — Managed Medicare: $190.49 Devoted Health — Managed Medicare: $190.49 Humana — Managed Medicare: $190.49 Kaiser — Managed Medicare: $190.49 Managed Medicare — Managed Medicare: $190.49 Medicare — Medicare: $190.49 Optum Care Network — Managed Medicare: $190.49 United Healthcare — Managed Medicare: $190.49
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$190.49 – $2,397.02
Colonoscopy with biopsy: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $2,397.02
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$240.15 – $3,021.86
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — Managed Medicare: $240.15 Anthem Blue Cross Blue Shield — Managed Medicare: $240.15 Cigna Healthcare — Managed Medicare: $240.15 Devoted Health — Managed Medicare: $240.15 Humana — Managed Medicare: $240.15 Kaiser — Managed Medicare: $240.15 Managed Medicare — Managed Medicare: $240.15 Medicare — Medicare: $240.15 Optum Care Network — Managed Medicare: $240.15 United Healthcare — Managed Medicare: $240.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	Not listed in the file	Not listed in the file	$240.15 – $3,021.86
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $3,021.86
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$243.53 – $3,064.40
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans Aetna — Managed Medicare: $243.53 Anthem Blue Cross Blue Shield — Managed Medicare: $243.53 Cigna Healthcare — Managed Medicare: $243.53 Devoted Health — Managed Medicare: $243.53 Humana — Managed Medicare: $243.53 Kaiser — Managed Medicare: $243.53 Managed Medicare — Managed Medicare: $243.53 Medicare — Medicare: $243.53 Optum Care Network — Managed Medicare: $243.53 United Healthcare — Managed Medicare: $243.53
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX	Not listed in the file	Not listed in the file	$243.53 – $3,064.40
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $3,064.40
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$175.45
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna — Managed Medicare: $175.45 Anthem Blue Cross Blue Shield — Managed Medicare: $175.45 Cigna Healthcare — Managed Medicare: $175.45 Devoted Health — Managed Medicare: $175.45 Humana — Managed Medicare: $175.45 Kaiser — Managed Medicare: $175.45 Managed Medicare — Managed Medicare: $175.45 Medicare — Medicare: $175.45 Optum Care Network — Managed Medicare: $175.45 United Healthcare — Managed Medicare: $175.45
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$635.89 – $8,001.61
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — Managed Medicare: $635.89 Anthem Blue Cross Blue Shield — Managed Medicare: $635.89 Cigna Healthcare — Managed Medicare: $635.89 Devoted Health — Managed Medicare: $635.89 Humana — Managed Medicare: $635.89 Kaiser — Managed Medicare: $635.89 Managed Medicare — Managed Medicare: $635.89 Medicare — Medicare: $635.89 Optum Care Network — Managed Medicare: $635.89 United Healthcare — Managed Medicare: $635.89
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR LAP CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$635.89 – $8,001.61
Gallbladder removal by laparoscope: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $8,001.61
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$506.46 – $6,372.97
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Managed Medicare: $506.46 Anthem Blue Cross Blue Shield — Managed Medicare: $506.46 Cigna Healthcare — Managed Medicare: $506.46 Devoted Health — Managed Medicare: $506.46 Humana — Managed Medicare: $506.46 Kaiser — Managed Medicare: $506.46 Managed Medicare — Managed Medicare: $506.46 Medicare — Medicare: $506.46 Optum Care Network — Managed Medicare: $506.46 United Healthcare — Managed Medicare: $506.46
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR REPAIR 1ST INGUN HRNA AGE 5 YRS OR GREATER REDUCIBLE	Not listed in the file	Not listed in the file	$506.46 – $6,372.97
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $6,372.97
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Fee Schedules #261-671-674	Not listed in the file	Not listed in the file	$123.21 – $1,550.33
Prostate biopsy: rates for 10 insurance plans Aetna — Managed Medicare: $123.21 Anthem Blue Cross Blue Shield — Managed Medicare: $123.21 Cigna Healthcare — Managed Medicare: $123.21 Devoted Health — Managed Medicare: $123.21 Humana — Managed Medicare: $123.21 Kaiser — Managed Medicare: $123.21 Managed Medicare — Managed Medicare: $123.21 Medicare — Medicare: $123.21 Optum Care Network — Managed Medicare: $123.21 United Healthcare — Managed Medicare: $123.21
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR BIOPSY OF PROSTATE,NEEDLE/PUNCH	Not listed in the file	Not listed in the file	$123.21 – $1,550.33
Prostate biopsy: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,550.33
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,141.98 – $14,369.89
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans Aetna — Managed Medicare: $1,141.98 Anthem Blue Cross Blue Shield — Managed Medicare: $1,141.98 Cigna Healthcare — Managed Medicare: $1,141.98 Devoted Health — Managed Medicare: $1,141.98 Humana — Managed Medicare: $1,141.98 Kaiser — Managed Medicare: $1,141.98 Managed Medicare — Managed Medicare: $1,141.98 Medicare — Medicare: $1,141.98 Optum Care Network — Managed Medicare: $1,141.98 United Healthcare — Managed Medicare: $1,141.98
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR LAP PROSTATECTOMY RADICAL W NERVE SPARE INCL ROBOTIC	Not listed in the file	Not listed in the file	$1,141.98 – $14,369.89
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $14,369.89
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$220.62 – $2,776.09
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — Managed Medicare: $220.62 Anthem Blue Cross Blue Shield — Managed Medicare: $220.62 Cigna Healthcare — Managed Medicare: $220.62 Devoted Health — Managed Medicare: $220.62 Humana — Managed Medicare: $220.62 Kaiser — Managed Medicare: $220.62 Managed Medicare — Managed Medicare: $220.62 Medicare — Medicare: $220.62 Optum Care Network — Managed Medicare: $220.62 United Healthcare — Managed Medicare: $220.62
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR HYSTROSCPY W/ENDOM BX/POLP W/W/O D&C	Not listed in the file	Not listed in the file	$220.62 – $2,776.09
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $2,776.09
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$95.35 – $1,199.86
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates Aetna — Managed Medicare: $95.35 Anthem Blue Cross Blue Shield — Managed Medicare: $95.35 Cigna Healthcare — Managed Medicare: $95.35 Devoted Health — Managed Medicare: $95.35 Humana — Managed Medicare: $95.35 Kaiser — Managed Medicare: $95.35 Managed Medicare — Managed Medicare: $95.35 Medicare — Medicare: $95.35 Optum Care Network — Managed Medicare: $95.35 Peak Health — Commercial PPO/POS/HMO: $145.95
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$95.35 – $1,199.86
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $1,199.86
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	$3,802.84	$1,521.14	$107.30 – $9,846
Nerve root injection, lower back, with imaging guidance: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $3,308.47 Aetna — Managed Medicare: $107.30 Aetna Rental Network — Commercial PPO/POS/HMO: $3,422.56 Anthem Blue Cross Blue Shield — Commercial Indemnity: $3,346.50 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $2,866 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,028.67 Anthem Blue Cross Blue Shield — Commercial Pathways: $2,866 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,745.12 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $2,866 Anthem Blue Cross Blue Shield — Managed Medicare: $107.30
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	$3,802.84	$1,521.14	$1,028.67 – $3,498.61
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Aetna — Commercial PPO/POS/HMO: $3,308.47 Aetna Rental Network — Commercial PPO/POS/HMO: $3,422.56 Anthem Blue Cross Blue Shield — Commercial Indemnity: $3,346.50 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,028.67 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $1,745.12 Cigna Healthcare — Commercial Local Plus: $3,099.31 Cigna Healthcare — Commercial PPO/POS/HMO: $3,270.44 Denver Health — Commercial PPO/POS/HMO: $1,129.44 Denver Health — Summit County Government: $2,281.70 Direct to Employer — Breckenridge Grand Vacations: $2,243.68
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC INJECT EPIDURAL TRANS-FORAMINAL LUMB/SACR INIT LVL FLUORO/CT GUIDANCE	$5,704.29	$2,281.72	$107.30 – $9,846
Nerve root injection, lower back, with imaging guidance: 10 of 32 insurance plan rates Aetna — Commercial PPO/POS/HMO: $4,962.73 Aetna — Managed Medicare: $107.30 Aetna Rental Network — Commercial PPO/POS/HMO: $5,133.86 Anthem Blue Cross Blue Shield — Commercial Indemnity: $5,019.78 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $2,866 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced Public Options: $1,543.01 Anthem Blue Cross Blue Shield — Commercial Pathways: $2,866 Anthem Blue Cross Blue Shield — Commercial Pathways Public Options: $2,617.70 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $2,866 Anthem Blue Cross Blue Shield — Managed Medicare: $107.30
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$436.11 – $5,487.69
Carpal tunnel release: rates for 10 insurance plans Aetna — Managed Medicare: $436.11 Anthem Blue Cross Blue Shield — Managed Medicare: $436.11 Cigna Healthcare — Managed Medicare: $436.11 Devoted Health — Managed Medicare: $436.11 Humana — Managed Medicare: $436.11 Kaiser — Managed Medicare: $436.11 Managed Medicare — Managed Medicare: $436.11 Medicare — Medicare: $436.11 Optum Care Network — Managed Medicare: $436.11 United Healthcare — Managed Medicare: $436.11
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG	Not listed in the file	Not listed in the file	$436.11 – $5,487.69
Carpal tunnel release: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $5,487.69
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$301.76 – $3,797.15
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans Aetna — Managed Medicare: $301.76 Anthem Blue Cross Blue Shield — Managed Medicare: $301.76 Cigna Healthcare — Managed Medicare: $301.76 Devoted Health — Managed Medicare: $301.76 Humana — Managed Medicare: $301.76 Kaiser — Managed Medicare: $301.76 Managed Medicare — Managed Medicare: $301.76 Medicare — Medicare: $301.76 Optum Care Network — Managed Medicare: $301.76 United Healthcare — Managed Medicare: $301.76
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR DISCISSION,2ND CATARACT,LASER	Not listed in the file	Not listed in the file	$301.76 – $3,797.15
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $3,797.15
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$523.99 – $6,593.46
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Managed Medicare: $523.99 Anthem Blue Cross Blue Shield — Managed Medicare: $523.99 Cigna Healthcare — Managed Medicare: $523.99 Devoted Health — Managed Medicare: $523.99 Humana — Managed Medicare: $523.99 Kaiser — Managed Medicare: $523.99 Managed Medicare — Managed Medicare: $523.99 Medicare — Medicare: $523.99 Optum Care Network — Managed Medicare: $523.99 United Healthcare — Managed Medicare: $523.99
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR REMV CATARACT EXTRACAP,INSERT LENS,W/O ENDOSCO CYCLOPHOTO	Not listed in the file	Not listed in the file	$523.99 – $6,593.46
Cataract removal with lens implant: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $6,593.46

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,305.85 – $29,015.14
Vaginal delivery, with care before and after: rates for 10 insurance plans Aetna — Managed Medicare: $2,305.85 Anthem Blue Cross Blue Shield — Managed Medicare: $2,305.85 Cigna Healthcare — Managed Medicare: $2,305.85 Devoted Health — Managed Medicare: $2,305.85 Humana — Managed Medicare: $2,305.85 Kaiser — Managed Medicare: $2,305.85 Managed Medicare — Managed Medicare: $2,305.85 Medicare — Medicare: $2,305.85 Optum Care Network — Managed Medicare: $2,305.85 United Healthcare — Managed Medicare: $2,305.85
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR FULL ROUT OBSTE CARE,VAGINAL DELIV	Not listed in the file	Not listed in the file	$2,305.85 – $29,015.14
Vaginal delivery, with care before and after: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $29,015.14
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,553.40 – $32,130.11
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans Aetna — Managed Medicare: $2,553.40 Anthem Blue Cross Blue Shield — Managed Medicare: $2,553.40 Cigna Healthcare — Managed Medicare: $2,553.40 Devoted Health — Managed Medicare: $2,553.40 Humana — Managed Medicare: $2,553.40 Kaiser — Managed Medicare: $2,553.40 Managed Medicare — Managed Medicare: $2,553.40 Medicare — Medicare: $2,553.40 Optum Care Network — Managed Medicare: $2,553.40 United Healthcare — Managed Medicare: $2,553.40
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR FULL ROUT OBSTE CARE,CESAREAN DELIV	Not listed in the file	Not listed in the file	$2,553.40 – $32,130.11
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $32,130.11
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,406.87 – $30,286.29
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans Aetna — Managed Medicare: $2,406.87 Anthem Blue Cross Blue Shield — Managed Medicare: $2,406.87 Cigna Healthcare — Managed Medicare: $2,406.87 Devoted Health — Managed Medicare: $2,406.87 Humana — Managed Medicare: $2,406.87 Kaiser — Managed Medicare: $2,406.87 Managed Medicare — Managed Medicare: $2,406.87 Medicare — Medicare: $2,406.87 Optum Care Network — Managed Medicare: $2,406.87 United Healthcare — Managed Medicare: $2,406.87
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR ROUT OB CARE,VAG DELIV,PREV C-SEC	Not listed in the file	Not listed in the file	$2,406.87 – $30,286.29
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $30,286.29

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$4,245 – $1,115,802.28
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates Aetna — Managed Medicare: $140,455.14 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $393,060.35 Anthem Blue Cross Blue Shield — Commercial Pathways: $1,115,802.28 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $70,884 Anthem Blue Cross Blue Shield — Managed Medicare: $140,455.14 Centura Employee Plan — Commercial PPO/POS/HMO/EPO: $4,245 Cigna Healthcare — Managed Medicare: $140,455.14 Devoted Health — Managed Medicare: $140,455.14 Humana — Managed Medicare: $140,455.14 Kaiser — Managed Medicare: $140,455.14
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DRG	Not listed in the file	Not listed in the file	$25,982
Spinal fusion (not neck), without major complications: rates for 1 insurance plan United Healthcare — Managed Medicare: $25,982
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$13,365.68 – $217,990.20
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates Aetna — Managed Medicare: $27,693.90 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $76,790.76 Anthem Blue Cross Blue Shield — Commercial Pathways: $217,990.20 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $70,884 Anthem Blue Cross Blue Shield — Managed Medicare: $27,693.90 Cigna Healthcare — Managed Medicare: $27,693.90 Devoted Health — Managed Medicare: $27,693.90 Humana — Managed Medicare: $27,693.90 Kaiser — Managed Medicare: $27,693.90 Managed Medicare — Managed Medicare: $27,693.90
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$17,477.59 – $273,704.58
Neck (cervical) spinal fusion, without complications: 10 of 16 insurance plan rates Aetna — Managed Medicare: $35,050.61 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $96,417.10 Anthem Blue Cross Blue Shield — Commercial Pathways: $273,704.58 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $70,884 Anthem Blue Cross Blue Shield — Managed Medicare: $35,050.61 Cigna Healthcare — Managed Medicare: $35,050.61 Devoted Health — Managed Medicare: $35,050.61 Humana — Managed Medicare: $35,050.61 Kaiser — Managed Medicare: $35,050.61 Managed Medicare — Managed Medicare: $35,050.61
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$8,253.67 – $138,586.50
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates Aetna — Managed Medicare: $19,815.10 Anthem Blue Cross Blue Shield — Commercial Mountain Enhanced: $48,819.45 Anthem Blue Cross Blue Shield — Commercial Pathways: $138,586.50 Anthem Blue Cross Blue Shield — Commercial PPO/POS/HMO: $70,884 Anthem Blue Cross Blue Shield — Managed Medicare: $19,815.10 Cigna Healthcare — Managed Medicare: $19,815.10 Devoted Health — Managed Medicare: $19,815.10 Humana — Managed Medicare: $19,815.10 Kaiser — Managed Medicare: $19,815.10 Managed Medicare — Managed Medicare: $19,815.10

Source: St Anthony Summit Medical Center’s standard charges file (csdam.widen.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 3, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	340 Peak One Drive, Frisco, CO 80443
County	Summit County
State	Colorado
Phone	(970) 668‑3300
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	060118
Name in Medicare records	ST ANTHONY SUMMIT MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	St. Anthony Summit Hospital
Official website	mountain.commonspirit.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

St. Anthony Summit Hospital — mountain.commonspirit.org
St. Anthony Summit Hospital | Frisco | CommonSpirit Health — mountain.commonspirit.org
Emergency Department | Frisco | CommonSpirit Health — mountain.commonspirit.org
Breast Care Services | Frisco | CommonSpirit Health — mountain.commonspirit.org
Birth Center | Frisco | CommonSpirit Health — mountain.commonspirit.org
Cancer Center | Frisco | CommonSpirit Health — mountain.commonspirit.org
Forensic Nurse Examiner Program | Frisco | CommonSpirit Health — mountain.commonspirit.org
Heart & Vascular Care | Frisco | CommonSpirit Health — mountain.commonspirit.org
Imaging | Frisco | CommonSpirit Health — mountain.commonspirit.org
CommonSpirit St. Anthony Summit Hospital Patient Guide | CommonSpirit Health — mountain.commonspirit.org
Infusion Center | Frisco | CommonSpirit Health — mountain.commonspirit.org

St Anthony Summit Medical Center

Summary

Profile from official sources

At a glance