Does Vail Health Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Vail Health Hospital. In a medical emergency, call 911.

Where is Vail Health Hospital?

181 W Meadow Dr, Vail, CO 81657, in Eagle County, Colorado.

What is the phone number of Vail Health Hospital?

(970) 476-2451, as listed by Medicare (CMS).

What is the Medicare star rating of Vail Health Hospital?

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

Vail Health Hospital — Vail, CO

Quick answers

Does Vail Health Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Vail Health Hospital. In a medical emergency, call 911.
Where is Vail Health Hospital?: 181 W Meadow Dr, Vail, CO 81657, in Eagle County, Colorado.
What is the phone number of Vail Health Hospital?: (970) 476-2451, as listed by Medicare (CMS).
What is the Medicare star rating of Vail Health Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Emergency medicine
Imaging and radiology
Surgery
Cardiology (Cardiac Clinic)
Cardiac rehabilitation
Urgent care
Sports medicine (Howard Head Sports Medicine)
Behavioral health crisis care

Procedures^[4]

Robotic surgery (da Vinci)

Programs and centers^[5]

Victim First Care (SANE/forensic nurse exams, at Avon Urgent Care)
Crisis and Community Support team (24/7)

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

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	Patient parking on levels 1 and 2 of the hospital garage; drop-off at the front entrance off South Frontage Road West^[4]

Doctors and clinicians (346)

346 doctors and other clinicians list Vail Health Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (346)

Aashish Kabra, MDUrology
Adam S. Montoya, MDAnesthesiology
Adele R. Morano, MDFamily Practice
Alexander R. Menter, MDHematology/Oncology
Alexander T. Urquhart, MDMedical Oncology
Alexandra S. McKenzie, MDDiagnostic Radiology
Alexis M. Taylor, MDNeurology
Alfredo A. Do Pico, MDAnesthesiology
Ali S. Noorzad, MDOrthopedic Surgery
Alison Allen, MDNeuropsychiatry
Alison Bakowski, PAPhysician Assistant
Allisa R. Corsbie, NPNurse Practitioner
Amelia R. Pietraccini, PAPhysician Assistant
Andre-Paul P. Michaud, MDAnesthesiology
Andrea P. Hutchinson, NPNurse Practitioner
Andrea Tschannerl, NPNurse Practitioner
Andreas Mykoniatis, MDHospitalist
Andrew A. Hill, MDDiagnostic Radiology
Andrew A. Nyberg, MDEmergency Medicine
Andrew P. Knerl, MDInternal Medicine
Andrew P. Lucic, MDAnesthesiology
Angela J. Ammon, MDFamily Practice
Anna J. Pradka, CNACertified Registered Nurse Anesthetist (CRNA)
Annemarie P. Whiddon, MDRheumatology

And 322 more: the button below opens the full list.

Other emergency rooms nearby

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

St Anthony Summit Medical Center14 mi · Frisco, CO · Acute Care Hospital
St Vincent General Hospital District28 mi · Leadville, CO · Critical Access Hospital
Middle Park Medical Center29 mi · Kremmling, CO · Critical Access Hospital
Aspen Valley Hospital District40 mi · Aspen, CO · Critical Access Hospital
Valley View Hospital Association51 mi · Glenwood Springs, CO · Acute Care Hospital

Other hospitals nearby

UCHealth Yampa Valley Medical Center61 mi · Steamboat Springs, CO · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Outpatient surgery centers nearby

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

Vail Valley Surgery Center Vail2.7 mi · Vail, CO
Vail Valley Surgery Center Edwards12 mi · Edwards, CO
Peak One Surgery Center LLC14 mi · Frisco, 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

Mountain Family Health Centers Avon School Based Health Center7.1 mi · Avon, CO · Community health center
MOUNTAIN FAMILY HEALTH CENTERS Avon7.7 mi · Avon, CO · Community health center
Mountain Family Health Centers Avon School-Based Health Center8.5 mi · Avon, CO · Community health center

Clinics and urgent care

Colorado Mountain Medical, LLC2.7 mi · Vail, CO · Urgent care center
Colorado Mountain Medical, LLC7.1 mi · Avon, CO · Urgent care center
VVMC Diversified Services7.1 mi · Avon, CO · Urgent care center

Pharmacies

Walgreen Co7.1 mi · Avon, CO · Community/retail pharmacy
Walmart Inc.7.1 mi · Avon, CO · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	83%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	85%National average: 80%
Staff “always” explained medicines before giving them	65%National average: 62%
Were given information about recovery at home	92%National average: 86%
Room and bathroom “always” clean	84%National average: 74%
Area around the room “always” quiet at night	72%National average: 60%
Completed surveys	309Response rate: 25%

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	0Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.2%
Deaths within 30 days: heart failure patients	9.8%
Deaths within 30 days: pneumonia patients	11.8%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	3.7%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.8%
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	141 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	83%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 67 common services exactly as Vail Health Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OB NEW PT LVL 3 30MIN	$606	$454.50	$118.38 – $551.46
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — All Plans: $551.46 Blue Cross Blue Shield of CO — All Plans: $545.40 Cigna — PPO: $430.26 Medicare B CO JH — All Plans: $118.38 Rocky Mountain Health Plan — Default: $533.28 Tricare West — All Plans: $120.80 UMR United Medical Resources — Default: $406.02 UMR United Medical Resources — HMO: $430.26 UMR United Medical Resources — PPO: $439.35 United Healthcare — Default: $547.22
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT NEW LEVEL 3 RAD ONC	$288	$216	$118.38 – $262.08
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — All Plans: $262.08 Blue Cross Blue Shield of CO — All Plans: $259.20 Cigna — PPO: $204.48 Medicare B CO JH — All Plans: $118.38 Rocky Mountain Health Plan — Default: $253.44 Tricare West — All Plans: $120.80 UMR United Medical Resources — Default: $192.96 UMR United Medical Resources — HMO: $204.48 UMR United Medical Resources — PPO: $208.80 United Healthcare — Default: $260.06
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT NEW PT LVL 3 30MIN	$288	$216	$118.38 – $262.08
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna — All Plans: $262.08 Blue Cross Blue Shield of CO — All Plans: $259.20 Cigna — PPO: $204.48 Medicare B CO JH — All Plans: $118.38 Rocky Mountain Health Plan — Default: $253.44 Tricare West — All Plans: $120.80 UMR United Medical Resources — Default: $192.96 UMR United Medical Resources — HMO: $204.48 UMR United Medical Resources — PPO: $208.80 United Healthcare — Default: $260.06
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OB NEW PT LVL 4 45MIN	$867	$650.25	$178.29 – $788.97
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — All Plans: $788.97 Blue Cross Blue Shield of CO — All Plans: $780.30 Cigna — PPO: $615.57 Medicare B CO JH — All Plans: $178.29 Rocky Mountain Health Plan — Default: $762.96 Tricare West — All Plans: $181.93 UMR United Medical Resources — Default: $580.89 UMR United Medical Resources — HMO: $615.57 UMR United Medical Resources — PPO: $628.58 United Healthcare — Default: $782.90
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT NEW LEVEL 4 RAD ONC	$374	$280.50	$178.29 – $340.34
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — All Plans: $340.34 Blue Cross Blue Shield of CO — All Plans: $336.60 Cigna — PPO: $265.54 Medicare B CO JH — All Plans: $178.29 Rocky Mountain Health Plan — Default: $329.12 Tricare West — All Plans: $181.93 UMR United Medical Resources — Default: $250.58 UMR United Medical Resources — HMO: $265.54 UMR United Medical Resources — PPO: $271.15 United Healthcare — Default: $337.72
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT NEW PT LVL 4 45MIN	$374	$280.50	$178.29 – $340.34
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna — All Plans: $340.34 Blue Cross Blue Shield of CO — All Plans: $336.60 Cigna — PPO: $265.54 Medicare B CO JH — All Plans: $178.29 Rocky Mountain Health Plan — Default: $329.12 Tricare West — All Plans: $181.93 UMR United Medical Resources — Default: $250.58 UMR United Medical Resources — HMO: $265.54 UMR United Medical Resources — PPO: $271.15 United Healthcare — Default: $337.72
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OB NEW PT LVL 5 60MIN	$937	$702.75	$237.64 – $852.67
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — All Plans: $852.67 Blue Cross Blue Shield of CO — All Plans: $843.30 Cigna — PPO: $665.27 Medicare B CO JH — All Plans: $237.64 Rocky Mountain Health Plan — Default: $824.56 Tricare West — All Plans: $242.48 UMR United Medical Resources — Default: $627.79 UMR United Medical Resources — HMO: $665.27 UMR United Medical Resources — PPO: $679.32 United Healthcare — Default: $846.11
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT NEW LEVEL 5 RAD ONC	$436	$327	$237.64 – $396.76
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — All Plans: $396.76 Blue Cross Blue Shield of CO — All Plans: $392.40 Cigna — PPO: $309.56 Medicare B CO JH — All Plans: $237.64 Rocky Mountain Health Plan — Default: $383.68 Tricare West — All Plans: $242.48 UMR United Medical Resources — Default: $292.12 UMR United Medical Resources — HMO: $309.56 UMR United Medical Resources — PPO: $316.10 United Healthcare — Default: $393.71
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT NEW PT LVL 5 60MIN	$436	$327	$237.64 – $396.76
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna — All Plans: $396.76 Blue Cross Blue Shield of CO — All Plans: $392.40 Cigna — PPO: $309.56 Medicare B CO JH — All Plans: $237.64 Rocky Mountain Health Plan — Default: $383.68 Tricare West — All Plans: $242.48 UMR United Medical Resources — Default: $292.12 UMR United Medical Resources — HMO: $309.56 UMR United Medical Resources — PPO: $316.10 United Healthcare — Default: $393.71
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: LACTATION CONSULT LVL 3 20MIN NSG	$227	$170.25	$96.22 – $206.57
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — All Plans: $206.57 Blue Cross Blue Shield of CO — All Plans: $204.30 Cigna — PPO: $161.17 Medicare B CO JH — All Plans: $96.22 Rocky Mountain Health Plan — Default: $199.76 Tricare West — All Plans: $98.17 UMR United Medical Resources — Default: $152.09 UMR United Medical Resources — HMO: $161.17 UMR United Medical Resources — PPO: $164.58 United Healthcare — Default: $204.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OB EST PT LVL 3 20MIN	$516	$387	$96.22 – $469.56
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — All Plans: $469.56 Blue Cross Blue Shield of CO — All Plans: $464.40 Cigna — PPO: $366.36 Medicare B CO JH — All Plans: $96.22 Rocky Mountain Health Plan — Default: $454.08 Tricare West — All Plans: $98.17 UMR United Medical Resources — Default: $345.72 UMR United Medical Resources — HMO: $366.36 UMR United Medical Resources — PPO: $374.10 United Healthcare — Default: $465.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT EST LEVEL 3 RAD ONC	$132	$99	$88.44 – $120.12
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna — All Plans: $120.12 Blue Cross Blue Shield of CO — All Plans: $118.80 Cigna — PPO: $93.72 Medicare B CO JH — All Plans: $96.22 Rocky Mountain Health Plan — Default: $116.16 Tricare West — All Plans: $98.17 UMR United Medical Resources — Default: $88.44 UMR United Medical Resources — HMO: $93.72 UMR United Medical Resources — PPO: $95.70 United Healthcare — Default: $119.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OB EST PT LVL 4 30MIN	$721	$540.75	$136.84 – $656.11
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — All Plans: $656.11 Blue Cross Blue Shield of CO — All Plans: $648.90 Cigna — PPO: $511.91 Medicare B CO JH — All Plans: $136.84 Rocky Mountain Health Plan — Default: $634.48 Tricare West — All Plans: $139.63 UMR United Medical Resources — Default: $483.07 UMR United Medical Resources — HMO: $511.91 UMR United Medical Resources — PPO: $522.72 United Healthcare — Default: $651.06
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OUTPATIENT VISIT EST LEVEL 4 RAD ONC	$164	$123	$109.88 – $149.24
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — All Plans: $149.24 Blue Cross Blue Shield of CO — All Plans: $147.60 Cigna — PPO: $116.44 Medicare B CO JH — All Plans: $136.84 Rocky Mountain Health Plan — Default: $144.32 Tricare West — All Plans: $139.63 UMR United Medical Resources — Default: $109.88 UMR United Medical Resources — HMO: $116.44 UMR United Medical Resources — PPO: $118.90 United Healthcare — Default: $148.09
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT EST PT LVL 4 30MIN	$164	$123	$109.88 – $149.24
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna — All Plans: $149.24 Blue Cross Blue Shield of CO — All Plans: $147.60 Cigna — PPO: $116.44 Medicare B CO JH — All Plans: $136.84 Rocky Mountain Health Plan — Default: $144.32 Tricare West — All Plans: $139.63 UMR United Medical Resources — Default: $109.88 UMR United Medical Resources — HMO: $116.44 UMR United Medical Resources — PPO: $118.90 United Healthcare — Default: $148.09
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: WC Consult Comprehensive 60 Min	$480	$360	$165.01 – $436.80
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — All Plans: $436.80 Blue Cross Blue Shield of CO — All Plans: $432 Cigna — PPO: $340.80 Rocky Mountain Health Plan — Default: $422.40 Tricare West — All Plans: $165.01 UMR United Medical Resources — Default: $321.60 UMR United Medical Resources — HMO: $340.80 UMR United Medical Resources — PPO: $348
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: 99385 INITIAL PM 18-39 YEARS NEW	$412	$309	$138.76 – $374.92
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans Aetna — All Plans: $374.92 Blue Cross Blue Shield of CO — All Plans: $370.80 Cigna — PPO: $292.52 Rocky Mountain Health Plan — Default: $362.56 Tricare West — All Plans: $138.76 UMR United Medical Resources — Default: $276.04 UMR United Medical Resources — HMO: $292.52 UMR United Medical Resources — PPO: $298.70 United Healthcare — Default: $372.04
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Initial PM 40-64 Years VHC	$480	$360	$160.15 – $436.80
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans Aetna — All Plans: $436.80 Blue Cross Blue Shield of CO — All Plans: $432 Cigna — PPO: $340.80 Rocky Mountain Health Plan — Default: $422.40 Tricare West — All Plans: $160.15 UMR United Medical Resources — Default: $321.60 UMR United Medical Resources — HMO: $340.80 UMR United Medical Resources — PPO: $348 United Healthcare — Default: $433.44
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 - ED Level 3	$1,129	$846.75	$67.86 – $1,027.39
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — All Plans: $1,027.39 Blue Cross Blue Shield of CO — All Plans: $1,016.10 Cigna — Default: $1,016.10 Cigna — PPO: $801.59 Humana — Medicare Advantage: $302.24 Medicare A CO JH — All Plans: $300.76 Medicare B CO JH — All Plans: $67.86 Rocky Mountain Health Plan — Default: $993.52 Rocky Mountain Health Plan — Medicare Advantage: $308.41 Tricare West — All Plans: $287.96
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER VISIT LEVEL III ED NSG	$1,129	$846.75	$67.86 – $1,027.39
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — All Plans: $1,027.39 Blue Cross Blue Shield of CO — All Plans: $1,016.10 Cigna — Default: $1,016.10 Cigna — PPO: $801.59 Humana — Medicare Advantage: $302.24 Medicare A CO JH — All Plans: $300.76 Medicare B CO JH — All Plans: $67.86 Rocky Mountain Health Plan — Default: $993.52 Rocky Mountain Health Plan — Medicare Advantage: $308.41 Tricare West — All Plans: $287.96
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 CONSULTATION ED LVL 3 MODERATE	$217	$162.75	$67.86 – $308.41
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — All Plans: $197.47 Blue Cross Blue Shield of CO — All Plans: $195.30 Cigna — Default: $195.30 Cigna — PPO: $154.07 Humana — Medicare Advantage: $217 Medicare A CO JH — All Plans: $300.76 Medicare B CO JH — All Plans: $67.86 Rocky Mountain Health Plan — Default: $190.96 Rocky Mountain Health Plan — Medicare Advantage: $308.41 Tricare West — All Plans: $217
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 - ED Level 4	$1,928	$1,446	$115.39 – $1,754.48
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — All Plans: $1,754.48 Blue Cross Blue Shield of CO — All Plans: $1,735.20 Cigna — Default: $1,735.20 Cigna — PPO: $1,368.88 Humana — Medicare Advantage: $461.98 Medicare A CO JH — All Plans: $459.72 Medicare B CO JH — All Plans: $115.39 Rocky Mountain Health Plan — Default: $1,696.64 Rocky Mountain Health Plan — Medicare Advantage: $471.41 Tricare West — All Plans: $440.16
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER VISIT LEVEL IV ED NSG	$1,928	$1,446	$115.39 – $1,754.48
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — All Plans: $1,754.48 Blue Cross Blue Shield of CO — All Plans: $1,735.20 Cigna — Default: $1,735.20 Cigna — PPO: $1,368.88 Humana — Medicare Advantage: $461.98 Medicare A CO JH — All Plans: $459.72 Medicare B CO JH — All Plans: $115.39 Rocky Mountain Health Plan — Default: $1,696.64 Rocky Mountain Health Plan — Medicare Advantage: $471.41 Tricare West — All Plans: $440.16
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 CONSULTATION ED LVL 4 HIGH/URGENT	$411	$308.25	$115.39 – $471.41
Emergency room visit (moderately high): 10 of 14 insurance plan rates Aetna — All Plans: $374.01 Blue Cross Blue Shield of CO — All Plans: $369.90 Cigna — Default: $369.90 Cigna — PPO: $291.81 Humana — Medicare Advantage: $411 Medicare A CO JH — All Plans: $459.72 Medicare B CO JH — All Plans: $115.39 Rocky Mountain Health Plan — Default: $361.68 Rocky Mountain Health Plan — Medicare Advantage: $471.41 Tricare West — All Plans: $411
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 - ED Level 5	$3,549	$2,661.75	$167.41 – $3,229.59
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — All Plans: $3,229.59 Blue Cross Blue Shield of CO — All Plans: $3,194.10 Cigna — Default: $3,194.10 Cigna — PPO: $2,519.79 Humana — Medicare Advantage: $659.36 Medicare A CO JH — All Plans: $656.13 Medicare B CO JH — All Plans: $167.41 Rocky Mountain Health Plan — Default: $3,123.12 Rocky Mountain Health Plan — Medicare Advantage: $672.82 Tricare West — All Plans: $628.22
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER VISIT LEVEL V ED NSG	$3,549	$2,661.75	$167.41 – $3,229.59
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — All Plans: $3,229.59 Blue Cross Blue Shield of CO — All Plans: $3,194.10 Cigna — Default: $3,194.10 Cigna — PPO: $2,519.79 Humana — Medicare Advantage: $659.36 Medicare A CO JH — All Plans: $656.13 Medicare B CO JH — All Plans: $167.41 Rocky Mountain Health Plan — Default: $3,123.12 Rocky Mountain Health Plan — Medicare Advantage: $672.82 Tricare West — All Plans: $628.22
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 CONSULTATION ED LVL 5 HIGH/LIFE THRTN	$609	$456.75	$167.41 – $672.82
Emergency room visit (high): 10 of 14 insurance plan rates Aetna — All Plans: $554.19 Blue Cross Blue Shield of CO — All Plans: $548.10 Cigna — Default: $548.10 Cigna — PPO: $432.39 Humana — Medicare Advantage: $609 Medicare A CO JH — All Plans: $656.13 Medicare B CO JH — All Plans: $167.41 Rocky Mountain Health Plan — Default: $535.92 Rocky Mountain Health Plan — Medicare Advantage: $672.82 Tricare West — All Plans: $609

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Profile-Shaw Only	$101	$75.75	$7.50 – $91.91
Basic metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — All Plans: $91.91 Blue Cross Blue Shield of CO — All Plans: $90.90 Cigna — Default: $90.90 Cigna — PPO: $71.71 Humana — Medicare Advantage: $8.29 Medicare A CO JH — All Plans: $8.29 Medicare B CO JH — All Plans: $8.29 Rocky Mountain Health Plan — Default: $88.88 Rocky Mountain Health Plan — Medicare Advantage: $8.46 Tricare West — All Plans: $7.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel	$220	$165	$7.50 – $200.20
Basic metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — All Plans: $200.20 Blue Cross Blue Shield of CO — All Plans: $198 Cigna — Default: $198 Cigna — PPO: $156.20 Humana — Medicare Advantage: $8.29 Medicare A CO JH — All Plans: $8.29 Medicare B CO JH — All Plans: $8.29 Rocky Mountain Health Plan — Default: $193.60 Rocky Mountain Health Plan — Medicare Advantage: $8.46 Tricare West — All Plans: $7.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: POC Comprehensive Metabolic Profile	$335	$251.25	$9.36 – $304.85
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — All Plans: $304.85 Blue Cross Blue Shield of CO — All Plans: $301.50 Cigna — Default: $301.50 Cigna — PPO: $237.85 Humana — Medicare Advantage: $10.35 Medicare A CO JH — All Plans: $10.35 Medicare B CO JH — All Plans: $10.35 Rocky Mountain Health Plan — Default: $294.80 Rocky Mountain Health Plan — Medicare Advantage: $10.56 Tricare West — All Plans: $9.36
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Profile-Shaw	$136	$102	$9.36 – $123.76
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — All Plans: $123.76 Blue Cross Blue Shield of CO — All Plans: $122.40 Cigna — Default: $122.40 Cigna — PPO: $96.56 Humana — Medicare Advantage: $10.35 Medicare A CO JH — All Plans: $10.35 Medicare B CO JH — All Plans: $10.35 Rocky Mountain Health Plan — Default: $119.68 Rocky Mountain Health Plan — Medicare Advantage: $10.56 Tricare West — All Plans: $9.36
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$368	$276	$9.36 – $334.88
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — All Plans: $334.88 Blue Cross Blue Shield of CO — All Plans: $331.20 Cigna — Default: $331.20 Cigna — PPO: $261.28 Humana — Medicare Advantage: $10.35 Medicare A CO JH — All Plans: $10.35 Medicare B CO JH — All Plans: $10.35 Rocky Mountain Health Plan — Default: $323.84 Rocky Mountain Health Plan — Medicare Advantage: $10.56 Tricare West — All Plans: $9.36
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: Obstetric Prenatal Panel	$509	$381.75	$46.85 – $463.19
Obstetric blood test panel: 10 of 15 insurance plan rates Aetna — All Plans: $463.19 Blue Cross Blue Shield of CO — All Plans: $458.10 Cigna — Default: $458.10 Cigna — PPO: $361.39 Humana — Medicare Advantage: $46.85 Medicare A CO JH — All Plans: $46.85 Medicare B CO JH — All Plans: $46.85 Rocky Mountain Health Plan — Default: $447.92 Rocky Mountain Health Plan — Medicare Advantage: $47.81 Tricare West — All Plans: $55.46
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Total Cholesterol-ARUP	$60	$45	$11.87 – $54.60
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates Aetna — All Plans: $54.60 Blue Cross Blue Shield of CO — All Plans: $54 Cigna — Default: $54 Cigna — PPO: $42.60 Humana — Medicare Advantage: $13.12 Medicare A CO JH — All Plans: $13.12 Medicare B CO JH — All Plans: $13.12 Rocky Mountain Health Plan — Default: $52.80 Rocky Mountain Health Plan — Medicare Advantage: $13.39 Tricare West — All Plans: $11.87
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel w/Measured LDL	$118	$88.50	$11.87 – $107.38
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates Aetna — All Plans: $107.38 Blue Cross Blue Shield of CO — All Plans: $106.20 Cigna — Default: $106.20 Cigna — PPO: $83.78 Humana — Medicare Advantage: $13.12 Medicare A CO JH — All Plans: $13.12 Medicare B CO JH — All Plans: $13.12 Rocky Mountain Health Plan — Default: $103.84 Rocky Mountain Health Plan — Medicare Advantage: $13.39 Tricare West — All Plans: $11.87
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel, Extended Send Out	$128	$96	$11.87 – $116.48
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates Aetna — All Plans: $116.48 Blue Cross Blue Shield of CO — All Plans: $115.20 Cigna — Default: $115.20 Cigna — PPO: $90.88 Humana — Medicare Advantage: $13.12 Medicare A CO JH — All Plans: $13.12 Medicare B CO JH — All Plans: $13.12 Rocky Mountain Health Plan — Default: $112.64 Rocky Mountain Health Plan — Medicare Advantage: $13.39 Tricare West — All Plans: $11.87
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$282	$211.50	$7.70 – $256.62
Kidney function panel: 10 of 15 insurance plan rates Aetna — All Plans: $256.62 Blue Cross Blue Shield of CO — All Plans: $253.80 Cigna — Default: $253.80 Cigna — PPO: $200.22 Humana — Medicare Advantage: $8.51 Medicare A CO JH — All Plans: $8.51 Medicare B CO JH — All Plans: $8.51 Rocky Mountain Health Plan — Default: $248.16 Rocky Mountain Health Plan — Medicare Advantage: $8.68 Tricare West — All Plans: $7.70
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$215	$161.25	$7.25 – $195.65
Liver function panel: 10 of 15 insurance plan rates Aetna — All Plans: $195.65 Blue Cross Blue Shield of CO — All Plans: $193.50 Cigna — Default: $193.50 Cigna — PPO: $152.65 Humana — Medicare Advantage: $8.01 Medicare A CO JH — All Plans: $8.01 Medicare B CO JH — All Plans: $8.01 Rocky Mountain Health Plan — Default: $189.20 Rocky Mountain Health Plan — Medicare Advantage: $8.17 Tricare West — All Plans: $7.25
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis and Microscopic	$125	$93.75	$2.81 – $113.75
Urine test (automated, with microscope): 10 of 15 insurance plan rates Aetna — All Plans: $113.75 Blue Cross Blue Shield of CO — All Plans: $112.50 Cigna — Default: $112.50 Cigna — PPO: $88.75 Humana — Medicare Advantage: $3.11 Medicare A CO JH — All Plans: $3.11 Medicare B CO JH — All Plans: $3.11 Rocky Mountain Health Plan — Default: $110 Rocky Mountain Health Plan — Medicare Advantage: $3.17 Tricare West — All Plans: $2.81
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: 81001 URINALYSIS AUTOMATED W/MICRO	$31	$23.25	$2.81 – $28.21
Urine test (automated, with microscope): 10 of 15 insurance plan rates Aetna — All Plans: $28.21 Blue Cross Blue Shield of CO — All Plans: $27.90 Cigna — Default: $27.90 Cigna — PPO: $22.01 Humana — Medicare Advantage: $3.43 Medicare A CO JH — All Plans: $3.41 Medicare B CO JH — All Plans: $3.11 Rocky Mountain Health Plan — Default: $27.28 Rocky Mountain Health Plan — Medicare Advantage: $3.50 Tricare West — All Plans: $2.81
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis with Microscopic	$67	$50.25	$2.81 – $60.97
Urine test (automated, with microscope): 10 of 15 insurance plan rates Aetna — All Plans: $60.97 Blue Cross Blue Shield of CO — All Plans: $60.30 Cigna — Default: $60.30 Cigna — PPO: $47.57 Humana — Medicare Advantage: $3.11 Medicare A CO JH — All Plans: $3.11 Medicare B CO JH — All Plans: $3.11 Rocky Mountain Health Plan — Default: $58.96 Rocky Mountain Health Plan — Medicare Advantage: $3.17 Tricare West — All Plans: $2.81
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis Dipstick Waived ED NSG	$52	$39	$3.09 – $47.32
Urine test (manual, without microscope): 10 of 15 insurance plan rates Aetna — All Plans: $47.32 Blue Cross Blue Shield of CO — All Plans: $46.80 Cigna — Default: $46.80 Cigna — PPO: $36.92 Humana — Medicare Advantage: $3.41 Medicare A CO JH — All Plans: $3.41 Medicare B CO JH — All Plans: $3.41 Rocky Mountain Health Plan — Default: $45.76 Rocky Mountain Health Plan — Medicare Advantage: $3.48 Tricare West — All Plans: $3.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: 81002 URINALYSIS NONAUTO W/O SCOPE	$14	$10.50	$3.09 – $12.74
Urine test (manual, without microscope): 10 of 15 insurance plan rates Aetna — All Plans: $12.74 Blue Cross Blue Shield of CO — All Plans: $12.60 Cigna — Default: $12.60 Cigna — PPO: $9.94 Humana — Medicare Advantage: $3.76 Medicare A CO JH — All Plans: $3.74 Medicare B CO JH — All Plans: $3.41 Rocky Mountain Health Plan — Default: $12.32 Rocky Mountain Health Plan — Medicare Advantage: $3.84 Tricare West — All Plans: $3.09
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Reducing Substance Urine	$38	$28.50	$3.09 – $34.58
Urine test (manual, without microscope): 10 of 15 insurance plan rates Aetna — All Plans: $34.58 Blue Cross Blue Shield of CO — All Plans: $34.20 Cigna — Default: $34.20 Cigna — PPO: $26.98 Humana — Medicare Advantage: $3.41 Medicare A CO JH — All Plans: $3.41 Medicare B CO JH — All Plans: $3.41 Rocky Mountain Health Plan — Default: $33.44 Rocky Mountain Health Plan — Medicare Advantage: $3.48 Tricare West — All Plans: $3.09
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Dispstick Automated	$101	$75.75	$2 – $91.91
Urine test (automated, without microscope): 10 of 15 insurance plan rates Aetna — All Plans: $91.91 Blue Cross Blue Shield of CO — All Plans: $90.90 Cigna — Default: $90.90 Cigna — PPO: $71.71 Humana — Medicare Advantage: $2.20 Medicare A CO JH — All Plans: $2.20 Medicare B CO JH — All Plans: $2.20 Rocky Mountain Health Plan — Default: $88.88 Rocky Mountain Health Plan — Medicare Advantage: $2.25 Tricare West — All Plans: $2
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: POC Urinalysis Dipstick	$75	$56.25	$2 – $68.25
Urine test (automated, without microscope): 10 of 15 insurance plan rates Aetna — All Plans: $68.25 Blue Cross Blue Shield of CO — All Plans: $67.50 Cigna — Default: $67.50 Cigna — PPO: $53.25 Humana — Medicare Advantage: $2.20 Medicare A CO JH — All Plans: $2.20 Medicare B CO JH — All Plans: $2.20 Rocky Mountain Health Plan — Default: $66 Rocky Mountain Health Plan — Medicare Advantage: $2.25 Tricare West — All Plans: $2
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA multistick Waived ED NSG	$245	$183.75	$2 – $222.95
Urine test (automated, without microscope): 10 of 15 insurance plan rates Aetna — All Plans: $222.95 Blue Cross Blue Shield of CO — All Plans: $220.50 Cigna — Default: $220.50 Cigna — PPO: $173.95 Humana — Medicare Advantage: $2.20 Medicare A CO JH — All Plans: $2.20 Medicare B CO JH — All Plans: $2.20 Rocky Mountain Health Plan — Default: $215.60 Rocky Mountain Health Plan — Medicare Advantage: $2.25 Tricare West — All Plans: $2
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Ultrasensitive ARUP	$222	$166.50	$16.31 – $202.02
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates Aetna — All Plans: $202.02 Blue Cross Blue Shield of CO — All Plans: $199.80 Cigna — Default: $199.80 Cigna — PPO: $157.62 Humana — Medicare Advantage: $18.02 Medicare A CO JH — All Plans: $18.02 Medicare B CO JH — All Plans: $18.02 Rocky Mountain Health Plan — Default: $195.36 Rocky Mountain Health Plan — Medicare Advantage: $18.39 Tricare West — All Plans: $16.31
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Total Diagnostic	$203	$152.25	$16.31 – $184.73
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates Aetna — All Plans: $184.73 Blue Cross Blue Shield of CO — All Plans: $182.70 Cigna — Default: $182.70 Cigna — PPO: $144.13 Humana — Medicare Advantage: $18.02 Medicare A CO JH — All Plans: $18.02 Medicare B CO JH — All Plans: $18.02 Rocky Mountain Health Plan — Default: $178.64 Rocky Mountain Health Plan — Medicare Advantage: $18.39 Tricare West — All Plans: $16.31
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA In House	$203	$152.25	$16.31 – $184.73
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates Aetna — All Plans: $184.73 Blue Cross Blue Shield of CO — All Plans: $182.70 Cigna — Default: $182.70 Cigna — PPO: $144.13 Humana — Medicare Advantage: $18.02 Medicare A CO JH — All Plans: $18.02 Medicare B CO JH — All Plans: $18.02 Rocky Mountain Health Plan — Default: $178.64 Rocky Mountain Health Plan — Medicare Advantage: $18.39 Tricare West — All Plans: $16.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Urticaria Inducing Activity w/Thyroid Abs,TSH	$206	$154.50	$14.90 – $187.46
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates Aetna — All Plans: $187.46 Blue Cross Blue Shield of CO — All Plans: $185.40 Cigna — Default: $185.40 Cigna — PPO: $146.26 Humana — Medicare Advantage: $16.46 Medicare A CO JH — All Plans: $16.46 Medicare B CO JH — All Plans: $16.46 Rocky Mountain Health Plan — Default: $181.28 Rocky Mountain Health Plan — Medicare Advantage: $16.80 Tricare West — All Plans: $14.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone w/Reflex Thyroxine	$195	$146.25	$14.90 – $177.45
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates Aetna — All Plans: $177.45 Blue Cross Blue Shield of CO — All Plans: $175.50 Cigna — Default: $175.50 Cigna — PPO: $138.45 Humana — Medicare Advantage: $16.46 Medicare A CO JH — All Plans: $16.46 Medicare B CO JH — All Plans: $16.46 Rocky Mountain Health Plan — Default: $171.60 Rocky Mountain Health Plan — Medicare Advantage: $16.80 Tricare West — All Plans: $14.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone	$195	$146.25	$14.90 – $177.45
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates Aetna — All Plans: $177.45 Blue Cross Blue Shield of CO — All Plans: $175.50 Cigna — Default: $175.50 Cigna — PPO: $138.45 Humana — Medicare Advantage: $16.46 Medicare A CO JH — All Plans: $16.46 Medicare B CO JH — All Plans: $16.46 Rocky Mountain Health Plan — Default: $171.60 Rocky Mountain Health Plan — Medicare Advantage: $16.80 Tricare West — All Plans: $14.90
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Differential	$172	$129	$6.89 – $156.52
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates Aetna — All Plans: $156.52 Blue Cross Blue Shield of CO — All Plans: $154.80 Cigna — Default: $154.80 Cigna — PPO: $122.12 Humana — Medicare Advantage: $7.61 Medicare A CO JH — All Plans: $7.61 Medicare B CO JH — All Plans: $7.61 Rocky Mountain Health Plan — Default: $151.36 Rocky Mountain Health Plan — Medicare Advantage: $7.77 Tricare West — All Plans: $6.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Inhibitor Assay PT w/Reflex 1:1 Mix	$75	$56.25	$3.80 – $68.25
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates Aetna — All Plans: $68.25 Blue Cross Blue Shield of CO — All Plans: $67.50 Cigna — Default: $67.50 Cigna — PPO: $53.25 Humana — Medicare Advantage: $4.20 Medicare A CO JH — All Plans: $4.20 Medicare B CO JH — All Plans: $4.20 Rocky Mountain Health Plan — Default: $66 Rocky Mountain Health Plan — Medicare Advantage: $4.29 Tricare West — All Plans: $3.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 PROTHROMBIN TIME	$24	$18	$3.80 – $21.84
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates Aetna — All Plans: $21.84 Blue Cross Blue Shield of CO — All Plans: $21.60 Cigna — Default: $21.60 Cigna — PPO: $17.04 Humana — Medicare Advantage: $4.20 Medicare A CO JH — All Plans: $4.20 Medicare B CO JH — All Plans: $4.20 Rocky Mountain Health Plan — Default: $21.12 Rocky Mountain Health Plan — Medicare Advantage: $4.29 Tricare West — All Plans: $3.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time-ARUP	$75	$56.25	$3.80 – $68.25
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates Aetna — All Plans: $68.25 Blue Cross Blue Shield of CO — All Plans: $67.50 Cigna — Default: $67.50 Cigna — PPO: $53.25 Humana — Medicare Advantage: $4.20 Medicare A CO JH — All Plans: $4.20 Medicare B CO JH — All Plans: $4.20 Rocky Mountain Health Plan — Default: $66 Rocky Mountain Health Plan — Medicare Advantage: $4.29 Tricare West — All Plans: $3.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Inhibitor Assay PTT w/Reflex 1:1 Mix	$88	$66	$5.33 – $80.08
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates Aetna — All Plans: $80.08 Blue Cross Blue Shield of CO — All Plans: $79.20 Cigna — Default: $79.20 Cigna — PPO: $62.48 Humana — Medicare Advantage: $5.89 Medicare A CO JH — All Plans: $5.89 Medicare B CO JH — All Plans: $5.89 Rocky Mountain Health Plan — Default: $77.44 Rocky Mountain Health Plan — Medicare Advantage: $6.01 Tricare West — All Plans: $5.33
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT Inh 1 Hour-ARUP	$88	$66	$5.33 – $80.08
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates Aetna — All Plans: $80.08 Blue Cross Blue Shield of CO — All Plans: $79.20 Cigna — Default: $79.20 Cigna — PPO: $62.48 Humana — Medicare Advantage: $5.89 Medicare A CO JH — All Plans: $5.89 Medicare B CO JH — All Plans: $5.89 Rocky Mountain Health Plan — Default: $77.44 Rocky Mountain Health Plan — Medicare Advantage: $6.01 Tricare West — All Plans: $5.33
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT-LA Ratio-ARUP	$87	$65.25	$5.33 – $79.17
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates Aetna — All Plans: $79.17 Blue Cross Blue Shield of CO — All Plans: $78.30 Cigna — Default: $78.30 Cigna — PPO: $61.77 Humana — Medicare Advantage: $5.89 Medicare A CO JH — All Plans: $5.89 Medicare B CO JH — All Plans: $5.89 Rocky Mountain Health Plan — Default: $76.56 Rocky Mountain Health Plan — Medicare Advantage: $6.01 Tricare West — All Plans: $5.33

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 · Inpatient or outpatient In the file: CT Head or Brain w/o Contrast	$1,965	$1,473.75	$108.07 – $1,788.15
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates Aetna — All Plans: $1,788.15 Blue Cross Blue Shield of CO — All Plans: $1,768.50 Cigna — Default: $1,768.50 Cigna — PPO: $695 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $109.13 Rocky Mountain Health Plan — Default: $1,729.20 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain w/ + w/o Contrast	$310	$232.50	$207.70 – $394.15
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates Aetna — All Plans: $282.10 Blue Cross Blue Shield of CO — All Plans: $279 Cigna — Default: $279 Cigna — PPO: $220.10 Humana — Medicare Advantage: $310 Medicare A CO JH — All Plans: $384.38 Medicare B CO JH — All Plans: $303.80 Rocky Mountain Health Plan — Default: $272.80 Rocky Mountain Health Plan — Medicare Advantage: $394.15 Tricare West — All Plans: $310
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views w/ Obliques	$331	$248.25	$33.94 – $301.21
Chest X-ray, 2 views: 10 of 15 insurance plan rates Aetna — All Plans: $301.21 Blue Cross Blue Shield of CO — All Plans: $297.90 Cigna — Default: $297.90 Cigna — PPO: $235.01 Humana — Medicare Advantage: $96.35 Medicare A CO JH — All Plans: $95.88 Medicare B CO JH — All Plans: $33.94 Rocky Mountain Health Plan — Default: $291.28 Rocky Mountain Health Plan — Medicare Advantage: $98.32 Tricare West — All Plans: $91.80
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views	$331	$248.25	$33.94 – $301.21
Chest X-ray, 2 views: 10 of 15 insurance plan rates Aetna — All Plans: $301.21 Blue Cross Blue Shield of CO — All Plans: $297.90 Cigna — Default: $297.90 Cigna — PPO: $235.01 Humana — Medicare Advantage: $96.35 Medicare A CO JH — All Plans: $95.88 Medicare B CO JH — All Plans: $33.94 Rocky Mountain Health Plan — Default: $291.28 Rocky Mountain Health Plan — Medicare Advantage: $98.32 Tricare West — All Plans: $91.80
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest Decubitus Right	$331	$248.25	$33.94 – $301.21
Chest X-ray, 2 views: 10 of 15 insurance plan rates Aetna — All Plans: $301.21 Blue Cross Blue Shield of CO — All Plans: $297.90 Cigna — Default: $297.90 Cigna — PPO: $235.01 Humana — Medicare Advantage: $96.35 Medicare A CO JH — All Plans: $95.88 Medicare B CO JH — All Plans: $33.94 Rocky Mountain Health Plan — Default: $291.28 Rocky Mountain Health Plan — Medicare Advantage: $98.32 Tricare West — All Plans: $91.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: SEDXR Spine Lumbar AP/LAT/FLEX/EXT	$648	$486	$55.02 – $589.68
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates Aetna — All Plans: $589.68 Blue Cross Blue Shield of CO — All Plans: $583.20 Cigna — Default: $583.20 Cigna — PPO: $460.08 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $55.02 Rocky Mountain Health Plan — Default: $570.24 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral Minimum 4 Views	$195	$146.25	$55.02 – $177.45
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates Aetna — All Plans: $177.45 Blue Cross Blue Shield of CO — All Plans: $175.50 Cigna — Default: $175.50 Cigna — PPO: $138.45 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $55.02 Rocky Mountain Health Plan — Default: $171.60 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumbar w/o Contrast	$194	$145.50	$129.98 – $269.57
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Aetna — All Plans: $176.54 Blue Cross Blue Shield of CO — All Plans: $174.60 Cigna — Default: $174.60 Cigna — PPO: $137.74 Humana — Medicare Advantage: $194 Medicare A CO JH — All Plans: $262.88 Medicare B CO JH — All Plans: $190.12 Rocky Mountain Health Plan — Default: $170.72 Rocky Mountain Health Plan — Medicare Advantage: $269.57 Tricare West — All Plans: $194
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis w/ Contrast	$2,391	$1,793.25	$181.33 – $2,175.81
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates Aetna — All Plans: $2,175.81 Blue Cross Blue Shield of CO — All Plans: $2,151.90 Cigna — Default: $2,151.90 Cigna — PPO: $695 Humana — Medicare Advantage: $194.21 Medicare A CO JH — All Plans: $193.26 Medicare B CO JH — All Plans: $232.68 Rocky Mountain Health Plan — Default: $2,104.08 Rocky Mountain Health Plan — Medicare Advantage: $198.17 Tricare West — All Plans: $185.03
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Ankle w/o Contrast Left	$181	$135.75	$121.27 – $269.57
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Aetna — All Plans: $164.71 Blue Cross Blue Shield of CO — All Plans: $162.90 Cigna — Default: $162.90 Cigna — PPO: $128.51 Humana — Medicare Advantage: $181 Medicare A CO JH — All Plans: $262.88 Medicare B CO JH — All Plans: $177.38 Rocky Mountain Health Plan — Default: $159.28 Rocky Mountain Health Plan — Medicare Advantage: $269.57 Tricare West — All Plans: $181
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Ankle w/o Contrast Right	$181	$135.75	$121.27 – $269.57
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Aetna — All Plans: $164.71 Blue Cross Blue Shield of CO — All Plans: $162.90 Cigna — Default: $162.90 Cigna — PPO: $128.51 Humana — Medicare Advantage: $181 Medicare A CO JH — All Plans: $262.88 Medicare B CO JH — All Plans: $177.38 Rocky Mountain Health Plan — Default: $159.28 Rocky Mountain Health Plan — Medicare Advantage: $269.57 Tricare West — All Plans: $181
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Hip w/o Contrast Left	$181	$135.75	$121.27 – $269.57
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Aetna — All Plans: $164.71 Blue Cross Blue Shield of CO — All Plans: $162.90 Cigna — Default: $162.90 Cigna — PPO: $128.51 Humana — Medicare Advantage: $181 Medicare A CO JH — All Plans: $262.88 Medicare B CO JH — All Plans: $177.38 Rocky Mountain Health Plan — Default: $159.28 Rocky Mountain Health Plan — Medicare Advantage: $269.57 Tricare West — All Plans: $181
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen and Pelvis w/Contrast	$1,029	$771.75	$308.89 – $936.39
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates Aetna — All Plans: $936.39 Blue Cross Blue Shield of CO — All Plans: $926.10 Cigna — Default: $926.10 Cigna — PPO: $730.59 Humana — Medicare Advantage: $386.27 Medicare A CO JH — All Plans: $384.38 Medicare B CO JH — All Plans: $308.89 Rocky Mountain Health Plan — Default: $905.52 Rocky Mountain Health Plan — Medicare Advantage: $394.15 Tricare West — All Plans: $368.02
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete	$426	$319.50	$108.07 – $387.66
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates Aetna — All Plans: $387.66 Blue Cross Blue Shield of CO — All Plans: $383.40 Cigna — Default: $383.40 Cigna — PPO: $302.46 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $117.21 Rocky Mountain Health Plan — Default: $374.88 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OBX EDUS Greater Than 14 Weeks	$903	$677.25	$108.07 – $821.73
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates Aetna — All Plans: $821.73 Blue Cross Blue Shield of CO — All Plans: $812.70 Cigna — Default: $812.70 Cigna — PPO: $641.13 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $139.45 Rocky Mountain Health Plan — Default: $794.64 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Pregnancy After 1st Trimester	$528	$396	$108.07 – $480.48
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates Aetna — All Plans: $480.48 Blue Cross Blue Shield of CO — All Plans: $475.20 Cigna — Default: $475.20 Cigna — PPO: $374.88 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $139.45 Rocky Mountain Health Plan — Default: $464.64 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Bedside US Transvaginal 76830	$672	$504	$108.07 – $611.52
Transvaginal ultrasound: 10 of 15 insurance plan rates Aetna — All Plans: $611.52 Blue Cross Blue Shield of CO — All Plans: $604.80 Cigna — Default: $604.80 Cigna — PPO: $477.12 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $120.89 Rocky Mountain Health Plan — Default: $591.36 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal	$382	$286.50	$108.07 – $347.62
Transvaginal ultrasound: 10 of 15 insurance plan rates Aetna — All Plans: $347.62 Blue Cross Blue Shield of CO — All Plans: $343.80 Cigna — Default: $343.80 Cigna — PPO: $271.22 Humana — Medicare Advantage: $115.75 Medicare A CO JH — All Plans: $115.18 Medicare B CO JH — All Plans: $120.89 Rocky Mountain Health Plan — Default: $336.16 Rocky Mountain Health Plan — Medicare Advantage: $118.11 Tricare West — All Plans: $110.28
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MA Mammo 3D Diagnostic Left w/ CAD DBT	$486	$364.50	$89.32 – $442.26
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — All Plans: $442.26 Blue Cross Blue Shield of CO — All Plans: $437.40 Cigna — Default: $437.40 Cigna — PPO: $345.06 Humana — Medicare Advantage: $89.76 Medicare A CO JH — All Plans: $89.32 Medicare B CO JH — All Plans: $127.31 Rocky Mountain Health Plan — Default: $427.68 Rocky Mountain Health Plan — Medicare Advantage: $91.59 Tricare West — All Plans: $129.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MA Mammo 3D Diagnostic Right w/ CAD DBT	$486	$364.50	$89.32 – $442.26
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — All Plans: $442.26 Blue Cross Blue Shield of CO — All Plans: $437.40 Cigna — Default: $437.40 Cigna — PPO: $345.06 Humana — Medicare Advantage: $89.76 Medicare A CO JH — All Plans: $89.32 Medicare B CO JH — All Plans: $127.31 Rocky Mountain Health Plan — Default: $427.68 Rocky Mountain Health Plan — Medicare Advantage: $91.59 Tricare West — All Plans: $129.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MA Mammo Diagnostic Left w/ CAD	$486	$364.50	$89.32 – $442.26
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — All Plans: $442.26 Blue Cross Blue Shield of CO — All Plans: $437.40 Cigna — Default: $437.40 Cigna — PPO: $345.06 Humana — Medicare Advantage: $89.76 Medicare A CO JH — All Plans: $89.32 Medicare B CO JH — All Plans: $127.31 Rocky Mountain Health Plan — Default: $427.68 Rocky Mountain Health Plan — Medicare Advantage: $91.59 Tricare West — All Plans: $129.91
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA Mammo 3D Diagnostic Bilat w/ CAD DBT	$601	$450.75	$114.52 – $546.91
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Plans: $546.91 Blue Cross Blue Shield of CO — All Plans: $540.90 Cigna — Default: $540.90 Cigna — PPO: $426.71 Humana — Medicare Advantage: $115.09 Medicare A CO JH — All Plans: $114.52 Medicare B CO JH — All Plans: $161.28 Rocky Mountain Health Plan — Default: $528.88 Rocky Mountain Health Plan — Medicare Advantage: $117.44 Tricare West — All Plans: $164.57
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA Mammo Diagnostic Bilat w/ CAD	$175	$131.25	$117.25 – $164.57
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Plans: $159.25 Blue Cross Blue Shield of CO — All Plans: $157.50 Cigna — Default: $157.50 Cigna — PPO: $124.25 Humana — Medicare Advantage: $115.09 Medicare A CO JH — All Plans: $114.52 Medicare B CO JH — All Plans: $161.28 Rocky Mountain Health Plan — Default: $154 Rocky Mountain Health Plan — Medicare Advantage: $117.44 Tricare West — All Plans: $164.57
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA Mammo 3D Diagnostic Bilat w/ CAD DBT PF	$175	$131.25	$117.25 – $164.57
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — All Plans: $159.25 Blue Cross Blue Shield of CO — All Plans: $157.50 Cigna — Default: $157.50 Cigna — PPO: $124.25 Medicare B CO JH — All Plans: $161.28 Rocky Mountain Health Plan — Default: $154 Tricare West — All Plans: $164.57 UMR United Medical Resources — Default: $117.25 UMR United Medical Resources — HMO: $124.25 UMR United Medical Resources — PPO: $126.88
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Mammo 3D Screen Bilat w/ CAD DBT	$559	$419.25	$94.53 – $508.69
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Plans: $508.69 Blue Cross Blue Shield of CO — All Plans: $503.10 Cigna — Default: $503.10 Cigna — PPO: $295 Humana — Medicare Advantage: $94.99 Medicare A CO JH — All Plans: $94.53 Medicare B CO JH — All Plans: $129.93 Rocky Mountain Health Plan — Default: $491.92 Rocky Mountain Health Plan — Medicare Advantage: $96.93 Tricare West — All Plans: $132.58
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Mammo Screen Bilat w/ CAD	$559	$419.25	$94.53 – $508.69
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Plans: $508.69 Blue Cross Blue Shield of CO — All Plans: $503.10 Cigna — Default: $503.10 Cigna — PPO: $295 Humana — Medicare Advantage: $94.99 Medicare A CO JH — All Plans: $94.53 Medicare B CO JH — All Plans: $129.93 Rocky Mountain Health Plan — Default: $491.92 Rocky Mountain Health Plan — Medicare Advantage: $96.93 Tricare West — All Plans: $132.58
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammo Screen Bilat w/ CAD	$559	$419.25	$94.53 – $508.69
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Plans: $508.69 Blue Cross Blue Shield of CO — All Plans: $503.10 Cigna — Default: $503.10 Cigna — PPO: $295 Humana — Medicare Advantage: $94.99 Medicare A CO JH — All Plans: $94.53 Medicare B CO JH — All Plans: $129.93 Rocky Mountain Health Plan — Default: $491.92 Rocky Mountain Health Plan — Medicare Advantage: $96.93 Tricare West — All Plans: $132.58

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG Acquisition	$317	$237.75	$15.54 – $288.47
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Aetna — All Plans: $288.47 Blue Cross Blue Shield of CO — All Plans: $285.30 Cigna — Default: $285.30 Cigna — PPO: $225.07 Medicare B CO JH — All Plans: $15.54 Rocky Mountain Health Plan — Default: $278.96 Tricare West — All Plans: $15.86 UMR United Medical Resources — Default: $212.39 UMR United Medical Resources — HMO: $225.07 UMR United Medical Resources — PPO: $229.82
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: 93000 ELECTROCARDIOGRAM COMPLETE	$59	$44.25	$15.54 – $53.69
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Aetna — All Plans: $53.69 Blue Cross Blue Shield of CO — All Plans: $53.10 Cigna — Default: $53.10 Cigna — PPO: $41.89 Medicare B CO JH — All Plans: $15.54 Rocky Mountain Health Plan — Default: $51.92 Tricare West — All Plans: $15.86 UMR United Medical Resources — Default: $39.53 UMR United Medical Resources — HMO: $41.89 UMR United Medical Resources — PPO: $42.78
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG 12-Lead w/ IR O/P URG/VHC	$78	$58.50	$15.54 – $70.98
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Aetna — All Plans: $70.98 Blue Cross Blue Shield of CO — All Plans: $70.20 Cigna — Default: $70.20 Cigna — PPO: $55.38 Medicare B CO JH — All Plans: $15.54 Rocky Mountain Health Plan — Default: $68.64 Tricare West — All Plans: $15.86 UMR United Medical Resources — Default: $52.26 UMR United Medical Resources — HMO: $55.38 UMR United Medical Resources — PPO: $56.55
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: 93452 L HEART CATH W/ VENTRCLGRPHY	$2,868	$2,151	$897.72 – $3,662.67
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates Aetna — All Plans: $2,609.88 Blue Cross Blue Shield of CO — All Plans: $2,581.20 Cigna — Default: $2,581.20 Cigna — PPO: $2,036.28 Humana — Medicare Advantage: $2,868 Medicare A CO JH — All Plans: $3,571.83 Medicare B CO JH — All Plans: $897.72 Rocky Mountain Health Plan — Default: $2,523.84 Rocky Mountain Health Plan — Medicare Advantage: $3,662.67 Tricare West — All Plans: $2,868
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: 93619 EP EVAL W/O ARRYTH INDUCT	$1,363	$1,022.25	$913.21 – $8,811.91
Heart rhythm study (electrophysiology evaluation): 10 of 14 insurance plan rates Aetna — All Plans: $1,240.33 Blue Cross Blue Shield of CO — All Plans: $1,226.70 Cigna — Default: $1,226.70 Cigna — PPO: $967.73 Humana — Medicare Advantage: $1,363 Medicare A CO JH — All Plans: $8,593.36 Rocky Mountain Health Plan — Default: $1,199.44 Rocky Mountain Health Plan — Medicare Advantage: $8,811.91 Tricare West — All Plans: $1,363 UMR United Medical Resources — Default: $913.21
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: 93656 EP EVAL/TX AFIB ISOL PULM VEIN	$3,951	$2,963.25	$776.65 – $29,530.04
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates Aetna — All Plans: $3,595.41 Blue Cross Blue Shield of CO — All Plans: $3,555.90 Cigna — Default: $3,555.90 Cigna — PPO: $2,805.21 Humana — Medicare Advantage: $3,951 Medicare A CO JH — All Plans: $28,797.63 Medicare B CO JH — All Plans: $776.65 Rocky Mountain Health Plan — Default: $3,476.88 Rocky Mountain Health Plan — Medicare Advantage: $29,530.04 Tricare West — All Plans: $3,951
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysomnography Baseline	$4,924	$3,693	$695.92 – $4,480.84
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates Aetna — All Plans: $4,480.84 Blue Cross Blue Shield of CO — All Plans: $4,431.60 Cigna — Default: $4,431.60 Cigna — PPO: $3,496.04 Humana — Medicare Advantage: $950.79 Medicare A CO JH — All Plans: $946.13 Medicare B CO JH — All Plans: $695.92 Rocky Mountain Health Plan — Default: $4,333.12 Rocky Mountain Health Plan — Medicare Advantage: $970.19 Tricare West — All Plans: $905.87

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: PT Therapeutic Exercise Charge VH PT	$122	$91.50	$29.44 – $111.02
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — All Plans: $111.02 Blue Cross Blue Shield of CO — All Plans: $109.80 Cigna — Default: $109.80 Cigna — PPO: $86.62 Humana — Medicare Advantage: $29.44 Medicare A CO JH — All Plans: $29.44 Medicare B CO JH — All Plans: $29.44 Rocky Mountain Health Plan — Default: $107.36 Rocky Mountain Health Plan — Medicare Advantage: $30.04 Tricare West — All Plans: $30.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISE EA 15 MIN VH OT	$122	$91.50	$29.44 – $111.02
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — All Plans: $111.02 Blue Cross Blue Shield of CO — All Plans: $109.80 Cigna — Default: $109.80 Cigna — PPO: $86.62 Humana — Medicare Advantage: $29.44 Medicare A CO JH — All Plans: $29.44 Medicare B CO JH — All Plans: $29.44 Rocky Mountain Health Plan — Default: $107.36 Rocky Mountain Health Plan — Medicare Advantage: $30.04 Tricare West — All Plans: $30.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISE EA 15 MIN OT	$122	$91.50	$29.44 – $111.02
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — All Plans: $111.02 Blue Cross Blue Shield of CO — All Plans: $109.80 Cigna — Default: $109.80 Cigna — PPO: $86.62 Humana — Medicare Advantage: $29.44 Medicare A CO JH — All Plans: $29.44 Medicare B CO JH — All Plans: $29.44 Rocky Mountain Health Plan — Default: $107.36 Rocky Mountain Health Plan — Medicare Advantage: $30.04 Tricare West — All Plans: $30.04
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT Evaluation Low Complexity 97161 PT	$262	$196.50	$99.33 – $238.42
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — All Plans: $238.42 Blue Cross Blue Shield of CO — All Plans: $235.80 Cigna — Default: $235.80 Cigna — PPO: $186.02 Humana — Medicare Advantage: $99.33 Medicare A CO JH — All Plans: $99.33 Medicare B CO JH — All Plans: $99.33 Rocky Mountain Health Plan — Default: $230.56 Rocky Mountain Health Plan — Medicare Advantage: $101.36 Tricare West — All Plans: $101.35
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Low Complexity - Initial Eval Charge VH PT	$262	$196.50	$99.33 – $238.42
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — All Plans: $238.42 Blue Cross Blue Shield of CO — All Plans: $235.80 Cigna — Default: $235.80 Cigna — PPO: $186.02 Humana — Medicare Advantage: $99.33 Medicare A CO JH — All Plans: $99.33 Medicare B CO JH — All Plans: $99.33 Rocky Mountain Health Plan — Default: $230.56 Rocky Mountain Health Plan — Medicare Advantage: $101.36 Tricare West — All Plans: $101.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT Evaluation Med Complexity 97162 PT	$262	$196.50	$99.33 – $238.42
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — All Plans: $238.42 Blue Cross Blue Shield of CO — All Plans: $235.80 Cigna — Default: $235.80 Cigna — PPO: $186.02 Humana — Medicare Advantage: $99.33 Medicare A CO JH — All Plans: $99.33 Medicare B CO JH — All Plans: $99.33 Rocky Mountain Health Plan — Default: $230.56 Rocky Mountain Health Plan — Medicare Advantage: $101.36 Tricare West — All Plans: $101.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Med Complexity - Initial Eval Charge VH PT	$262	$196.50	$99.33 – $238.42
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — All Plans: $238.42 Blue Cross Blue Shield of CO — All Plans: $235.80 Cigna — Default: $235.80 Cigna — PPO: $186.02 Humana — Medicare Advantage: $99.33 Medicare A CO JH — All Plans: $99.33 Medicare B CO JH — All Plans: $99.33 Rocky Mountain Health Plan — Default: $230.56 Rocky Mountain Health Plan — Medicare Advantage: $101.36 Tricare West — All Plans: $101.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Moderate Complexity - Initial Eval Charge VH PT	$262	$196.50	$99.33 – $238.42
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — All Plans: $238.42 Blue Cross Blue Shield of CO — All Plans: $235.80 Cigna — Default: $235.80 Cigna — PPO: $186.02 Humana — Medicare Advantage: $99.33 Medicare A CO JH — All Plans: $99.33 Medicare B CO JH — All Plans: $99.33 Rocky Mountain Health Plan — Default: $230.56 Rocky Mountain Health Plan — Medicare Advantage: $101.36 Tricare West — All Plans: $101.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT Evaluation High Complexity 97163 PT	$262	$196.50	$99.33 – $238.42
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — All Plans: $238.42 Blue Cross Blue Shield of CO — All Plans: $235.80 Cigna — Default: $235.80 Cigna — PPO: $186.02 Humana — Medicare Advantage: $99.33 Medicare A CO JH — All Plans: $99.33 Medicare B CO JH — All Plans: $99.33 Rocky Mountain Health Plan — Default: $230.56 Rocky Mountain Health Plan — Medicare Advantage: $101.36 Tricare West — All Plans: $101.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: High Complexity - Initial Eval Charge VH PT	$262	$196.50	$99.33 – $238.42
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — All Plans: $238.42 Blue Cross Blue Shield of CO — All Plans: $235.80 Cigna — Default: $235.80 Cigna — PPO: $186.02 Humana — Medicare Advantage: $99.33 Medicare A CO JH — All Plans: $99.33 Medicare B CO JH — All Plans: $99.33 Rocky Mountain Health Plan — Default: $230.56 Rocky Mountain Health Plan — Medicare Advantage: $101.36 Tricare West — All Plans: $101.35
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 PSYCHOTHERAPY 16-37MIN	$238	$178.50	$86.11 – $216.58
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates Aetna — All Plans: $216.58 Blue Cross Blue Shield of CO — All Plans: $214.20 Cigna — Default: $214.20 Cigna — PPO: $168.98 Humana — Medicare Advantage: $196.52 Medicare A CO JH — All Plans: $195.56 Medicare B CO JH — All Plans: $86.11 Rocky Mountain Health Plan — Default: $209.44 Rocky Mountain Health Plan — Medicare Advantage: $200.53 Tricare West — All Plans: $187.24
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 PSYCHOTHERAPY 38-52MIN	$313	$234.75	$114.22 – $284.83
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates Aetna — All Plans: $284.83 Blue Cross Blue Shield of CO — All Plans: $281.70 Cigna — Default: $281.70 Cigna — PPO: $222.23 Humana — Medicare Advantage: $196.52 Medicare A CO JH — All Plans: $195.56 Medicare B CO JH — All Plans: $114.22 Rocky Mountain Health Plan — Default: $275.44 Rocky Mountain Health Plan — Medicare Advantage: $200.53 Tricare West — All Plans: $187.24
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 PSYCHOTHERAPY 53+MIN	$461	$345.75	$167.52 – $419.51
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates Aetna — All Plans: $419.51 Blue Cross Blue Shield of CO — All Plans: $414.90 Cigna — Default: $414.90 Cigna — PPO: $327.31 Humana — Medicare Advantage: $196.52 Medicare A CO JH — All Plans: $195.56 Medicare B CO JH — All Plans: $167.52 Rocky Mountain Health Plan — Default: $405.68 Rocky Mountain Health Plan — Medicare Advantage: $200.53 Tricare West — All Plans: $187.24
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 FAMILY COUPLES PSYCHOTHERAPY W/O PATIENT	$297	$222.75	$105.46 – $270.27
Family psychotherapy, without the patient: 10 of 14 insurance plan rates Aetna — All Plans: $270.27 Blue Cross Blue Shield of CO — All Plans: $267.30 Cigna — Default: $267.30 Cigna — PPO: $210.87 Humana — Medicare Advantage: $196.52 Medicare A CO JH — All Plans: $195.56 Medicare B CO JH — All Plans: $105.46 Rocky Mountain Health Plan — Default: $261.36 Rocky Mountain Health Plan — Medicare Advantage: $200.53 Tricare West — All Plans: $187.24
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 FAMILY COUPLES PSYCHOTHERAPY WITH PATIENT	$310	$232.50	$109.18 – $282.10
Family psychotherapy, with the patient: 10 of 14 insurance plan rates Aetna — All Plans: $282.10 Blue Cross Blue Shield of CO — All Plans: $279 Cigna — Default: $279 Cigna — PPO: $220.10 Humana — Medicare Advantage: $196.52 Medicare A CO JH — All Plans: $195.56 Medicare B CO JH — All Plans: $109.18 Rocky Mountain Health Plan — Default: $272.80 Rocky Mountain Health Plan — Medicare Advantage: $200.53 Tricare West — All Plans: $187.24
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 GROUP THERAPY	$84	$63	$30.46 – $114.78
Group psychotherapy: 10 of 14 insurance plan rates Aetna — All Plans: $76.44 Blue Cross Blue Shield of CO — All Plans: $75.60 Cigna — Default: $75.60 Cigna — PPO: $59.64 Humana — Medicare Advantage: $84 Medicare A CO JH — All Plans: $111.94 Medicare B CO JH — All Plans: $30.46 Rocky Mountain Health Plan — Default: $73.92 Rocky Mountain Health Plan — Medicare Advantage: $114.78 Tricare West — All Plans: $84

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: 19120 EXC BREAST LESION 1/>	$1,610	$1,207.50	$574.39 – $4,423.58
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Aetna — All Plans: $1,465.10 Blue Cross Blue Shield of CO — All Plans: $1,449 Cigna — Default: $1,449 Cigna — PPO: $1,143.10 Humana — Medicare Advantage: $1,610 Medicare A CO JH — All Plans: $4,313.86 Medicare B CO JH — All Plans: $574.39 Rocky Mountain Health Plan — Default: $1,416.80 Rocky Mountain Health Plan — Medicare Advantage: $4,423.58 Tricare West — All Plans: $1,610
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier 50 In the file: 19120 EXC BREAST LESION 1/> BILAT,Bilateral Procedure	$2,414	$1,810.50	$861.59 – $4,423.58
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Aetna — All Plans: $2,196.74 Blue Cross Blue Shield of CO — All Plans: $2,172.60 Cigna — Default: $2,172.60 Cigna — PPO: $1,713.94 Humana — Medicare Advantage: $2,414 Medicare A CO JH — All Plans: $4,313.86 Medicare B CO JH — All Plans: $861.59 Rocky Mountain Health Plan — Default: $2,124.32 Rocky Mountain Health Plan — Medicare Advantage: $4,423.58 Tricare West — All Plans: $2,414
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: 43235 ESOPHAGOSCOPY LESION REMOVAL	$1,027	$770.25	$330.74 – $1,024.69
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — All Plans: $934.57 Blue Cross Blue Shield of CO — All Plans: $924.30 Cigna — Default: $924.30 Cigna — PPO: $729.17 Humana — Medicare Advantage: $1,004.20 Medicare A CO JH — All Plans: $999.28 Medicare B CO JH — All Plans: $330.74 Rocky Mountain Health Plan — Default: $903.76 Rocky Mountain Health Plan — Medicare Advantage: $1,024.69 Tricare West — All Plans: $956.76
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: ENDOSCOPY W/ BIOPSY (SINGLE OR MULTIPLE)	$1,273	$954.75	$430.27 – $1,158.43
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Aetna — All Plans: $1,158.43 Blue Cross Blue Shield of CO — All Plans: $1,145.70 Cigna — Default: $1,145.70 Cigna — PPO: $903.83 Humana — Medicare Advantage: $1,004.20 Medicare A CO JH — All Plans: $999.28 Medicare B CO JH — All Plans: $430.27 Rocky Mountain Health Plan — Default: $1,120.24 Rocky Mountain Health Plan — Medicare Advantage: $1,024.69 Tricare West — All Plans: $956.76
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,311	$983.25	$430.27 – $1,193.01
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Aetna — All Plans: $1,193.01 Blue Cross Blue Shield of CO — All Plans: $1,179.90 Cigna — Default: $1,179.90 Cigna — PPO: $930.81 Humana — Medicare Advantage: $1,004.20 Medicare A CO JH — All Plans: $999.28 Medicare B CO JH — All Plans: $430.27 Rocky Mountain Health Plan — Default: $1,153.68 Rocky Mountain Health Plan — Medicare Advantage: $1,024.69 Tricare West — All Plans: $956.76
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: 45378 COLONOSCOPY DIAGNOSTIC	$470	$352.50	$314.90 – $1,050.65
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — All Plans: $427.70 Blue Cross Blue Shield of CO — All Plans: $423 Cigna — Default: $423 Cigna — PPO: $333.70 Humana — Medicare Advantage: $470 Medicare A CO JH — All Plans: $1,024.59 Medicare B CO JH — All Plans: $385.04 Rocky Mountain Health Plan — Default: $413.60 Rocky Mountain Health Plan — Medicare Advantage: $1,050.65 Tricare West — All Plans: $470
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: LOWER GI COLONOSCOPY	$2,005	$1,503.75	$385.04 – $1,824.55
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — All Plans: $1,824.55 Blue Cross Blue Shield of CO — All Plans: $1,804.50 Cigna — Default: $1,804.50 Cigna — PPO: $1,423.55 Humana — Medicare Advantage: $1,029.64 Medicare A CO JH — All Plans: $1,024.59 Medicare B CO JH — All Plans: $385.04 Rocky Mountain Health Plan — Default: $1,764.40 Rocky Mountain Health Plan — Medicare Advantage: $1,050.65 Tricare West — All Plans: $981
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/ BIOPSY	$3,499	$2,624.25	$490.68 – $3,184.09
Colonoscopy with biopsy: 10 of 15 insurance plan rates Aetna — All Plans: $3,184.09 Blue Cross Blue Shield of CO — All Plans: $3,149.10 Cigna — Default: $3,149.10 Cigna — PPO: $2,484.29 Humana — Medicare Advantage: $1,324.90 Medicare A CO JH — All Plans: $1,318.41 Medicare B CO JH — All Plans: $490.68 Rocky Mountain Health Plan — Default: $3,079.12 Rocky Mountain Health Plan — Medicare Advantage: $1,351.94 Tricare West — All Plans: $1,262.32
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: 45380 COLONOSCOPY W/ BIOPSY	$1,504	$1,128	$490.68 – $1,368.64
Colonoscopy with biopsy: 10 of 15 insurance plan rates Aetna — All Plans: $1,368.64 Blue Cross Blue Shield of CO — All Plans: $1,353.60 Cigna — Default: $1,353.60 Cigna — PPO: $1,067.84 Humana — Medicare Advantage: $1,324.90 Medicare A CO JH — All Plans: $1,318.41 Medicare B CO JH — All Plans: $490.68 Rocky Mountain Health Plan — Default: $1,323.52 Rocky Mountain Health Plan — Medicare Advantage: $1,351.94 Tricare West — All Plans: $1,262.32
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: 45385 COLONOSCOPY W/ LESION RMVL VIA SNARE	$1,698	$1,273.50	$509.06 – $1,545.18
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Aetna — All Plans: $1,545.18 Blue Cross Blue Shield of CO — All Plans: $1,528.20 Cigna — Default: $1,528.20 Cigna — PPO: $1,205.58 Humana — Medicare Advantage: $1,324.90 Medicare A CO JH — All Plans: $1,318.41 Medicare B CO JH — All Plans: $509.06 Rocky Mountain Health Plan — Default: $1,494.24 Rocky Mountain Health Plan — Medicare Advantage: $1,351.94 Tricare West — All Plans: $1,262.32
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/RMVL TUMOR POLYP SNARE	$5,475	$4,106.25	$509.06 – $4,982.25
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Aetna — All Plans: $4,982.25 Blue Cross Blue Shield of CO — All Plans: $4,927.50 Cigna — Default: $4,927.50 Cigna — PPO: $3,887.25 Humana — Medicare Advantage: $1,324.90 Medicare A CO JH — All Plans: $1,318.41 Medicare B CO JH — All Plans: $509.06 Rocky Mountain Health Plan — Default: $4,818 Rocky Mountain Health Plan — Medicare Advantage: $1,351.94 Tricare West — All Plans: $1,262.32
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: G0121 COLON CA SCRN NOT HI RISK IND	$470	$352.50	$314.90 – $1,050.65
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Aetna — All Plans: $427.70 Blue Cross Blue Shield of CO — All Plans: $423 Cigna — Default: $423 Cigna — PPO: $333.70 Humana — Medicare Advantage: $470 Medicare A CO JH — All Plans: $1,024.59 Medicare B CO JH — All Plans: $385.30 Rocky Mountain Health Plan — Default: $413.60 Rocky Mountain Health Plan — Medicare Advantage: $1,050.65 Tricare West — All Plans: $470
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: 47562 LAP CHOLECYSTECTOMY	$2,177	$1,632.75	$616.83 – $6,830.12
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates Aetna — All Plans: $1,981.07 Blue Cross Blue Shield of CO — All Plans: $1,959.30 Cigna — Default: $1,959.30 Cigna — PPO: $1,545.67 Humana — Medicare Advantage: $2,177 Medicare A CO JH — All Plans: $6,660.72 Medicare B CO JH — All Plans: $616.83 Rocky Mountain Health Plan — Default: $1,915.76 Rocky Mountain Health Plan — Medicare Advantage: $6,830.12 Tricare West — All Plans: $2,177
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: 49505 RPR HERNIA ING INIT >5 YR RDCBL	$1,720	$1,290	$497.54 – $4,045.07
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Aetna — All Plans: $1,565.20 Blue Cross Blue Shield of CO — All Plans: $1,548 Cigna — Default: $1,548 Cigna — PPO: $1,221.20 Humana — Medicare Advantage: $1,720 Medicare A CO JH — All Plans: $3,944.74 Medicare B CO JH — All Plans: $497.54 Rocky Mountain Health Plan — Default: $1,513.60 Rocky Mountain Health Plan — Medicare Advantage: $4,045.07 Tricare West — All Plans: $1,720
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: 55866 LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT	$3,476	$2,607	$1,064.58 – $12,009.38
Prostate removal by laparoscope (radical prostatectomy): 10 of 15 insurance plan rates Aetna — All Plans: $3,163.16 Blue Cross Blue Shield of CO — All Plans: $3,128.40 Cigna — Default: $3,128.40 Cigna — PPO: $2,467.96 Humana — Medicare Advantage: $3,476 Medicare A CO JH — All Plans: $11,711.52 Medicare B CO JH — All Plans: $1,064.58 Rocky Mountain Health Plan — Default: $3,058.88 Rocky Mountain Health Plan — Medicare Advantage: $12,009.38 Tricare West — All Plans: $3,476
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Spinal for C Section	$2,251	$1,688.25	$271.46 – $2,048.41
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Aetna — All Plans: $2,048.41 Blue Cross Blue Shield of CO — All Plans: $2,025.90 Cigna — Default: $2,025.90 Cigna — PPO: $1,598.21 Humana — Medicare Advantage: $979.27 Medicare A CO JH — All Plans: $974.47 Medicare B CO JH — All Plans: $271.46 Rocky Mountain Health Plan — Default: $1,980.88 Rocky Mountain Health Plan — Medicare Advantage: $999.26 Tricare West — All Plans: $933.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NRV BLK TRNSFRMNL LUMB/SAC SNGL W/IMG	$2,251	$1,688.25	$271.46 – $2,048.41
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Aetna — All Plans: $2,048.41 Blue Cross Blue Shield of CO — All Plans: $2,025.90 Cigna — Default: $2,025.90 Cigna — PPO: $1,598.21 Humana — Medicare Advantage: $979.27 Medicare A CO JH — All Plans: $974.47 Medicare B CO JH — All Plans: $271.46 Rocky Mountain Health Plan — Default: $1,980.88 Rocky Mountain Health Plan — Medicare Advantage: $999.26 Tricare West — All Plans: $933.02

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: 470-MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$86,191.97	$86,191.97	$28,755.87 – $78,434.69
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates Aetna — All Plans: $78,434.69 Blue Cross Blue Shield of CO — All Plans: $77,572.77 Cigna — Default: $77,572.77 Cigna — PPO: $61,196.30 Humana — Medicare Advantage: $28,755.87 Medicare A CO JH — All Plans: $28,755.87 Rocky Mountain Health Plan — Default: $75,848.93 Rocky Mountain Health Plan — Medicare Advantage: $29,342.72 Tricare West — All Plans: $52,059.95 UMR United Medical Resources — Default: $57,748.62
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: 473-CERVICAL SPINAL FUSION WITHOUT CC/MCC	$91,284.13	$91,284.13	$36,394.68 – $83,068.56
Neck (cervical) spinal fusion, without complications: 10 of 14 insurance plan rates Aetna — All Plans: $83,068.56 Blue Cross Blue Shield of CO — All Plans: $82,155.72 Cigna — Default: $82,155.72 Cigna — PPO: $64,811.73 Humana — Medicare Advantage: $36,394.68 Medicare A CO JH — All Plans: $36,394.68 Rocky Mountain Health Plan — Default: $80,330.03 Rocky Mountain Health Plan — Medicare Advantage: $37,137.43 Tricare West — All Plans: $55,135.61 UMR United Medical Resources — Default: $61,160.37

Source: Vail Health Hospital’s standard charges file (vailhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 5, 2026; retrieved November 5, 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	181 W Meadow Dr, Vail, CO 81657
County	Eagle County
State	Colorado
Phone	(970) 476‑2451
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	060096
Name in Medicare records	VAIL HEALTH HOSPITAL
Profile level	Medicare data + hospital website
Official website	vailhealth.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 2026-11-02.

Vail Health Hospital | Vail Health — vailhealth.org
Emergency Services | Vail Health — vailhealth.org

Vail Health Hospital

Summary

Profile from official sources

At a glance