Does The Medical Center of Aurora & South Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at The Medical Center of Aurora & South Hospital. In a medical emergency, call 911.

Where is The Medical Center of Aurora & South Hospital?

1501 S Potomac St, Aurora, CO 80012, in Arapahoe County, Colorado.

What is the phone number of The Medical Center of Aurora & South Hospital?

(303) 873-5511, as listed by Medicare (CMS).

What is the Medicare star rating of The Medical Center of Aurora & South Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

The Medical Center of Aurora & South Hospital

Quick answers

Does The Medical Center of Aurora & South Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at The Medical Center of Aurora & South Hospital. In a medical emergency, call 911.
Where is The Medical Center of Aurora & South Hospital?: 1501 S Potomac St, Aurora, CO 80012, in Arapahoe County, Colorado.
What is the phone number of The Medical Center of Aurora & South Hospital?: (303) 873-5511, as listed by Medicare (CMS).
What is the Medicare star rating of The Medical Center of Aurora & South Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][10][15]}

Conditions treated^{[5][6][7][8][10][11][15][16]}

Heart attack
Heart failure
Arrhythmias
Atrial fibrillation (AFib)
Angina
Coronary artery disease
Cardiomyopathy
Congenital heart defects
Heart valve diseases
Deep vein thrombosis
Peripheral vascular disease
Aneurysms
Stroke
Chiari malformation
Chronic headaches
Migraine headaches
Concussions
Traumatic brain injuries
Epilepsy and seizure disorders
Parkinson's disease
Multiple sclerosis
Amyotrophic lateral sclerosis (ALS)
Guillain-Barré syndrome
Brain tumors (glioblastoma, meningioma, astrocytoma)
Herniated disc
Sciatica
Spinal stenosis
Scoliosis
Osteoporosis
Broken bones
Hip disorders and diseases
Knee injuries, disorders and diseases
Rotator cuff injuries
Osteoarthritis
Breast cancer
Gynecologic cancer
Endometriosis
Uterine fibroids
Gestational diabetes
Pregnancy
Preterm labor

Treatments^{[6][7][8][10][11][12][13][15][16]}

Transcatheter aortic valve replacement (TAVR)
Left atrial appendage closure (LAAC)
Patent foramen ovale (PFO) closure
Extracorporeal membrane oxygenation (ECMO)
Transcatheter mitral valve repair (TMVR)
Coronary artery bypass graft (CABG)
Valve repair or replacement
Cardioversion
Maze surgery
Carotid endarterectomy
Transcarotid artery revascularization (TCAR)
Endovascular aneurysm repair
Stent placement
Deep brain stimulation
Stroke treatment
Microvascular decompression
Vagal nerve stimulator placement
Posterior fossa decompression
Brain mapping
Brain aneurysm clipping and coiling
Tumor removal (brain)
Spinal fusion
Laser spine surgery
Cervical disk replacement
Lumbar disk replacement
Sacroiliac joint fusion
Total hip replacement
Total knee replacement
Shoulder replacement
Ankle replacement
Hand surgery
Targeted muscle reinnervation
Robotic surgery
Minimally invasive robotic prostatectomy
Partial nephrectomy
Lobectomy
Video-assisted thoracic surgery (VATS)
Laparoscopic loop duodenal switch
Sleeve gastrectomy
Roux-en-Y bypass
Mini gastric bypass
Hysterectomy
Mastectomy
Cholecystectomy
Hernia repair
Amputation
Tracheostomy

Procedures^{[6][8][10][11][12][15][16]}

24/7 cardiac catheterization
Cardiac surgery
Vascular ultrasound
Computerized tomography angiography (CTA)
Magnetic resonance angiography (MRA)
MRI
CT scan
Electroencephalogram (EEG)
PET scan
Myelogram
Discogram
Screening mammogram
Diagnostic mammogram
Total joint replacement
Preoperative spine and joint classes

Programs and centers^{[5][6][8][10][11][12][14][15]}

Stroke alert program
Stroke support group
Neurorehabilitation
Heart failure clinic
Open heart program
Wound Care Center and limb preservation program
Hand & Reconstructive Center of Colorado
Swedish Neuro Network
Level III Neonatal Intensive Care Unit
OB/GYN emergency room
Family Birth Center
Women's behavioral health unit (intensive outpatient and partial hospitalization)
Outpatient pharmacy

Emergency care (hospital website)^[5][10]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Primary Stroke Center Plus Certification

Visiting and practical information

Visiting	Most patient areas 11:00am-8:30pm; ICU 6:00am-8:00pm, max 2 visitors; main entrance open 5:00am-8:00pm daily^[9]
Parking	Free self-parking in surface lot in front of main entrance, parking garage, and lots north of the garage^[9]

Recognition^[5][10]

Primary Stroke Center (DNV)

Doctors and clinicians (642)

642 doctors and other clinicians list The Medical Center of Aurora & South Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (642)

Aakash Ghai, DOHospitalist
Aaron A. Wolfe, DOEmergency Medicine
Aaron D. Kirkpatrick, MDDiagnostic Radiology
Aaron G. ReaAnesthesiology
Abhash Joshi, MDCritical Care (Intensivists)
Adam Berlinberg, MDRheumatology
Adam K. Graham, MDNeurology
Adolfo M. Villar, MDNephrology
Ahmad S. Alsaleem, MDPulmonary Disease
Akhil Rasim Reddy, MDInterventional Cardiology
Akshay Vijayaraman, MDPulmonary Disease
Alan P. Aboaf, MDInternal Medicine
Albert Chen, MDAnesthesiology
Aldona W. Staar Kumosa, MDInternal Medicine
Alecia G. Brynda, NPNurse Practitioner
Aleksandra M. Basheer, MDInternal Medicine
Alexander A. Carrillo, MDAnesthesiology
Alexander Enurah, MDInternal Medicine
Alexander Pankratov, MDInternal Medicine
Alexandra Bachinsky, PAPhysician Assistant
Alexandra Froehlich, CNACertified Registered Nurse Anesthetist (CRNA)
Alfred E. Nash Jr., MDFamily Practice
Alfredo N. Rivera, MDPsychiatry
Ali M. Sarram, MDUrology

And 618 more: the button below opens the full list.

Other emergency rooms nearby

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

VA Eastern Colorado Healthcare System3.6 mi · Aurora, CO · Federal/VA Acute Care Hospital
Children's Hospital Colorado3.6 mi · Aurora, CO · Children's Hospital
University of Colorado Hospital Authority3.6 mi · Aurora, CO · Acute Care Hospital
HCA HealthONE Rose6.2 mi · Denver, CO · Acute Care Hospital
National Jewish Health6.8 mi · Denver, CO · Acute Care Hospital

Other hospitals nearby

Kindred Hospital Aurora2.6 mi · Aurora, CO · Long-Term Acute Care Hospital
HCA HealthONE Spalding Rehabilitation2.8 mi · Aurora, CO · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Garden Terrace Alzheimer's Center of Excellence0.1 mi · Aurora, CO · 4 of 5 stars
Advanced Health Care of Aurora0.4 mi · Aurora, CO · 5 of 5 stars
Life Care Center of Aurora1.0 mi · Aurora, CO · 5 of 5 stars

All nursing homes in the state →

Hospice providers

A Peaceful Journey Hospice1.8 mi · Aurora, CO
Berkley Palliative Care and Hospice, LLC1.8 mi · Aurora, CO · 3 of 5 stars
Bonum Hospice Inc1.8 mi · Aurora, CO

All hospice providers in the state →

Home health agencies

Abm Home Care LLC0.8 mi · Aurora, CO
Addis Home Health Care LLC0.8 mi · Aurora, CO
Colorado Family Quality Home Care0.8 mi · Aurora, CO

All home health agencies in the state →

Dialysis facilities

DaVita Aurora Dialysis Center0.8 mi · Aurora, CO · 3 of 5 stars
USRC Altitude Dialysis1.8 mi · Aurora, CO · 4 of 5 stars
062527 Northeast Denver Dialysis (FKC)3.1 mi · Aurora, 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.

Care Dental Surgical Center of Denver LLC0.8 mi · Aurora, CO
Colorado Kidney Care Vascular Surgery Center, Asc0.8 mi · Aurora, CO
Surgery Center of the Rockies0.8 mi · Aurora, 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

STRIDE CHC - Overland High School0.8 mi · Aurora, CO · Community health center
Stride Community Health Center1.8 mi · Aurora, CO · Community health center
Salud Aurora2.5 mi · Aurora, CO · Community health center

Clinics and urgent care

Clinica Denver PCD Ba Rocky0.8 mi · Aurora, CO · Urgent care center
Colorado Permanente Medical Group, P.C.0.8 mi · Aurora, CO · Urgent care center
Highlands Ranch Healthcare LLC0.8 mi · Aurora, CO · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC0.8 mi · Aurora, CO · Community/retail pharmacy
1918 Winter Street Operating Co LLC0.8 mi · Aurora, CO · Community/retail pharmacy
Apex Pharmacy LLC0.8 mi · Aurora, CO · Community/retail pharmacy

Assisted living nearby

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

Amaris Assisted Living LLC0.8 mi · Aurora, CO
Blessings Senior Services II0.8 mi · Aurora, CO
Bridge Care Assisted Living LLC0.8 mi · Aurora, CO
Frontier Valley Independent and Assisted Living0.8 mi · Aurora, CO

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	60%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	69%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	53%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	53%National average: 60%
Completed surveys	786Response rate: 19%

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)	0.938No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.141Better than the national benchmark
Surgical site infections after colon surgery	0.662No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.42No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.147Better than 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	10.1%
Deaths within 30 days: heart failure patients	9.5%
Deaths within 30 days: pneumonia patients	14.4%
Deaths within 30 days: COPD patients	9.2%
Deaths within 30 days: stroke patients	10.5%
Deaths within 30 days: coronary bypass surgery (CABG)	2.2%
Serious complications (patient safety indicator PSI-90)	1.35Worse than the national rate
Complications after hip or knee replacement	4.6%

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	13.8%
Readmitted within 30 days: heart failure	17.6%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	20.7%
Readmitted within 30 days: coronary bypass surgery	10%
Readmitted within 30 days: hip or knee replacement	5.8%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	134 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	72%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 Aurora Best hospitals in Aurora

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as The Medical Center of Aurora & South Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP	$88.42	$88.42	$13.44 – $79.58
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates Aetna — ASA: $39.88 Aetna — Cofinity: $46.24 Aetna — MCRADVHMO: $26.53 Aetna — MCRADVPPO: $26.53 Anthem — PAR: $65.43 Bright Health — OON: $26.53 Cigna — BroadLeanBenefitPlans: $56.59 Cigna — Connect-NSBPLeanBenefitPlans: $56.59 Cigna — Connect-SBPLeanBenefitPlans: $56.59 Cigna — SureFitLeanBenefitPlans: $56.59
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP	$143.49	$143.49	$21.81 – $129.14
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates Aetna — ASA: $64.71 Aetna — Cofinity: $75.05 Aetna — MCRADVHMO: $43.05 Aetna — MCRADVPPO: $43.05 Anthem — PAR: $106.18 Bright Health — OON: $43.05 Cigna — BroadLeanBenefitPlans: $91.83 Cigna — Connect-NSBPLeanBenefitPlans: $91.83 Cigna — Connect-SBPLeanBenefitPlans: $91.83 Cigna — SureFitLeanBenefitPlans: $91.83
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP	$194.82	$194.82	$29.61 – $175.34
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates Aetna — ASA: $87.86 Aetna — Cofinity: $101.89 Aetna — MCRADVHMO: $58.45 Aetna — MCRADVPPO: $58.45 Anthem — PAR: $144.17 Bright Health — OON: $58.45 Cigna — BroadLeanBenefitPlans: $124.68 Cigna — Connect-NSBPLeanBenefitPlans: $124.68 Cigna — Connect-SBPLeanBenefitPlans: $124.68 Cigna — SureFitLeanBenefitPlans: $124.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST	$70.99	$70.99	$10.79 – $63.89
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates Aetna — ASA: $32.02 Aetna — Cofinity: $37.13 Aetna — MCRADVHMO: $21.30 Aetna — MCRADVPPO: $21.30 Anthem — PAR: $52.53 Bright Health — OON: $21.30 Cigna — BroadLeanBenefitPlans: $45.43 Cigna — Connect-NSBPLeanBenefitPlans: $45.43 Cigna — Connect-SBPLeanBenefitPlans: $45.43 Cigna — SureFitLeanBenefitPlans: $45.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST	$104.38	$104.38	$15.87 – $93.94
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates Aetna — ASA: $47.08 Aetna — Cofinity: $54.59 Aetna — MCRADVHMO: $31.31 Aetna — MCRADVPPO: $31.31 Anthem — PAR: $77.24 Bright Health — OON: $31.31 Cigna — BroadLeanBenefitPlans: $66.80 Cigna — Connect-NSBPLeanBenefitPlans: $66.80 Cigna — Connect-SBPLeanBenefitPlans: $66.80 Cigna — SureFitLeanBenefitPlans: $66.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$8,080.45	$8,080.45	$1,228.23 – $7,272.40
Emergency room visit (moderate): 10 of 19 insurance plan rates Anthem — PAR: $5,979.53 Bright Health — OON: $2,424.14 Cigna — BroadLeanBenefitPlans: $5,171.49 Cigna — Connect-NSBPLeanBenefitPlans: $5,171.49 Cigna — Connect-SBPLeanBenefitPlans: $5,171.49 Cigna — SureFitLeanBenefitPlans: $5,171.49 Evernorth (Cigna Behavioral Health) — COMM: $4,040.22 Medical Development International — COMM: $6,464.36 Multiplan — BeechStreetCOMMPPO: $7,272.40 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $6,868.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$439.04 – $3,050
Emergency room visit (moderate): 10 of 24 insurance plan rates Aetna — ASA: $3,050 Aetna — ExistingBusiness: $2,621 Aetna — NBR: $2,149 Anthem — HMO: $2,629 Anthem — PathwayEssentialsStandard: $1,120 Anthem — PathwaySBP: $1,220 Anthem — PPO: $2,629 Cigna — Broad: $2,489 Cigna — Connect-NSBP: $1,662 Cigna — Connect-SBP: $1,032
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$13,540.21	$13,540.21	$2,058.11 – $12,186.19
Emergency room visit (moderately high): 10 of 19 insurance plan rates Anthem — PAR: $10,019.76 Bright Health — OON: $4,062.06 Cigna — BroadLeanBenefitPlans: $8,665.73 Cigna — Connect-NSBPLeanBenefitPlans: $8,665.73 Cigna — Connect-SBPLeanBenefitPlans: $8,665.73 Cigna — SureFitLeanBenefitPlans: $8,665.73 Evernorth (Cigna Behavioral Health) — COMM: $6,770.10 Medical Development International — COMM: $10,832.17 Multiplan — BeechStreetCOMMPPO: $12,186.19 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $11,509.18
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$1,007 – $6,244
Emergency room visit (moderately high): 10 of 24 insurance plan rates Aetna — ASA: $6,878 Aetna — ExistingBusiness: $5,689 Aetna — NBR: $4,665 Anthem — HMO: $6,244 Anthem — PathwayEssentialsStandard: $2,818 Anthem — PathwaySBP: $2,787 Anthem — PPO: $6,244 Cigna — Broad: $2,263 Cigna — Connect-NSBP: $1,511 Cigna — Connect-SBP: $1,118
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$27,095.68	$27,095.68	$4,118.54 – $24,386.11
Emergency room visit (high): 10 of 19 insurance plan rates Anthem — PAR: $20,050.80 Bright Health — OON: $8,128.70 Cigna — BroadLeanBenefitPlans: $17,341.24 Cigna — Connect-NSBPLeanBenefitPlans: $17,341.24 Cigna — Connect-SBPLeanBenefitPlans: $17,341.24 Cigna — SureFitLeanBenefitPlans: $17,341.24 Evernorth (Cigna Behavioral Health) — COMM: $13,547.84 Medical Development International — COMM: $21,676.54 Multiplan — BeechStreetCOMMPPO: $24,386.11 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $23,031.33
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$1,111 – $12,323
Emergency room visit (high): 10 of 24 insurance plan rates Aetna — ASA: $15,930 Aetna — ExistingBusiness: $13,139 Aetna — NBR: $10,774 Anthem — HMO: $10,189 Anthem — PathwayEssentialsStandard: $4,341 Anthem — PathwaySBP: $4,802 Anthem — PPO: $10,189 Cigna — Broad: $3,560 Cigna — Connect-NSBP: $2,607 Cigna — Connect-SBP: $1,958

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	$1,658.34	$1,658.34	$8.46 – $40.19
Basic metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — MCRADVHMO: $8.46 Aetna — MCRADVPPO: $8.46 Anthem — HMO: $40.19 Anthem — PathwayEssentialsStandard: $19.88 Anthem — PathwaySBP: $22.59 Anthem — PPO: $40.19 Anthem BCBS — MCR: $8.46 Bright Health — DualEligible: $8.46 Bright Health — MCRHMO: $8.46 Bright Health — MCRPOS: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$1,658.34	$1,658.34	$252.07 – $1,492.51
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Cofinity: $867.31 Anthem — PAR: $1,227.17 Bright Health — OON: $497.50 Cigna — BroadLeanBenefitPlans: $1,061.34 Cigna — Connect-NSBPLeanBenefitPlans: $1,061.34 Cigna — Connect-SBPLeanBenefitPlans: $1,061.34 Cigna — SureFitLeanBenefitPlans: $1,061.34 Colorado Program for Children with Special Needs — HCP: $696.50 Evernorth (Cigna Behavioral Health) — COMM: $829.17 Kaiser — CommercialSmallGroupPlans: $331.67
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier QW In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	$1,658.34	$1,658.34	$23.23 – $24.21
Basic metabolic panel (blood test): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $24.21 Multiplan — WorkersComp: $24.21 Pinnacol Workers Comp — WORKERSCOMP: $23.23
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon	$2,033.74	$2,033.74	$10.56 – $50.16
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — MCRADVHMO: $10.56 Aetna — MCRADVPPO: $10.56 Anthem — HMO: $50.16 Anthem — PathwayEssentialsStandard: $24.82 Anthem — PathwaySBP: $28.20 Anthem — PPO: $50.16 Anthem BCBS — MCR: $10.56 Bright Health — DualEligible: $10.56 Bright Health — MCRHMO: $10.56 Bright Health — MCRPOS: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$2,033.74	$2,033.74	$309.13 – $1,830.37
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Cofinity: $1,063.65 Anthem — PAR: $1,504.97 Bright Health — OON: $610.12 Cigna — BroadLeanBenefitPlans: $1,301.59 Cigna — Connect-NSBPLeanBenefitPlans: $1,301.59 Cigna — Connect-SBPLeanBenefitPlans: $1,301.59 Cigna — SureFitLeanBenefitPlans: $1,301.59 Colorado Program for Children with Special Needs — HCP: $854.17 Evernorth (Cigna Behavioral Health) — COMM: $1,016.87 Kaiser — CommercialSmallGroupPlans: $406.75
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier QW In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon	$2,033.74	$2,033.74	$28.99 – $30.21
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $30.21 Multiplan — WorkersComp: $30.21 Pinnacol Workers Comp — WORKERSCOMP: $28.99
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or	Not listed in the file	Not listed in the file	$47.81 – $227.10
Obstetric blood test panel: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $47.81 Aetna — MCRADVPPO: $47.81 Anthem — HMO: $227.10 Anthem — PathwayEssentialsStandard: $112.35 Anthem — PathwaySBP: $127.65 Anthem — PPO: $227.10 Anthem BCBS — MCR: $47.81 Bright Health — DualEligible: $47.81 Bright Health — MCRHMO: $47.81 Bright Health — MCRPOS: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester	$2,220.78	$2,220.78	$7.13 – $14.06
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — MCRADVHMO: $13.39 Aetna — MCRADVPPO: $13.39 Anthem — HMO: $63.60 Anthem — PathwayEssentialsStandard: $31.47 Anthem — PathwaySBP: $35.75 Anthem — PPO: $63.60 Anthem BCBS — MCR: $13.39 Bright Health — DualEligible: $13.39 Bright Health — MCRHMO: $13.39 Bright Health — MCRPOS: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$2,220.78	$2,220.78	$337.56 – $1,998.70
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — Cofinity: $1,161.47 Anthem — PAR: $1,643.38 Bright Health — OON: $666.23 Cigna — BroadLeanBenefitPlans: $1,421.30 Cigna — Connect-NSBPLeanBenefitPlans: $1,421.30 Cigna — Connect-SBPLeanBenefitPlans: $1,421.30 Cigna — SureFitLeanBenefitPlans: $1,421.30 Colorado Program for Children with Special Needs — HCP: $932.73 Evernorth (Cigna Behavioral Health) — COMM: $1,110.39 Kaiser — CommercialSmallGroupPlans: $444.16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier QW In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester	$2,220.78	$2,220.78	$36.77 – $38.31
Cholesterol panel (lipid panel): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $38.31 Multiplan — WorkersComp: $38.31 Pinnacol Workers Comp — WORKERSCOMP: $36.77
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo	$2,122.22	$2,122.22	$8.68 – $41.23
Kidney function panel: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $8.68 Aetna — MCRADVPPO: $8.68 Anthem — HMO: $41.23 Anthem — PathwayEssentialsStandard: $20.40 Anthem — PathwaySBP: $23.18 Anthem — PPO: $41.23 Anthem BCBS — MCR: $8.68 Bright Health — DualEligible: $8.68 Bright Health — MCRHMO: $8.68 Bright Health — MCRPOS: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$2,122.22	$2,122.22	$322.58 – $1,910
Kidney function panel: 10 of 27 insurance plan rates Aetna — Cofinity: $1,109.92 Anthem — PAR: $1,570.44 Bright Health — OON: $636.67 Cigna — BroadLeanBenefitPlans: $1,358.22 Cigna — Connect-NSBPLeanBenefitPlans: $1,358.22 Cigna — Connect-SBPLeanBenefitPlans: $1,358.22 Cigna — SureFitLeanBenefitPlans: $1,358.22 Colorado Program for Children with Special Needs — HCP: $891.33 Evernorth (Cigna Behavioral Health) — COMM: $1,061.11 Kaiser — CommercialSmallGroupPlans: $424.44
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier QW In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo	$2,122.22	$2,122.22	$23.84 – $24.84
Kidney function panel: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $24.84 Multiplan — WorkersComp: $24.84 Pinnacol Workers Comp — WORKERSCOMP: $23.84
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase	$1,713.38	$1,713.38	$8.17 – $38.81
Liver function panel: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $8.17 Aetna — MCRADVPPO: $8.17 Anthem — HMO: $38.81 Anthem — PathwayEssentialsStandard: $19.20 Anthem — PathwaySBP: $21.81 Anthem — PPO: $38.81 Anthem BCBS — MCR: $8.17 Bright Health — DualEligible: $8.17 Bright Health — MCRHMO: $8.17 Bright Health — MCRPOS: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$1,713.38	$1,713.38	$260.43 – $1,542.04
Liver function panel: 10 of 28 insurance plan rates Aetna — Cofinity: $896.10 Anthem — PAR: $1,267.90 Bright Health — OON: $514.01 Cigna — BroadLeanBenefitPlans: $1,096.56 Cigna — Connect-NSBPLeanBenefitPlans: $1,096.56 Cigna — Connect-SBPLeanBenefitPlans: $1,096.56 Cigna — SureFitLeanBenefitPlans: $1,096.56 Colorado Program for Children with Special Needs — HCP: $719.62 Evernorth (Cigna Behavioral Health) — COMM: $856.69 Kaiser — CommercialSmallGroupPlans: $342.68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	$1,127.81	$1,127.81	$3.17 – $15.06
Urine test (automated, with microscope): 10 of 34 insurance plan rates Aetna — MCRADVHMO: $3.17 Aetna — MCRADVPPO: $3.17 Anthem — HMO: $15.06 Anthem — PathwayEssentialsStandard: $7.45 Anthem — PathwaySBP: $8.46 Anthem — PPO: $15.06 Anthem BCBS — MCR: $3.17 Bright Health — DualEligible: $3.17 Bright Health — MCRHMO: $3.17 Bright Health — MCRPOS: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$1,127.81	$1,127.81	$171.43 – $1,015.03
Urine test (automated, with microscope): 10 of 28 insurance plan rates Aetna — Cofinity: $589.84 Anthem — PAR: $834.58 Bright Health — OON: $338.34 Cigna — BroadLeanBenefitPlans: $721.80 Cigna — Connect-NSBPLeanBenefitPlans: $721.80 Cigna — Connect-SBPLeanBenefitPlans: $721.80 Cigna — SureFitLeanBenefitPlans: $721.80 Colorado Program for Children with Special Needs — HCP: $473.68 Evernorth (Cigna Behavioral Health) — COMM: $563.90 Kaiser — CommercialSmallGroupPlans: $225.56
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPEC GRAV UR MANUAL	$355.15	$355.15	$53.98 – $319.63
Urine test (manual, without microscope): 10 of 28 insurance plan rates Aetna — Cofinity: $185.74 Anthem — PAR: $262.81 Bright Health — OON: $106.55 Cigna — BroadLeanBenefitPlans: $227.30 Cigna — Connect-NSBPLeanBenefitPlans: $227.30 Cigna — Connect-SBPLeanBenefitPlans: $227.30 Cigna — SureFitLeanBenefitPlans: $227.30 Colorado Program for Children with Special Needs — HCP: $149.16 Evernorth (Cigna Behavioral Health) — COMM: $177.57 Kaiser — CommercialSmallGroupPlans: $71.03
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA W O MICRO MANUAL	$207.27	$207.27	$31.51 – $186.54
Urine test (manual, without microscope): 10 of 28 insurance plan rates Aetna — Cofinity: $108.40 Anthem — PAR: $153.38 Bright Health — OON: $62.18 Cigna — BroadLeanBenefitPlans: $132.65 Cigna — Connect-NSBPLeanBenefitPlans: $132.65 Cigna — Connect-SBPLeanBenefitPlans: $132.65 Cigna — SureFitLeanBenefitPlans: $132.65 Colorado Program for Children with Special Needs — HCP: $87.05 Evernorth (Cigna Behavioral Health) — COMM: $103.64 Kaiser — CommercialSmallGroupPlans: $41.45
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: BLOOD URINE MANUAL	$355.15	$355.15	$53.98 – $319.63
Urine test (manual, without microscope): 10 of 28 insurance plan rates Aetna — Cofinity: $185.74 Anthem — PAR: $262.81 Bright Health — OON: $106.55 Cigna — BroadLeanBenefitPlans: $227.30 Cigna — Connect-NSBPLeanBenefitPlans: $227.30 Cigna — Connect-SBPLeanBenefitPlans: $227.30 Cigna — SureFitLeanBenefitPlans: $227.30 Colorado Program for Children with Special Needs — HCP: $149.16 Evernorth (Cigna Behavioral Health) — COMM: $177.57 Kaiser — CommercialSmallGroupPlans: $71.03
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PROTEIN UR QUAL AUTO	$962.57	$962.57	$146.31 – $866.31
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Cofinity: $503.42 Anthem — PAR: $712.30 Bright Health — OON: $288.77 Cigna — BroadLeanBenefitPlans: $616.04 Cigna — Connect-NSBPLeanBenefitPlans: $616.04 Cigna — Connect-SBPLeanBenefitPlans: $616.04 Cigna — SureFitLeanBenefitPlans: $616.04 Colorado Program for Children with Special Needs — HCP: $404.28 Evernorth (Cigna Behavioral Health) — COMM: $481.29 Kaiser — CommercialSmallGroupPlans: $192.51
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO	$575.47	$575.47	$87.47 – $517.92
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Cofinity: $300.97 Anthem — PAR: $425.85 Bright Health — OON: $172.64 Cigna — BroadLeanBenefitPlans: $368.30 Cigna — Connect-NSBPLeanBenefitPlans: $368.30 Cigna — Connect-SBPLeanBenefitPlans: $368.30 Cigna — SureFitLeanBenefitPlans: $368.30 Colorado Program for Children with Special Needs — HCP: $241.70 Evernorth (Cigna Behavioral Health) — COMM: $287.74 Kaiser — CommercialSmallGroupPlans: $115.09
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PH UR AUTO	$355.15	$355.15	$53.98 – $319.63
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Cofinity: $185.74 Anthem — PAR: $262.81 Bright Health — OON: $106.55 Cigna — BroadLeanBenefitPlans: $227.30 Cigna — Connect-NSBPLeanBenefitPlans: $227.30 Cigna — Connect-SBPLeanBenefitPlans: $227.30 Cigna — SureFitLeanBenefitPlans: $227.30 Colorado Program for Children with Special Needs — HCP: $149.16 Evernorth (Cigna Behavioral Health) — COMM: $177.57 Kaiser — CommercialSmallGroupPlans: $71.03
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	$1,448.11	$1,448.11	$18.39 – $87.35
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $18.39 Aetna — MCRADVPPO: $18.39 Anthem — HMO: $87.35 Anthem — PathwayEssentialsStandard: $43.22 Anthem — PathwaySBP: $49.10 Anthem — PPO: $87.35 Anthem BCBS — MCR: $18.39 Bright Health — DualEligible: $18.39 Bright Health — MCRHMO: $18.39 Bright Health — MCRPOS: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$1,448.11	$1,448.11	$220.11 – $1,303.30
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates Aetna — Cofinity: $757.36 Anthem — PAR: $1,071.60 Bright Health — OON: $434.43 Cigna — BroadLeanBenefitPlans: $926.79 Cigna — Connect-NSBPLeanBenefitPlans: $926.79 Cigna — Connect-SBPLeanBenefitPlans: $926.79 Cigna — SureFitLeanBenefitPlans: $926.79 Colorado Program for Children with Special Needs — HCP: $608.21 Evernorth (Cigna Behavioral Health) — COMM: $724.05 Kaiser — CommercialSmallGroupPlans: $289.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	$1,746.70	$1,746.70	$16.80 – $79.80
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $16.80 Aetna — MCRADVPPO: $16.80 Anthem — HMO: $79.80 Anthem — PathwayEssentialsStandard: $39.48 Anthem — PathwaySBP: $44.86 Anthem — PPO: $79.80 Anthem BCBS — MCR: $16.80 Bright Health — DualEligible: $16.80 Bright Health — MCRHMO: $16.80 Bright Health — MCRPOS: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$1,746.70	$1,746.70	$265.50 – $1,572.03
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — Cofinity: $913.52 Anthem — PAR: $1,292.56 Bright Health — OON: $524.01 Cigna — BroadLeanBenefitPlans: $1,117.89 Cigna — Connect-NSBPLeanBenefitPlans: $1,117.89 Cigna — Connect-SBPLeanBenefitPlans: $1,117.89 Cigna — SureFitLeanBenefitPlans: $1,117.89 Colorado Program for Children with Special Needs — HCP: $733.61 Evernorth (Cigna Behavioral Health) — COMM: $873.35 Kaiser — CommercialSmallGroupPlans: $349.34
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier QW In the file: Thyroid stimulating hormone (TSH)	$1,746.70	$1,746.70	$46.12 – $48.06
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $48.06 Multiplan — WorkersComp: $48.06 Pinnacol Workers Comp — WORKERSCOMP: $46.12
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	Not listed in the file	Not listed in the file	$7.77 – $36.91
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $7.77 Aetna — MCRADVPPO: $7.77 Anthem — HMO: $36.91 Anthem — PathwayEssentialsStandard: $18.26 Anthem — PathwaySBP: $20.75 Anthem — PPO: $36.91 Anthem BCBS — MCR: $7.77 Bright Health — DualEligible: $7.77 Bright Health — MCRHMO: $7.77 Bright Health — MCRPOS: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier QW In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	Not listed in the file	Not listed in the file	$21.34 – $22.24
Complete blood count (CBC) with differential: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $22.24 Multiplan — WorkersComp: $22.24 Pinnacol Workers Comp — WORKERSCOMP: $21.34
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	$961.72	$961.72	$6.47 – $30.73
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $6.47 Aetna — MCRADVPPO: $6.47 Anthem — HMO: $30.73 Anthem — PathwayEssentialsStandard: $15.20 Anthem — PathwaySBP: $17.27 Anthem — PPO: $30.73 Anthem BCBS — MCR: $6.47 Bright Health — DualEligible: $6.47 Bright Health — MCRHMO: $6.47 Bright Health — MCRPOS: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$961.72	$961.72	$146.18 – $865.55
Complete blood count (CBC), automated: 10 of 28 insurance plan rates Aetna — Cofinity: $502.98 Anthem — PAR: $711.67 Bright Health — OON: $288.52 Cigna — BroadLeanBenefitPlans: $615.50 Cigna — Connect-NSBPLeanBenefitPlans: $615.50 Cigna — Connect-SBPLeanBenefitPlans: $615.50 Cigna — SureFitLeanBenefitPlans: $615.50 Colorado Program for Children with Special Needs — HCP: $403.92 Evernorth (Cigna Behavioral Health) — COMM: $480.86 Kaiser — CommercialSmallGroupPlans: $192.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$365.31	$365.31	$55.53 – $328.78
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — Cofinity: $191.06 Anthem — PAR: $270.33 Bright Health — OON: $109.59 Cigna — BroadLeanBenefitPlans: $233.80 Cigna — Connect-NSBPLeanBenefitPlans: $233.80 Cigna — Connect-SBPLeanBenefitPlans: $233.80 Cigna — SureFitLeanBenefitPlans: $233.80 Colorado Program for Children with Special Needs — HCP: $153.43 Evernorth (Cigna Behavioral Health) — COMM: $182.66 Kaiser — CommercialSmallGroupPlans: $73.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$4.29 – $20.38
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — MCRADVHMO: $4.29 Aetna — MCRADVPPO: $4.29 Anthem — HMO: $20.38 Anthem — PathwayEssentialsStandard: $10.08 Anthem — PathwaySBP: $11.45 Anthem — PPO: $20.38 Anthem BCBS — MCR: $4.29 Bright Health — DualEligible: $4.29 Bright Health — MCRHMO: $4.29 Bright Health — MCRPOS: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier QW In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$11.78 – $12.28
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $12.28 Multiplan — WorkersComp: $12.28 Pinnacol Workers Comp — WORKERSCOMP: $11.78
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood	$618.93	$618.93	$6.01 – $28.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — MCRADVHMO: $6.01 Aetna — MCRADVPPO: $6.01 Anthem — HMO: $28.55 Anthem — PathwayEssentialsStandard: $14.12 Anthem — PathwaySBP: $16.05 Anthem — PPO: $28.55 Anthem BCBS — MCR: $6.01 Bright Health — DualEligible: $6.01 Bright Health — MCRHMO: $6.01 Bright Health — MCRPOS: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$618.93	$618.93	$94.08 – $557.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates Aetna — Cofinity: $323.70 Anthem — PAR: $458.01 Bright Health — OON: $185.68 Cigna — BroadLeanBenefitPlans: $396.12 Cigna — Connect-NSBPLeanBenefitPlans: $396.12 Cigna — Connect-SBPLeanBenefitPlans: $396.12 Cigna — SureFitLeanBenefitPlans: $396.12 Colorado Program for Children with Special Needs — HCP: $259.95 Evernorth (Cigna Behavioral Health) — COMM: $309.46 Kaiser — CommercialSmallGroupPlans: $123.79

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT	$5,295.64	$5,295.64	$804.94 – $4,766.08
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Anthem — PAR: $3,918.77 Bright Health — OON: $1,588.69 Cigna — BroadLeanBenefitPlans: $3,389.21 Cigna — Connect-NSBPLeanBenefitPlans: $3,389.21 Cigna — Connect-SBPLeanBenefitPlans: $3,389.21 Cigna — SureFitLeanBenefitPlans: $3,389.21 Colorado Program for Children with Special Needs — HCP: $2,224.17 Evernorth (Cigna Behavioral Health) — COMM: $2,647.82 Medical Development International — COMM: $4,236.51 Multiplan — BeechStreetCOMMPPO: $4,766.08
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material	Not listed in the file	Not listed in the file	$169.18 – $1,835
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Aetna — ASA: $1,835 Aetna — ExistingBusiness: $1,447 Aetna — NBR: $1,187 Anthem — HMO: $552.35 Anthem — PathwayEssentialsStandard: $261.70 Anthem — PathwaySBP: $297.33 Anthem — PPO: $552.35 Multiplan — BeechStreetWorkersComp: $176.30 Multiplan — WorkersComp: $176.30 Pinnacol Workers Comp — WORKERSCOMP: $169.18
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: Computed tomography, head or brain; without contrast material	Not listed in the file	Not listed in the file	$94.05 – $198.50
CT scan of the head or brain, without contrast: rates for 4 insurance plans Anthem — HMO: $198.50 Anthem — PathwayEssentialsStandard: $94.05 Anthem — PathwaySBP: $106.85 Anthem — PPO: $198.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$12,574.59	$12,574.59	$1,911.34 – $11,317.13
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Anthem — PAR: $9,305.20 Bright Health — OON: $3,772.38 Cigna — BroadLeanBenefitPlans: $8,047.74 Cigna — Connect-NSBPLeanBenefitPlans: $8,047.74 Cigna — Connect-SBPLeanBenefitPlans: $8,047.74 Cigna — SureFitLeanBenefitPlans: $8,047.74 Colorado Program for Children with Special Needs — HCP: $5,281.33 Evernorth (Cigna Behavioral Health) — COMM: $6,287.30 Medical Development International — COMM: $10,059.67 Multiplan — BeechStreetCOMMPPO: $11,317.13
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	Not listed in the file	Not listed in the file	$779.92 – $1,646.12
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Aetna — ASA: $2,447 Aetna — ExistingBusiness: $1,931 Aetna — NBR: $1,583 Anthem — HMO: $1,646.12 Anthem — PathwayEssentialsStandard: $779.92 Anthem — PathwaySBP: $886.12 Anthem — PPO: $1,646.12 Multiplan — BeechStreetWorkersComp: $616.68 Multiplan — WorkersComp: $616.68 Pinnacol Workers Comp — WORKERSCOMP: $591.76
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	Not listed in the file	Not listed in the file	$251.07 – $529.93
MRI of the brain, before and after contrast: rates for 4 insurance plans Anthem — HMO: $529.93 Anthem — PathwayEssentialsStandard: $251.07 Anthem — PathwaySBP: $285.26 Anthem — PPO: $529.93
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$2,208.35	$2,208.35	$335.67 – $1,987.52
Chest X-ray, 2 views: 10 of 27 insurance plan rates Aetna — Cofinity: $1,154.97 Anthem — PAR: $1,634.18 Bright Health — OON: $662.50 Cigna — BroadLeanBenefitPlans: $1,413.34 Cigna — Connect-NSBPLeanBenefitPlans: $1,413.34 Cigna — Connect-SBPLeanBenefitPlans: $1,413.34 Cigna — SureFitLeanBenefitPlans: $1,413.34 Colorado Program for Children with Special Needs — HCP: $927.51 Evernorth (Cigna Behavioral Health) — COMM: $1,104.17 Kaiser — CommercialSmallGroupPlans: $441.67
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$81.38 – $182.03
Chest X-ray, 2 views: 10 of 17 insurance plan rates Anthem — HMO: $171.76 Anthem — PathwayEssentialsStandard: $81.38 Anthem — PathwaySBP: $92.46 Anthem — PPO: $171.76 Cigna — Broad: $350.16 Cigna — Connect-NSBP: $279.25 Cigna — Connect-SBP: $202.22 Cigna — SureFit: $258.24 Multiplan — BeechStreetWorkersComp: $145.72 Multiplan — WorkersComp: $145.72
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$57.41 – $121.17
Chest X-ray, 2 views: rates for 4 insurance plans Anthem — HMO: $121.17 Anthem — PathwayEssentialsStandard: $57.41 Anthem — PathwaySBP: $65.23 Anthem — PPO: $121.17
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$6,395.88	$6,395.88	$972.17 – $5,756.29
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates Aetna — Cofinity: $3,345.05 Anthem — PAR: $4,732.95 Bright Health — OON: $1,918.76 Cigna — BroadLeanBenefitPlans: $4,093.36 Cigna — Connect-NSBPLeanBenefitPlans: $4,093.36 Cigna — Connect-SBPLeanBenefitPlans: $4,093.36 Cigna — SureFitLeanBenefitPlans: $4,093.36 Colorado Program for Children with Special Needs — HCP: $2,686.27 Evernorth (Cigna Behavioral Health) — COMM: $3,197.94 Kaiser — CommercialSmallGroupPlans: $1,279.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$131.93 – $278.45
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates Anthem — HMO: $278.45 Anthem — PathwayEssentialsStandard: $131.93 Anthem — PathwaySBP: $149.89 Anthem — PPO: $278.45 Cigna — Broad: $430.80 Cigna — Connect-NSBP: $343.56 Cigna — Connect-SBP: $248.79 Cigna — SureFit: $317.72 Multiplan — BeechStreetWorkersComp: $176.30 Multiplan — WorkersComp: $176.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$101.66 – $214.57
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans Anthem — HMO: $214.57 Anthem — PathwayEssentialsStandard: $101.66 Anthem — PathwaySBP: $115.50 Anthem — PPO: $214.57
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$10,108.98	$10,108.98	$1,536.56 – $9,098.08
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Anthem — PAR: $7,480.65 Bright Health — OON: $3,032.69 Cigna — BroadLeanBenefitPlans: $6,469.75 Cigna — Connect-NSBPLeanBenefitPlans: $6,469.75 Cigna — Connect-SBPLeanBenefitPlans: $6,469.75 Cigna — SureFitLeanBenefitPlans: $6,469.75 Colorado Program for Children with Special Needs — HCP: $4,245.77 Evernorth (Cigna Behavioral Health) — COMM: $5,054.49 Medical Development International — COMM: $8,087.18 Multiplan — BeechStreetCOMMPPO: $9,098.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	Not listed in the file	Not listed in the file	$391.22 – $517.79
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Aetna — ASA: $2,447 Aetna — ExistingBusiness: $1,931 Aetna — NBR: $1,583 Anthem — HMO: $994.73 Anthem — PathwayEssentialsStandard: $471.29 Anthem — PathwaySBP: $535.47 Anthem — PPO: $994.73 Multiplan — BeechStreetWorkersComp: $392.93 Multiplan — WorkersComp: $392.93 Pinnacol Workers Comp — WORKERSCOMP: $377.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	Not listed in the file	Not listed in the file	$307.73 – $649.51
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans Anthem — HMO: $649.51 Anthem — PathwayEssentialsStandard: $307.73 Anthem — PathwaySBP: $349.64 Anthem — PPO: $649.51
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$9,476.43	$9,476.43	$1,440.42 – $8,528.79
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Anthem — PAR: $7,012.56 Bright Health — OON: $2,842.93 Cigna — BroadLeanBenefitPlans: $6,064.92 Cigna — Connect-NSBPLeanBenefitPlans: $6,064.92 Cigna — Connect-SBPLeanBenefitPlans: $6,064.92 Cigna — SureFitLeanBenefitPlans: $6,064.92 Colorado Program for Children with Special Needs — HCP: $3,980.10 Evernorth (Cigna Behavioral Health) — COMM: $4,738.22 Medical Development International — COMM: $7,581.14 Multiplan — BeechStreetCOMMPPO: $8,528.79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$557.96 – $1,177.65
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Aetna — ASA: $1,835 Aetna — ExistingBusiness: $1,447 Aetna — NBR: $1,187 Anthem — HMO: $1,177.65 Anthem — PathwayEssentialsStandard: $557.96 Anthem — PathwaySBP: $633.94 Anthem — PPO: $1,177.65 Multiplan — BeechStreetWorkersComp: $294.62 Multiplan — WorkersComp: $294.62 Pinnacol Workers Comp — WORKERSCOMP: $282.72
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$127.46 – $269.03
CT scan of the pelvis, with contrast: rates for 4 insurance plans Anthem — HMO: $269.03 Anthem — PathwayEssentialsStandard: $127.46 Anthem — PathwaySBP: $144.82 Anthem — PPO: $269.03
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material	Not listed in the file	Not listed in the file	$377.05 – $2,447
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Aetna — ASA: $2,447 Aetna — ExistingBusiness: $1,931 Aetna — NBR: $1,583 Anthem — HMO: $1,063.18 Anthem — PathwayEssentialsStandard: $503.72 Anthem — PathwaySBP: $572.31 Anthem — PPO: $1,063.18 Multiplan — BeechStreetWorkersComp: $392.93 Multiplan — WorkersComp: $392.93 Pinnacol Workers Comp — WORKERSCOMP: $377.05
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI LW JNT W/O CONT RT	$10,108.98	$10,108.98	$1,536.56 – $9,098.08
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Anthem — PAR: $7,480.65 Bright Health — OON: $3,032.69 Cigna — BroadLeanBenefitPlans: $6,469.75 Cigna — Connect-NSBPLeanBenefitPlans: $6,469.75 Cigna — Connect-SBPLeanBenefitPlans: $6,469.75 Cigna — SureFitLeanBenefitPlans: $6,469.75 Colorado Program for Children with Special Needs — HCP: $4,245.77 Evernorth (Cigna Behavioral Health) — COMM: $5,054.49 Medical Development International — COMM: $8,087.18 Multiplan — BeechStreetCOMMPPO: $9,098.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 50 In the file: MRI LW JNT W/O CONT BI	$19,676.31	$19,676.31	$2,990.80 – $17,708.68
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Anthem — PAR: $14,560.47 Bright Health — OON: $5,902.89 Cigna — BroadLeanBenefitPlans: $12,592.84 Cigna — Connect-NSBPLeanBenefitPlans: $12,592.84 Cigna — Connect-SBPLeanBenefitPlans: $12,592.84 Cigna — SureFitLeanBenefitPlans: $12,592.84 Colorado Program for Children with Special Needs — HCP: $8,264.05 Evernorth (Cigna Behavioral Health) — COMM: $9,838.16 Medical Development International — COMM: $15,741.05 Multiplan — BeechStreetCOMMPPO: $17,708.68
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$9,476.43	$9,476.43	$1,440.42 – $8,528.79
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Anthem — PAR: $7,012.56 Bright Health — OON: $2,842.93 Cigna — BroadLeanBenefitPlans: $6,064.92 Cigna — Connect-NSBPLeanBenefitPlans: $6,064.92 Cigna — Connect-SBPLeanBenefitPlans: $6,064.92 Cigna — SureFitLeanBenefitPlans: $6,064.92 Colorado Program for Children with Special Needs — HCP: $3,980.10 Evernorth (Cigna Behavioral Health) — COMM: $4,738.22 Medical Development International — COMM: $7,581.14 Multiplan — BeechStreetCOMMPPO: $8,528.79
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$740.70 – $1,563.34
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Aetna — ASA: $1,835 Aetna — ExistingBusiness: $1,447 Aetna — NBR: $1,187 Anthem — HMO: $1,563.34 Anthem — PathwayEssentialsStandard: $740.70 Anthem — PathwaySBP: $841.56 Anthem — PPO: $1,563.34 Multiplan — BeechStreetWorkersComp: $616.68 Multiplan — WorkersComp: $616.68 Pinnacol Workers Comp — WORKERSCOMP: $591.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: Computed tomography, abdomen and pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$540.74 – $1,141.30
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans Anthem — HMO: $1,141.30 Anthem — PathwayEssentialsStandard: $540.74 Anthem — PathwaySBP: $614.37 Anthem — PPO: $1,141.30
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$4,157.62	$4,157.62	$631.96 – $3,741.86
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates Aetna — Cofinity: $2,174.44 Anthem — PAR: $3,076.64 Bright Health — OON: $1,247.29 Cigna — BroadLeanBenefitPlans: $2,660.88 Cigna — Connect-NSBPLeanBenefitPlans: $2,660.88 Cigna — Connect-SBPLeanBenefitPlans: $2,660.88 Cigna — SureFitLeanBenefitPlans: $2,660.88 Colorado Program for Children with Special Needs — HCP: $1,746.20 Evernorth (Cigna Behavioral Health) — COMM: $2,078.81 Kaiser — CommercialSmallGroupPlans: $831.52
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$185.25 – $593.22
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates Anthem — HMO: $593.22 Anthem — PathwayEssentialsStandard: $281.06 Anthem — PathwaySBP: $319.33 Anthem — PPO: $593.22 Cigna — Broad: $430.80 Cigna — Connect-NSBP: $343.56 Cigna — Connect-SBP: $248.79 Cigna — SureFit: $317.72 Multiplan — BeechStreetWorkersComp: $176.30 Multiplan — WorkersComp: $176.30
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$89.42 – $188.73
Ultrasound of the abdomen, complete: rates for 4 insurance plans Anthem — HMO: $188.73 Anthem — PathwayEssentialsStandard: $89.42 Anthem — PathwaySBP: $101.59 Anthem — PPO: $188.73
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$2,617.83	$2,617.83	$397.91 – $2,356.05
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates Aetna — Cofinity: $1,369.13 Anthem — PAR: $1,937.19 Bright Health — OON: $785.35 Cigna — BroadLeanBenefitPlans: $1,675.41 Cigna — Connect-NSBPLeanBenefitPlans: $1,675.41 Cigna — Connect-SBPLeanBenefitPlans: $1,675.41 Cigna — SureFitLeanBenefitPlans: $1,675.41 Colorado Program for Children with Special Needs — HCP: $1,099.49 Evernorth (Cigna Behavioral Health) — COMM: $1,308.91 Kaiser — CommercialSmallGroupPlans: $523.57
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$185.25 – $705.81
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates Anthem — HMO: $705.81 Anthem — PathwayEssentialsStandard: $334.41 Anthem — PathwaySBP: $379.94 Anthem — PPO: $705.81 Cigna — Broad: $430.80 Cigna — Connect-NSBP: $343.56 Cigna — Connect-SBP: $248.79 Cigna — SureFit: $317.72 Multiplan — BeechStreetWorkersComp: $176.30 Multiplan — WorkersComp: $176.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$112.68 – $237.83
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans Anthem — HMO: $237.83 Anthem — PathwayEssentialsStandard: $112.68 Anthem — PathwaySBP: $128.03 Anthem — PPO: $237.83
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$1,745.24	$1,745.24	$265.28 – $1,570.72
Transvaginal ultrasound: 10 of 27 insurance plan rates Aetna — Cofinity: $912.76 Anthem — PAR: $1,291.48 Bright Health — OON: $523.57 Cigna — BroadLeanBenefitPlans: $1,116.95 Cigna — Connect-NSBPLeanBenefitPlans: $1,116.95 Cigna — Connect-SBPLeanBenefitPlans: $1,116.95 Cigna — SureFitLeanBenefitPlans: $1,116.95 Colorado Program for Children with Special Needs — HCP: $733 Evernorth (Cigna Behavioral Health) — COMM: $872.62 Kaiser — CommercialSmallGroupPlans: $349.05
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$185.25 – $611.87
Transvaginal ultrasound: 10 of 17 insurance plan rates Anthem — HMO: $611.87 Anthem — PathwayEssentialsStandard: $289.90 Anthem — PathwaySBP: $329.37 Anthem — PPO: $611.87 Cigna — Broad: $430.80 Cigna — Connect-NSBP: $343.56 Cigna — Connect-SBP: $248.79 Cigna — SureFit: $317.72 Multiplan — BeechStreetWorkersComp: $176.30 Multiplan — WorkersComp: $176.30
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$212.51 – $448.53
Transvaginal ultrasound: rates for 4 insurance plans Anthem — HMO: $448.53 Anthem — PathwayEssentialsStandard: $212.51 Anthem — PathwaySBP: $241.45 Anthem — PPO: $448.53
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$305.29 – $644.35
Diagnostic mammogram, one breast: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $91.59 Aetna — MCRADVPPO: $91.59 Anthem — HMO: $644.35 Anthem — PathwayEssentialsStandard: $305.29 Anthem — PathwaySBP: $346.86 Anthem — PPO: $644.35 Anthem BCBS — MCR: $91.59 Bright Health — DualEligible: $91.59 Bright Health — MCRHMO: $91.59 Bright Health — MCRPOS: $91.59
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$1,305.02	$1,305.02	$198.36 – $1,174.52
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates Aetna — Cofinity: $682.53 Anthem — PAR: $965.71 Bright Health — OON: $391.51 Cigna — BroadLeanBenefitPlans: $835.21 Cigna — Connect-NSBPLeanBenefitPlans: $835.21 Cigna — Connect-SBPLeanBenefitPlans: $835.21 Cigna — SureFitLeanBenefitPlans: $835.21 Colorado Program for Children with Special Needs — HCP: $548.11 Evernorth (Cigna Behavioral Health) — COMM: $652.51 Kaiser — CommercialSmallGroupPlans: $261
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT	$1,452.52	$1,452.52	$220.78 – $1,307.27
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates Aetna — Cofinity: $759.67 Anthem — PAR: $1,074.86 Bright Health — OON: $435.76 Cigna — BroadLeanBenefitPlans: $929.61 Cigna — Connect-NSBPLeanBenefitPlans: $929.61 Cigna — Connect-SBPLeanBenefitPlans: $929.61 Cigna — SureFitLeanBenefitPlans: $929.61 Colorado Program for Children with Special Needs — HCP: $610.06 Evernorth (Cigna Behavioral Health) — COMM: $726.26 Kaiser — CommercialSmallGroupPlans: $290.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$1,748.27	$1,748.27	$265.74 – $1,573.44
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Cofinity: $914.35 Anthem — PAR: $1,293.72 Bright Health — OON: $524.48 Cigna — BroadLeanBenefitPlans: $1,118.89 Cigna — Connect-NSBPLeanBenefitPlans: $1,118.89 Cigna — Connect-SBPLeanBenefitPlans: $1,118.89 Cigna — SureFitLeanBenefitPlans: $1,118.89 Colorado Program for Children with Special Needs — HCP: $734.27 Evernorth (Cigna Behavioral Health) — COMM: $874.13 Kaiser — CommercialSmallGroupPlans: $349.65
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	Not listed in the file	Not listed in the file	$198.71 – $263
Diagnostic mammogram, both breasts: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $117.44 Aetna — MCRADVPPO: $117.44 Anthem — HMO: $816.27 Anthem — PathwayEssentialsStandard: $386.74 Anthem — PathwaySBP: $439.40 Anthem — PPO: $816.27 Anthem BCBS — MCR: $117.44 Bright Health — DualEligible: $117.44 Bright Health — MCRHMO: $117.44 Bright Health — MCRPOS: $117.44
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	Not listed in the file	Not listed in the file	$110.76 – $233.76
Diagnostic mammogram, both breasts: rates for 4 insurance plans Anthem — HMO: $233.76 Anthem — PathwayEssentialsStandard: $110.76 Anthem — PathwaySBP: $125.84 Anthem — PPO: $233.76
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$1,311.78	$1,311.78	$199.39 – $1,180.60
Screening mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Cofinity: $686.06 Anthem — PAR: $970.72 Bright Health — OON: $393.53 Cigna — BroadLeanBenefitPlans: $839.54 Cigna — Connect-NSBPLeanBenefitPlans: $839.54 Cigna — Connect-SBPLeanBenefitPlans: $839.54 Cigna — SureFitLeanBenefitPlans: $839.54 Colorado Program for Children with Special Needs — HCP: $550.95 Evernorth (Cigna Behavioral Health) — COMM: $655.89 Kaiser — CommercialSmallGroupPlans: $262.36
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	Not listed in the file	Not listed in the file	$311.56 – $657.60
Screening mammogram, both breasts: 10 of 34 insurance plan rates Aetna — MCRADVHMO: $96.93 Aetna — MCRADVPPO: $96.93 Anthem — HMO: $657.60 Anthem — PathwayEssentialsStandard: $311.56 Anthem — PathwaySBP: $353.99 Anthem — PPO: $657.60 Anthem BCBS — MCR: $96.93 Bright Health — DualEligible: $96.93 Bright Health — MCRHMO: $96.93 Bright Health — MCRPOS: $96.93
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: MAMMO SCR CAD 1BRST	$1,311.78	$1,311.78	$199.39 – $1,180.60
Screening mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Cofinity: $686.06 Anthem — PAR: $970.72 Bright Health — OON: $393.53 Cigna — BroadLeanBenefitPlans: $839.54 Cigna — Connect-NSBPLeanBenefitPlans: $839.54 Cigna — Connect-SBPLeanBenefitPlans: $839.54 Cigna — SureFitLeanBenefitPlans: $839.54 Colorado Program for Children with Special Needs — HCP: $550.95 Evernorth (Cigna Behavioral Health) — COMM: $655.89 Kaiser — CommercialSmallGroupPlans: $262.36

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) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	Not listed in the file	Not listed in the file	Not listed in the file
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans Aetna — ASA: 45.1% (a percentage in the contract, not a dollar amount) Aetna — ExistingBusiness: 37.3% (a percentage in the contract, not a dollar amount) Aetna — NBR: 30.6% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe	Not listed in the file	Not listed in the file	$5,331 – $29,717
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates Aetna — ASA: $21,020 Aetna — ExistingBusiness: $16,588 Aetna — NBR: $13,602 Anthem — HMO: $29,717 Anthem — PathwayEssentialsStandard: $13,387 Anthem — PathwaySBP: $14,399 Anthem — PPO: $29,717 Kaiser — CommercialSmallGroupPlans: $5,331 Kaiser — HMO: $13,474 Kaiser — KPIF: $5,331
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor	$42,813.22	$42,813.22	$9,740 – $40,585
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates Aetna — ASA: $14,901 Aetna — ExistingBusiness: $11,878 Aetna — NBR: $9,740 Anthem — HMO: $40,585 Anthem — PathwayEssentialsStandard: $23,760 Anthem — PathwaySBP: $20,921 Anthem — PPO: $40,585 Cigna — Broad: $22,228 Cigna — Connect-NSBP: $14,646 Cigna — Connect-SBP: $12,118
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP W/O ARRHYTHMIA	$42,813.22	$42,813.22	$6,507.61 – $38,531.90
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates Anthem — PAR: $31,681.78 Bright Health — OON: $12,843.97 Cigna — BroadLeanBenefitPlans: $27,400.46 Cigna — Connect-NSBPLeanBenefitPlans: $27,400.46 Cigna — Connect-SBPLeanBenefitPlans: $27,400.46 Cigna — SureFitLeanBenefitPlans: $27,400.46 Colorado Program for Children with Special Needs — HCP: $17,981.55 Evernorth (Cigna Behavioral Health) — COMM: $21,406.61 Medical Development International — COMM: $34,250.58 Multiplan — BeechStreetCOMMPPO: $38,531.90
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters,	$127,559.46	$127,559.46	$9,740 – $45,458
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates Aetna — ASA: $14,901 Aetna — ExistingBusiness: $11,878 Aetna — NBR: $9,740 Anthem — HMO: $45,458 Anthem — PathwayEssentialsStandard: $18,064 Anthem — PathwaySBP: $20,921 Anthem — PPO: $45,458 Cigna — Broad: $28,342 Cigna — Connect-NSBP: $18,674 Cigna — Connect-SBP: $13,936
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COM EP REPO CTH TX AFIB	$127,559.46	$127,559.46	$19,389.04 – $114,803.51
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates Anthem — PAR: $94,394 Bright Health — OON: $38,267.84 Cigna — BroadLeanBenefitPlans: $81,638.05 Cigna — Connect-NSBPLeanBenefitPlans: $81,638.05 Cigna — Connect-SBPLeanBenefitPlans: $81,638.05 Cigna — SureFitLeanBenefitPlans: $81,638.05 Colorado Program for Children with Special Needs — HCP: $53,574.97 Evernorth (Cigna Behavioral Health) — COMM: $63,779.73 Medical Development International — COMM: $102,047.57 Multiplan — BeechStreetCOMMPPO: $114,803.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR	$19,161.12	$19,161.12	$2,912.49 – $17,245.01
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates Aetna — Cofinity: $10,021.27 Anthem — PAR: $14,179.23 Bright Health — OON: $5,748.34 Cigna — Broad: $6,802.20 Cigna — BroadLeanBenefitPlans: $12,263.12 Cigna — Connect-NSBP: $4,962.73 Cigna — Connect-NSBPLeanBenefitPlans: $12,263.12 Cigna — Connect-SBP: $4,138.80 Cigna — Connect-SBPLeanBenefitPlans: $12,263.12 Cigna — SureFit: $4,866.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	$19,161.12	$19,161.12	$1,353 – $5,579
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Anthem — HMO: $5,579 Anthem — PathwayEssentialsStandard: $2,483 Anthem — PathwaySBP: $2,704 Anthem — PPO: $5,579 Multiplan — BeechStreetWorkersComp: $1,676.57 Multiplan — WorkersComp: $1,676.57 Pinnacol Workers Comp — WORKERSCOMP: $1,608.83 Rocky Mountain Health Plan — AllPayerAppendix: $2,456 United — AllPayerAppendix: $2,456 United — ColoradoDoctorsPlan: $1,353

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib	Not listed in the file	Not listed in the file	$29.74 – $31.54
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — MCRADVHMO: $30.04 Aetna — MCRADVPPO: $30.04 Anthem BCBS — MCR: $30.04 Bright Health — DualEligible: $30.04 Bright Health — MCRHMO: $30.04 Bright Health — MCRPOS: $30.04 Bright Health — MCRPPO: $30.04 Bright Health — MCRSNP: $30.04 Bright Health — PFFS: $30.04 Cigna HealthSpring — Medicare: $30.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO\|CO In the file: THER EXERCIS 15 MIN OTCO	$304.35	$304.35	$46.26 – $273.92
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Aetna — Cofinity: $159.18 Anthem — PAR: $225.22 Bright Health — OON: $91.31 Cigna — BroadLeanBenefitPlans: $194.78 Cigna — Connect-NSBPLeanBenefitPlans: $194.78 Cigna — Connect-SBPLeanBenefitPlans: $194.78 Cigna — SureFitLeanBenefitPlans: $194.78 Colorado Program for Children with Special Needs — HCP: $127.83 Evernorth (Cigna Behavioral Health) — COMM: $152.18 Kaiser — CommercialSmallGroupPlans: $60.87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT	$304.35	$304.35	$46.26 – $273.92
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Aetna — Cofinity: $159.18 Anthem — PAR: $225.22 Bright Health — OON: $91.31 Cigna — BroadLeanBenefitPlans: $194.78 Cigna — Connect-NSBPLeanBenefitPlans: $194.78 Cigna — Connect-SBPLeanBenefitPlans: $194.78 Cigna — SureFitLeanBenefitPlans: $194.78 Colorado Program for Children with Special Needs — HCP: $127.83 Evernorth (Cigna Behavioral Health) — COMM: $152.18 Kaiser — CommercialSmallGroupPlans: $60.87
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	Not listed in the file	Not listed in the file	$100.35 – $106.43
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — MCRADVHMO: $101.36 Aetna — MCRADVPPO: $101.36 Anthem BCBS — MCR: $101.36 Bright Health — DualEligible: $101.36 Bright Health — MCRHMO: $101.36 Bright Health — MCRPOS: $101.36 Bright Health — MCRPPO: $101.36 Bright Health — MCRSNP: $101.36 Bright Health — PFFS: $101.36 Cigna HealthSpring — Medicare: $101.36
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$678.69	$678.69	$103.16 – $610.82
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates Aetna — Cofinity: $354.95 Anthem — PAR: $502.23 Bright Health — OON: $203.61 Cigna — BroadLeanBenefitPlans: $434.36 Cigna — Connect-NSBPLeanBenefitPlans: $434.36 Cigna — Connect-SBPLeanBenefitPlans: $434.36 Cigna — SureFitLeanBenefitPlans: $434.36 Colorado Program for Children with Special Needs — HCP: $285.05 Evernorth (Cigna Behavioral Health) — COMM: $339.35 Kaiser — CommercialSmallGroupPlans: $135.74
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	Not listed in the file	Not listed in the file	$88.31 – $93.66
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — MCRADVHMO: $89.20 Aetna — MCRADVPPO: $89.20 Anthem BCBS — MCR: $89.20 Bright Health — DualEligible: $89.20 Bright Health — MCRHMO: $89.20 Bright Health — MCRPOS: $89.20 Bright Health — MCRPPO: $89.20 Bright Health — MCRSNP: $89.20 Bright Health — PFFS: $89.20 Cigna HealthSpring — Medicare: $89.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	Not listed in the file	Not listed in the file	$100.35 – $106.43
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Aetna — MCRADVHMO: $101.36 Aetna — MCRADVPPO: $101.36 Anthem BCBS — MCR: $101.36 Bright Health — DualEligible: $101.36 Bright Health — MCRHMO: $101.36 Bright Health — MCRPOS: $101.36 Bright Health — MCRPPO: $101.36 Bright Health — MCRSNP: $101.36 Bright Health — PFFS: $101.36 Cigna HealthSpring — Medicare: $101.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$678.69	$678.69	$103.16 – $610.82
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates Aetna — Cofinity: $354.95 Anthem — PAR: $502.23 Bright Health — OON: $203.61 Cigna — BroadLeanBenefitPlans: $434.36 Cigna — Connect-NSBPLeanBenefitPlans: $434.36 Cigna — Connect-SBPLeanBenefitPlans: $434.36 Cigna — SureFitLeanBenefitPlans: $434.36 Colorado Program for Children with Special Needs — HCP: $285.05 Evernorth (Cigna Behavioral Health) — COMM: $339.35 Kaiser — CommercialSmallGroupPlans: $135.74
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	Not listed in the file	Not listed in the file	$88.31 – $93.66
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Aetna — MCRADVHMO: $89.20 Aetna — MCRADVPPO: $89.20 Anthem BCBS — MCR: $89.20 Bright Health — DualEligible: $89.20 Bright Health — MCRHMO: $89.20 Bright Health — MCRPOS: $89.20 Bright Health — MCRPPO: $89.20 Bright Health — MCRSNP: $89.20 Bright Health — PFFS: $89.20 Cigna HealthSpring — Medicare: $89.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	Not listed in the file	Not listed in the file	$100.35 – $106.43
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Aetna — MCRADVHMO: $101.36 Aetna — MCRADVPPO: $101.36 Anthem BCBS — MCR: $101.36 Bright Health — DualEligible: $101.36 Bright Health — MCRHMO: $101.36 Bright Health — MCRPOS: $101.36 Bright Health — MCRPPO: $101.36 Bright Health — MCRSNP: $101.36 Bright Health — PFFS: $101.36 Cigna HealthSpring — Medicare: $101.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$678.69	$678.69	$103.16 – $610.82
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates Aetna — Cofinity: $354.95 Anthem — PAR: $502.23 Bright Health — OON: $203.61 Cigna — BroadLeanBenefitPlans: $434.36 Cigna — Connect-NSBPLeanBenefitPlans: $434.36 Cigna — Connect-SBPLeanBenefitPlans: $434.36 Cigna — SureFitLeanBenefitPlans: $434.36 Colorado Program for Children with Special Needs — HCP: $285.05 Evernorth (Cigna Behavioral Health) — COMM: $339.35 Kaiser — CommercialSmallGroupPlans: $135.74
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	Not listed in the file	Not listed in the file	$88.31 – $93.66
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Aetna — MCRADVHMO: $89.20 Aetna — MCRADVPPO: $89.20 Anthem BCBS — MCR: $89.20 Bright Health — DualEligible: $89.20 Bright Health — MCRHMO: $89.20 Bright Health — MCRPOS: $89.20 Bright Health — MCRPPO: $89.20 Bright Health — MCRSNP: $89.20 Bright Health — PFFS: $89.20 Cigna HealthSpring — Medicare: $89.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIV SESSION 30MIN	$644.21	$644.21	$97.92 – $579.79
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna — ASA: $290.54 Aetna — Cofinity: $336.92 Aetna — ExistingBusiness: $240.29 Aetna — NBR: $197.13 Anthem — PAR: $476.72 Bright Health — OON: $193.26 Cigna — Broad: $228.69 Cigna — BroadLeanBenefitPlans: $412.29 Cigna — Connect-NSBP: $166.85 Cigna — Connect-NSBPLeanBenefitPlans: $412.29
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient	Not listed in the file	Not listed in the file	$245.34 – $255.67
Psychotherapy, 30 minutes: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $255.67 Multiplan — WorkersComp: $255.67 Pinnacol Workers Comp — WORKERSCOMP: $245.34
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIV SESSION 45MIN	$856.42	$856.42	$130.18 – $770.78
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates Aetna — ASA: $386.25 Aetna — Cofinity: $447.91 Aetna — ExistingBusiness: $319.44 Aetna — NBR: $262.06 Anthem — PAR: $633.75 Bright Health — OON: $256.93 Cigna — Broad: $304.03 Cigna — BroadLeanBenefitPlans: $548.11 Cigna — Connect-NSBP: $221.81 Cigna — Connect-NSBPLeanBenefitPlans: $548.11
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient	Not listed in the file	Not listed in the file	$245.34 – $255.67
Psychotherapy, 45 minutes: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $255.67 Multiplan — WorkersComp: $255.67 Pinnacol Workers Comp — WORKERSCOMP: $245.34
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIV SESSION 60MIN	$856.42	$856.42	$130.18 – $770.78
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates Aetna — ASA: $386.25 Aetna — Cofinity: $447.91 Aetna — ExistingBusiness: $319.44 Aetna — NBR: $262.06 Anthem — PAR: $633.75 Bright Health — OON: $256.93 Cigna — Broad: $304.03 Cigna — BroadLeanBenefitPlans: $548.11 Cigna — Connect-NSBP: $221.81 Cigna — Connect-NSBPLeanBenefitPlans: $548.11
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient	Not listed in the file	Not listed in the file	$245.34 – $255.67
Psychotherapy, 60 minutes: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $255.67 Multiplan — WorkersComp: $255.67 Pinnacol Workers Comp — WORKERSCOMP: $245.34
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAM WO PT 50 MIN	$996.77	$996.77	$151.51 – $897.09
Family psychotherapy, without the patient: 10 of 34 insurance plan rates Aetna — ASA: $449.54 Aetna — Cofinity: $521.31 Aetna — ExistingBusiness: $371.80 Aetna — NBR: $305.01 Anthem — PAR: $737.61 Bright Health — OON: $299.03 Cigna — Broad: $353.85 Cigna — BroadLeanBenefitPlans: $637.93 Cigna — Connect-NSBP: $258.16 Cigna — Connect-NSBPLeanBenefitPlans: $637.93
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes	Not listed in the file	Not listed in the file	$245.34 – $255.67
Family psychotherapy, without the patient: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $255.67 Multiplan — WorkersComp: $255.67 Pinnacol Workers Comp — WORKERSCOMP: $245.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAM W PT 50 MIN	$996.77	$996.77	$151.51 – $897.09
Family psychotherapy, with the patient: 10 of 34 insurance plan rates Aetna — ASA: $449.54 Aetna — Cofinity: $521.31 Aetna — ExistingBusiness: $371.80 Aetna — NBR: $305.01 Anthem — PAR: $737.61 Bright Health — OON: $299.03 Cigna — Broad: $353.85 Cigna — BroadLeanBenefitPlans: $637.93 Cigna — Connect-NSBP: $258.16 Cigna — Connect-NSBPLeanBenefitPlans: $637.93
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes	Not listed in the file	Not listed in the file	$245.34 – $255.67
Family psychotherapy, with the patient: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $255.67 Multiplan — WorkersComp: $255.67 Pinnacol Workers Comp — WORKERSCOMP: $245.34
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP PSY GRP (NOT FAMILY)	$471.60	$471.60	$71.68 – $424.44
Group psychotherapy: 10 of 30 insurance plan rates Anthem — PAR: $348.98 Bright Health — OON: $141.48 Cigna — Broad: $167.42 Cigna — BroadLeanBenefitPlans: $301.82 Cigna — Connect-NSBP: $122.14 Cigna — Connect-NSBPLeanBenefitPlans: $301.82 Cigna — Connect-SBP: $101.87 Cigna — Connect-SBPLeanBenefitPlans: $301.82 Cigna — SureFit: $119.79 Cigna — SureFitLeanBenefitPlans: $301.82
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group)	Not listed in the file	Not listed in the file	$300 – $312
Group psychotherapy: rates for 5 insurance plans Colorado Access — MCD: $300 Multiplan — BeechStreetWorkersComp: $142.94 Multiplan — WorkersComp: $142.94 Pinnacol Workers Comp — WORKERSCOMP: $137.16 Rocky Mountain Health — MGMCD: $312

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$1,545 – $10,063
Removal of breast growth (open surgery): 10 of 18 insurance plan rates Aetna — ASA: $8,007 Aetna — ExistingBusiness: $6,381 Aetna — NBR: $5,232 Anthem — HMO: $10,063 Anthem — PathwayEssentialsStandard: $4,386 Anthem — PathwaySBP: $4,894 Anthem — PPO: $10,063 Cigna — Broad: $4,142 Cigna — Connect-NSBP: $2,729 Cigna — Connect-SBP: $1,545
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 73 In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$5,865.34 – $6,112.30
Removal of breast growth (open surgery): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $6,112.30 Multiplan — WorkersComp: $6,112.30 Pinnacol Workers Comp — WORKERSCOMP: $5,865.34
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$5,865.34 – $6,112.30
Removal of breast growth (open surgery): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $6,112.30 Multiplan — WorkersComp: $6,112.30 Pinnacol Workers Comp — WORKERSCOMP: $5,865.34
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$18,520 – $44,089
Total hip replacement: 10 of 27 insurance plan rates Aetna — ASA: $17,469 Aetna — Cofinity: $21,676 Aetna — ExistingBusiness: $13,786 Aetna — NBR: $11,305 Anthem — HMO: $44,089 Anthem — PathwayEssentialsStandard: $18,520 Anthem — PathwaySBP: $23,985 Anthem — PPO: $44,089 Cigna — Broad: $21,174 Cigna — Connect-NSBP: $13,952
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 58 In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$20,251.81 – $21,104.51
Total hip replacement: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $21,104.51 Multiplan — WorkersComp: $21,104.51 Pinnacol Workers Comp — WORKERSCOMP: $20,251.81
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier RT In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$20,251.81 – $21,104.51
Total hip replacement: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $21,104.51 Multiplan — WorkersComp: $21,104.51 Pinnacol Workers Comp — WORKERSCOMP: $20,251.81
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$5,469 – $44,089
Total knee replacement: 10 of 27 insurance plan rates Aetna — ASA: $17,469 Aetna — Cofinity: $21,676 Aetna — ExistingBusiness: $13,786 Aetna — NBR: $11,305 Anthem — HMO: $44,089 Anthem — PathwayEssentialsStandard: $18,520 Anthem — PathwaySBP: $23,985 Anthem — PPO: $44,089 Cigna — Broad: $21,174 Cigna — Connect-NSBP: $13,952
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$20,251.81 – $21,104.51
Total knee replacement: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $21,104.51 Multiplan — WorkersComp: $21,104.51 Pinnacol Workers Comp — WORKERSCOMP: $20,251.81
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 73 In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$20,251.81 – $21,104.51
Total knee replacement: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $21,104.51 Multiplan — WorkersComp: $21,104.51 Pinnacol Workers Comp — WORKERSCOMP: $20,251.81
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele	Not listed in the file	Not listed in the file	$1,545 – $8,007
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates Aetna — ASA: $8,007 Aetna — ExistingBusiness: $6,381 Aetna — NBR: $5,232 Cigna — Broad: $4,142 Cigna — Connect-NSBP: $2,729 Cigna — Connect-SBP: $1,545 Cigna — SureFit: $2,397 Rocky Mountain Health Plan — AllPayerAppendix: $2,720 United — AllPayerAppendix: $2,720 United — ColoradoDoctorsPlan: $1,547
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$5,981 – $9,190
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates Aetna — ASA: $9,190 Aetna — ExistingBusiness: $7,294 Aetna — NBR: $5,981 Anthem — HMO: $10,063 Anthem — PathwayEssentialsStandard: $4,386 Anthem — PathwaySBP: $4,894 Anthem — PPO: $10,063 Cigna — Broad: $6,361 Cigna — Connect-NSBP: $4,192 Cigna — Connect-SBP: $2,363
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 58 In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$4,980.71 – $5,190.42
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $5,190.42 Multiplan — WorkersComp: $5,190.42 Pinnacol Workers Comp — WORKERSCOMP: $4,980.71
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier RT In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$4,980.71 – $5,190.42
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $5,190.42 Multiplan — WorkersComp: $5,190.42 Pinnacol Workers Comp — WORKERSCOMP: $4,980.71
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$1,545 – $10,277
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates Aetna — ASA: $8,007 Aetna — ExistingBusiness: $6,381 Aetna — NBR: $5,232 Anthem — HMO: $10,277 Anthem — PathwayEssentialsStandard: $5,437 Anthem — PathwaySBP: $5,135 Anthem — PPO: $10,277 Cigna — Broad: $4,142 Cigna — Connect-NSBP: $2,729 Cigna — Connect-SBP: $1,545
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier 73 In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$9,011.23 – $9,390.65
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $9,390.65 Multiplan — WorkersComp: $9,390.65 Pinnacol Workers Comp — WORKERSCOMP: $9,011.23
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier 58 In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$9,011.23 – $9,390.65
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $9,390.65 Multiplan — WorkersComp: $9,390.65 Pinnacol Workers Comp — WORKERSCOMP: $9,011.23
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$909 – $5,268
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — ASA: $5,061 Aetna — ExistingBusiness: $4,007 Aetna — NBR: $3,286 Anthem — HMO: $4,764 Anthem — PathwayEssentialsStandard: $2,061 Anthem — PathwaySBP: $1,796 Anthem — PPO: $4,764 Cigna — Broad: $2,082 Cigna — Connect-NSBP: $1,371 Cigna — Connect-SBP: $909
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 73 In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$1,394.86 – $1,453.59
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,453.59 Multiplan — WorkersComp: $1,453.59 Pinnacol Workers Comp — WORKERSCOMP: $1,394.86
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier RT In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$1,394.86 – $1,453.59
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,453.59 Multiplan — WorkersComp: $1,453.59 Pinnacol Workers Comp — WORKERSCOMP: $1,394.86
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,061 – $6,405
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $4,764 Anthem — PathwayEssentialsStandard: $2,061 Anthem — PathwaySBP: $1,796 Anthem — PPO: $4,764 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier RT In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,394.86 – $1,453.59
Upper GI endoscopy with biopsy: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,453.59 Multiplan — WorkersComp: $1,453.59 Pinnacol Workers Comp — WORKERSCOMP: $1,394.86
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 58 In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,394.86 – $1,453.59
Upper GI endoscopy with biopsy: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,453.59 Multiplan — WorkersComp: $1,453.59 Pinnacol Workers Comp — WORKERSCOMP: $1,394.86
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$1,061 – $6,405
Colonoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $4,764 Anthem — PathwayEssentialsStandard: $2,061 Anthem — PathwaySBP: $1,796 Anthem — PPO: $4,764 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier RT In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$1,406.36 – $1,465.58
Colonoscopy (diagnostic): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,465.58 Multiplan — WorkersComp: $1,465.58 Pinnacol Workers Comp — WORKERSCOMP: $1,406.36
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 78 In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$1,406.36 – $1,465.58
Colonoscopy (diagnostic): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,465.58 Multiplan — WorkersComp: $1,465.58 Pinnacol Workers Comp — WORKERSCOMP: $1,406.36
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,061 – $8,538
Colonoscopy with biopsy: 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $8,538 Anthem — PathwayEssentialsStandard: $3,586 Anthem — PathwaySBP: $3,904 Anthem — PPO: $8,538 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 76 In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,815.84 – $1,892.30
Colonoscopy with biopsy: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,892.30 Multiplan — WorkersComp: $1,892.30 Pinnacol Workers Comp — WORKERSCOMP: $1,815.84
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 73 In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,815.84 – $1,892.30
Colonoscopy with biopsy: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,892.30 Multiplan — WorkersComp: $1,892.30 Pinnacol Workers Comp — WORKERSCOMP: $1,815.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$4,186 – $6,405
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $8,538 Anthem — PathwayEssentialsStandard: $3,586 Anthem — PathwaySBP: $3,904 Anthem — PPO: $8,538 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 76 In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$1,815.84 – $1,892.30
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,892.30 Multiplan — WorkersComp: $1,892.30 Pinnacol Workers Comp — WORKERSCOMP: $1,815.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 78 In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$1,815.84 – $1,892.30
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,892.30 Multiplan — WorkersComp: $1,892.30 Pinnacol Workers Comp — WORKERSCOMP: $1,815.84
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$4,186 – $6,405
Ultrasound of the lower bowel by endoscope: 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $8,538 Anthem — PathwayEssentialsStandard: $3,586 Anthem — PathwaySBP: $3,904 Anthem — PPO: $8,538 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · modifier 78 In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$1,815.84 – $1,892.30
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,892.30 Multiplan — WorkersComp: $1,892.30 Pinnacol Workers Comp — WORKERSCOMP: $1,815.84
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · modifier 58 In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$1,815.84 – $1,892.30
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,892.30 Multiplan — WorkersComp: $1,892.30 Pinnacol Workers Comp — WORKERSCOMP: $1,815.84
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	Not listed in the file	Not listed in the file	$1,796 – $6,405
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $4,764 Anthem — PathwayEssentialsStandard: $2,061 Anthem — PathwaySBP: $1,796 Anthem — PPO: $4,764 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$4,181 – $13,938
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates Aetna — ASA: $12,057 Aetna — ExistingBusiness: $9,611 Aetna — NBR: $7,881 Anthem — HMO: $13,180 Anthem — PathwayEssentialsStandard: $6,677 Anthem — PathwaySBP: $6,409 Anthem — PPO: $13,180 Cigna — Broad: $11,056 Cigna — Connect-NSBP: $7,285 Cigna — Connect-SBP: $4,181
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier RT In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$8,878.60 – $9,252.44
Gallbladder removal by laparoscope: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $9,252.44 Multiplan — WorkersComp: $9,252.44 Pinnacol Workers Comp — WORKERSCOMP: $8,878.60
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 76 In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$8,878.60 – $9,252.44
Gallbladder removal by laparoscope: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $9,252.44 Multiplan — WorkersComp: $9,252.44 Pinnacol Workers Comp — WORKERSCOMP: $8,878.60
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$2,363 – $10,063
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates Aetna — ASA: $9,190 Aetna — ExistingBusiness: $7,294 Aetna — NBR: $5,981 Anthem — HMO: $10,063 Anthem — PathwayEssentialsStandard: $4,386 Anthem — PathwaySBP: $4,894 Anthem — PPO: $10,063 Cigna — Broad: $6,361 Cigna — Connect-NSBP: $4,192 Cigna — Connect-SBP: $2,363
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$5,323.59 – $5,547.74
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $5,547.74 Multiplan — WorkersComp: $5,547.74 Pinnacol Workers Comp — WORKERSCOMP: $5,323.59
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 76 In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$5,323.59 – $5,547.74
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $5,547.74 Multiplan — WorkersComp: $5,547.74 Pinnacol Workers Comp — WORKERSCOMP: $5,323.59
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$3,586 – $8,538
Prostate biopsy: rates for 7 insurance plans Anthem — HMO: $8,538 Anthem — PathwayEssentialsStandard: $3,586 Anthem — PathwaySBP: $3,904 Anthem — PPO: $8,538 Multiplan — BeechStreetWorkersComp: $3,266.13 Multiplan — WorkersComp: $3,266.13 Pinnacol Workers Comp — WORKERSCOMP: $3,134.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier 78 In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$3,134.16 – $3,266.13
Prostate biopsy: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $3,266.13 Multiplan — WorkersComp: $3,266.13 Pinnacol Workers Comp — WORKERSCOMP: $3,134.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier 58 In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$3,134.16 – $3,266.13
Prostate biopsy: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $3,266.13 Multiplan — WorkersComp: $3,266.13 Pinnacol Workers Comp — WORKERSCOMP: $3,134.16
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;	Not listed in the file	Not listed in the file	$7,881 – $12,057
Prostate removal by laparoscope (radical prostatectomy): 10 of 17 insurance plan rates Aetna — ASA: $12,057 Aetna — ExistingBusiness: $9,611 Aetna — NBR: $7,881 Anthem — HMO: $20,468 Anthem — PathwayEssentialsStandard: $9,720 Anthem — PathwaySBP: $10,355 Anthem — PPO: $20,468 Cigna — Broad: $8,132 Cigna — Connect-NSBP: $5,358 Cigna — Connect-SBP: $1,333
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier RT In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;	Not listed in the file	Not listed in the file	$15,839.53 – $16,506.46
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $16,506.46 Multiplan — WorkersComp: $16,506.46 Pinnacol Workers Comp — WORKERSCOMP: $15,839.53
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 76 In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;	Not listed in the file	Not listed in the file	$15,839.53 – $16,506.46
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $16,506.46 Multiplan — WorkersComp: $16,506.46 Pinnacol Workers Comp — WORKERSCOMP: $15,839.53
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C	Not listed in the file	Not listed in the file	$5,232 – $8,007
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates Aetna — ASA: $8,007 Aetna — ExistingBusiness: $6,381 Aetna — NBR: $5,232 Anthem — HMO: $8,538 Anthem — PathwayEssentialsStandard: $3,586 Anthem — PathwaySBP: $3,904 Anthem — PPO: $8,538 Cigna — Broad: $4,142 Cigna — Connect-NSBP: $2,729 Cigna — Connect-SBP: $1,545
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 76 In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C	Not listed in the file	Not listed in the file	$4,810.71 – $5,013.27
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $5,013.27 Multiplan — WorkersComp: $5,013.27 Pinnacol Workers Comp — WORKERSCOMP: $4,810.71
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier RT In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C	Not listed in the file	Not listed in the file	$4,810.71 – $5,013.27
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $5,013.27 Multiplan — WorkersComp: $5,013.27 Pinnacol Workers Comp — WORKERSCOMP: $4,810.71
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$1,064.12 – $1,108.93
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates Aetna — ASA: $5,061 Aetna — ExistingBusiness: $4,007 Aetna — NBR: $3,286 Anthem — HMO: $4,764 Anthem — PathwayEssentialsStandard: $2,061 Anthem — PathwaySBP: $1,796 Anthem — PPO: $4,764 Cigna — Broad: $2,082 Cigna — Connect-NSBP: $1,371 Cigna — Connect-SBP: $909
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier 73 In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$1,064.12 – $1,108.93
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,108.93 Multiplan — WorkersComp: $1,108.93 Pinnacol Workers Comp — WORKERSCOMP: $1,064.12
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier 76 In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$1,064.12 – $1,108.93
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,108.93 Multiplan — WorkersComp: $1,108.93 Pinnacol Workers Comp — WORKERSCOMP: $1,064.12
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$909 – $5,061
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates Aetna — ASA: $5,061 Aetna — ExistingBusiness: $4,007 Aetna — NBR: $3,286 Anthem — HMO: $4,764 Anthem — PathwayEssentialsStandard: $2,061 Anthem — PathwaySBP: $1,796 Anthem — PPO: $4,764 Cigna — Broad: $2,082 Cigna — Connect-NSBP: $1,371 Cigna — Connect-SBP: $909
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 73 In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$1,402.55 – $1,461.61
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,461.61 Multiplan — WorkersComp: $1,461.61 Pinnacol Workers Comp — WORKERSCOMP: $1,402.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier RT In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$1,402.55 – $1,461.61
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $1,461.61 Multiplan — WorkersComp: $1,461.61 Pinnacol Workers Comp — WORKERSCOMP: $1,402.55
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$3,586 – $8,538
Carpal tunnel release: 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $8,538 Anthem — PathwayEssentialsStandard: $3,586 Anthem — PathwaySBP: $3,904 Anthem — PPO: $8,538 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 58 In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$2,971 – $3,096.10
Carpal tunnel release: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $3,096.10 Multiplan — WorkersComp: $3,096.10 Pinnacol Workers Comp — WORKERSCOMP: $2,971
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 76 In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$2,971 – $3,096.10
Carpal tunnel release: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $3,096.10 Multiplan — WorkersComp: $3,096.10 Pinnacol Workers Comp — WORKERSCOMP: $2,971
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$1,061 – $6,405
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates Aetna — ASA: $6,405 Aetna — ExistingBusiness: $5,105 Aetna — NBR: $4,186 Anthem — HMO: $4,764 Anthem — PathwayEssentialsStandard: $2,061 Anthem — PathwaySBP: $1,796 Anthem — PPO: $4,764 Cigna — Broad: $2,651 Cigna — Connect-NSBP: $1,746 Cigna — Connect-SBP: $1,061
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier 78 In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$894.43 – $932.09
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $932.09 Multiplan — WorkersComp: $932.09 Pinnacol Workers Comp — WORKERSCOMP: $894.43
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier 76 In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$894.43 – $932.09
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $932.09 Multiplan — WorkersComp: $932.09 Pinnacol Workers Comp — WORKERSCOMP: $894.43
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$3,029 – $12,057
Cataract removal with lens implant: 10 of 17 insurance plan rates Aetna — ASA: $12,057 Aetna — ExistingBusiness: $9,611 Aetna — NBR: $7,881 Anthem — HMO: $8,538 Anthem — PathwayEssentialsStandard: $3,586 Anthem — PathwaySBP: $3,904 Anthem — PPO: $8,538 Cigna — Broad: $8,586 Cigna — Connect-NSBP: $5,657 Cigna — Connect-SBP: $3,029
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$3,585.87 – $3,736.85
Cataract removal with lens implant: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $3,736.85 Multiplan — WorkersComp: $3,736.85 Pinnacol Workers Comp — WORKERSCOMP: $3,585.87
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 78 In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$3,585.87 – $3,736.85
Cataract removal with lens implant: rates for 3 insurance plans Multiplan — BeechStreetWorkersComp: $3,736.85 Multiplan — WorkersComp: $3,736.85 Pinnacol Workers Comp — WORKERSCOMP: $3,585.87

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) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care	Not listed in the file	Not listed in the file	$4,386 – $10,063
Vaginal delivery, with care before and after: rates for 4 insurance plans Anthem — HMO: $10,063 Anthem — PathwayEssentialsStandard: $4,386 Anthem — PathwaySBP: $4,894 Anthem — PPO: $10,063
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care	Not listed in the file	Not listed in the file	$4,386 – $10,063
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans Anthem — HMO: $10,063 Anthem — PathwayEssentialsStandard: $4,386 Anthem — PathwaySBP: $4,894 Anthem — PPO: $10,063
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p	Not listed in the file	Not listed in the file	$4,386 – $10,063
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans Anthem — HMO: $10,063 Anthem — PathwayEssentialsStandard: $4,386 Anthem — PathwaySBP: $4,894 Anthem — PPO: $10,063 Kaiser — CommercialSmallGroupPlans: $4,486 Kaiser — HMO: $7,289 Kaiser — KPIF: $4,486 Kaiser — KPSelect: $4,486 Kaiser — PPO: $7,289

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) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA	Not listed in the file	Not listed in the file	$1,680
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 67 insurance plan rates Aetna — ASA: $12,919 Aetna — Cofinity: $14,514 Aetna — ExistingBusiness: $96,086.66 Aetna — MCRADVHMO: $83,079.74 Aetna — MCRADVPPO: $83,079.74 Aetna — NBR: $78,790.67 Anthem — HMO: $219,403 Anthem — PathwayEssentialsStandard: $69,257 Anthem — PathwaySBP: $75,400 Anthem — PPO: $219,403
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$43,765.84 – $78,000
Spinal fusion (not neck), without major complications: rates for 4 insurance plans Cigna HealthOne — STSP: $78,000 Multiplan — BeechStreetWorkersComp: $45,608.62 Multiplan — WorkersComp: $45,608.62 Pinnacol Workers Comp — WORKERSCOMP: $43,765.84
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT	Not listed in the file	Not listed in the file	$1,680 – $7,514
Hip or knee replacement (major joint of the leg), without major complications: 10 of 66 insurance plan rates Aetna — ExistingBusiness: $18,945.66 Aetna — MCRADVHMO: $17,352.16 Aetna — MCRADVPPO: $17,352.16 Aetna — NBR: $15,535.36 Anthem — HMO: $52,033 Anthem — PathwayEssentialsStandard: $11,243 Anthem — PathwaySBP: $12,240 Anthem — PPO: $52,033 Anthem BCBS — MCR: $17,352.16 Bright Health — DualEligible: $17,352.16
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,680
Neck (cervical) spinal fusion, without complications: 10 of 67 insurance plan rates Aetna — ASA: $14,705 Aetna — Cofinity: $19,413 Aetna — ExistingBusiness: $25,238 Aetna — MCRADVHMO: $21,640.32 Aetna — MCRADVPPO: $21,640.32 Aetna — NBR: $20,695 Anthem — HMO: $51,699 Anthem — PathwayEssentialsStandard: $14,416 Anthem — PathwaySBP: $15,695 Anthem — PPO: $51,699
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,680 – $11,539
Uterus and ovary surgery (not for cancer), without complications: 10 of 65 insurance plan rates Aetna — ExistingBusiness: $12,186.16 Aetna — MCRADVHMO: $11,592.76 Aetna — MCRADVPPO: $11,592.76 Aetna — NBR: $9,992.60 Anthem — HMO: $17,724.64 Anthem — PathwayEssentialsStandard: $6,992 Anthem — PathwaySBP: $7,606 Anthem — PPO: $17,724.64 Anthem BCBS — MCR: $11,592.76 Bright Health — DualEligible: $11,592.76

Source: The Medical Center of Aurora & South Hospital’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1501 S Potomac St, Aurora, CO 80012
County	Arapahoe County
State	Colorado
Phone	(303) 873‑5511
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	060100
Name in Medicare records	THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(303) 695‑2600^[4]
Name on the hospital’s website	HCA HealthONE Aurora (The Medical Center of Aurora)
Official website	healthonecares.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

HCA HealthONE Aurora | HCA HealthONE Aurora — healthonecares.com
Emergency Care - HCA HealthONE Aurora — healthonecares.com
Cardiology in Aurora, CO | HCA HealthONE Aurora — healthonecares.com
Chiari Malformation Treatment | HCA HealthONE Aurora — healthonecares.com
Heart & Vascular Surgery | HCA HealthONE Aurora — healthonecares.com
For Visitors | HCA HealthONE Aurora — healthonecares.com
Neurology in Aurora, CO | HCA HealthONE Aurora — healthonecares.com
Orthopedics | HCA HealthONE Aurora — healthonecares.com
Surgeons in Aurora, CO | HCA HealthONE Aurora — healthonecares.com
Bariatric Surgery in Aurora, CO | HCA HealthONE Aurora — healthonecares.com
Physical Therapy in Aurora, CO | HCA HealthONE Aurora — healthonecares.com
Women's Care Clinic in Aurora, CO | HCA HealthONE Aurora — healthonecares.com
Spine Care | HCA HealthONE Aurora — healthonecares.com