Does UCHealth Yampa Valley Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at UCHealth Yampa Valley Medical Center. In a medical emergency, call 911.

Where is UCHealth Yampa Valley Medical Center?

1024 Central Park Dr, Steamboat Springs, CO 80487, in Routt County, Colorado.

What is the phone number of UCHealth Yampa Valley Medical Center?

(970) 879-1322, as listed by Medicare (CMS).

What is the Medicare star rating of UCHealth Yampa Valley Medical Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

UCHealth Yampa Valley Medical Center — Steamboat Springs, CO

Quick answers

Does UCHealth Yampa Valley Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at UCHealth Yampa Valley Medical Center. In a medical emergency, call 911.
Where is UCHealth Yampa Valley Medical Center?: 1024 Central Park Dr, Steamboat Springs, CO 80487, in Routt County, Colorado.
What is the phone number of UCHealth Yampa Valley Medical Center?: (970) 879-1322, as listed by Medicare (CMS).
What is the Medicare star rating of UCHealth Yampa Valley Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][6][7][8][9][10][11][12][13][14]}

Orthopedics
Emergency care
Trauma and acute care surgery
Surgical care
Radiology
Birth Center (labor and delivery)
Laboratory
Nutrition services
Cardiac rehabilitation
Pulmonary rehabilitation

Conditions treated^[9]

ACL injuries
Arthritis
Carpal tunnel syndrome
Fractures
Meniscus tears
Osteoporosis
Rotator cuff injuries
Shoulder dislocation
Tennis elbow
Trigger finger

Treatments^[6][7][8][9]

Joint replacement
Enhanced recovery after surgery (ERAS) program
Platelet-rich plasma injections
Forensic and SANE nursing services
Epidural and nitrous oxide pain options for labor
Medical nutrition therapy
Lactation consultation

Procedures^[9][10]

Knee replacement surgery
Hip fracture surgery and replacement
Shoulder surgery and replacement
Rotator cuff repair
Cervical fusion
Thoracic and lumbar fusion
Laminectomy
Minimally invasive spine surgery
CT
MRI
PET/CT
Mammography
Ultrasound
Nuclear medicine
Echocardiography

Programs and centers^{[5][8][12][13]}

Cardiac Rehabilitation (AACVPR certified)
Pulmonary Rehabilitation
Injury prevention program
Childbirth education classes
Breast milk donation site

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

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

Visiting and practical information

Parking	Parking in front of the hospital and outside the Outpatient Pavilion; after-hours or overnight parking by the Emergency Department^[4]
Interpreters and languages	Phone interpreter line 24/7 in 30+ languages; on-site Spanish interpretation weekdays 8-5 with advance notice; free^[4]

Recognition^[5][12][14]

Level III Trauma Center (State of Colorado)
Cardiac rehabilitation certified by AACVPR
Laboratory accredited by College of American Pathologists and Joint Commission

Doctors and clinicians (198)

198 doctors and other clinicians list UCHealth Yampa Valley Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 174 more: the button below opens the full list.

Other emergency rooms nearby

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

Middle Park Medical Center36 mi · Kremmling, CO · Critical Access Hospital
The Memorial Hospital40 mi · Craig, CO · Critical Access Hospital
Eastern Rio Blanco County Health Service District58 mi · Meeker, CO · Critical Access Hospital
Vail Health Hospital61 mi · Vail, CO · Acute Care Hospital
Estes Park Medical Center63 mi · Estes Park, CO · Critical Access Hospital

Other hospitals nearby

North Platte Valley Medical Center65 mi · Saratoga, WY · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Casey's Pond Senior Living0.8 mi · Steamboat Springs, CO · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Northwest Colorado Health9.0 mi · Steamboat Springs, CO

All hospice providers in the state →

Home health agencies

Northwest Colorado Health9.0 mi · Steamboat Springs, CO · 2 of 5 stars

All home health agencies in the state →

Outpatient surgery centers nearby

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

Steamboat Surgery Center LLC9.0 mi · Steamboat Springs, 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

Northwest Colorado Health Community Health Center - Routt County0.1 mi · Steamboat Springs, CO · Community health center
Soda Creek Elementary School2.0 mi · Steamboat Springs, CO · Community health center
SOROCO Middle/High School15 mi · Oak Creek, CO · Community health center

Clinics and urgent care

Yampa Valley Medical Center9.0 mi · Steamboat Springs, CO · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC9.0 mi · Steamboat Springs, CO · Community/retail pharmacy
Community Clinics at Memorial Regional Health9.0 mi · Steamboat Springs, CO · Community/retail pharmacy
Jay's Roadhouse and Pharmacy LLC9.0 mi · Steamboat Springs, CO · Community/retail pharmacy

Assisted living nearby

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

Casey's Pond Senior Living9.0 mi · Steamboat Springs, CO

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	80%National average: 72%
Would definitely recommend the hospital	85%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	57%National average: 60%
Completed surveys	172Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	14.2%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	0.95No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

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

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	116 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	79%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Colorado Best hospitals in Colorado

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as UCHealth Yampa Valley Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$111.29 – $355.81
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $111.29 Anthem — Medicare Advantage: $111.29 Cigna — Medicare Advantage: $111.29 CMS — Medicare: $111.29 Devoted Health — Medicare Advantage: $111.29 Humana — Medicare Advantage: $111.29 Kaiser — Medicare Advantage: $111.29 Select Health — Individual ACA: $355.81 Select Health — Individual Colorado Option: $320.12 Select Health — Medicare Advantage: $111.29
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$166.47 – $529.89
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $166.47 Anthem — Medicare Advantage: $166.47 Cigna — Medicare Advantage: $166.47 CMS — Medicare: $166.47 Devoted Health — Medicare Advantage: $166.47 Humana — Medicare Advantage: $166.47 Kaiser — Medicare Advantage: $166.47 Select Health — Individual ACA: $529.89 Select Health — Individual Colorado Option: $476.74 Select Health — Medicare Advantage: $166.47
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$219.61 – $699.88
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $219.61 Anthem — Medicare Advantage: $219.61 Cigna — Medicare Advantage: $219.61 CMS — Medicare: $219.61 Devoted Health — Medicare Advantage: $219.61 Humana — Medicare Advantage: $219.61 Kaiser — Medicare Advantage: $219.61 Select Health — Individual ACA: $699.88 Select Health — Individual Colorado Option: $629.68 Select Health — Medicare Advantage: $219.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$91.04 – $286.72
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $91.04 Anthem — Medicare Advantage: $91.04 Cigna — Medicare Advantage: $91.04 CMS — Medicare: $91.04 Devoted Health — Medicare Advantage: $91.04 Humana — Medicare Advantage: $91.04 Kaiser — Medicare Advantage: $91.04 Select Health — Individual ACA: $286.72 Select Health — Individual Colorado Option: $257.96 Select Health — Medicare Advantage: $91.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$127.92 – $406.15
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $127.92 Anthem — Medicare Advantage: $127.92 Cigna — Medicare Advantage: $127.92 CMS — Medicare: $127.92 Devoted Health — Medicare Advantage: $127.92 Humana — Medicare Advantage: $127.92 Kaiser — Medicare Advantage: $127.92 Select Health — Individual ACA: $406.15 Select Health — Individual Colorado Option: $365.41 Select Health — Medicare Advantage: $127.92
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$111.63 – $362.03
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $111.63 Anthem — Medicare Advantage: $111.63 Cigna — Medicare Advantage: $111.63 CMS — Medicare: $111.63 Devoted Health — Medicare Advantage: $111.63 Humana — Medicare Advantage: $111.63 Kaiser — Medicare Advantage: $111.63 Select Health — Individual ACA: $362.03 Select Health — Individual Colorado Option: $325.72 Select Health — Medicare Advantage: $111.63
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$158.75 – $518.64
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $158.75 Anthem — Medicare Advantage: $158.75 Cigna — Medicare Advantage: $158.75 CMS — Medicare: $158.75 Devoted Health — Medicare Advantage: $158.75 Humana — Medicare Advantage: $158.75 Kaiser — Medicare Advantage: $158.75 Select Health — Individual ACA: $518.64 Select Health — Individual Colorado Option: $466.61 Select Health — Medicare Advantage: $158.75
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$129.09 – $410.43
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $129.09 Anthem — Medicare Advantage: $129.09 Cigna — Medicare Advantage: $129.09 CMS — Medicare: $129.09 Devoted Health — Medicare Advantage: $129.09 Humana — Medicare Advantage: $129.09 Kaiser — Medicare Advantage: $129.09 Select Health — Individual ACA: $410.43 Select Health — Individual Colorado Option: $369.26 Select Health — Medicare Advantage: $129.09
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$148.45 – $473.56
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $148.45 Anthem — Medicare Advantage: $148.45 Cigna — Medicare Advantage: $148.45 CMS — Medicare: $148.45 Devoted Health — Medicare Advantage: $148.45 Humana — Medicare Advantage: $148.45 Kaiser — Medicare Advantage: $148.45 Select Health — Individual ACA: $473.56 Select Health — Individual Colorado Option: $426.06 Select Health — Medicare Advantage: $148.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERG LEVEL 3 W/ FNE WO/EVID	$1,178	$1,060.20	$278.27 – $3,488
Emergency room visit (moderate): 10 of 30 insurance plan rates Aetna — Commercial: $1,119.10 Aetna — Medicare Advantage: $278.27 Anthem — HMO/PPO/Indemnity: $3,436 Anthem — Medicare Advantage: $278.27 Anthem City of Colorado Springs Employer Group — Commercial: $3,488 Anthem CU Trust — Commercial: $867.83 Anthem Employee — HMO/PPO: $2,494 Anthem Employee High Deductible Health Plan — PPO: $1,750 Anthem Mountain Enhanced — Commercial: $2,314 Anthem Pathway — Commercial: $1,950
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERG-LEVEL 3	$1,178	$1,060.20	$278.27 – $3,488
Emergency room visit (moderate): 10 of 30 insurance plan rates Aetna — Commercial: $1,119.10 Aetna — Medicare Advantage: $278.27 Anthem — HMO/PPO/Indemnity: $3,436 Anthem — Medicare Advantage: $278.27 Anthem City of Colorado Springs Employer Group — Commercial: $3,488 Anthem CU Trust — Commercial: $867.83 Anthem Employee — HMO/PPO: $2,494 Anthem Employee High Deductible Health Plan — PPO: $1,750 Anthem Mountain Enhanced — Commercial: $2,314 Anthem Pathway — Commercial: $1,950
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EMERG-LEVEL 3	$1,178	$1,060.20	$895.52 – $1,142.66
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — Commercial: $1,119.10 Anthem CU Trust — Commercial: $895.52 Cigna — Broad Networks: $1,142.66 Cigna — Local Plus/SureFit/Connect: $1,060.20 First Health — Commercial: $1,142.66 Multiplan/PHCS — Commercial: $1,071.98 Rocky Mountain Health Plan — Colorado Option: $914.13 Rocky Mountain Health Plan — Commercial: $1,142.66 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $951.82 Simplified Benefits Administration — Tiered Benefits: $1,022.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERG LEVEL 4 W/ FNE WO/EVID	$2,467	$2,220.30	$427.94 – $11,207.50
Emergency room visit (moderately high): 10 of 30 insurance plan rates Aetna — Commercial: $2,343.65 Aetna — Medicare Advantage: $427.94 Anthem — HMO/PPO/Indemnity: $11,207.50 Anthem — Medicare Advantage: $427.94 Anthem City of Colorado Springs Employer Group — Commercial: $10,749 Anthem CU Trust — Commercial: $1,817.44 Anthem Employee — HMO/PPO: $4,703 Anthem Employee High Deductible Health Plan — PPO: $3,300 Anthem Mountain Enhanced — Commercial: $7,362 Anthem Pathway — Commercial: $7,284
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERG LEVEL 4	$2,467	$2,220.30	$427.94 – $11,207.50
Emergency room visit (moderately high): 10 of 30 insurance plan rates Aetna — Commercial: $2,343.65 Aetna — Medicare Advantage: $427.94 Anthem — HMO/PPO/Indemnity: $11,207.50 Anthem — Medicare Advantage: $427.94 Anthem City of Colorado Springs Employer Group — Commercial: $10,749 Anthem CU Trust — Commercial: $1,817.44 Anthem Employee — HMO/PPO: $4,703 Anthem Employee High Deductible Health Plan — PPO: $3,300 Anthem Mountain Enhanced — Commercial: $7,362 Anthem Pathway — Commercial: $7,284
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EMERG LEVEL 4 W/ FNE WO/EVID	$2,467	$2,220.30	$1,875.41 – $2,392.99
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — Commercial: $2,343.65 Anthem CU Trust — Commercial: $1,875.41 Cigna — Broad Networks: $2,392.99 Cigna — Local Plus/SureFit/Connect: $2,220.30 First Health — Commercial: $2,392.99 Multiplan/PHCS — Commercial: $2,244.97 Rocky Mountain Health Plan — Colorado Option: $1,914.39 Rocky Mountain Health Plan — Commercial: $2,392.99 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $1,993.34 Simplified Benefits Administration — Tiered Benefits: $2,141.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERG LEVEL 5 W/ FNE WO/EVID	$3,509	$3,158.10	$616.15 – $11,207.50
Emergency room visit (high): 10 of 30 insurance plan rates Aetna — Commercial: $3,333.55 Aetna — Medicare Advantage: $616.15 Anthem — HMO/PPO/Indemnity: $11,207.50 Anthem — Medicare Advantage: $616.15 Anthem City of Colorado Springs Employer Group — Commercial: $10,749 Anthem CU Trust — Commercial: $2,585.08 Anthem Employee — HMO/PPO: $7,998 Anthem Employee High Deductible Health Plan — PPO: $6,735 Anthem Mountain Enhanced — Commercial: $7,362 Anthem Pathway — Commercial: $7,284
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERG-LEVEL 5	$3,509	$3,158.10	$616.15 – $11,207.50
Emergency room visit (high): 10 of 30 insurance plan rates Aetna — Commercial: $3,333.55 Aetna — Medicare Advantage: $616.15 Anthem — HMO/PPO/Indemnity: $11,207.50 Anthem — Medicare Advantage: $616.15 Anthem City of Colorado Springs Employer Group — Commercial: $10,749 Anthem CU Trust — Commercial: $2,585.08 Anthem Employee — HMO/PPO: $7,998 Anthem Employee High Deductible Health Plan — PPO: $6,735 Anthem Mountain Enhanced — Commercial: $7,362 Anthem Pathway — Commercial: $7,284
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EMERG-LEVEL 5	$3,509	$3,158.10	$2,667.54 – $3,403.73
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — Commercial: $3,333.55 Anthem CU Trust — Commercial: $2,667.54 Cigna — Broad Networks: $3,403.73 Cigna — Local Plus/SureFit/Connect: $3,158.10 First Health — Commercial: $3,403.73 Multiplan/PHCS — Commercial: $3,193.19 Rocky Mountain Health Plan — Colorado Option: $2,722.98 Rocky Mountain Health Plan — Commercial: $3,403.73 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $2,835.27 Simplified Benefits Administration — Tiered Benefits: $3,045.81

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PANEL	$75	$67.50	$8.46 – $72.75
Basic metabolic panel (blood test): 10 of 30 insurance plan rates Aetna — Commercial: $71.25 Aetna — Medicare Advantage: $8.46 Anthem — HMO/PPO/Indemnity: $70.35 Anthem — Medicare Advantage: $8.46 Anthem City of Colorado Springs Employer Group — Commercial: $66.83 Anthem CU Trust — Commercial: $55.25 Anthem Employee — HMO/PPO: $58.13 Anthem Employee High Deductible Health Plan — PPO: $57 Anthem Mountain Enhanced — Commercial: $55.50 Anthem Pathway — Commercial: $58.80
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PANEL	$75	$67.50	$57.02 – $72.75
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Commercial: $71.25 Anthem CU Trust — Commercial: $57.02 Cigna — Broad Networks: $72.75 Cigna — Local Plus/SureFit/Connect: $67.50 First Health — Commercial: $72.75 Multiplan/PHCS — Commercial: $68.25 Rocky Mountain Health Plan — Colorado Option: $58.20 Rocky Mountain Health Plan — Commercial: $72.75 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $60.60 Simplified Benefits Administration — Tiered Benefits: $65.10
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMP METABOLIC PANEL	$85	$76.50	$10.56 – $82.45
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates Aetna — Commercial: $80.75 Aetna — Medicare Advantage: $10.56 Anthem — HMO/PPO/Indemnity: $79.73 Anthem — Medicare Advantage: $10.56 Anthem City of Colorado Springs Employer Group — Commercial: $75.74 Anthem CU Trust — Commercial: $62.62 Anthem Employee — HMO/PPO: $65.88 Anthem Employee High Deductible Health Plan — PPO: $64.60 Anthem Mountain Enhanced — Commercial: $62.90 Anthem Pathway — Commercial: $66.64
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMP METABOLIC PANEL	$85	$76.50	$64.62 – $82.45
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Commercial: $80.75 Anthem CU Trust — Commercial: $64.62 Cigna — Broad Networks: $82.45 Cigna — Local Plus/SureFit/Connect: $76.50 First Health — Commercial: $82.45 Multiplan/PHCS — Commercial: $77.35 Rocky Mountain Health Plan — Colorado Option: $65.96 Rocky Mountain Health Plan — Commercial: $82.45 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $68.68 Simplified Benefits Administration — Tiered Benefits: $73.78
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $157.29
Obstetric blood test panel: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $47.81 Anthem — Medicare Advantage: $47.81 Cigna — Medicare Advantage: $47.81 CMS — Medicare: $47.81 Devoted Health — Medicare Advantage: $47.81 Humana — Medicare Advantage: $47.81 Kaiser — Medicare Advantage: $47.81 Select Health — Individual ACA: $157.29 Select Health — Individual Colorado Option: $141.52 Select Health — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIPOPROTEIN LIPID PANEL	$63.67	$57.31	$13.39 – $61.76
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Aetna — Commercial: $60.49 Aetna — Medicare Advantage: $13.39 Anthem — HMO/PPO/Indemnity: $59.72 Anthem — Medicare Advantage: $13.39 Anthem City of Colorado Springs Employer Group — Commercial: $56.73 Anthem CU Trust — Commercial: $46.91 Anthem Employee — HMO/PPO: $49.34 Anthem Employee High Deductible Health Plan — PPO: $48.39 Anthem Mountain Enhanced — Commercial: $47.12 Anthem Pathway — Commercial: $49.92
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIPID PANEL	$109	$98.10	$13.39 – $105.73
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Aetna — Commercial: $103.55 Aetna — Medicare Advantage: $13.39 Anthem — HMO/PPO/Indemnity: $102.24 Anthem — Medicare Advantage: $13.39 Anthem City of Colorado Springs Employer Group — Commercial: $97.12 Anthem CU Trust — Commercial: $80.30 Anthem Employee — HMO/PPO: $84.48 Anthem Employee High Deductible Health Plan — PPO: $82.84 Anthem Mountain Enhanced — Commercial: $80.66 Anthem Pathway — Commercial: $85.46
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LIPOPROTEIN LIPID PANEL	$63.67	$57.31	$48.40 – $61.76
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — Commercial: $60.49 Anthem CU Trust — Commercial: $48.40 Cigna — Broad Networks: $61.76 Cigna — Local Plus/SureFit/Connect: $57.30 First Health — Commercial: $61.76 Multiplan/PHCS — Commercial: $57.94 Rocky Mountain Health Plan — Colorado Option: $49.41 Rocky Mountain Health Plan — Commercial: $61.76 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $51.45 Simplified Benefits Administration — Tiered Benefits: $55.27
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RENAL FUNCTION PANEL	$65	$58.50	$8.68 – $63.05
Kidney function panel: 10 of 30 insurance plan rates Aetna — Commercial: $61.75 Aetna — Medicare Advantage: $8.68 Anthem — HMO/PPO/Indemnity: $60.97 Anthem — Medicare Advantage: $8.68 Anthem City of Colorado Springs Employer Group — Commercial: $57.92 Anthem CU Trust — Commercial: $47.89 Anthem Employee — HMO/PPO: $50.38 Anthem Employee High Deductible Health Plan — PPO: $49.40 Anthem Mountain Enhanced — Commercial: $48.10 Anthem Pathway — Commercial: $50.96
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RENAL FUNCTION PANEL	$65	$58.50	$49.41 – $63.05
Kidney function panel: 10 of 12 insurance plan rates Aetna — Commercial: $61.75 Anthem CU Trust — Commercial: $49.41 Cigna — Broad Networks: $63.05 Cigna — Local Plus/SureFit/Connect: $58.50 First Health — Commercial: $63.05 Multiplan/PHCS — Commercial: $59.15 Rocky Mountain Health Plan — Colorado Option: $50.44 Rocky Mountain Health Plan — Commercial: $63.05 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $52.52 Simplified Benefits Administration — Tiered Benefits: $56.42
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HEPATIC FUNCTION PANEL A	$67	$60.30	$8.17 – $64.99
Liver function panel: 10 of 30 insurance plan rates Aetna — Commercial: $63.65 Aetna — Medicare Advantage: $8.17 Anthem — HMO/PPO/Indemnity: $62.85 Anthem — Medicare Advantage: $8.17 Anthem City of Colorado Springs Employer Group — Commercial: $59.70 Anthem CU Trust — Commercial: $49.36 Anthem Employee — HMO/PPO: $51.93 Anthem Employee High Deductible Health Plan — PPO: $50.92 Anthem Mountain Enhanced — Commercial: $49.58 Anthem Pathway — Commercial: $52.53
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB HEPATIC FUNCTION PANEL A	$67	$60.30	$50.93 – $64.99
Liver function panel: 10 of 12 insurance plan rates Aetna — Commercial: $63.65 Anthem CU Trust — Commercial: $50.93 Cigna — Broad Networks: $64.99 Cigna — Local Plus/SureFit/Connect: $60.30 First Health — Commercial: $64.99 Multiplan/PHCS — Commercial: $60.97 Rocky Mountain Health Plan — Colorado Option: $51.99 Rocky Mountain Health Plan — Commercial: $64.99 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $54.14 Simplified Benefits Administration — Tiered Benefits: $58.16
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/MICRO	$41	$36.90	$3.17 – $39.77
Urine test (automated, with microscope): 10 of 30 insurance plan rates Aetna — Commercial: $38.95 Aetna — Medicare Advantage: $3.17 Anthem — HMO/PPO/Indemnity: $38.46 Anthem — Medicare Advantage: $3.17 Anthem City of Colorado Springs Employer Group — Commercial: $36.53 Anthem CU Trust — Commercial: $30.20 Anthem Employee — HMO/PPO: $31.78 Anthem Employee High Deductible Health Plan — PPO: $31.16 Anthem Mountain Enhanced — Commercial: $30.34 Anthem Pathway — Commercial: $32.14
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/MICRO	$41	$36.90	$31.17 – $39.77
Urine test (automated, with microscope): 10 of 12 insurance plan rates Aetna — Commercial: $38.95 Anthem CU Trust — Commercial: $31.17 Cigna — Broad Networks: $39.77 Cigna — Local Plus/SureFit/Connect: $36.90 First Health — Commercial: $39.77 Multiplan/PHCS — Commercial: $37.31 Rocky Mountain Health Plan — Colorado Option: $31.82 Rocky Mountain Health Plan — Commercial: $39.77 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $33.13 Simplified Benefits Administration — Tiered Benefits: $35.59
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS NON AUTO W/O MICROSCOPY	$41	$36.90	$3.48 – $39.77
Urine test (manual, without microscope): 10 of 30 insurance plan rates Aetna — Commercial: $38.95 Aetna — Medicare Advantage: $3.48 Anthem — HMO/PPO/Indemnity: $38.46 Anthem — Medicare Advantage: $3.48 Anthem City of Colorado Springs Employer Group — Commercial: $36.53 Anthem CU Trust — Commercial: $30.20 Anthem Employee — HMO/PPO: $31.78 Anthem Employee High Deductible Health Plan — PPO: $31.16 Anthem Mountain Enhanced — Commercial: $30.34 Anthem Pathway — Commercial: $32.14
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS NON AUTO W/O MICROSCOPY	$41	$36.90	$31.17 – $39.77
Urine test (manual, without microscope): 10 of 12 insurance plan rates Aetna — Commercial: $38.95 Anthem CU Trust — Commercial: $31.17 Cigna — Broad Networks: $39.77 Cigna — Local Plus/SureFit/Connect: $36.90 First Health — Commercial: $39.77 Multiplan/PHCS — Commercial: $37.31 Rocky Mountain Health Plan — Colorado Option: $31.82 Rocky Mountain Health Plan — Commercial: $39.77 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $33.13 Simplified Benefits Administration — Tiered Benefits: $35.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS CHEM AUTO	$28	$25.20	$2.25 – $27.16
Urine test (automated, without microscope): 10 of 30 insurance plan rates Aetna — Commercial: $26.60 Aetna — Medicare Advantage: $2.25 Anthem — HMO/PPO/Indemnity: $26.26 Anthem — Medicare Advantage: $2.25 Anthem City of Colorado Springs Employer Group — Commercial: $24.95 Anthem CU Trust — Commercial: $20.63 Anthem Employee — HMO/PPO: $21.70 Anthem Employee High Deductible Health Plan — PPO: $21.28 Anthem Mountain Enhanced — Commercial: $20.72 Anthem Pathway — Commercial: $21.95
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/O MICROSCOPY	$28	$25.20	$2.25 – $27.16
Urine test (automated, without microscope): 10 of 30 insurance plan rates Aetna — Commercial: $26.60 Aetna — Medicare Advantage: $2.25 Anthem — HMO/PPO/Indemnity: $26.26 Anthem — Medicare Advantage: $2.25 Anthem City of Colorado Springs Employer Group — Commercial: $24.95 Anthem CU Trust — Commercial: $20.63 Anthem Employee — HMO/PPO: $21.70 Anthem Employee High Deductible Health Plan — PPO: $21.28 Anthem Mountain Enhanced — Commercial: $20.72 Anthem Pathway — Commercial: $21.95
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/O MICROSCOPY	$28	$25.20	$21.29 – $27.16
Urine test (automated, without microscope): 10 of 12 insurance plan rates Aetna — Commercial: $26.60 Anthem CU Trust — Commercial: $21.29 Cigna — Broad Networks: $27.16 Cigna — Local Plus/SureFit/Connect: $25.20 First Health — Commercial: $27.16 Multiplan/PHCS — Commercial: $25.48 Rocky Mountain Health Plan — Colorado Option: $21.73 Rocky Mountain Health Plan — Commercial: $27.16 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $22.62 Simplified Benefits Administration — Tiered Benefits: $24.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSA TOTAL DX	$136	$122.40	$18.39 – $131.92
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Aetna — Commercial: $129.20 Aetna — Medicare Advantage: $18.39 Anthem — HMO/PPO/Indemnity: $127.57 Anthem — Medicare Advantage: $18.39 Anthem City of Colorado Springs Employer Group — Commercial: $121.18 Anthem CU Trust — Commercial: $100.19 Anthem Employee — HMO/PPO: $105.40 Anthem Employee High Deductible Health Plan — PPO: $103.36 Anthem Mountain Enhanced — Commercial: $100.64 Anthem Pathway — Commercial: $106.62
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB L-PSA TOTAL	$229.22	$206.30	$18.39 – $222.34
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Aetna — Commercial: $217.76 Aetna — Medicare Advantage: $18.39 Anthem — HMO/PPO/Indemnity: $215.01 Anthem — Medicare Advantage: $18.39 Anthem City of Colorado Springs Employer Group — Commercial: $204.24 Anthem CU Trust — Commercial: $168.87 Anthem Employee — HMO/PPO: $177.65 Anthem Employee High Deductible Health Plan — PPO: $174.21 Anthem Mountain Enhanced — Commercial: $169.62 Anthem Pathway — Commercial: $179.71
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROSTATE HEALTH INDEX SENDOUT	$210.90	$189.81	$18.39 – $204.57
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Aetna — Commercial: $200.36 Aetna — Medicare Advantage: $18.39 Anthem — HMO/PPO/Indemnity: $197.82 Anthem — Medicare Advantage: $18.39 Anthem City of Colorado Springs Employer Group — Commercial: $187.91 Anthem CU Trust — Commercial: $155.37 Anthem Employee — HMO/PPO: $163.45 Anthem Employee High Deductible Health Plan — PPO: $160.28 Anthem Mountain Enhanced — Commercial: $156.07 Anthem Pathway — Commercial: $165.35
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TSH HORMONE ULTRASENSITIVE	$136	$122.40	$16.80 – $131.92
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates Aetna — Commercial: $129.20 Aetna — Medicare Advantage: $16.80 Anthem — HMO/PPO/Indemnity: $127.57 Anthem — Medicare Advantage: $16.80 Anthem City of Colorado Springs Employer Group — Commercial: $121.18 Anthem CU Trust — Commercial: $100.19 Anthem Employee — HMO/PPO: $105.40 Anthem Employee High Deductible Health Plan — PPO: $103.36 Anthem Mountain Enhanced — Commercial: $100.64 Anthem Pathway — Commercial: $106.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB TSH HORMONE ULTRASENSITIVE	$136	$122.40	$103.39 – $131.92
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Aetna — Commercial: $129.20 Anthem CU Trust — Commercial: $103.39 Cigna — Broad Networks: $131.92 Cigna — Local Plus/SureFit/Connect: $122.40 First Health — Commercial: $131.92 Multiplan/PHCS — Commercial: $123.76 Rocky Mountain Health Plan — Colorado Option: $105.54 Rocky Mountain Health Plan — Commercial: $131.92 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $109.89 Simplified Benefits Administration — Tiered Benefits: $118.05
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBC WITH AUTO DIFF	$58	$52.20	$7.77 – $56.26
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates Aetna — Commercial: $55.10 Aetna — Medicare Advantage: $7.77 Anthem — HMO/PPO/Indemnity: $54.40 Anthem — Medicare Advantage: $7.77 Anthem City of Colorado Springs Employer Group — Commercial: $51.68 Anthem CU Trust — Commercial: $42.73 Anthem Employee — HMO/PPO: $44.95 Anthem Employee High Deductible Health Plan — PPO: $44.08 Anthem Mountain Enhanced — Commercial: $42.92 Anthem Pathway — Commercial: $45.47
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CBC WITH AUTO DIFF	$58	$52.20	$44.09 – $56.26
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates Aetna — Commercial: $55.10 Anthem CU Trust — Commercial: $44.09 Cigna — Broad Networks: $56.26 Cigna — Local Plus/SureFit/Connect: $52.20 First Health — Commercial: $56.26 Multiplan/PHCS — Commercial: $52.78 Rocky Mountain Health Plan — Colorado Option: $45.01 Rocky Mountain Health Plan — Commercial: $56.26 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $46.86 Simplified Benefits Administration — Tiered Benefits: $50.34
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBC WITHOUT AUTO DIFF	$41	$36.90	$6.47 – $39.77
Complete blood count (CBC), automated: 10 of 30 insurance plan rates Aetna — Commercial: $38.95 Aetna — Medicare Advantage: $6.47 Anthem — HMO/PPO/Indemnity: $38.46 Anthem — Medicare Advantage: $6.47 Anthem City of Colorado Springs Employer Group — Commercial: $36.53 Anthem CU Trust — Commercial: $30.20 Anthem Employee — HMO/PPO: $31.78 Anthem Employee High Deductible Health Plan — PPO: $31.16 Anthem Mountain Enhanced — Commercial: $30.34 Anthem Pathway — Commercial: $32.14
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CBC WITHOUT AUTO DIFF	$41	$36.90	$31.17 – $39.77
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Aetna — Commercial: $38.95 Anthem CU Trust — Commercial: $31.17 Cigna — Broad Networks: $39.77 Cigna — Local Plus/SureFit/Connect: $36.90 First Health — Commercial: $39.77 Multiplan/PHCS — Commercial: $37.31 Rocky Mountain Health Plan — Colorado Option: $31.82 Rocky Mountain Health Plan — Commercial: $39.77 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $33.13 Simplified Benefits Administration — Tiered Benefits: $35.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POCT PROTHROMBIN TIME	$31	$27.90	$4.29 – $30.07
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — Commercial: $29.45 Aetna — Medicare Advantage: $4.29 Anthem — HMO/PPO/Indemnity: $29.08 Anthem — Medicare Advantage: $4.29 Anthem City of Colorado Springs Employer Group — Commercial: $27.62 Anthem CU Trust — Commercial: $22.84 Anthem Employee — HMO/PPO: $24.03 Anthem Employee High Deductible Health Plan — PPO: $23.56 Anthem Mountain Enhanced — Commercial: $22.94 Anthem Pathway — Commercial: $24.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROTHROMBIN TIME INR	$31	$27.90	$4.29 – $30.07
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — Commercial: $29.45 Aetna — Medicare Advantage: $4.29 Anthem — HMO/PPO/Indemnity: $29.08 Anthem — Medicare Advantage: $4.29 Anthem City of Colorado Springs Employer Group — Commercial: $27.62 Anthem CU Trust — Commercial: $22.84 Anthem Employee — HMO/PPO: $24.03 Anthem Employee High Deductible Health Plan — PPO: $23.56 Anthem Mountain Enhanced — Commercial: $22.94 Anthem Pathway — Commercial: $24.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROTHROMBIN TIME SENDOUT	$94.50	$85.05	$4.29 – $91.67
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — Commercial: $89.78 Aetna — Medicare Advantage: $4.29 Anthem — HMO/PPO/Indemnity: $88.64 Anthem — Medicare Advantage: $4.29 Anthem City of Colorado Springs Employer Group — Commercial: $84.20 Anthem CU Trust — Commercial: $69.62 Anthem Employee — HMO/PPO: $73.24 Anthem Employee High Deductible Health Plan — PPO: $71.82 Anthem Mountain Enhanced — Commercial: $69.93 Anthem Pathway — Commercial: $74.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PTT ACTIVATED	$50	$45	$6.01 – $48.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates Aetna — Commercial: $47.50 Aetna — Medicare Advantage: $6.01 Anthem — HMO/PPO/Indemnity: $46.90 Anthem — Medicare Advantage: $6.01 Anthem City of Colorado Springs Employer Group — Commercial: $44.55 Anthem CU Trust — Commercial: $36.84 Anthem Employee — HMO/PPO: $38.75 Anthem Employee High Deductible Health Plan — PPO: $38 Anthem Mountain Enhanced — Commercial: $37 Anthem Pathway — Commercial: $39.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB THROMBOPLASTIN TIME, PARTIAL SENDOUT	$94.50	$85.05	$6.01 – $91.67
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates Aetna — Commercial: $89.78 Aetna — Medicare Advantage: $6.01 Anthem — HMO/PPO/Indemnity: $88.64 Anthem — Medicare Advantage: $6.01 Anthem City of Colorado Springs Employer Group — Commercial: $84.20 Anthem CU Trust — Commercial: $69.62 Anthem Employee — HMO/PPO: $73.24 Anthem Employee High Deductible Health Plan — PPO: $71.82 Anthem Mountain Enhanced — Commercial: $69.93 Anthem Pathway — Commercial: $74.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PTT-D HEPARIN REFLEX SENDOUT	$79.87	$71.89	$6.01 – $77.47
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates Aetna — Commercial: $75.88 Aetna — Medicare Advantage: $6.01 Anthem — HMO/PPO/Indemnity: $74.92 Anthem — Medicare Advantage: $6.01 Anthem City of Colorado Springs Employer Group — Commercial: $71.16 Anthem CU Trust — Commercial: $58.84 Anthem Employee — HMO/PPO: $61.90 Anthem Employee High Deductible Health Plan — PPO: $60.70 Anthem Mountain Enhanced — Commercial: $59.10 Anthem Pathway — Commercial: $62.62

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-CT HEAD/BRAIN W/O CONTRAST	$1,358	$1,222.20	$106.87 – $1,575
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,290.10 Aetna — Medicare Advantage: $106.87 Anthem — HMO/PPO/Indemnity: $1,575 Anthem — Medicare Advantage: $106.87 Anthem City of Colorado Springs Employer Group — Commercial: $1,496 Anthem CU Trust — Commercial: $1,000.44 Anthem Employee — HMO/PPO: $1,069 Anthem Employee High Deductible Health Plan — PPO: $650 Anthem Mountain Enhanced — Commercial: $1,085 Anthem Pathway — Commercial: $1,142
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-CT HEAD/BRAIN W/O CONTRAST	$1,358	$1,222.20	$1,032.35 – $1,317.26
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Aetna — Commercial: $1,290.10 Anthem CU Trust — Commercial: $1,032.35 Cigna — Broad Networks: $1,317.26 Cigna — Local Plus/SureFit/Connect: $1,222.20 First Health — Commercial: $1,317.26 Multiplan/PHCS — Commercial: $1,235.78 Rocky Mountain Health Plan — Colorado Option: $1,053.81 Rocky Mountain Health Plan — Commercial: $1,317.26 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $1,097.26 Simplified Benefits Administration — Tiered Benefits: $1,178.74
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-MRI BRAIN W/O&W CONT	$1,739	$1,565.10	$358.91 – $1,686.83
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,652.05 Aetna — Medicare Advantage: $358.91 Anthem — HMO/PPO/Indemnity: $1,680 Anthem — Medicare Advantage: $358.91 Anthem City of Colorado Springs Employer Group — Commercial: $1,596 Anthem CU Trust — Commercial: $1,281.12 Anthem Employee — HMO/PPO: $1,140 Anthem Employee High Deductible Health Plan — PPO: $960 Anthem Mountain Enhanced — Commercial: $1,157 Anthem Pathway — Commercial: $1,218
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-MRI BRAIN W/O&W CONT	$1,739	$1,565.10	$1,321.99 – $1,686.83
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Aetna — Commercial: $1,652.05 Anthem CU Trust — Commercial: $1,321.99 Cigna — Broad Networks: $1,686.83 Cigna — Local Plus/SureFit/Connect: $1,565.10 First Health — Commercial: $1,686.83 Multiplan/PHCS — Commercial: $1,582.49 Rocky Mountain Health Plan — Colorado Option: $1,349.46 Rocky Mountain Health Plan — Commercial: $1,686.83 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $1,405.11 Simplified Benefits Administration — Tiered Benefits: $1,509.45
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-RADIOLOGIC EXAM CHEST 2 VIEWS	$327	$294.30	$66.51 – $317.19
Chest X-ray, 2 views: 10 of 30 insurance plan rates Aetna — Commercial: $310.65 Aetna — Medicare Advantage: $88.49 Anthem — HMO/PPO/Indemnity: $233.66 Anthem — Medicare Advantage: $88.49 Anthem City of Colorado Springs Employer Group — Commercial: $221.99 Anthem CU Trust — Commercial: $240.90 Anthem Employee — HMO/PPO: $155.46 Anthem Employee High Deductible Health Plan — PPO: $178.04 Anthem Mountain Enhanced — Commercial: $157.83 Anthem Pathway — Commercial: $165.91
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-RADIOLOGIC EXAM CHEST 2 VIEWS	$327	$294.30	$248.59 – $317.19
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — Commercial: $310.65 Anthem CU Trust — Commercial: $248.59 Cigna — Broad Networks: $317.19 Cigna — Local Plus/SureFit/Connect: $294.30 First Health — Commercial: $317.19 Multiplan/PHCS — Commercial: $297.57 Rocky Mountain Health Plan — Colorado Option: $253.75 Rocky Mountain Health Plan — Commercial: $317.19 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $264.22 Simplified Benefits Administration — Tiered Benefits: $283.84
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-L-SPINE MIN 4 VIEWS	$541	$486.90	$81.68 – $524.77
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates Aetna — Commercial: $513.95 Aetna — Medicare Advantage: $106.87 Anthem — HMO/PPO/Indemnity: $394.38 Anthem — Medicare Advantage: $106.87 Anthem City of Colorado Springs Employer Group — Commercial: $374.68 Anthem CU Trust — Commercial: $398.55 Anthem Employee — HMO/PPO: $262.38 Anthem Employee High Deductible Health Plan — PPO: $300.50 Anthem Mountain Enhanced — Commercial: $266.40 Anthem Pathway — Commercial: $280.04
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-L-SPINE MIN 4 VIEWS	$541	$486.90	$411.27 – $524.77
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates Aetna — Commercial: $513.95 Anthem CU Trust — Commercial: $411.27 Cigna — Broad Networks: $524.77 Cigna — Local Plus/SureFit/Connect: $486.90 First Health — Commercial: $524.77 Multiplan/PHCS — Commercial: $492.31 Rocky Mountain Health Plan — Colorado Option: $419.82 Rocky Mountain Health Plan — Commercial: $524.77 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $437.13 Simplified Benefits Administration — Tiered Benefits: $469.59
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-MR L-SPINE WITHOUT CONTRAST	$1,045	$940.50	$242.92 – $1,680
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $992.75 Aetna — Medicare Advantage: $242.92 Anthem — HMO/PPO/Indemnity: $1,680 Anthem — Medicare Advantage: $242.92 Anthem City of Colorado Springs Employer Group — Commercial: $1,596 Anthem CU Trust — Commercial: $769.85 Anthem Employee — HMO/PPO: $1,140 Anthem Employee High Deductible Health Plan — PPO: $960 Anthem Mountain Enhanced — Commercial: $1,157 Anthem Pathway — Commercial: $1,218
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-MR L-SPINE WITHOUT CONTRAST	$1,045	$940.50	$794.41 – $1,013.65
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Aetna — Commercial: $992.75 Anthem CU Trust — Commercial: $794.41 Cigna — Broad Networks: $1,013.65 Cigna — Local Plus/SureFit/Connect: $940.50 First Health — Commercial: $1,013.65 Multiplan/PHCS — Commercial: $950.95 Rocky Mountain Health Plan — Colorado Option: $810.92 Rocky Mountain Health Plan — Commercial: $1,013.65 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $844.36 Simplified Benefits Administration — Tiered Benefits: $907.06
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-CT PELVIS WITH CONTRAST	$1,474	$1,326.60	$178.91 – $1,575
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates Aetna — Commercial: $1,400.30 Aetna — Medicare Advantage: $178.91 Anthem — HMO/PPO/Indemnity: $1,575 Anthem — Medicare Advantage: $178.91 Anthem City of Colorado Springs Employer Group — Commercial: $1,496 Anthem CU Trust — Commercial: $1,085.90 Anthem Employee — HMO/PPO: $1,069 Anthem Employee High Deductible Health Plan — PPO: $650 Anthem Mountain Enhanced — Commercial: $1,085 Anthem Pathway — Commercial: $1,142
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-CT PELVIS WITH CONTRAST	$1,474	$1,326.60	$1,120.53 – $1,429.78
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Commercial: $1,400.30 Anthem CU Trust — Commercial: $1,120.53 Cigna — Broad Networks: $1,429.78 Cigna — Local Plus/SureFit/Connect: $1,326.60 First Health — Commercial: $1,429.78 Multiplan/PHCS — Commercial: $1,341.34 Rocky Mountain Health Plan — Colorado Option: $1,143.82 Rocky Mountain Health Plan — Commercial: $1,429.78 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $1,190.99 Simplified Benefits Administration — Tiered Benefits: $1,279.43
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-MRI ANY JT LOW EXTREM; W/O CONT	$1,045	$940.50	$242.92 – $1,680
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Aetna — Commercial: $992.75 Aetna — Medicare Advantage: $242.92 Anthem — HMO/PPO/Indemnity: $1,680 Anthem — Medicare Advantage: $242.92 Anthem City of Colorado Springs Employer Group — Commercial: $1,596 Anthem CU Trust — Commercial: $769.85 Anthem Employee — HMO/PPO: $1,140 Anthem Employee High Deductible Health Plan — PPO: $960 Anthem Mountain Enhanced — Commercial: $1,157 Anthem Pathway — Commercial: $1,218
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-MRI ANY JT LOW EXTREM; W/O CONT	$1,045	$940.50	$794.41 – $1,013.65
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Aetna — Commercial: $992.75 Anthem CU Trust — Commercial: $794.41 Cigna — Broad Networks: $1,013.65 Cigna — Local Plus/SureFit/Connect: $940.50 First Health — Commercial: $1,013.65 Multiplan/PHCS — Commercial: $950.95 Rocky Mountain Health Plan — Colorado Option: $810.92 Rocky Mountain Health Plan — Commercial: $1,013.65 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $844.36 Simplified Benefits Administration — Tiered Benefits: $907.06
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-CT ABDOMEN AND PELVIS W CONTRAST	$2,422	$2,179.80	$358.91 – $2,349.34
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates Aetna — Commercial: $2,300.90 Aetna — Medicare Advantage: $358.91 Anthem — HMO/PPO/Indemnity: $1,575 Anthem — Medicare Advantage: $358.91 Anthem City of Colorado Springs Employer Group — Commercial: $1,496 Anthem CU Trust — Commercial: $1,784.29 Anthem Employee — HMO/PPO: $1,069 Anthem Employee High Deductible Health Plan — PPO: $650 Anthem Mountain Enhanced — Commercial: $1,085 Anthem Pathway — Commercial: $1,142
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-CT ABDOMEN AND PELVIS W CONTRAST	$2,422	$2,179.80	$1,841.20 – $2,349.34
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Commercial: $2,300.90 Anthem CU Trust — Commercial: $1,841.20 Cigna — Broad Networks: $2,349.34 Cigna — Local Plus/SureFit/Connect: $2,179.80 First Health — Commercial: $2,349.34 Multiplan/PHCS — Commercial: $2,204.02 Rocky Mountain Health Plan — Colorado Option: $1,879.47 Rocky Mountain Health Plan — Commercial: $2,349.34 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $1,956.98 Simplified Benefits Administration — Tiered Benefits: $2,102.30
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-ABDOMEN COMPLETE US	$570	$513	$106.87 – $707
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates Aetna — Commercial: $541.50 Aetna — Medicare Advantage: $106.87 Anthem — HMO/PPO/Indemnity: $707 Anthem — Medicare Advantage: $106.87 Anthem City of Colorado Springs Employer Group — Commercial: $672 Anthem CU Trust — Commercial: $419.92 Anthem Employee — HMO/PPO: $380 Anthem Employee High Deductible Health Plan — PPO: $404 Anthem Mountain Enhanced — Commercial: $387 Anthem Pathway — Commercial: $406
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-ABDOMEN COMPLETE US	$570	$513	$433.31 – $552.90
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates Aetna — Commercial: $541.50 Anthem CU Trust — Commercial: $433.31 Cigna — Broad Networks: $552.90 Cigna — Local Plus/SureFit/Connect: $513 First Health — Commercial: $552.90 Multiplan/PHCS — Commercial: $518.70 Rocky Mountain Health Plan — Colorado Option: $442.32 Rocky Mountain Health Plan — Commercial: $552.90 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $460.56 Simplified Benefits Administration — Tiered Benefits: $494.76
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-US PREG 2ND TRI TRANS ABD SINGLE GEST	$431	$387.90	$106.87 – $707
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates Aetna — Commercial: $409.45 Aetna — Medicare Advantage: $106.87 Anthem — HMO/PPO/Indemnity: $707 Anthem — Medicare Advantage: $106.87 Anthem City of Colorado Springs Employer Group — Commercial: $672 Anthem CU Trust — Commercial: $317.52 Anthem Employee — HMO/PPO: $380 Anthem Employee High Deductible Health Plan — PPO: $404 Anthem Mountain Enhanced — Commercial: $387 Anthem Pathway — Commercial: $406
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US PREG 2ND TRI TRANS ABD SINGLE GEST	$431	$387.90	$106.87 – $707
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates Aetna — Commercial: $409.45 Aetna — Medicare Advantage: $106.87 Anthem — HMO/PPO/Indemnity: $707 Anthem — Medicare Advantage: $106.87 Anthem City of Colorado Springs Employer Group — Commercial: $672 Anthem CU Trust — Commercial: $317.52 Anthem Employee — HMO/PPO: $380 Anthem Employee High Deductible Health Plan — PPO: $404 Anthem Mountain Enhanced — Commercial: $387 Anthem Pathway — Commercial: $406
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-US PREG 2ND TRI TRANS ABD SINGLE GEST	$431	$387.90	$327.65 – $418.07
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Aetna — Commercial: $409.45 Anthem CU Trust — Commercial: $327.65 Cigna — Broad Networks: $418.07 Cigna — Local Plus/SureFit/Connect: $387.90 First Health — Commercial: $418.07 Multiplan/PHCS — Commercial: $392.21 Rocky Mountain Health Plan — Colorado Option: $334.46 Rocky Mountain Health Plan — Commercial: $418.07 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $348.25 Simplified Benefits Administration — Tiered Benefits: $374.11
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-US TRANSVAGINAL NON OB	$570	$513	$106.87 – $707
Transvaginal ultrasound: 10 of 30 insurance plan rates Aetna — Commercial: $541.50 Aetna — Medicare Advantage: $106.87 Anthem — HMO/PPO/Indemnity: $707 Anthem — Medicare Advantage: $106.87 Anthem City of Colorado Springs Employer Group — Commercial: $672 Anthem CU Trust — Commercial: $419.92 Anthem Employee — HMO/PPO: $380 Anthem Employee High Deductible Health Plan — PPO: $404 Anthem Mountain Enhanced — Commercial: $387 Anthem Pathway — Commercial: $406
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-US TRANSVAGINAL NON OB	$570	$513	$433.31 – $552.90
Transvaginal ultrasound: 10 of 12 insurance plan rates Aetna — Commercial: $541.50 Anthem CU Trust — Commercial: $433.31 Cigna — Broad Networks: $552.90 Cigna — Local Plus/SureFit/Connect: $513 First Health — Commercial: $552.90 Multiplan/PHCS — Commercial: $518.70 Rocky Mountain Health Plan — Colorado Option: $442.32 Rocky Mountain Health Plan — Commercial: $552.90 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $460.56 Simplified Benefits Administration — Tiered Benefits: $494.76
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$474	$426.60	$100.50 – $459.78
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates Aetna — Commercial: $450.30 Aetna — Medicare Advantage: $126.79 Anthem — HMO/PPO/Indemnity: $375.61 Anthem — Medicare Advantage: $126.79 Anthem City of Colorado Springs Employer Group — Commercial: $356.83 Anthem CU Trust — Commercial: $349.20 Anthem Employee — HMO/PPO: $240.57 Anthem Employee High Deductible Health Plan — PPO: $286.18 Anthem Mountain Enhanced — Commercial: $244.14 Anthem Pathway — Commercial: $256.66
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$474	$426.60	$360.33 – $459.78
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — Commercial: $450.30 Anthem CU Trust — Commercial: $360.33 Cigna — Broad Networks: $459.78 Cigna — Local Plus/SureFit/Connect: $426.60 First Health — Commercial: $459.78 Multiplan/PHCS — Commercial: $431.34 Rocky Mountain Health Plan — Colorado Option: $367.82 Rocky Mountain Health Plan — Commercial: $459.78 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $382.99 Simplified Benefits Administration — Tiered Benefits: $411.43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$483	$434.70	$123.58 – $497.25
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates Aetna — Commercial: $458.85 Aetna — Medicare Advantage: $159.89 Anthem — HMO/PPO/Indemnity: $478.63 Anthem — Medicare Advantage: $159.89 Anthem City of Colorado Springs Employer Group — Commercial: $454.70 Anthem CU Trust — Commercial: $355.83 Anthem Employee — HMO/PPO: $306.55 Anthem Employee High Deductible Health Plan — PPO: $364.67 Anthem Mountain Enhanced — Commercial: $311.11 Anthem Pathway — Commercial: $327.07
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$483	$434.70	$367.18 – $468.51
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $458.85 Anthem CU Trust — Commercial: $367.18 Cigna — Broad Networks: $468.51 Cigna — Local Plus/SureFit/Connect: $434.70 First Health — Commercial: $468.51 Multiplan/PHCS — Commercial: $439.53 Rocky Mountain Health Plan — Colorado Option: $374.81 Rocky Mountain Health Plan — Commercial: $468.51 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $390.26 Simplified Benefits Administration — Tiered Benefits: $419.24
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$434	$390.60	$95.20 – $420.98
Screening mammogram, both breasts: 10 of 30 insurance plan rates Aetna — Commercial: $412.30 Aetna — Medicare Advantage: $129.66 Anthem — HMO/PPO/Indemnity: $395.98 Anthem — Medicare Advantage: $129.66 Anthem City of Colorado Springs Employer Group — Commercial: $376.18 Anthem CU Trust — Commercial: $319.73 Anthem Employee — HMO/PPO: $253.61 Anthem Employee High Deductible Health Plan — PPO: $301.70 Anthem Mountain Enhanced — Commercial: $257.38 Anthem Pathway — Commercial: $270.58
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RADIANT-UNILATERAL SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$434	$390.60	$95.20 – $420.98
Screening mammogram, both breasts: 10 of 30 insurance plan rates Aetna — Commercial: $412.30 Aetna — Medicare Advantage: $129.66 Anthem — HMO/PPO/Indemnity: $395.98 Anthem — Medicare Advantage: $129.66 Anthem City of Colorado Springs Employer Group — Commercial: $376.18 Anthem CU Trust — Commercial: $319.73 Anthem Employee — HMO/PPO: $253.61 Anthem Employee High Deductible Health Plan — PPO: $301.70 Anthem Mountain Enhanced — Commercial: $257.38 Anthem Pathway — Commercial: $270.58
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RADIANT-UNILATERAL SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$434	$390.60	$329.93 – $420.98
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $412.30 Anthem CU Trust — Commercial: $329.93 Cigna — Broad Networks: $420.98 Cigna — Local Plus/SureFit/Connect: $390.60 First Health — Commercial: $420.98 Multiplan/PHCS — Commercial: $394.94 Rocky Mountain Health Plan — Colorado Option: $336.78 Rocky Mountain Health Plan — Commercial: $420.98 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $350.67 Simplified Benefits Administration — Tiered Benefits: $376.71

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$14.25 – $45.67
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $14.25 Anthem — Medicare Advantage: $14.25 Cigna — Medicare Advantage: $14.25 CMS — Medicare: $14.25 Devoted Health — Medicare Advantage: $14.25 Humana — Medicare Advantage: $14.25 Kaiser — Medicare Advantage: $14.25 Select Health — Individual ACA: $45.67 Select Health — Individual Colorado Option: $41.08 Select Health — Medicare Advantage: $14.25
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$2,536.13 – $3,232.43
Left heart catheterization (diagnostic): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $3,232.43 Anthem — HMO/PPO/Indemnity: $10,117 Anthem — Medicare Advantage: $3,232.43 Anthem City of Colorado Springs Employer Group — Commercial: $9,611 Anthem Employee — HMO/PPO: $5,446 Anthem Employee High Deductible Health Plan — PPO: $7,708 Anthem Mountain Enhanced — Commercial: $5,526 Anthem Pathway — Commercial: $5,819 Cigna — Medicare Advantage: $3,232.43 CMS — Medicare: $3,232.43
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$12,693 – $14,061
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $7,625.89 Anthem — Medicare Advantage: $7,625.89 Cigna — Medicare Advantage: $7,625.89 CMS — Medicare: $7,625.89 Devoted Health — Medicare Advantage: $7,625.89 Humana — Medicare Advantage: $7,625.89 Kaiser — Medicare Advantage: $7,625.89 Select Health — Individual ACA: $14,061 Select Health — Individual Colorado Option: $12,693 Select Health — Medicare Advantage: $7,625.89
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$12,567 – $23,347
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $24,654.47 Anthem — HMO/PPO/Indemnity: $23,347 Anthem — Medicare Advantage: $24,654.47 Anthem City of Colorado Springs Employer Group — Commercial: $22,180 Anthem Employee — HMO/PPO: $12,567 Anthem Employee High Deductible Health Plan — PPO: $17,788 Anthem Mountain Enhanced — Commercial: $12,752 Anthem Pathway — Commercial: $13,426 Cigna — Medicare Advantage: $24,654.47 CMS — Medicare: $24,654.47
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB SLEEP STUDY-SHORT	$2,498	$2,248.20	$1,022.46 – $2,423.06
Sleep study (overnight, in a sleep lab): 10 of 30 insurance plan rates Aetna — Commercial: $2,373.10 Aetna — Medicare Advantage: $1,022.46 Anthem — HMO/PPO/Indemnity: $2,343.12 Anthem — Medicare Advantage: $1,022.46 Anthem City of Colorado Springs Employer Group — Commercial: $2,225.72 Anthem CU Trust — Commercial: $1,840.28 Anthem Employee — HMO/PPO: $1,935.95 Anthem Employee High Deductible Health Plan — PPO: $1,898.48 Anthem Mountain Enhanced — Commercial: $1,848.52 Anthem Pathway — Commercial: $1,958.43
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB SLEEP STUDY	$4,995	$4,495.50	$1,022.46 – $4,845.15
Sleep study (overnight, in a sleep lab): 10 of 30 insurance plan rates Aetna — Commercial: $4,745.25 Aetna — Medicare Advantage: $1,022.46 Anthem — HMO/PPO/Indemnity: $4,685.31 Anthem — Medicare Advantage: $1,022.46 Anthem City of Colorado Springs Employer Group — Commercial: $4,450.55 Anthem CU Trust — Commercial: $3,679.82 Anthem Employee — HMO/PPO: $3,871.13 Anthem Employee High Deductible Health Plan — PPO: $3,796.20 Anthem Mountain Enhanced — Commercial: $3,696.30 Anthem Pathway — Commercial: $3,916.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB SLEEP STUDY	$4,995	$4,495.50	$3,797.20 – $4,845.15
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates Aetna — Commercial: $4,745.25 Anthem CU Trust — Commercial: $3,797.20 Cigna — Broad Networks: $4,845.15 Cigna — Local Plus/SureFit/Connect: $4,495.50 First Health — Commercial: $4,845.15 Multiplan/PHCS — Commercial: $4,545.45 Rocky Mountain Health Plan — Colorado Option: $3,876.12 Rocky Mountain Health Plan — Commercial: $4,845.15 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $4,035.96 Simplified Benefits Administration — Tiered Benefits: $4,335.66

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OT-THERAPEUTIC EXERCISES 15 MIN	$105	$94.50	$29.59 – $101.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $99.75 Aetna — Medicare Advantage: $29.59 Anthem — HMO/PPO/Indemnity: $98.49 Anthem — Medicare Advantage: $29.59 Anthem City of Colorado Springs Employer Group — Commercial: $93.56 Anthem CU Trust — Commercial: $77.35 Anthem Employee — HMO/PPO: $81.38 Anthem Employee High Deductible Health Plan — PPO: $79.80 Anthem Mountain Enhanced — Commercial: $77.70 Anthem Pathway — Commercial: $82.32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT-THERAPEUTIC EXERCISES 15 MIN	$104.54	$94.09	$29.59 – $101.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna — Commercial: $99.31 Aetna — Medicare Advantage: $29.59 Anthem — HMO/PPO/Indemnity: $98.06 Anthem — Medicare Advantage: $29.59 Anthem City of Colorado Springs Employer Group — Commercial: $93.15 Anthem CU Trust — Commercial: $77.01 Anthem Employee — HMO/PPO: $81.02 Anthem Employee High Deductible Health Plan — PPO: $79.45 Anthem Mountain Enhanced — Commercial: $77.36 Anthem Pathway — Commercial: $81.96
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OT-THERAPEUTIC EXERCISES 15 MIN	$105	$94.50	$79.82 – $101.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $99.75 Anthem CU Trust — Commercial: $79.82 Cigna — Broad Networks: $101.85 Cigna — Local Plus/SureFit/Connect: $94.50 First Health — Commercial: $101.85 Multiplan/PHCS — Commercial: $95.55 Rocky Mountain Health Plan — Colorado Option: $81.48 Rocky Mountain Health Plan — Commercial: $101.85 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $84.84 Simplified Benefits Administration — Tiered Benefits: $91.14
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PHYSICAL THERAPY EVALUATION LOW COMPLEX	$196	$176.40	$97.96 – $322.16
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna — Commercial: $186.20 Aetna — Medicare Advantage: $100.67 Anthem — HMO/PPO/Indemnity: $183.85 Anthem — Medicare Advantage: $100.67 Anthem City of Colorado Springs Employer Group — Commercial: $174.64 Anthem CU Trust — Commercial: $144.39 Anthem Employee — HMO/PPO: $151.90 Anthem Employee High Deductible Health Plan — PPO: $148.96 Anthem Mountain Enhanced — Commercial: $145.04 Anthem Pathway — Commercial: $153.66
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PHYSICAL THERAPY EVALUATION LOW COMPLEX	$196	$176.40	$149 – $190.12
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Aetna — Commercial: $186.20 Anthem CU Trust — Commercial: $149 Cigna — Broad Networks: $190.12 Cigna — Local Plus/SureFit/Connect: $176.40 First Health — Commercial: $190.12 Multiplan/PHCS — Commercial: $178.36 Rocky Mountain Health Plan — Colorado Option: $152.10 Rocky Mountain Health Plan — Commercial: $190.12 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $158.37 Simplified Benefits Administration — Tiered Benefits: $170.13
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PHYSICAL THERAPY EVALUATION MOD COMPLEX	$296	$266.40	$100.67 – $322.16
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna — Commercial: $281.20 Aetna — Medicare Advantage: $100.67 Anthem — HMO/PPO/Indemnity: $277.65 Anthem — Medicare Advantage: $100.67 Anthem City of Colorado Springs Employer Group — Commercial: $263.74 Anthem CU Trust — Commercial: $218.06 Anthem Employee — HMO/PPO: $229.40 Anthem Employee High Deductible Health Plan — PPO: $224.96 Anthem Mountain Enhanced — Commercial: $219.04 Anthem Pathway — Commercial: $232.06
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PHYSICAL THERAPY EVALUATION MOD COMPLEX	$296	$266.40	$225.02 – $287.12
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Aetna — Commercial: $281.20 Anthem CU Trust — Commercial: $225.02 Cigna — Broad Networks: $287.12 Cigna — Local Plus/SureFit/Connect: $266.40 First Health — Commercial: $287.12 Multiplan/PHCS — Commercial: $269.36 Rocky Mountain Health Plan — Colorado Option: $229.70 Rocky Mountain Health Plan — Commercial: $287.12 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $239.17 Simplified Benefits Administration — Tiered Benefits: $256.93
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$358.58	$322.73	$100.67 – $347.82
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Aetna — Commercial: $340.65 Aetna — Medicare Advantage: $100.67 Anthem — HMO/PPO/Indemnity: $336.35 Anthem — Medicare Advantage: $100.67 Anthem City of Colorado Springs Employer Group — Commercial: $319.49 Anthem CU Trust — Commercial: $264.17 Anthem Employee — HMO/PPO: $277.90 Anthem Employee High Deductible Health Plan — PPO: $272.52 Anthem Mountain Enhanced — Commercial: $265.35 Anthem Pathway — Commercial: $281.13
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$358.58	$322.73	$272.59 – $347.82
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Aetna — Commercial: $340.65 Anthem CU Trust — Commercial: $272.59 Cigna — Broad Networks: $347.82 Cigna — Local Plus/SureFit/Connect: $322.72 First Health — Commercial: $347.82 Multiplan/PHCS — Commercial: $326.31 Rocky Mountain Health Plan — Colorado Option: $278.26 Rocky Mountain Health Plan — Commercial: $347.82 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $289.73 Simplified Benefits Administration — Tiered Benefits: $311.25
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$161.47 – $243.99
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $161.47 Anthem — Medicare Advantage: $161.47 Cigna — Medicare Advantage: $161.47 CMS — Medicare: $161.47 Devoted Health — Medicare Advantage: $161.47 Humana — Medicare Advantage: $161.47 Kaiser — Medicare Advantage: $161.47 Select Health — Individual ACA: $243.99 Select Health — Individual Colorado Option: $219.51 Select Health — Medicare Advantage: $161.47
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$161.47 – $322.62
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $161.47 Anthem — Medicare Advantage: $161.47 Cigna — Medicare Advantage: $161.47 CMS — Medicare: $161.47 Devoted Health — Medicare Advantage: $161.47 Humana — Medicare Advantage: $161.47 Kaiser — Medicare Advantage: $161.47 Select Health — Individual ACA: $322.62 Select Health — Individual Colorado Option: $290.26 Select Health — Medicare Advantage: $161.47
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$161.47 – $474.81
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $161.47 Anthem — Medicare Advantage: $161.47 Cigna — Medicare Advantage: $161.47 CMS — Medicare: $161.47 Devoted Health — Medicare Advantage: $161.47 Humana — Medicare Advantage: $161.47 Kaiser — Medicare Advantage: $161.47 Select Health — Individual ACA: $474.81 Select Health — Individual Colorado Option: $427.19 Select Health — Medicare Advantage: $161.47
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$161.47 – $310.44
Family psychotherapy, without the patient: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $161.47 Anthem — Medicare Advantage: $161.47 Cigna — Medicare Advantage: $161.47 CMS — Medicare: $161.47 Devoted Health — Medicare Advantage: $161.47 Humana — Medicare Advantage: $161.47 Kaiser — Medicare Advantage: $161.47 Select Health — Individual ACA: $310.44 Select Health — Individual Colorado Option: $279.31 Select Health — Medicare Advantage: $161.47
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$161.47 – $323.67
Family psychotherapy, with the patient: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $161.47 Anthem — Medicare Advantage: $161.47 Cigna — Medicare Advantage: $161.47 CMS — Medicare: $161.47 Devoted Health — Medicare Advantage: $161.47 Humana — Medicare Advantage: $161.47 Kaiser — Medicare Advantage: $161.47 Select Health — Individual ACA: $323.67 Select Health — Individual Colorado Option: $291.20 Select Health — Medicare Advantage: $161.47
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$77.64 – $92.96
Group psychotherapy: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $92.96 Anthem — Medicare Advantage: $92.96 Cigna — Medicare Advantage: $92.96 CMS — Medicare: $92.96 Devoted Health — Medicare Advantage: $92.96 Humana — Medicare Advantage: $92.96 Kaiser — Medicare Advantage: $92.96 Select Health — Individual ACA: $86.30 Select Health — Individual Colorado Option: $77.64 Select Health — Medicare Advantage: $92.96

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,485.03 – $3,848.35
Removal of breast growth (open surgery): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $3,848.35 Anthem — HMO/PPO/Indemnity: $10,117 Anthem — Medicare Advantage: $3,848.35 Anthem City of Colorado Springs Employer Group — Commercial: $9,611 Anthem Employee — HMO/PPO: $5,446 Anthem Employee High Deductible Health Plan — PPO: $7,708 Anthem Mountain Enhanced — Commercial: $5,526 Anthem Pathway — Commercial: $5,819 Cigna — Medicare Advantage: $3,848.35 CMS — Medicare: $3,848.35
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$10,891 – $20,234
Total hip replacement: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $12,930.90 Anthem — HMO/PPO/Indemnity: $20,234 Anthem — Medicare Advantage: $12,930.90 Anthem City of Colorado Springs Employer Group — Commercial: $19,222 Anthem Employee — HMO/PPO: $10,891 Anthem Employee High Deductible Health Plan — PPO: $15,416 Anthem Mountain Enhanced — Commercial: $11,052 Anthem Pathway — Commercial: $11,636 Cigna — Medicare Advantage: $12,930.90 CMS — Medicare: $12,930.90
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$11,729 – $21,790
Total knee replacement: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $12,930.90 Anthem — HMO/PPO/Indemnity: $21,790 Anthem — Medicare Advantage: $12,930.90 Anthem City of Colorado Springs Employer Group — Commercial: $20,701 Anthem Employee — HMO/PPO: $11,729 Anthem Employee High Deductible Health Plan — PPO: $16,602 Anthem Mountain Enhanced — Commercial: $11,902 Anthem Pathway — Commercial: $12,531 Cigna — Medicare Advantage: $12,930.90 CMS — Medicare: $12,930.90
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$166.73 – $548.34
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $166.73 Anthem — Medicare Advantage: $166.73 Cigna — Medicare Advantage: $166.73 CMS — Medicare: $166.73 Devoted Health — Medicare Advantage: $166.73 Humana — Medicare Advantage: $166.73 Kaiser — Medicare Advantage: $166.73 Select Health — Individual ACA: $1,222 Select Health — Individual Colorado Option: $1,102 Select Health — Medicare Advantage: $166.73
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$5,446 – $10,117
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $3,260.77 Anthem — HMO/PPO/Indemnity: $10,117 Anthem — Medicare Advantage: $3,260.77 Anthem City of Colorado Springs Employer Group — Commercial: $9,611 Anthem Employee — HMO/PPO: $5,446 Anthem Employee High Deductible Health Plan — PPO: $7,708 Anthem Mountain Enhanced — Commercial: $5,526 Anthem Pathway — Commercial: $5,819 Cigna — Medicare Advantage: $3,260.77 CMS — Medicare: $3,260.77
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$841.38 – $5,945.12
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $5,945.12 Anthem — HMO/PPO/Indemnity: $13,231 Anthem — Medicare Advantage: $5,945.12 Anthem City of Colorado Springs Employer Group — Commercial: $12,569 Anthem Employee — HMO/PPO: $7,121 Anthem Employee High Deductible Health Plan — PPO: $10,081 Anthem Mountain Enhanced — Commercial: $7,227 Anthem Pathway — Commercial: $7,608 Cigna — Medicare Advantage: $5,945.12 CMS — Medicare: $5,945.12
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$2,095 – $3,892
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $942.23 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $942.23 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238 Cigna — Medicare Advantage: $942.23 CMS — Medicare: $942.23
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$942.23 – $1,188.48
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $942.23 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $942.23 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238 Cigna — Medicare Advantage: $942.23 CMS — Medicare: $942.23
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$2,095 – $3,892
Colonoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $916.25 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $916.25 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238 Cigna — Medicare Advantage: $916.25 CMS — Medicare: $916.25
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$3,034 – $3,360
Colonoscopy with biopsy: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $1,184.95 Anthem — HMO/PPO/Indemnity: $8,560 Anthem — Medicare Advantage: $1,184.95 Anthem City of Colorado Springs Employer Group — Commercial: $8,132 Anthem Employee — HMO/PPO: $4,608 Anthem Employee High Deductible Health Plan — PPO: $6,522 Anthem Mountain Enhanced — Commercial: $4,676 Anthem Pathway — Commercial: $4,923 Cigna — Medicare Advantage: $1,184.95 CMS — Medicare: $1,184.95
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$3,034 – $3,360
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $1,184.95 Anthem — HMO/PPO/Indemnity: $8,560 Anthem — Medicare Advantage: $1,184.95 Anthem City of Colorado Springs Employer Group — Commercial: $8,132 Anthem Employee — HMO/PPO: $4,608 Anthem Employee High Deductible Health Plan — PPO: $6,522 Anthem Mountain Enhanced — Commercial: $4,676 Anthem Pathway — Commercial: $4,923 Cigna — Medicare Advantage: $1,184.95 CMS — Medicare: $1,184.95
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$3,034 – $3,360
Ultrasound of the lower bowel by endoscope: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $1,184.95 Anthem — HMO/PPO/Indemnity: $8,560 Anthem — Medicare Advantage: $1,184.95 Anthem City of Colorado Springs Employer Group — Commercial: $8,132 Anthem Employee — HMO/PPO: $4,608 Anthem Employee High Deductible Health Plan — PPO: $6,522 Anthem Mountain Enhanced — Commercial: $4,676 Anthem Pathway — Commercial: $4,923 Cigna — Medicare Advantage: $1,184.95 CMS — Medicare: $1,184.95
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$916.25 – $1,077.01
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $916.25 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $916.25 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238 Cigna — Medicare Advantage: $916.25 CMS — Medicare: $916.25
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$12,693 – $14,061
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $5,863.42 Anthem — HMO/PPO/Indemnity: $15,563 Anthem — Medicare Advantage: $5,863.42 Anthem City of Colorado Springs Employer Group — Commercial: $14,785 Anthem Employee — HMO/PPO: $8,378 Anthem Employee High Deductible Health Plan — PPO: $11,858 Anthem Mountain Enhanced — Commercial: $8,503 Anthem Pathway — Commercial: $8,951 Cigna — Medicare Advantage: $5,863.42 CMS — Medicare: $5,863.42
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$5,446 – $10,117
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $3,546.63 Anthem — HMO/PPO/Indemnity: $10,117 Anthem — Medicare Advantage: $3,546.63 Anthem City of Colorado Springs Employer Group — Commercial: $9,611 Anthem Employee — HMO/PPO: $5,446 Anthem Employee High Deductible Health Plan — PPO: $7,708 Anthem Mountain Enhanced — Commercial: $5,526 Anthem Pathway — Commercial: $5,819 Cigna — Medicare Advantage: $3,546.63 CMS — Medicare: $3,546.63
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Rates	Not listed in the file	Not listed in the file	$686.42 – $2,058.71
Prostate biopsy: rates for 9 insurance plans Aetna — Medicare Advantage: $2,058.71 Anthem — Medicare Advantage: $2,058.71 Cigna — Medicare Advantage: $2,058.71 CMS — Medicare: $2,058.71 Devoted Health — Medicare Advantage: $2,058.71 Humana — Medicare Advantage: $2,058.71 Kaiser — Medicare Advantage: $2,058.71 Select Health — Medicare Advantage: $2,058.71 United Healthcare — Medicare Advantage: $2,058.71
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Surgery	Not listed in the file	Not listed in the file	$4,608 – $8,560
Prostate biopsy: rates for 8 insurance plans Anthem — HMO/PPO/Indemnity: $8,560 Anthem City of Colorado Springs Employer Group — Commercial: $8,132 Anthem Employee — HMO/PPO: $4,608 Anthem Employee High Deductible Health Plan — PPO: $6,522 Anthem Mountain Enhanced — Commercial: $4,676 Anthem Pathway — Commercial: $4,923 Select Health — Individual ACA: $3,360 Select Health — Individual Colorado Option: $3,034
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Other Outpatient	Not listed in the file	Not listed in the file	$686.42 – $2,058.71
Prostate biopsy: rates for 2 insurance plans Select Health — Individual ACA: $762.95 Select Health — Individual Colorado Option: $686.42
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$27,229 – $30,163
Prostate removal by laparoscope (radical prostatectomy): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $10,463.07 Anthem — HMO/PPO/Indemnity: $21,790 Anthem — Medicare Advantage: $10,463.07 Anthem City of Colorado Springs Employer Group — Commercial: $20,701 Anthem Employee — HMO/PPO: $11,729 Anthem Employee High Deductible Health Plan — PPO: $16,602 Anthem Mountain Enhanced — Commercial: $11,902 Anthem Pathway — Commercial: $12,531 Cigna — Medicare Advantage: $10,463.07 CMS — Medicare: $10,463.07
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,195.36 – $4,210.87
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $3,195.36 Anthem — HMO/PPO/Indemnity: $8,560 Anthem — Medicare Advantage: $3,195.36 Anthem City of Colorado Springs Employer Group — Commercial: $8,132 Anthem Employee — HMO/PPO: $4,608 Anthem Employee High Deductible Health Plan — PPO: $6,522 Anthem Mountain Enhanced — Commercial: $4,676 Anthem Pathway — Commercial: $4,923 Cigna — Medicare Advantage: $3,195.36 CMS — Medicare: $3,195.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG	$1,103	$992.70	$551.28 – $3,892
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates Aetna — Commercial: $1,047.85 Aetna — Medicare Advantage: $695.97 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $695.97 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem CU Trust — Commercial: $812.58 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OPTIME-NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG	$1,103	$992.70	$551.28 – $3,892
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates Aetna — Commercial: $1,047.85 Aetna — Medicare Advantage: $695.97 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $695.97 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem CU Trust — Commercial: $812.58 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OPTIME-NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG	$1,103	$992.70	$838.50 – $1,069.91
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates Aetna — Commercial: $1,047.85 Anthem CU Trust — Commercial: $838.50 Cigna — Broad Networks: $1,069.91 Cigna — Local Plus/SureFit/Connect: $992.70 First Health — Commercial: $1,069.91 Multiplan/PHCS — Commercial: $1,003.73 Rocky Mountain Health Plan — Colorado Option: $855.93 Rocky Mountain Health Plan — Commercial: $1,069.91 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $891.22 Simplified Benefits Administration — Tiered Benefits: $957.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OPTIME-PAIN NJ(S) FORAMEN/EPI LUMB/SCRL SNGL W IMAGE	$1,216	$1,094.40	$607.76 – $3,892
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates Aetna — Commercial: $1,155.20 Aetna — Medicare Advantage: $894.72 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $894.72 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem CU Trust — Commercial: $895.83 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJ(S) FORAMEN/EPI LUM/SCRL SNGL W IMAGE	$1,216	$1,094.40	$607.76 – $3,892
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates Aetna — Commercial: $1,155.20 Aetna — Medicare Advantage: $894.72 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $894.72 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem CU Trust — Commercial: $895.83 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OPTIME-PAIN NJ(S) FORAMEN/EPI LUMB/SCRL SNGL W IMAGE	$1,216	$1,094.40	$924.40 – $1,179.52
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates Aetna — Commercial: $1,155.20 Anthem CU Trust — Commercial: $924.40 Cigna — Broad Networks: $1,179.52 Cigna — Local Plus/SureFit/Connect: $1,094.40 First Health — Commercial: $1,179.52 Multiplan/PHCS — Commercial: $1,106.56 Rocky Mountain Health Plan — Colorado Option: $943.62 Rocky Mountain Health Plan — Commercial: $1,179.52 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $982.53 Simplified Benefits Administration — Tiered Benefits: $1,055.49
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$4,608 – $8,560
Carpal tunnel release: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $1,962.49 Anthem — HMO/PPO/Indemnity: $8,560 Anthem — Medicare Advantage: $1,962.49 Anthem City of Colorado Springs Employer Group — Commercial: $8,132 Anthem Employee — HMO/PPO: $4,608 Anthem Employee High Deductible Health Plan — PPO: $6,522 Anthem Mountain Enhanced — Commercial: $4,676 Anthem Pathway — Commercial: $4,923 Cigna — Medicare Advantage: $1,962.49 CMS — Medicare: $1,962.49
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$2,213 – $2,451
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $551.33 Anthem — HMO/PPO/Indemnity: $3,892 Anthem — Medicare Advantage: $551.33 Anthem City of Colorado Springs Employer Group — Commercial: $3,697 Anthem Employee — HMO/PPO: $2,095 Anthem Employee High Deductible Health Plan — PPO: $2,966 Anthem Mountain Enhanced — Commercial: $2,125 Anthem Pathway — Commercial: $2,238 Cigna — Medicare Advantage: $551.33 CMS — Medicare: $551.33
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CATARACT	$4,222	$3,799.80	$2,110.16 – $8,560
Cataract removal with lens implant: 10 of 30 insurance plan rates Aetna — Commercial: $4,010.90 Aetna — Medicare Advantage: $2,292.09 Anthem — HMO/PPO/Indemnity: $8,560 Anthem — Medicare Advantage: $2,292.09 Anthem City of Colorado Springs Employer Group — Commercial: $8,132 Anthem CU Trust — Commercial: $3,110.35 Anthem Employee — HMO/PPO: $4,608 Anthem Employee High Deductible Health Plan — PPO: $6,522 Anthem Mountain Enhanced — Commercial: $4,676 Anthem Pathway — Commercial: $4,923
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CATARACT	$4,222	$3,799.80	$3,209.56 – $4,095.34
Cataract removal with lens implant: 10 of 12 insurance plan rates Aetna — Commercial: $4,010.90 Anthem CU Trust — Commercial: $3,209.56 Cigna — Broad Networks: $4,095.34 Cigna — Local Plus/SureFit/Connect: $3,799.80 First Health — Commercial: $4,095.34 Multiplan/PHCS — Commercial: $3,842.02 Rocky Mountain Health Plan — Colorado Option: $3,276.27 Rocky Mountain Health Plan — Commercial: $4,095.34 Simplified Benefits Administration — Narrow Network Exclusive Plan (EPO): $3,411.38 Simplified Benefits Administration — Tiered Benefits: $3,664.70

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$5,446 – $10,117
Vaginal delivery, with care before and after: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $2,352.91 Anthem — HMO/PPO/Indemnity: $10,117 Anthem — Medicare Advantage: $2,352.91 Anthem City of Colorado Springs Employer Group — Commercial: $9,611 Anthem Employee — HMO/PPO: $5,446 Anthem Employee High Deductible Health Plan — PPO: $7,708 Anthem Mountain Enhanced — Commercial: $5,526 Anthem Pathway — Commercial: $5,819 Cigna — Medicare Advantage: $2,352.91 CMS — Medicare: $2,352.91
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,605.51 – $8,462.41
Cesarean delivery (C-section), with care before and after: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $2,605.51 Anthem — HMO/PPO/Indemnity: $10,117 Anthem — Medicare Advantage: $2,605.51 Anthem City of Colorado Springs Employer Group — Commercial: $9,611 Anthem Employee — HMO/PPO: $5,446 Anthem Employee High Deductible Health Plan — PPO: $7,708 Anthem Mountain Enhanced — Commercial: $5,526 Anthem Pathway — Commercial: $5,819 Cigna — Medicare Advantage: $2,605.51 CMS — Medicare: $2,605.51
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,455.99 – $8,011.08
Vaginal delivery after a previous C-section, with care before and after: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $2,455.99 Anthem — HMO/PPO/Indemnity: $10,117 Anthem — Medicare Advantage: $2,455.99 Anthem City of Colorado Springs Employer Group — Commercial: $9,611 Anthem Employee — HMO/PPO: $5,446 Anthem Employee High Deductible Health Plan — PPO: $7,708 Anthem Mountain Enhanced — Commercial: $5,526 Anthem Pathway — Commercial: $5,819 Cigna — Medicare Advantage: $2,455.99 CMS — Medicare: $2,455.99

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$119,294.04 – $188,671.08
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $119,294.04 Anthem — Medicare Advantage: $119,294.04 Cigna — Medicare Advantage: $119,294.04 CMS — Medicare: $119,294.04 Devoted Health — Medicare Advantage: $119,294.04 Humana — Medicare Advantage: $119,294.04 Kaiser — Medicare Advantage: $119,294.04 Select Health — Individual ACA: $188,671.08 Select Health — Individual Colorado Option: $176,051.27 Select Health — Medicare Advantage: $119,294.04
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$23,521.51 – $37,200.77
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $23,521.51 Anthem — Medicare Advantage: $23,521.51 Cigna — Medicare Advantage: $23,521.51 CMS — Medicare: $23,521.51 Devoted Health — Medicare Advantage: $23,521.51 Humana — Medicare Advantage: $23,521.51 Kaiser — Medicare Advantage: $23,521.51 Select Health — Individual ACA: $37,200.77 Select Health — Individual Colorado Option: $34,712.48 Select Health — Medicare Advantage: $23,521.51
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$29,769.86 – $47,082.91
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $29,769.86 Anthem — Medicare Advantage: $29,769.86 Cigna — Medicare Advantage: $29,769.86 CMS — Medicare: $29,769.86 Devoted Health — Medicare Advantage: $29,769.86 Humana — Medicare Advantage: $29,769.86 Kaiser — Medicare Advantage: $29,769.86 Select Health — Individual ACA: $47,082.91 Select Health — Individual Colorado Option: $43,933.63 Select Health — Medicare Advantage: $29,769.86
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$15,129.43 – $23,928.14
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $15,129.43 Anthem — Medicare Advantage: $15,129.43 Cigna — Medicare Advantage: $15,129.43 CMS — Medicare: $15,129.43 Devoted Health — Medicare Advantage: $15,129.43 Humana — Medicare Advantage: $15,129.43 Kaiser — Medicare Advantage: $15,129.43 Select Health — Individual ACA: $23,928.14 Select Health — Individual Colorado Option: $22,327.64 Select Health — Medicare Advantage: $15,129.43

Source: UCHealth Yampa Valley Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 1, 2025; 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	1024 Central Park Dr, Steamboat Springs, CO 80487
County	Routt County
State	Colorado
Phone	(970) 879‑1322
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	060049
Name in Medicare records	UCHEALTH YAMPA VALLEY MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	uchealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

UCHealth Yampa Valley Medical Center | Steamboat Springs — uchealth.org
UCHealth Trauma and Acute Care Surgery - Yampa Valley Medical Center — uchealth.org
UCHealth Emergency Care - Yampa Valley Medical Center in Steamboat Springs — uchealth.org
UCHealth Nutrition Services - Yampa Valley Medical Center | Steamboat — uchealth.org
UCHealth Birth Center - Yampa Valley Medical Center | Steamboat Springs — uchealth.org
UCHealth Orthopedics - Yampa Valley Medical Center — uchealth.org
UCHealth Radiology - Yampa Valley Medical Center | Steamboat Springs — uchealth.org
UCHealth Surgery – Yampa Valley Medical Center | Steamboat Springs — uchealth.org
UCHealth Cardiac Rehabilitation – Yampa Valley | Steamboat Springs — uchealth.org
UCHealth Pulmonary Rehabilitation - Yampa Valley Medical Center — uchealth.org
UCHealth Laboratory – Yampa Valley Medical Center | Steamboat Springs — uchealth.org

UCHealth Yampa Valley Medical Center

Summary

Profile from official sources

At a glance