If you are not covered by health insurance

UCHealth strongly encourages you to contact a financial counselor at 970-495-7222 to discuss payment options prior to receiving a health care service from a UCHealth facility, since prices for health care services posted on this site may not reflect the actual amount of your financial responsibility.

The pricing information on this site reflects the typical price for uninsured or self-pay patients for hospital services. All prices posted on this site already reflect the hospital’s uninsured discount. The prices do not reflect additional financial assistance discounts which patients may be eligible for.

In most cases, physicians providing you with services related to your hospital stay or visit will bill you separately.

Pricing information by hospital and center

UCHealth Broomfield Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$54
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$83-$88
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$227-$241
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$98
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$98
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$140
LABORATORYRoutine blood sample drawnCPT 36415$9
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$221-$271
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$119
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$80
LAB UROLOGYUrine pregnancy testCPT 81025$78
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$80-$106
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$238
LAB CHEMISTRYUrinalysis nonauto w/o scope (Urine test not by machine without microscope)CPT 81002$24-$26
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$111
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$57
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$87
TREATMENT ROOM Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$75
LAB CHEMISTRYAssay of lactic acid (Blood test to measure lactic acid levels, produced when oxygen levels in the blood drop)CPT 83605$103-$109
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$78
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,687
CT SCAN HEADCAT scan of the head or brain without using dyeCPT 70450$1,632
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$52-$55
LABORATORYFibrin degradation quant (Blood test to check for blood clotting problems)CPT 85379$62
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$238

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Broomfield Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$238
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$449
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$877
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$2,024
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,989

UCHealth Broomfield Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$27,956-$36,4361-2 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$8,789-$18,6011-3.5 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Greeley Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$75
LABORATORYRoutine blood sample drawnCPT 36415$30
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$48
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$54
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$143
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$90
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$76-$135
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$44
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$105
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$40
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$94
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$36-$74
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$152
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$57-$78
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$23-$61
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$36
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$290
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$76
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$49
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$87
LAB CHEMISTRYVitamin d 25 hydroxy (Vitamin D level blood test)CPT 82306$165
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$46
LAB HEMATOLOGYRbc sed rate automated (Red Blood Cell Sedimentation rate by machine, looks at inflammation to gauge how severe a disease is)CPT 85652$35
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$35-$45
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$12-$30

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Greeley Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$244
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$421
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$720
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,038
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,067

UCHealth Greeley Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$11,440-$16,6001-2 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$21,460-$46,8933-6 days
Normal Newborn MS-DRG 795$1,776-$2,6781-2 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$16,736-$27,2752-4 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$11,057-$22,6152-4.75 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$1,691-$4,3771-2 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$17,040-$28,0452-5 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$14,486-$17,9442-3 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$13,330-$22,7452-4 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$11,476-$29,1432-5 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Highlands Ranch Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$49
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$88
LABORATORYRoutine blood sample drawnCPT 36415$8
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$75-$80
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$204-$217
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$199-$244
LAB CHEMISTRYMetabolic panel ionized ca (Panel of blood tests with at least 8 measures including ionized calcium)CPT 80047$49
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$88
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$72-$95
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$164
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$126
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$70
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$46-$49
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$107
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$79
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$264
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$72
LAB CHEMISTRYVitamin d 25 hydroxy (Vitamin D level blood test)CPT 82306$175
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$52
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$114
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,218
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$214
LABORATORYAlso known as blood type. The test finds if a patient has O, A, B, or AB blood type. CPT 86900$39-$48
LABORATORYTest known as Rh type. The test finds if a patient has a "positive" or "negative" blood type such as O positive or AB negative . CPT 86901$18-$46
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$85-$116

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Highlands Ranch Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$214
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$404
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$789
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,822
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,691

UCHealth Highlands Ranch Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$6,000-$7,6462-3 days
Normal Newborn MS-DRG 795$2,011-$3,0902-3 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,085-$2,9782-3 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$12,972-$17,5233-5 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$16,987-$38,4483-4.75 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$30,542-$33,1221 day
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$10,549-$19,6022-4 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$9,827-$17,7442-3 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Grandview Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$54
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$83-$88
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$98
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$227-$241
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$98
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$140
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$119
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$80
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$221-$271
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$80-$106
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$111
LAB UROLOGYUrine pregnancy testCPT 81025$78
TREATMENT ROOM Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$75
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$238
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$52-$55
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,687
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$87
LABORATORYRoutine blood sample drawnCPT 36415$9
CT SCAN HEADCAT scan of the head or brain without using dyeCPT 70450$1,632
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$238
LAB CHEMISTRYChorionic gonadotropin test (Blood pregnancy test)CPT 84703$96-$101
IV THERAPYHydration iv infusion init (IV drip set up)CPT 96360$198
LAB CHEMISTRYUrinalysis nonauto w/o scope (Urine test not by machine without microscope)CPT 81002$24-$26
LAB CHEMISTRYAssay of lactic acid (Blood test to measure lactic acid levels, produced when oxygen levels in the blood drop)CPT 83605$103-$109
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$29-$65

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Grandview Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$238
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$449
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$877
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$2,024
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,989

UCHealth Grandview Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$34,361-$39,2121-2 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$32,846-$40,5351 day
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC (Procedures of both legs or several large joints of the legs without serious complications or conditions)MS-DRG 462$52,459-$58,9012-3 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$6,303-$18,2192-4 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$8,543-$15,7651-3 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$7,140-$11,7651-3 days
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC (Operation to take out implant of hip or knee and replace with a new one without complications or conditions or serious complications or conditions)MS-DRG 468$33,731-$59,5722-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$8,384-$16,8231.5-3 days
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$10,431-$17,1743-4 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$7,528-$12,3732 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC (Alcohol, drug abuse or dependence without rehab treatment and without serious complications or conditions)MS-DRG 897$5,381-$11,6302-3 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$6,237-$13,8952-3 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Longs Peak Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$49
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$88
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$75-$80
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$204-$217
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$88
LABORATORYRoutine blood sample drawnCPT 36415$8
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$126
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$264
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$199-$244
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$107
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$72-$95
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$46-$49
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$79
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$35-$63
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$52
LAB CHEMISTRYVitamin B-12 shotCPT 82607$112
LAB CHEMISTRYAssay of ferritin (Blood test to measure amount of iron)CPT 82728$112
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$214
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$100
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$70
LAB UROLOGYUrinalysis auto w/o scope (Urine test by machine without microscope)CPT 81003$23-$54
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$72
LAB CHEMISTRYFe test (Blood test to check Iron level in blood)CPT 83540$63
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$26-$58
LAB CHEMISTRYIron Binding Capacity Blood Test (Blood test to check your body's ability to move iron through the blood, shows if there is too much or not enough iron.)CPT 84466$103

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Longs Peak Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$214
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$404
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$789
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,822
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,691

UCHealth Longs Peak Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
Normal Newborn MS-DRG 795$1,608-$2,5071-2 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$5,314-$8,2572-3 days
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES (Vaginal delivery without a complicating diagnosis) MS-DRG 775$5,282-$7,8892-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$13,473-$34,6802-5 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,031-$3,3252 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$11,871-$21,5662-4 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$12,490-$22,8832-5 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$12,500-$21,3032-4 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$11,865-$16,8922-4 days
CESAREAN SECTION W/O CC/MCC (C-section without complications or serious issues)MS-DRG 766$11,541-$15,3442-3 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$11,561-$21,3162-4 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$5,781-$9,3642-3 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$9,314-$17,7662-3 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$11,930-$19,3022-4 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$30,770-$36,0671-2 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$9,835-$24,1622-4.75 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$10,793-$19,7332-4 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC (Alcohol, drug abuse or dependence without rehab treatment and without serious complications or conditions)MS-DRG 897$8,865-$19,9602-4 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$47,503-$70,6582-3 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$12,393-$20,9061.25-3 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) MS-DRG 330$33,945-$57,9174-8 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions)MS-DRG 853$45,970-$120,9666-15 days
VAGINAL DELIVERY W COMPLICATING DIAGNOSES (Vaginal delivery with a complicating diagnosis)MS-DRG 774$5,995-$10,8322-3 days
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$12,327-$23,9672-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$2,784-$20,2463-6.25 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$3,235-$19,6922-8.25 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$9,140-$15,1752-3 days
CESAREAN SECTION WITHOUT STERILIZATION WITH CC (Birth of a baby by c-section and without tubes being tied. With complications or conditions)MS-DRG 787$13,802-$19,7263-4 days
MAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCC (Major procedure on small and large intestines without complications or conditions or serious complications or conditions) MS-DRG 331$24,464-$36,0812-4 days
POISONING TOXIC EFFECTS OF DRUGS W MCC (Effects from drugs that are poison-like or causing harm with major complications or conditions)MS-DRG 917$13,286-$26,2262-3 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$55,211-$108,0266-15 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$10,771-$18,3242.5-4 days
CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC (Diseases of the blood vessels except not a heart attack with a cardiac catheterization without serious complications or conditions)MS-DRG 287$17,487-$23,7051-2 days
Disease of the pancreas except cancer without complications or conditions or without major complications or conditionsMS-DRG 440$9,423-$15,5352-3 days
HEART FAILURE SHOCK W CC (The heart is unable to pump enough blood to the body, this causes shock to happen with complications and conditions)MS-DRG 292$12,012-$19,2002-4 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$14,279-$29,6392-5 days
G.I. OBSTRUCTION W/O CC/MCC (Blockage in the bowel without complications and conditions or serious complications or conditions)MS-DRG 390$10,090-$14,3941.25-3 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$11,842-$18,3983-4.75 days
CESAREAN SECTION W CC/MCC (C-section with complications or serious issues)MS-DRG 765$14,228-$22,1182-4 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$15,041-$46,4472-9.25 days
G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions)MS-DRG 389$10,993-$19,7103-4.25 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission)MS-DRG 65$16,414-$29,1271.75-6 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$30,893-$37,2103-4 days
KIDNEY URINARY TRACT INFECTIONS W MCC (Kidney infection and infection of the urinary tract with major complications or conditions)MS-DRG 689$11,552-$18,4393-4.75 days
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and with tubes being tied. Without complications or conditions or serious complications)MS-DRG 785$14,850-$23,0022-3 days
BRONCHITIS ASTHMA W CC/MCC (inflammation of airways for breathing with complications or conditions or serious complications or conditions)MS-DRG 202$9,948-$15,4202-4 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$15,549-$30,1463-4 days
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC (Removal of the gallbladder without checking the common duct and without complications or conditions or serious complications or conditions)MS-DRG 419$19,752-$25,7562 days
PULMONARY EMBOLISM W/O MCC (blood clot in the lungs without serious complications)MS-DRG 176$10,516-$16,1142-3 days
CARDUIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC (Improper beating of the heart, may be irregular, too fast, or too slow and disorder of how electrical signals travel through the heart with serious complications)MS-DRG 308$12,087-$24,5101-5 days
SPINAL FUSION EXCEPT CERVICAL W/O MCC (Surgery to join the bones of the back, not the neck, without serious complications or conditions)MS-DRG 460$56,956-$81,5542-3 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine with major complications or conditions or in 4 or more vessels or using 4 or more stents)MS-DRG 246$62,169-$81,4742-6 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC (Surgery to join the bones of the front and back of the spine without complications or conditions or serious complications or conditions)MS-DRG 455$63,387-$95,4462-4 days
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC (A condition of the swallowing tube that causes it to become red, swollen or irritated. Other disorders related to digesting food with serious complications or conditions).MS-DRG 391$15,454-$41,7713.75-6.25 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Longs Peak Surgery Center
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
GASTR INTS SVSColonoscopy and biopsy (Camera with light passed through the rectum to take pictures of the intestines, a tissue sample is taken for testing.)CPT 45380$660
GASTR INTS SVSEGD biopsy single/multiple (Camera with light passed through the mouth to take pictures of the stomach, swallowing tube and beginning of the small intestines as needed, tissue sample taken)CPT 43239$683
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONCataract surg w/iol 1 stage (Removal of a cataract with an artificial lens being placed in the eye)CPT 66984$2,400
GASTR INTS SVSColonoscopy w/lesion removal (Camera with light passed through the rectum to take pictures of the intestines, with a polyp taken by snare technique for testing.)CPT 45385$660
INTRAOCULAR LENS Surgery to take out the natural lens of the eye during cataract surgery and replace it with an artificial one. The lens bends light rays that come into the eye to help you to see.CPT V2632$336
GASTR INTS SVSColonoscopy submucous njx (Camera with light passed through the rectum to take pictures of the intestines with injection given into tissue)CPT 45381$660
GASTR INTS SVSDiagnostic colonoscopy (Camera with light passed through the rectum to take pictures of the intestines to diagnose a problem, a tissue sample may or may not be taken for testing.)CPT 45378$660
OTHERRemoval of sperm duct(s) (Removal of a section of the sperm duct or ducts)CPT 55250$885
GASTR INTS SVSEsoph EGD dilation <30 mm (Camera with a light is passed through the mouth to the stomach and beginning of small intestine to examine the stomach and swallowing tube. Swallowing tube is enlarged with balloon less than 30 mm in diameter)CPT 43249$1,310
INTRAOCULAR LENS Surgery to take out the natural lens of the eye during cataract surgery and replace it with an artificial one to correct astigmatism (This is when the eye does not focus light evenly into the retina.) The lens bends light rays that come into the eye to help you to see.CPT V2787$545
SUPPLY IMPLANTSDevice used to provide more support to either a weakened area or damaged tissue. Placed during surgery. Made of either man-made material or animal tissue.CPT C1781$263
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONThe use of high frequency sound (shock) waves to break up stones in your kidneyCPT 50590$2,040
OTHERResect inferior turbinate (Partial or complete removal of soft tissue of one the long thin bones on the inside of the nose)CPT 30140$2,019
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONRemoval of cataract with lens implant, needing services or devices not often used in basic cataract removalCPT 66982$2,400
GASTR INTS SVSTest to look at the lining of the swallowing tube, stomach and first part of the small intestine. A small tube with a camera at the end is passed through the mouth and into the stomach. The doctor injects a substance like saline or salt water to be able to see an area better.CPT 43236$683
OTHERSurgery to fix the wall in the nose that is between the nostrilsCPT 30520$2,019
OTHERExam to see the inside of the bladder and urethra (tubes that carry urine away from bladder) using a scope. Any stones are shattered with sound waves and removed.CPT 52356$1,350
TREATMENT ROOM Revision of upper eyelid (Eye lift)CPT 15823$1,500
OR MINORSurgery to repair blepharoptosis (a droop of the upper eyelid resulting from paralyzed or unable to move).CPT 67904$1,500
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the eyebrow such as from "drooping"CPT 67900$1,500
GASTR INTS SVSTest to look at the lining of the swallowing tube, stomach and first part of the small intestine. A small tube with a camera at the end is passed through the mouth and into the stomach. The doctor removed a piece of tissue using a loop to cut off the piece of tissue.CPT 43251$1,310
OTHERSurgery to take out the gallbladder using a small tube with a light at the end of the scope. Gallbladder is taken out through the tube.CPT 47562$1,614
OTHERSurgery to repair a hernia (when a portion of the small intestine comes through a hole or weak area of the belly wall that surrounds the muscle in the groin area.)CPT 49650$1,614
OTHERLaparo cholecystectomy/graph (Removal of gallbladder through small incisions in the belly or abdomen area with pictures of bile ducts taken)CPT 47563$1,614
TREATMENT ROOM Shot given with either pain medicines or a steroid into the disc of the lower back.CPT 64483$400

UCHealth Medical Center of the Rockies
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$85
LABORATORYRoutine blood sample drawnCPT 36415$34
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$55
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$61
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$162
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$49
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$102
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$86-$152
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$41
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$119
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$173
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$107
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$45
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$65-$89
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$13-$34
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$26-$69
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$56
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$329
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$41-$84
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$86
LAB UROLOGYUrinalysis auto w/o scope (Urine test by machine without microscope)CPT 81003$24-$29
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$52
LAB HEMATOLOGYRbc sed rate automated (Red Blood Cell Sedimentation rate by machine, looks at inflammation to gauge how severe a disease is)CPT 85652$40
LAB CHEMISTRYVitamin d 25 hydroxy (Vitamin D level blood test)CPT 82306$187
PATHOL CYTOLOGYFlowcytometry/tc add-on (Test to evaluate characteristics of cells in the body, each marker characteristic)CPT 88185$49-$102

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Medical Center of the Rockies
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$276
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$477
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$816
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,176
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,342

UCHealth Medical Center of the Rockies
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
Normal Newborn MS-DRG 795$1,825-$2,8881-2 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$10,833-$15,1642 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$58,615-$68,0882-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$23,603-$64,0423-7 days
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES (Vaginal delivery without a complicating diagnosis) MS-DRG 775$10,694-$14,3462 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,452-$4,3771-2 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$60,429-$82,3651-2 days
SPINAL FUSION EXCEPT CERVICAL W/O MCC (Surgery to join the bones of the back, not the neck, without serious complications or conditions)MS-DRG 460$61,142-$102,9001-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$18,081-$33,4032-5 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$19,430-$42,0642-7 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$15,063-$21,5722-4 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$16,739-$40,3332-5 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$17,838-$33,3012-5 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$20,822-$37,8312-3 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$16,429-$28,6282-4 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions)MS-DRG 853$80,423-$211,8096-17 days
MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions)MS-DRG 552$15,526-$32,8972-4 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) MS-DRG 330$64,458-$112,4454-8 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$37,954-$59,9703-6 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$45,300-$52,4371 day
CESAREAN SECTION W/O CC/MCC (C-section without complications or serious issues)MS-DRG 766$15,465-$20,6692-3 days
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC (Procedure on a heart valve performed through the skin without serious complications or conditions)MS-DRG 267$111,296-$127,0291-2 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$4,334-$15,5632-4 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission)MS-DRG 65$21,312-$37,3422-4.5 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine with major complications or conditions or in 4 or more vessels or using 4 or more stents)MS-DRG 246$71,287-$120,8732-4 days
CESAREAN SECTION W CC/MCC (C-section with complications or serious issues)MS-DRG 765$17,664-$24,6792-4 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC (Surgery to join the bones of the front and back of the spine without complications or conditions or serious complications or conditions)MS-DRG 455$71,216-$105,1681-2 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$12,244-$16,6102-3 days
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC (Replacement of heart valve performed through the skin with serious complications or conditions)MS-DRG 266$120,687-$166,2321-5 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$15,776-$26,8862-4 days
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$15,585-$33,6482-5 days
ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC (Patient with heart attack discharged alive with serious complications)MS-DRG 280$21,527-$46,4352-5 days
PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions)MS-DRG 274$61,940-$75,3001-2 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC (Stroke caused by either bleeding or a blood clot with serious complications or conditions)MS-DRG 64$26,006-$62,1122-7.5 days
MAJOR CHEST PROCEDURES W/CC (Major surgery or procedures in the chest with complications or other conditions)MS-DRG 164$70,202-$124,6833-8 days
CRANIOTOMY ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC (Open brain surgery or brain procedure on the vessels performed through the skin with serious complications or conditions)MS-DRG 25$68,188-$155,6183-9 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$12,782-$27,1732-4 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$16,794-$42,1132-6 days
VAGINAL DELIVERY W COMPLICATING DIAGNOSES (Vaginal delivery with a complicating diagnosis)MS-DRG 774$12,368-$17,6232-3 days
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC (Heart Attack, patient left hospital alive with complications or other conditions)MS-DRG 281$21,518-$35,8372-3 days
TRAUMATIC STUPOR COMA COMA <1 HR W CC (Unresponsive from trauma or in a coma for less than 1 hour with complications or conditions)MS-DRG 86$24,408-$44,6772.75-5.25 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$14,600-$27,9562-4 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC (Surgery to join 2 or more bones in the spine so there is no movement. Can be done through the front of the neck or belly or through the back of the spinal canal with complications and conditions).MS-DRG 454$86,756-$200,5342-5 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$103,200-$195,5599-17 days
CORONARY BYPASS W/O CARDIAC CATH W/O MCC (heart bypass surgery without a heart catheterization and without major complications or conditions)MS-DRG 236$158,490-$208,0815-7.5 days
CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC (Diseases of the blood vessels except not a heart attack with a cardiac catheterization without serious complications or conditions)MS-DRG 287$22,943-$36,1581-2 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$9,847-$37,8743.5-13.5 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$12,278-$28,1062-4 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$15,730-$28,6412-4 days
MAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCC (Major procedure on small and large intestines without complications or conditions or serious complications or conditions) MS-DRG 331$57,276-$93,5173-5 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$17,641-$29,0232-4 days
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC (Gallbladder taken out using a thin, lighted tube that lets the doctor see inside your belly. 4 small cuts are made in the belly area. The scope is placed in 1 of them and the gallbladder is taken out. No dye is used to look at the common bile duct for stones with complications or other conditions).MS-DRG 418$44,244-$69,6572-5 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Memorial Hospital Central and Memorial Hospital North
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$61
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$28-$30
LABORATORYRoutine blood sample drawnCPT 36415$9
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$96
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$193
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$45-$50
LAB CHEMISTRYMetabolic panel ionized ca (Panel of blood tests with at least 8 measures including ionized calcium)CPT 80047$36
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$90
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$84
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$68
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$100
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$239
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$76
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$79-$88
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$65
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$47
Other Human tissue cells for graftingCPT Q4116$31
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$38
LAB CHEMISTRYHepatic function panel (Liver Function blood test)CPT 80076$39-$41
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$17
CLINICLevel 2 Office/outpatient visit established patientCPT 99212$169
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$95
TREATMENT ROOM Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$76-$81
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$38
OtherAllergen specific ige (Testing of blood to see what items someone is allergic to)CPT 86003$24-$51

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Memorial Hospital Central and Memorial Hospital North
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$236
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$487
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$882
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,629
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$3,126

UCHealth Memorial Hospital Central and Memorial Hospital North
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES (Vaginal delivery without a complicating diagnosis) MS-DRG 775$7,154-$12,5412-3 days
Normal Newborn MS-DRG 795$2,615-$3,8661-2 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$3,213-$5,3112-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$18,006-$41,1393-6 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$7,993-$12,9372-3 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$36,933-$43,1512-3 days
CESAREAN SECTION W/O CC/MCC (C-section without complications or serious issues)MS-DRG 766$15,191-$22,5712-3 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$11,036-$22,6312-4 days
CESAREAN SECTION W CC/MCC (C-section with complications or serious issues)MS-DRG 765$18,533-$33,3752-5 days
BRONCHITIS ASTHMA W/O CC/MCC (inflammation of airways for breathing without complications or conditions or serious complications or conditions)MS-DRG 203$7,023-$13,3422-3 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$15,796-$30,9463-6 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$14,057-$29,7372-5 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$14,148-$26,8202-5 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$14,023-$28,2992-5 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$38,145-$45,8951 day
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$6,091-$23,6382-7 days
VAGINAL DELIVERY W COMPLICATING DIAGNOSES (Vaginal delivery with a complicating diagnosis)MS-DRG 774$8,751-$17,6552-3 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC (Alcohol, drug abuse or dependence without rehab treatment and without serious complications or conditions)MS-DRG 897$9,907-$21,1652-4 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$8,995-$19,4362-4 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$51,057-$66,8611-2 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$12,229-$22,9862-4 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$16,315-$27,6092-4 days
BRONCHITIS ASTHMA W CC/MCC (inflammation of airways for breathing with complications or conditions or serious complications or conditions)MS-DRG 202$11,279-$25,5292-4 days
POISONING TOXIC EFFECTS OF DRUGS W/O MCC (Effects from drugs that are poison-like or causing harm without major complications or conditions)MS-DRG 918$8,701-$17,0221-3 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions)MS-DRG 853$49,217-$134,9415-15 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$15,593-$91,1066-27 days
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$15,628-$30,8172-5 days
SEIZURES W/O MCC (Seizures without major complications or conditions)MS-DRG 101$10,148-$22,7091-3 days
PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions)MS-DRG 274$74,976-$76,7591 day
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$10,697-$20,2001-3 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$9,210-$20,9672-5 days
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well)MS-DRG 790$58,243-$272,48314-71 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$9,946-$20,3172-4 days
OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS (Other diagnosis before childbirth with medical complications)MS-DRG 781$7,668-$17,0921-4 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$20,951-$50,0666-18 days
DIABETES W/O CC/MCC (Diabetes or high blood sugars without other complications)MS-DRG 639$10,614-$16,5391-2 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) MS-DRG 330$34,602-$58,0424-8 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$14,162-$27,2372-5 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC (Surgery to join the bones of the front and back of the spine without complications or conditions or serious complications or conditions)MS-DRG 455$88,993-$151,6742-3 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$15,935-$23,6562-3 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission)MS-DRG 65$19,631-$34,2642-5 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$4,772-$26,5952-9 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$35,587-$53,5663-5 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$10,529-$17,9802-4 days
MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions)MS-DRG 552$16,680-$31,8942-5 days
POISONING TOXIC EFFECTS OF DRUGS W MCC (Effects from drugs that are poison-like or causing harm with major complications or conditions)MS-DRG 917$16,039-$33,6732-4 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$14,622-$33,2972-6 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$15,216-$29,3162-4 days
SIMPLE PNEUMONIA PLEURISY W/O CC/MCC (Simple pneumonia - responds well to treatment- and inflammation of the space between the lungs and the chest wall, without complications or other conditions)MS-DRG 195$7,075-$12,4291-3 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC (Stroke caused by either bleeding or a blood clot with serious complications or conditions)MS-DRG 64$26,597-$63,8483-9 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Pikes Peak Regional Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$45
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$82
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$103
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$135
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$110
LABORATORYRoutine blood sample drawnCPT 36415$63
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$77
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$88
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$159
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$216
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$317
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$75
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$43
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$66
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$273-$278
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$27
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$17
TREATMENT ROOM Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$91
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$27
PHYSICAL THERPElec stim other than wound (Electical stimulation to muscle group without constant attention by provider, not for wound healing)CPT G0283$70-$83
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$2,832
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$103
LAB UROLOGYUrinalysis auto w/o scope (Urine test by machine without microscope)CPT 81003$37
CT SCAN HEADCAT scan of the head or brain without using dyeCPT 70450$1,954
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$56

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Pikes Peak Regional Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$127
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$444
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$634
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,268
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$1,902

UCHealth Pikes Peak Regional Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$44,914-$48,7583-3.25 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$6,076-$14,5832-4 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$7,097-$13,1192-5 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$3,901-$8,4462-3 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$5,350-$10,8112-4 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$8,377-$16,0792-4 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$5,380-$9,6901-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$6,633-$13,4943-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$11,480-$16,4242.5-4.5 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Poudre Valley Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
LABORATORYRoutine blood sample drawnCPT 36415$34
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$61
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$55
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$85
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$102
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$86-$152
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$98
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$162
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$49
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$41
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$41-$84
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$119
LAB BACT MICROCulture aerobic identify (Blood test to identify type of bacteria)CPT 87077$59-$70
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$77
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$96
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$70
LAB CHEMISTRYVitamin d 25 hydroxy (Vitamin D level blood test)CPT 82306$187
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$107
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$56
LAB CHEMISTRYAssay iga/igd/igg/igm each (Test to measure the amount of proteins known as antibodies, made by the body in response to foreign proteins known as antigens.)CPT 82784$38-$188
LAB CHEMISTRYAssay of free thyroxine (Blood test to measure thyroid hormone levels)CPT 84439$106
LAB BACT MICROTest of urine to find which antibiotic works best to treat infection caused by bacteria.CPT 87186$111
LAB IMMUNOLOGYHepatitis c ab testCPT 86803$60-$138
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$173
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$13-$34

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Poudre Valley Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$276
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$477
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$816
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,176
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,342

UCHealth Poudre Valley Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$54,965-$65,0832 days
PSYCHOSES (condition of having lost touch with reality)MS-DRG 885$6,812-$15,5213-6 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC (Alcohol, drug abuse or dependence without rehab treatment and without serious complications or conditions)MS-DRG 897$9,176-$17,4953-5 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$22,382-$54,4183-6 days
Normal Newborn MS-DRG 795$1,861-$3,0421-2 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$10,972-$15,5842 days
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES (Vaginal delivery without a complicating diagnosis) MS-DRG 775$11,335-$15,6182-3 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,441-$4,4522-3 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$43,982-$50,0521 day
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$17,195-$30,5442-4 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$18,025-$36,7592-5 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$14,132-$25,2232-4 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$35,119-$120,37212-33.25 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$18,787-$39,4312-5 days
DEPRESSIVE NEUROSES (Mental disorder with anxiety, fear or depression)MS-DRG 881$5,108-$10,6272-5 days
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC (Procedures of both legs or several large joints of the legs without serious complications or conditions)MS-DRG 462$92,912-$99,7283 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$16,139-$23,1192-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$4,489-$24,7362-5 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$14,340-$31,2872-5 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$18,239-$35,4882-3 days
CESAREAN SECTION W CC/MCC (C-section with complications or serious issues)MS-DRG 765$19,791-$31,8383-5 days
CESAREAN SECTION W/O CC/MCC (C-section without complications or serious issues)MS-DRG 766$16,341-$23,3062-4 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$12,208-$19,4992-3 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$15,569-$26,8452-4 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$14,721-$23,7482-4 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$11,688-$25,8442-3.25 days
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well)MS-DRG 790$48,781-$159,79712-40 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$17,045-$27,2911-3 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$12,364-$22,6152-4 days
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$17,534-$31,9592-5 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions)MS-DRG 853$74,241-$148,3896-12 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission)MS-DRG 65$23,463-$41,0272-5 days
VAGINAL DELIVERY W COMPLICATING DIAGNOSES (Vaginal delivery with a complicating diagnosis)MS-DRG 774$12,756-$19,8192-3 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) MS-DRG 330$48,426-$85,0513.75-8 days
POISONING TOXIC EFFECTS OF DRUGS W MCC (Effects from drugs that are poison-like or causing harm with major complications or conditions)MS-DRG 917$20,262-$43,9922-4 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$23,116-$61,3786.25-16 days
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC (Chemo without having acute leukemia as a diagnosis with complications or conditions)MS-DRG 847$19,937-$56,2082-4 days
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC (Operation to take out implant of hip or knee and replace with a new one without complications or conditions or serious complications or conditions)MS-DRG 468$39,737-$96,4742-3 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$18,487-$36,2902-5 days
POISONING TOXIC EFFECTS OF DRUGS W/O MCC (Effects from drugs that are poison-like or causing harm without major complications or conditions)MS-DRG 918$9,678-$17,9401-2 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$14,327-$29,7032-4 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$13,572-$25,9452-4 days
BRONCHITIS ASTHMA W/O CC/MCC (inflammation of airways for breathing without complications or conditions or serious complications or conditions)MS-DRG 203$6,471-$14,4791-3 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$35,601-$52,6233-5 days
SPINAL FUSION EXCEPT CERVICAL W/O MCC (Surgery to join the bones of the back, not the neck, without serious complications or conditions)MS-DRG 460$63,394-$87,2042-3 days
NEUROSES EXCEPT DEPRESSIVE (Mental disorder with anxiety or fear but not depression)MS-DRG 882$5,130-$10,3452-4 days
CESAREAN SECTION WITHOUT STERILIZATION WITH CC (Birth of a baby by c-section and without tubes being tied. With complications or conditions)MS-DRG 787$19,065-$30,6093-5 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$18,795-$46,8062-6 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC (Stroke caused by either bleeding or a blood clot with serious complications or conditions)MS-DRG 64$26,802-$48,7072-5 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$65,493-$82,1701-2 days
AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W CC (Follow up care for muscle, bones or connective tissue issues with complications or conditions)MS-DRG 560$23,230-$49,4486-12.75 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC (A disease that makes one crave alcohol or drugs and have to drink more to get the same feelings. Causes problems at work or in the family or school. No Rehab services used with serious complications or conditions).MS-DRG 896$18,451-$47,6553-6 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Steadman Hawkins Clinic - Denver physical therapy services
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$72
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$72
PHYSICAL THERPVasopneumatic device therapy (Use of a device to apply pressure to lower swelling in an area)CPT 97016$72
EVAL REEVAL PHYS THERPT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity)CPT 97161$135
OTHERHot or cold packs therapy (Use of hot or cold packs for pain relief or to increase blood flow as part of a treatment)CPT 97010$8
PHYSICAL THERPNeuromuscular reeducation (Exercise to help re-educate the body part to perform a function or task that it was able to do in its pre-injury state)CPT 97112$84
EVAL REEVAL PHYS THERPt re-eval est plan care (Physical Therapy re-evaluation for established patient for new plan of care, lasting about 20 minutes)CPT 97164$92
EVAL REEVAL OCCUP THEROT eval low complex 30 min (Occupational Therapy assessment for 30 minutes of low complexity patient)CPT 97165$146
PHYSICAL THERPUltrasound therapy (Ultrasound use of deep heat as therapy in a certain place for pain or flexibility)CPT 97035$22
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$65
OTHERUpper ext fx orthosis wrist (Brace used on a wrist for a break to keep it from moving during healing.)CPT L3984$556
EVAL REEVAL PHYS THERPt eval mod complex 30 min (Physical Therapy evaluation of moderately complex patient, lasting 30 minutes)CPT 97162$135
PHYSICAL THERPMechanical traction therapy (The use of ropes, slings or pulleys to apply traction)CPT 97012$26
PHYSICAL THERPElectric stimulation therapy (Electical stimulation to muscle group used for wound healing)CPT 97014$17
PHYSICAL THERPElec stim other than wound (Electical stimulation to muscle group without constant attention by provider, not for wound healing)CPT G0283$24
PROSTHETIC DEV HFO w/o joints cf (Hand, finger brace that does not move, custom made for a patient)CPT L3913$383
PROSTHETIC DEV WHO w/o joints cf (Wrist or hand brace that does not bend, custom made for a specific patient)CPT L3906$575
OTHERWHFO w/o joints pre cst (Wrist, hand, finger premade brace that does not bend, customized to fit the patient)CPT L3807$354
PROSTHETIC DEV WHFO - rigid w/o joints (Wrist, hand, finger brace that does not move, allows fingers to move)CPT L3808$513
OTHERHfo without joints pre cst (Brace for the hand or fingers, premade but adjusted for the patient's needs.)CPT L3923$122
PHYSICAL THERPTherapy for help with walking (may include stair training as well)CPT 97116$49
OCCUPATION THEROrthotic mgmt and training (Training and management for use of a brace)CPT 97760$76
OTHERUpper ext fx orthosis rad/ul (Brace used on radius or ulna (bones of the forearm) for a break to keep it from moving during healing.)CPT L3982$538
OCCUPATION THERDirect patient teaching for home care and life skills with adaptive tools for areas such as the kitchen, bath or car. Billed in 15 minute segments.CPT 97535$55
PHYSICAL THERPA test to measure someone's physical ability to perform certain tasks. Billed in 15 minute segments.CPT 97750$60

UCHealth University of Colorado Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$169
LABORATORYRoutine blood sample drawnCPT 36415$45-$47
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$18-$55
OTHERLevel 3 Office/outpatient visit established patientCPT 99213$75
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$147-$154
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$123-$123
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$10-$38
CLINICLevel 2 Office/outpatient visit established patientCPT 99212$54
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$146-$146
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$88-$92
OTHERLevel 4 Office/outpatient visit established patientCPT 99214$94
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$236-$242
LAB CHEMISTRYAssay of creatinine (Measure of waste products in the blood to monitor kidney function)CPT 82565$10-$20
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$83-$92
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$64
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$15-$32
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$86
LAB CHEMISTRYAssay of urea nitrogen (Blood test to measure breakdown of protein into urea nitrogen to monitor kidney function)CPT 84520$9-$50
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$18-$45
LAB CHEMISTRYElectrolyte panel - a blood test to measure the minerals in the body such as sodium and potassiumCPT 80051$41-$43
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$38-$77
LAB CHEMISTRYAssay of phosphorus (Blood test to measure phosphorus, found most in bones and teeth)CPT 84100$11-$20
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$16-$108
PULMONARY FUNCMeasure blood oxygen levelCPT 94760$54
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$16-$68

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth University of Colorado Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$205
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$376
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$747
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,813
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,449

UCHealth University of Colorado Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$19,191-$49,9863-8 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$11,825-$17,2952-3 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$3,822-$6,4211-2 days
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES (Vaginal delivery without a complicating diagnosis) MS-DRG 775$11,496-$16,7012-3 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$28,635-$36,4282-3 days
Normal Newborn MS-DRG 795$3,515-$5,4931-2 days
SEIZURES W/O MCC (Seizures without major complications or conditions)MS-DRG 101$18,411-$31,4902-4 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$13,137-$26,2632-5 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$16,385-$35,0273-7 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$14,817-$31,2442-5 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$12,774-$19,1602-3 days
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC (Chemo without having acute leukemia as a diagnosis with complications or conditions)MS-DRG 847$10,625-$23,4954-5 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) MS-DRG 330$28,739-$58,9313-9 days
CRANIOTOMY ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC (Open brain surgery or brain procedure on the vessels performed through the skin with serious complications or conditions)MS-DRG 25$58,261-$116,8283-10 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$11,587-$20,9712-4 days
CESAREAN SECTION W CC/MCC (C-section with complications or serious issues)MS-DRG 765$17,116-$29,5283-5 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions)MS-DRG 853$57,630-$161,9937-21 days
Kidney TransplantMS-DRG 652$110,685-$139,3163-5 days
VAGINAL DELIVERY W COMPLICATING DIAGNOSES (Vaginal delivery with a complicating diagnosis)MS-DRG 774$12,109-$18,9842-3 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$11,377-$23,2632-5 days
CRANIOTOMY ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC (Open brain surgery or brain procedure on the vessels performed through the skin without complications or conditions or serious complications or conditions)MS-DRG 27$47,251-$75,7201-3 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$15,667-$25,5643-5 days
SPINAL FUSION EXCEPT CERVICAL W/O MCC (Surgery to join the bones of the back, not the neck, without serious complications or conditions)MS-DRG 460$63,106-$105,0313-6 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$12,688-$34,0661-7 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$11,578-$26,8542-4 days
ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE MOUTH NECK W MAJ O.R. ( Use of artifial heart lung machine or tracheostomy with breathing machine for more than 96 hours with procedure in operating room)MS-DRG 3$273,794-$651,71020-47 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC (Stroke caused by either bleeding or a blood clot with serious complications or conditions)MS-DRG 64$24,595-$84,4153-10 days
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$15,432-$33,0262-6 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$12,804-$32,4722-5 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$31,643-$38,7401-3 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$12,282-$38,2181.5-7 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$10,760-$18,3582-4 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$45,867-$111,5866-15 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$9,776-$19,5072-4 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$5,321-$32,2853-9 days
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well)MS-DRG 790$66,039-$308,21616.25-65.75 days
OTHER KIDNEY URINARY TRACT DIAGNOSES W MCC (Other type of Kidney infection and infection of the urinary tract with major complications or conditions)MS-DRG 698$17,804-$47,5413-8 days
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC (Diseases of the blood moving through the body with serious complications and conditions) MS-DRG 314$19,738-$52,1204-9 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$12,216-$23,1243-5 days
HEART FAILURE SHOCK W CC (The heart is unable to pump enough blood to the body, this causes shock to happen with complications and conditions)MS-DRG 292$15,739-$29,5723-7 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC (Surgery to join 2 or more bones in the spine so there is no movement. Can be done through the front of the neck or belly or through the back of the spinal canal with complications and conditions).MS-DRG 454$95,343-$167,4704-7 days
Procedure on kidney or ureter (tube that carries urine from kidney to bladder), not for cancer, without complications or conditions or without major complications or conditionMS-DRG 661$25,560-$32,7871-2 days
MAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCC (Major procedure on small and large intestines without complications or conditions or serious complications or conditions) MS-DRG 331$23,294-$40,2452.75-5 days
DISORDERS OF LIVER EXCEPT MALIG CIRR ALC HEPA W MCC (Diseases of the liver, but not those that come from cancer, scarring or hepatitis from drinking alcohol with serious complications or conditions)MS-DRG 441$18,093-$52,5623-9 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$63,724-$79,0442-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$5,219-$14,8692-5 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$22,636-$106,8436.5-25.5 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$9,968-$22,0532-5 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission)MS-DRG 65$18,736-$33,0992-5 days
CESAREAN SECTION W/O CC/MCC (C-section without complications or serious issues)MS-DRG 766$13,513-$22,8052-4 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

UCHealth Medical Group
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OTHERLevel 4 Office/outpatient visit established patientCPT 99214$173
OTHERLevel 3 Office/outpatient visit established patientCPT 99213$118
OTHERLevel 3 Office/outpatient visit new patientCPT 99203$172
LABORATORYRoutine blood sample drawnCPT 36415$5
OTHERLevel 4 Office/outpatient visit new patientCPT 99204$261
OTHERSubsequent hospital care (Follow up visit for patient in hospital with moderate complexity, at least 25 minutes)CPT 99232$115
OTHERHome or Outpatient monitoring of blood thinning medicine program for a new patient.CPT 93793$22
OTHERVaccine given to child less than 18 years of age. Face to face counsel by provider. Vaccine with only 1 part.CPT 90460$37
LAB UROLOGYUrinalysis auto w/o scope (Urine test by machine without microscope)CPT 81003$4
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$7
OTHERElectrocardiogram (EKG) Heart tracingCPT 93010$15
CARDIOLOGY - ECHOCARDIOLOGYTte w/doppler complete (Transthoracic - through the chest wall - Echocardiogram - ultrasound- with color ultrasound doppler to view blood flow of heart)CPT 93306$120-$363
OTHERSubsequent hospital careCPT 99233$165
OTHERPrev visit est age 40-64 (Preventive medicine visit for patient ages 40 to 64, known to doctor already)CPT 99396$60-$200
OTHERElectrocardiogram completeCPT 93000$30
OTHERLevel 5 Office/outpatient visit established patientCPT 99215$231
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$18
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$72
OTHERStrep a assay w/optic (Rapid strep test throat culture)CPT 87880$26
ALLERGY TEST OTH DX SVCSPercut allergy skin tests (Allergy testing with skin pricks)CPT 95004$10
TREATMENT ROOM Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$41
OTHERInfluenza assay w/optic (Rapid Flu test done with swab of nose to test for flu)CPT 87804$26
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$20
CLINICLevel 2 Office/outpatient visit established patientCPT 99212$72
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$26

UCHealth Yampa Valley Medical Center
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$60-$70
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$60-$70
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$48
LABORATORYRoutine blood sample drawnCPT 36415$27
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$32
OBS ROOM Hospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$212
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$64-$68
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$75
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$265
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$38
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$30-$60
PHYSICAL THERPNeuromuscular reeducation (Exercise to help re-educate the body part to perform a function or task that it was able to do in its pre-injury state)CPT 97112$60-$68
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$112
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$106-$112
LABORATORYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$18-$21
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$23
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$38
EVAL REEVAL PHYS THERPT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity)CPT 97161$120
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$213-$223
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$167
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$185
LAB CHEMISTRYBlood test to check for prostate cancer in menCPT 84153$83-$107
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$1,260
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$36
OTHERLevel 3 Office/outpatient visit established patientCPT 99213$120

When a patient visits an emergency department, facilities charge an emergency department fee to pay for the patient’s care. This fee provides for the nurses, staff, pharmacists, security, equipment, and other things the patient needs in the ER as well as the cost of keeping these services available 24 hours a day. The fee does not provide for the doctor or additional tests and treatments. These are billed separately.

UCHealth follows American College of Emergency Physicians guidelines for emergency department coding. Patients who need a higher level of care will be charged a higher facility fee. A level 1 or 2 emergency department fee might be charged for a very minor or simple condition like a minor viral infection or minor skin rash that requires little to no time in an ER, no tests or treatments and no prescription. Often, these conditions can be best cared for in an urgent care or primary care location. A level 4 or level 5 emergency department fee may be charged for a medical condition that requires multiple tests and screenings to diagnose and/or complex care to address.

Codes and prices represent the care, tests and treatments needed by the patient, not the resulting diagnosis. For example, a patient who has a serious headache might need advanced care and screenings to rule out a stroke or other potentially serious or life threatening conditions and thus be assessed at a level 4 or level 5, even if the resulting diagnosis is minor. A patient who presents with chest pain might need tests and screenings to rule out a heart attack and receive a level 4 or level 5 bill even if he or she is determined to not be experiencing a heart attack. The federal Emergency Medical Treatment and Labor Act (EMTALA) requires that we provide a medical screening examination to rule out an emergency medical condition, and provide stabilizing treatment if one does exist, to all patients who come to the emergency department, regardless of their ability to pay or their insurance status.

UCHealth Yampa Valley Medical Center
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$182
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$347
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$804
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,682
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,393

UCHealth Yampa Valley Medical Center
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$38,702-$48,5491-2 days
Normal Newborn MS-DRG 795$2,094-$2,9401-2 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$9,755-$13,6582 days
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES (Vaginal delivery without a complicating diagnosis) MS-DRG 775$8,681-$13,1802 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$21,141-$44,2851.25-5 days
SPINAL FUSION EXCEPT CERVICAL W/O MCC (Surgery to join the bones of the back, not the neck, without serious complications or conditions)MS-DRG 460$45,817-$53,2471-2 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$37,586-$54,9941 day
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,491-$3,8412-2.25 days
CESAREAN SECTION W/O CC/MCC (C-section without complications or serious issues)MS-DRG 766$12,955-$20,3992-4 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$16,353-$24,4713-4 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC (Surgery to join the bones of the front and back of the spine without complications or conditions or serious complications or conditions)MS-DRG 455$46,735-$52,3311 day
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC (Surgery to join 2 or more bones in the spine so there is no movement. Can be done through the front of the neck or belly or through the back of the spinal canal with complications and conditions).MS-DRG 454$46,938-$61,6301-2 days
CERVICAL SPINAL FUSION W/O CC/MCC (Surgery to join the bones of the neck without complications or conditions or serious complications or conditions)MS-DRG 473$30,219-$40,8371 day
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$14,674-$29,0862-3 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$44,664-$66,3603-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$18,651-$38,6202-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$3,342-$14,7322-4.5 days
LOWER EXTREM HUMER PROC EXCEPT HIP FOOT FEMUR W/O CC/MCC (Procedure to legs or upper arms except the hip, foot or thigh bone without complications or conditions or without serious complications or conditions)MS-DRG 494$32,115-$50,8201-2 days
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC (Procedure or surgery on the lower leg or upper arm does not include the hip, foot or thigh bone with complications or conditions).MS-DRG 493$32,932-$70,0812-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$17,402-$27,8562-3 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC (Alcohol, drug abuse or dependence without rehab treatment and without serious complications or conditions)MS-DRG 897$18,637-$26,9522-3.25 days
CERVICAL SPINAL FUSION W CC (Surgery to join the bones of the neck with complications or conditions)MS-DRG 472$30,531-$73,7071-3 days
CESAREAN SECTION W CC/MCC (C-section with complications or serious issues)MS-DRG 765$19,665-$25,3893-4 days
SIMPLE PNEUMONIA PLEURISY W/O CC/MCC (Simple pneumonia - responds well to treatment- and inflammation of the space between the lungs and the chest wall, without complications or other conditions)MS-DRG 195$13,444-$20,6472-2.5 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$14,298-$21,2752-3 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$16,502-$27,4232 days

* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.

While the self-pay pricing information posted on this site is a good faith estimate of prices, UCHealth cannot guarantee the accuracy of these prices. Prices are based on modeling of a range of patient visits and do not account for any unforeseen complications, additional tests or procedures, medical provider bills, and non-hospital related charges, any of which may increase the ultimate cost of the services provided. Any prospective patient should understand that a final bill or bills for services rendered may differ substantially from the information provided by this website, and UCHealth shall not be liable for any pricing disparities. All pricing is facility-specific and not transferrable to other facilities.