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 ROOMHospital 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$94-$99
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$110
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$110
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$133
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$53-$61
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$255-$270
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$157
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$249-$304
LABORATORYRoutine blood sample drawnCPT 36415$10-$84
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$90
LAB UROLOGYUrine pregnancy testCPT 81025$88
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$90-$119
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$98
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$125
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$100
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$267
PHYSICAL THERPTherapy for help with walking (may include stair training as well)CPT 97116$105
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$5,266
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$87
LAB CHEMISTRYAssay of lactic acid (Blood test to measure lactic acid levels, produced when oxygen levels in the blood drop)CPT 83605$116-$123
LAB HEMATOLOGYFibrin degradation quant (Blood test to check for blood clotting problems)CPT 85379$70
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$18-$65
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$84
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$204

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$268
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$505
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$985
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$2,274
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$3,359

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 replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$35,711-$45,2371-2 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$19,527-$40,2447-14 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$17,707-$36,0517-13 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacement or reattaching of arm or part of arm)MS-DRG 483$41,991-$48,9541 day
Follow up care in the hospital after surgery or an injury with complications or conditions or with major complications or conditionMS-DRG 949$16,903-$35,3586-12 days
AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W/O CC/MCC (Disease or disorder of the muscles, bones or connective (tissue that supports organs and bones) without complications or conditions or without major complications or conditions.)MS-DRG 561$16,860-$27,7737-9.5 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC (Disease or disorder of the nervous system (regulates and coordinates body activities) which are due to a loss in the function or structure of neurons (cells that send commands to muscles) of the brain or spinal cord that continues to get worse with major complications or conditions.)MS-DRG 56$26,499-$57,1519.5-19 days
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT (Replacement of hip, knee or ankle joint with man made joint or surgery to reattach a lower limb with major complications and conditions. )MS-DRG 469$52,257-$73,5071-2.5 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$13,930-$29,1042-5.75 days
AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W MCC (Disease or disorder of the muscles, bones or connective (tissue that supports organs and bones) with major complications or conditions.)MS-DRG 559$27,079-$44,6558-13.5 days
Follow up care in the hospital after surgery or an injury without complications or conditions or without major complications or conditionMS-DRG 950$15,985-$29,6346-11 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$13,373-$24,2372-4.75 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$7,769-$15,3971.75-3 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$24,027-$49,6421 day
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$11,922-$17,9502-3 days
REVISION OF HIP OR KNEE REPLACEMENT WITH CC (Removal of or repair of man made device for hip or knee with complications and conditions.)MS-DRG 467$43,832-$73,4812-3.75 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$14,654-$22,4952-7 days
SIGNS SYMPTOMS W/O MCC (Signs or symptoms of an illness without serious complications or conditions)MS-DRG 948$20,656-$40,0027.5-13 days

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

UCHealth Cherry Creek 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$691
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$691
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$541
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$526
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the wall in the nose that is between the nostrilsCPT 30520$1,803
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONResect inferior turbinate (Partial or complete removal of soft tissue of one the long thin bones on the inside of the nose)CPT 30140$1,803
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONExam 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$2,913
OR MINORThe doctor examines the uterus using a thin, lighted tube with a camera that is placed into the vagina to examine the cervix and inside of the uterus. Tissue sample may be taken or lining of uterus may be removed.CPT 58558$1,720
TREATMENT ROOMA small tube with a camera at the end of it is placed into the largest sinus cavity (air filled holes in the bones of the face). Area is examined and sample of tissue taken out or cleaned.CPT 31267$3,746
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONProcedure on the head using computer assistance to find the exact location.CPT 61782$276
TREATMENT ROOMThe affected lumbar (lower back) or sacral (tailbone) spinal nerve is destroyed using chemical, heat, electrical, or radiofrequency. These procedures are performed to treat chronic back pain.CPT 64636$276
TREATMENT ROOMRepair of nasal blockage that makes breathing difficult through the nose.CPT 30465$3,340
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$691
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONThe doctor places a tube with a camera at the end into the nose and sinus area to see and examine the area. A tissue sample is removed to be examined.CPT 31253$3,746
TREATMENT ROOMThe esophagus (swallowing tube), stomach, duodenum (top of the small intestine), are viewed to find if bleeding, tumors, erosions, ulcers, or other problems are present. A sample of tissue may be taken by brushing or washing the esophageal lining with saline and removing the fluid.CPT 43235$541
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$248
PROFESSIONAL FEES - OUTPATIENT SVCSAlso known as a lumpectomy, the doctor removes the cancerous tumor with a rim of normal tissue to cut beyond the border that might have cancer cells.CPT 19301$2,086
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a second problem in the facet joint in the lumbar area (lower back) or sacral area (tailbone) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64494$276
TREATMENT ROOMThe doctor injects either a substance to diagnose or treat the facet joints using CT to find the correct spot in the cervical (neck) or thoracic (spine) on 2 levels of joints. Facet joints are pairs of small joints in between the vertebrae in the back of the spine.CPT 64491$276
OR MINORThin tube placed into the urethra (tube that carries urine out of the body) and then into the bladder (sac that holds urine) and on to the ureter (tube that brings urine from kidneys to bladder). A stent (metal tube) is placed in the ureter to help provide stability and strength.CPT 52332$2,078
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONProcedure used to treat infections in the ethmoid sinus cavities. An endoscope (tube with a camera and light connected) used to help guide the surgeon. Sphenoid sinus also opened.CPT 31257$270
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONThis uses a special camera during surgery to look down the throat to see the voice box (larynx) and vocal cords. The vocal cords are stripped (outer layers are removed). A tumor may be removed as well.CPT 31541$2,022
TREATMENT ROOMShot given with either pain medicines or a steroid into the disc of the lower back.CPT 64483$559
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a problem in the facet joint in the lumbar area (lower back) or sacral area (tailbone) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64493$559
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to cut the carpal ligament (thick tissue at the wrist) to allow more space for the carpal nerve to move.CPT 64721$1,184

UCHealth Grandview Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$55
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$84-$89
LABORATORYRoutine blood sample drawnCPT 36415$9-$75
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$99
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$99
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$120
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$230-$243
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$142
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$224-$274
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$81
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$81-$107
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$48-$55
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$184
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$113
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,739
PHYSICAL THERPTherapy for help with walking (may include stair training as well)CPT 97116$94
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$95-$130
LAB UROLOGYUrine pregnancy testCPT 81025$79
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$76
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$240
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$88
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$78
LAB CHEMISTRYHepatic function panel (Liver Function blood test)CPT 80076$98-$104
LAB CHEMISTRYChorionic gonadotropin test (Blood pregnancy test)CPT 84703$97-$102
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$241
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$454
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$887
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$2,047
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$3,023

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 replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$35,270-$39,8471-2 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$12,389-$23,8182-4 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$53,727-$58,3572-3 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacement or reattaching of arm or part of arm)MS-DRG 483$35,606-$42,6631 day
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$38,189-$63,6621-2 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$13,508-$25,5841-5 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$9,153-$14,1452-3 days
REVISION OF HIP OR KNEE REPLACEMENT WITH CC (Removal of or repair of man made device for hip or knee with complications and conditions.)MS-DRG 467$49,124-$67,3662-3.25 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$9,779-$17,7642.75-4.25 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$11,176-$22,6172-4 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$7,888-$14,3041-3 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$15,035-$21,3232-4 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$12,470-$18,0201-3 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellaneous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$7,100-$14,0801-2 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 ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$70
LABORATORYRoutine blood sample drawnCPT 36415$28-$115
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$44
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$49
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$134
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$98
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$39
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$81
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$137
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$143
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$11-$27
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$36
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$33
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$68-$121
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$51-$71
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$21-$55
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$272
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$322
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$32-$41
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$244-$353
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$68
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$44
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$42
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$83
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$43

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$228
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$394
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$675
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$973
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$1,901

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$11,204-$14,8192 days
Normal NewbornMS-DRG 795$1,816-$2,8701-2 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,100-$3,8021-2 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$18,851-$41,3583-6 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$15,102-$35,5452-6 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$14,044-$25,8872-4 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$14,740-$30,6412.25-6 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$11,859-$16,0132-3 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$13,223-$21,3452-3.75 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$16,055-$22,8512-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$3,300-$9,9252-3 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$46,291-$58,4252 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$18,530-$29,1472-3.5 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$13,172-$22,8512-4 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$12,617-$35,2612.25-5 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$45,695-$112,2765-12 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$12,972-$18,1452-3 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$14,570-$24,0372-3.25 days
ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC (Patient with heart attack discharged alive with serious complications)MS-DRG 280$19,579-$30,4152-4.25 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellaneous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$9,452-$26,0232-4 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$14,692-$30,2723-5 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$16,493-$36,0302-3 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$74,535-$168,6417-16 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$4,196-$10,4852-4.25 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$15,004-$30,1232-5.5 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$4,967-$15,6602-4.75 days
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC (Inflammation of the liver caused by drinking alcohol (alcoholic hepatitis) and late stage of scarring (fibrosis) of the liver (cirrhosis) with major complications or conditions.)MS-DRG 432$22,700-$53,9703-8 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$15,508-$30,7472-5 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$16,910-$35,1672-6 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$12,504-$22,4822-5 days
POSTPARTUM POST ABORTION DIAGNOSES W/O O.R. PROCEDURE (Disease or disorder after birth or loss of baby without a procedure in the Operating Room.)MS-DRG 776$6,850-$14,4672 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$37,144-$44,8833-5 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$39,733-$49,5792-4 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$22,860-$50,3762.5-7.5 days
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL /OR DC (Delivery of baby by vaginal birth that includes a procedure in the Operating Room but not having "tubes tied" (sterilization) - or a D&C (clears lining of uterus))MS-DRG 768$13,293-$18,9542-3 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$12,283-$20,7352-4 days
DELIVERY OF BABY BY C-SECTION (CUTTING INTO THE BELLY OF THE MOTHER) WITH MAJOR COMPLICATIONS OR CONDITIONS WITHOUT HAVING "TUBES TIED".MS-DRG 786$20,463-$31,6913-4 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$56,894-$100,3264-10 days
ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS.MS-DRG 208$44,165-$105,2783.75-11 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$9,947-$22,5892-4.5 days
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC (Disease or disorder during period of time before delivery, not listed in other codes, without a procedure in the Operating Room without complications or conditions or without major complications or conditions.)MS-DRG 833$6,097-$9,3741-2 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$13,093-$26,0842.5-5.5 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$16,073-$47,8053-10 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$16,987-$24,2143-4.75 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$55,361-$95,1522-6 days
Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditionsMS-DRG 377$22,906-$46,0413-7 days
OTHER KIDNEY URINARY TRACT DIAGNOSES W CC (Disease or disorder of the kidney or urinary tract system, not listed in other codes, with complications or conditions.)MS-DRG 699$16,514-$34,3673-6 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellaneous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$13,614-$25,2721.75-5 days
Disease of the pancreas except cancer without complications or conditions or without major complications or conditionsMS-DRG 440$12,435-$17,3922-3 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$13,237-$22,8722-3.25 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CC (Disease from a parasite (living things that use other living things like your body for food and a place to live) that is infectious (caused by germs) and makes you sick and needs a procedure in the Operating Room with complications and conditions.)MS-DRG 854$20,328-$36,0342-4 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$14,631-$18,3972 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 ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$49
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$75-$79
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$204-$216
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$88
LABORATORYRoutine blood sample drawnCPT 36415$8-$67
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$107
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$199-$244
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$264
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$88
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$163
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
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 CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$85-$116
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$42-$49
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$72
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,213
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 CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$72-$79
PATHOL HYSTOLThe staining process used to look at cells under a microscope, often used to look for cancer cells. This is for any samples after the first sample.CPT 88341$229
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$14-$52
PATHOL HYSTOLExam with both the bare eye and under a microscope of tumor tissue from the uterus (without cancer such as a fibroid) but not the uterus itself.CPT 88307$402
LAB UROLOGYUrine pregnancy testCPT 81025$70
PATHOL HYSTOLThe staining process used to look at cells under a microscope, often used to look for cancer cells. This is for the first sample.CPT 88342$229
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$214

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$788
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$1,820
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$2,687

UCHealth Highlands Ranch Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
Normal NewbornMS-DRG 795$1,688-$2,6751-2 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$6,144-$9,0492-3 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,120-$3,2851-2 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$16,361-$31,0133-7 days
SEIZURES W/O MCC (Seizures without major complications or conditions)MS-DRG 101$10,503-$19,2972-4 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$16,273-$36,6583-7 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$12,120-$16,0902-4 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$6,536-$9,8312-3 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$11,012-$19,5252-4 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacement or reattaching of arm or part of arm)MS-DRG 483$32,083-$41,0051 day
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$29,814-$32,4271 day
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$15,893-$31,6824-8 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$10,943-$18,4512-4 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$12,014-$16,4442-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$2,957-$8,0572-4 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$7,671-$9,8742-3 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$14,110-$29,8912-5 days
Procedure on the uterus or close structures such as ovaries, tubes or ligaments without complications or conditions or without major complications or conditions, not for cancerMS-DRG 743$21,313-$25,7191 day
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$2,891-$7,9982-4 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$9,808-$20,6272-5.25 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$10,388-$16,0332-3.75 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$25,709-$60,0793-8 days
PULMONARY EMBOLISM W/O MCC (blood clot in the lungs without serious complications)MS-DRG 176$12,241-$20,1011-3 days
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL /OR DC (Delivery of baby by vaginal birth that includes a procedure in the Operating Room but not having "tubes tied" (sterilization) - or a D&C (clears lining of uterus))MS-DRG 768$8,403-$11,9752.25-3 days
MAJOR HEAD AND NECK PROCEDURES WITH CC (Procedures performed on the head and neck (such as carotid artery, eye or ear) with complications and conditions.)MS-DRG 141$29,380-$54,6393-6 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$4,732-$58,2903-18.5 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$39,500-$52,3751.75-3 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellaneous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$10,463-$17,4281-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$10,705-$20,6782-4.5 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$13,139-$23,3152-4 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$14,429-$36,5593-8 days
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS (Disease of the respiratory system (related to breathing) that requires being on a breathing machine (ventilator) for longer than 96 hours.)MS-DRG 207$91,001-$252,89710-25 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$17,437-$33,8552-5 days
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (Procedures for disorders of the womb (uterus) or female genitals, not for cancer but with complications and conditions or major complications and conditions.)MS-DRG 742$23,624-$31,2161-2.25 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$10,468-$20,9712-4.25 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$10,632-$17,9862-4 days
SYNCOPE AND COLLAPSE (Fainting and falling to the ground.)MS-DRG 312$11,035-$20,3421-4.5 days
G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions)MS-DRG 389$11,903-$24,7592-5.5 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$8,913-$15,6192-4.5 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$12,830-$22,5241.25-3 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$44,825-$96,6877-13.75 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$26,372-$37,4203-4.75 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$14,518-$22,7803-5 days
CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W CC (Heart rhythm problems with complications or conditions)MS-DRG 309$11,548-$19,1052-3 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$39,692-$103,9746-14 days
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC (Disorder of the digestive system (organs involved in the process of digesting food) not listed in other codes with complications and conditions.)MS-DRG 394$11,054-$19,7292-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC (Disease of the pancreas (except cancer) with major complications or conditions.)MS-DRG 438$12,921-$34,4803-9 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellaneous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$10,123-$28,0992-6.5 days
DELIVERY OF BABY BY C-SECTION (CUTTING INTO THE BELLY OF THE MOTHER) WITH MAJOR COMPLICATIONS OR CONDITIONS WITHOUT HAVING "TUBES TIED".MS-DRG 786$14,008-$17,1663-4 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$25,091-$28,6532-3.5 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$12,310-$34,6992-4.5 days
TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (Opening made into the windpipe (trachea) to allow a tube for breathing to be placed or if all the voice box (larynx) is removed when diagnosis is for face, mouth or neck issues with major complications and conditions. )MS-DRG 11$44,720-$89,4776.5-15 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 ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$55
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$99
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$84-$89
LABORATORYRoutine blood sample drawnCPT 36415$9-$75
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$230-$243
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$296
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$99
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$224-$274
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$142
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$120
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$81-$107
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$240
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$39-$71
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$81
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$16-$58
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$113
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$48-$55
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$88
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$78
LAB CHEMISTRYVitamin B-12 shotCPT 82607$126
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$184
LAB CHEMISTRYAssay of ferritin (Blood test to measure amount of iron)CPT 82728$48-$126
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$29-$65
PATHOL HYSTOLThe staining process used to look at cells under a microscope, often used to look for cancer cells. This is for the first sample.CPT 88342$257
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,739

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$241
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$454
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$887
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$2,047
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$3,023

UCHealth Longs Peak Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
Normal NewbornMS-DRG 795$1,791-$2,7591-2 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$5,748-$8,1991-2.5 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,277-$3,4161-2 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$14,369-$32,1632-6.25 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$19,623-$44,5003-7 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$12,102-$15,4982-3 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$13,982-$22,3402-5 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$6,146-$8,2572 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$14,904-$24,2712-4 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$52,101-$65,1302 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$11,289-$17,8632-4 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellaneous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$11,545-$20,5022-4 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$12,768-$21,1621-3 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$16,965-$25,2531.75-3 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$31,185-$38,2821-2 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$15,665-$26,1732-5 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$61,464-$99,0092-4 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$13,333-$15,8492-3 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$12,103-$20,3462-4 days
Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditionsMS-DRG 377$18,934-$47,6022-5 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$77,819-$116,8343-6.25 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$3,684-$29,7222-11.25 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$41,095-$105,0614-11 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$45,714-$74,2121-4 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$33,145-$49,3893-6.75 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$2,994-$6,1352-3 days
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC (Inflammation of the liver caused by drinking alcohol (alcoholic hepatitis) and late stage of scarring (fibrosis) of the liver (cirrhosis) with major complications or conditions.)MS-DRG 432$21,263-$43,2203-8 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$26,049-$33,9732-3 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$60,343-$99,7632-4.5 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellaneous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$15,935-$26,6862-5 days
G.I. OBSTRUCTION W/O CC/MCC (Blockage in the bowel without complications and conditions or serious complications or conditions)MS-DRG 390$13,260-$18,1662-3 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$10,646-$20,8762-4 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$16,878-$35,3002-5 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$15,879-$23,1482-3 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$14,281-$21,8742-3 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$12,301-$20,3882-5 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$17,468-$24,3972-5 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$15,363-$17,1312 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$25,132-$43,6962-5 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$12,934-$23,9092-3 days
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC (Heart Attack, patient left hospital alive with complications or other conditions)MS-DRG 281$15,298-$24,4171-3 days
DIABETES W MCC (A disease where the body either does not make insulin (hormone made by the body to use glucose) or does not use insulin it makes with major complications or conditions.)MS-DRG 637$14,086-$31,4272-4.25 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$13,784-$24,0422-3.25 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$6,709-$8,5762-3 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$15,667-$41,5953-8.25 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$17,662-$25,3111-3 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC (Disease of the pancreas (except cancer) with major complications or conditions.)MS-DRG 438$24,594-$41,2793.5-6.5 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$12,887-$24,0372-4.5 days
CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W MCC (Disease of the circulatory system (cardiovascular system or heart) except for an acute myocardial infarction (heart attack). Does include having a cardiac catherization (long thin tube placed into blood vessel with dye given. Looks at blood vessels of the heart and how the heart pumps) with major complications and conditions.)MS-DRG 286$25,666-$31,6522-4.5 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$16,782-$29,3182-6 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$16,327-$29,6311.25-4 days

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

UCHealth 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$691
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$541
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$691
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$691
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$1,392
INTRAOCULAR LENSSurgery 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$317
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$1,072
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$526
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$1,072
INTRAOCULAR LENSSurgery 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$515
TREATMENT ROOMRemoval of sperm duct(s) (Removal of a section of the sperm duct or ducts)CPT 55250$1,220
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$541
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONThe use of high frequency sound (shock) waves to break up stones in your kidneyCPT 50590$2,078
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONResect inferior turbinate (Partial or complete removal of soft tissue of one the long thin bones on the inside of the nose)CPT 30140$1,803
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONDrain placed in the eye during cataract surgery. Increases the ability of the eye to drain fluid and keeps the pressure in the eye lower, preventing glaucoma.CPT 0191T$2,629
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the wall in the nose that is between the nostrilsCPT 30520$1,803
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to cut the carpal ligament (thick tissue at the wrist) to allow more space for the carpal nerve to move.CPT 64721$1,184
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your knee.CPT 29881$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONExam 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$2,913
GASTR INTS SVSTest done with a camera with light passed through the rectum to take pictures of the intestines in someone with a higher than normal risk for having disease.CPT G0105$526
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONAn intraocular (in the eye) pressure lowering implant device that is used for the treatment of glaucoma (disease that damages the nerve in the eye and causes a buildup of pressure in the eye).CPT C1783$1,087
TREATMENT ROOMShot given with either pain medicines or a steroid into the disc of the lower back.CPT 64483$559
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$248
TREATMENT ROOMPlacement of a second drain for fluid control in the eye and to reduce pressure in the eye with glaucoma (fluid pressure in the eye that damages the optic nerve).CPT 0376T$276
TREATMENT ROOMA small tube with a camera at the end of it is placed into the largest sinus cavity (air filled holes in the bones of the face). Area is examined and sample of tissue taken out or cleaned.CPT 31267$3,746

UCHealth Medical Center of the Rockies
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$81
LABORATORYRoutine blood sample drawnCPT 36415$33-$132
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$50
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$56
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$155
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$45
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$114
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$165
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$38
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$79-$140
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$94
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$73
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$158
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$24-$64
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$59-$82
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$12-$32
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$41
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$314
LAB CHEMISTRYA blood test to diagnose heart failure.CPT 83880$142-$233
PATHOL CYTOLOGYFlowcytometry/tc add-on (Test to evaluate characteristics of cells in the body, each marker characteristic)CPT 88185$46-$98
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$51
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$49
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$3,854
IV THERAPYAn additional hour of medicine given by IV (Intravenous infusion) for therapy, to prevent a problem, or to diagnose a disease. CPT 96366$156
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$37-$47

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$264
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$455
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$779
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$1,123
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$2,194

UCHealth Medical Center of the Rockies
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
Normal NewbornMS-DRG 795$1,726-$2,7491-2 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$11,253-$15,9711-2 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$24,852-$61,2383-8 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,062-$3,8371-2 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$22,846-$50,1913-8 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$60,552-$80,7081-2 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$14,721-$22,0222-3 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$21,075-$43,0133-7 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$13,035-$18,3022-3 days
PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions)MS-DRG 274$59,292-$66,0041 day
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC (Procedure on a heart valve performed through the skin without serious complications or conditions)MS-DRG 267$104,727-$114,6871 day
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$55,919-$64,1601-3 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$17,779-$39,1812-5 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$69,955-$115,4482-4 days
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC (Replacement of heart valve performed through the skin with serious complications or conditions)MS-DRG 266$110,750-$174,0441-7 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$22,789-$38,7072-3 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$40,775-$64,7063-6 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$16,008-$24,3352-4 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$16,903-$48,2152-6 days
MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions)MS-DRG 552$18,821-$33,8392-5 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$61,548-$108,2813-6 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$20,591-$38,1322-5 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$31,976-$79,2013-10 days
ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC (Patient with heart attack discharged alive with serious complications)MS-DRG 280$22,656-$54,2032-7.5 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$67,132-$105,9702-3.5 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$88,623-$224,0737.5-18.5 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$18,480-$39,0532-5 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$62,044-$84,1402-4 days
CARDIAC VALVE OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC (Procedure on heart valve or other serious procedure of heart or chest without cardiac catheterization with complications or conditions)MS-DRG 220$172,857-$260,0435-9 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$63,972-$122,1973-9.25 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$175,884-$223,9226-9 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacement or reattaching of arm or part of arm)MS-DRG 483$43,018-$49,9141 day
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$19,805-$35,4173-4 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$44,498-$72,4313-5 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$19,969-$38,5733-6 days
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL /OR DC (Delivery of baby by vaginal birth that includes a procedure in the Operating Room but not having "tubes tied" (sterilization) - or a D&C (clears lining of uterus))MS-DRG 768$14,382-$19,6692-3 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$18,678-$30,4672-5 days
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS (Disease of the respiratory system (related to breathing) that requires being on a breathing machine (ventilator) for longer than 96 hours.)MS-DRG 207$161,082-$313,47712-26.75 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$18,489-$37,4493-5 days
G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions)MS-DRG 389$14,020-$23,8662-4 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$75,307-$123,7731-3 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$75,578-$203,4026-16.5 days
CARDIAC VALVE OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC (Heart valve procedure or other heart procedure without having a heart catherization with serious complications or conditions)MS-DRG 219$225,962-$340,9628-14 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$3,701-$10,7712-3 days
ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS.MS-DRG 208$44,783-$93,5982-7 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$20,705-$38,8462-5 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellaneous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$20,960-$55,2173-7 days
Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditionsMS-DRG 377$24,008-$55,1263-6 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$24,002-$73,8653-9 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$18,715-$39,1353-6 days
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC (Procedures on the aorta (large blood vessel that carries blood from the left ventricle of the heart to the rest of the body) and on the heart to help it work properly except for a balloon pump device.)MS-DRG 269$107,466-$132,9861-2.75 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
LABORATORYRoutine blood sample drawnCPT 36415$10
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$105
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$24-$32
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$51-$66
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$89
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$64
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$58-$73
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$43
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$44-$59
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$53
OTHERLevel 2 Office/outpatient visit established patientCPT 99212$217
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$110
LAB IMMUNOLOGYAllergy testingCPT 86003$52-$58
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$180-$184
LABORATORYAssay of free thyroxine (Blood test to measure thyroid hormone levels)CPT 84439$33-$55
LAB CHEMISTRYVitamin d 25 hydroxy (Vitamin D level blood test)CPT 82306$90-$158
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$76
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$96
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$105
CARDIOLOGY - ECHOCARDIOLOGYTte w/doppler complete (Transthoracic - through the chest wall - Echocardiogram - ultrasound- with color ultrasound doppler to view blood flow of heart)CPT 93306$2,475
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$74
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$20-$26
CARDIOLOGYPM/ICD remote tech serv (Remote check or receiving of data for pacemaker or defibrillator with technician review)CPT 93296$158
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$169
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$16-$39

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$265
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$547
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$991
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$1,830
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$3,512

UCHealth Memorial Hospital Central and Memorial Hospital North
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$8,264-$12,8581-2 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$3,325-$5,1801-2 days
Normal NewbornMS-DRG 795$2,647-$4,0941-2 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$22,217-$53,8623-7 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$19,320-$39,6513-7 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$17,481-$25,7422-3 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$9,214-$15,4142-3 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$16,920-$29,9352-4 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$17,513-$35,0063-6 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$4,241-$8,7132-3 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$54,957-$150,4466-16 days
A BABY 4 WEEKS OLD OR LESS THAT DIED OR IS MOVED TO ANOTHER HOSPITAL FOR CARE.MS-DRG 789$1,239-$1,9331 day
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$57,951-$76,9601-2 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$17,223-$32,7672-5 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$15,284-$26,6852-4 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$19,907-$29,9332-4 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$13,230-$25,2992-4 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$20,469-$30,3912-4 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$16,918-$32,9122-5 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$10,954-$17,1722-3 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$22,632-$36,9352-4 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$14,138-$29,7512-5 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$21,611-$56,4495-16 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$38,005-$63,4723-8 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$15,803-$29,7462-4 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$42,380-$64,7123-6 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$4,192-$7,1622-3 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$41,684-$63,8522-4 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$12,251-$20,3662-3 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$17,307-$46,2312-5 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$109,978-$178,0122-3 days
DELIVERY OF BABY BY C-SECTION (CUTTING INTO THE BELLY OF THE MOTHER) WITH MAJOR COMPLICATIONS OR CONDITIONS WITHOUT HAVING "TUBES TIED".MS-DRG 786$23,437-$36,1613-5 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$31,114-$67,3912-9 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$18,456-$34,1082-4 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CC (Disease from a parasite (living things that use other living things like your body for food and a place to live) that is infectious (caused by germs) and makes you sick and needs a procedure in the Operating Room with complications and conditions.)MS-DRG 854$29,996-$63,6753-8 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$14,350-$25,6212-4 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$16,812-$24,0212-3 days
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC (Disease or disorder during period of time before delivery, not listed in other codes, without a procedure in the Operating Room without complications or conditions or without major complications or conditions.)MS-DRG 833$7,243-$12,5441-3 days
PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions)MS-DRG 274$83,251-$85,8841 day
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellaneous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$15,402-$25,9482-4 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacement or reattaching of arm or part of arm)MS-DRG 483$44,352-$51,9081 day
ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS.MS-DRG 208$34,116-$80,2053-7 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$49,731-$125,3875-13.75 days
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL /OR DC (Delivery of baby by vaginal birth that includes a procedure in the Operating Room but not having "tubes tied" (sterilization) - or a D&C (clears lining of uterus))MS-DRG 768$10,676-$20,2812-3 days
Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditionsMS-DRG 377$26,960-$54,1843-6 days
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC (Disease or disorder during period of time before delivery, not listed in other codes, without a procedure in the Operating Room with complications or conditions.)MS-DRG 832$7,969-$19,1171-4 days
DIABETES W MCC (A disease where the body either does not make insulin (hormone made by the body to use glucose) or does not use insulin it makes with major complications or conditions.)MS-DRG 637$19,198-$36,7072-5 days
MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions)MS-DRG 552$22,867-$37,6622-5 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$19,802-$45,9873-8 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellaneous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$20,268-$39,8372-6 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$6,157-$50,3523-15 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$29,118-$50,8502-4 days

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

UCHealth Pikes Peak Regional Hospital
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$91
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$49
LABORATORYRoutine blood sample drawnCPT 36415$59-$69
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$114
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$149
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$332
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$73
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$116
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$105
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$102
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$389
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$47
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$172
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$82
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$134-$176
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$114
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$266
CARDIAC REHAB OTH RX SVCSA qualified health care professional supervises program for patients with heart (cardiac) in areas of exercise, diet, and related treatments.CPT 93798$226
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$30
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$3,123
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$290-$306
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$18
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$30
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$131
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$138

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$140
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$489
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$699
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$1,398
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$2,097

UCHealth Pikes Peak Regional Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$12,392-$22,5002-4.75 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$9,358-$18,3532 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$11,872-$21,9812-6.25 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$7,621-$14,9521-3 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$10,996-$32,5324.5-18.5 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
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$81
LABORATORYRoutine blood sample drawnCPT 36415$33-$132
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$56
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$50
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$155
LAB IMMUNOLOGYAllergy testingCPT 86003$19-$33
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$45
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$94
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$114
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$92
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 CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$79-$140
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$73
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$94
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$38
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$66
LAB BACT MICROCulture aerobic identify (Blood test to identify type of bacteria)CPT 87077$56-$67
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$158
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$12-$32
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$165
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$281-$408
PATHOL CYTOLOGYFlowcytometry/tc add-on (Test to evaluate characteristics of cells in the body, each marker characteristic)CPT 88185$46-$98
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$41
LAB BACT MICROTest of urine to find which antibiotic works best to treat infection caused by bacteria.CPT 87186$106
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$49

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$264
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$455
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$779
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$1,123
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$2,194

UCHealth Poudre Valley Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
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$8,905-$18,7433-5 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$11,707-$16,1821-2 days
Normal NewbornMS-DRG 795$1,809-$2,8211-2 days
PSYCHOSES (condition of having lost touch with reality)MS-DRG 885$7,378-$14,9983-7 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$23,522-$56,7763-7 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,286-$4,0511-2 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$56,668-$66,1701-2 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$19,471-$48,2253-7 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$15,498-$23,5972-4 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacement or reattaching of arm or part of arm)MS-DRG 483$43,018-$52,9151 day
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$13,578-$18,9552-3 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$17,331-$31,7722-4 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$19,414-$41,3313-6 days
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well)MS-DRG 790$51,204-$125,71612-34.75 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$93,916-$102,6612-3 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$14,913-$26,4522-4 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$17,002-$35,6012-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$3,872-$21,6242-5 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$17,904-$26,9912-4 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$18,729-$33,9532-4 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$25,545-$50,4607.25-14 days
DEPRESSIVE NEUROSES (Mental disorder with anxiety, fear or depression)MS-DRG 881$5,626-$11,0152.25-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$14,645-$28,9622-4 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$20,865-$36,8292-5 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$75,035-$164,8376-14.75 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$29,250-$42,2154-5 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellaneous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$13,391-$30,1782-4 days
Follow up care in the hospital after surgery or an injury with complications or conditions or with major complications or conditionMS-DRG 949$23,847-$42,8387-11.5 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$17,434-$44,4252-5 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$14,316-$26,1042-4.25 days
NEUROSES EXCEPT DEPRESSIVE (Mental disorder with anxiety or fear but not depression)MS-DRG 882$5,822-$12,1312-5 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$19,399-$48,8123-7 days
DELIVERY OF BABY BY C-SECTION (CUTTING INTO THE BELLY OF THE MOTHER) WITH MAJOR COMPLICATIONS OR CONDITIONS WITHOUT HAVING "TUBES TIED".MS-DRG 786$21,144-$35,7523-5 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$38,047-$50,7363-5 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$50,935-$85,8733.25-8 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$16,290-$34,6002-5 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$19,822-$92,4045.75-29 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$13,927-$20,5752-3 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$17,103-$33,8251-3 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$18,622-$34,2942-4 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$61,324-$82,8361-2 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$23,136-$44,3106-12 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$23,871-$46,4653-6.25 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$37,540-$89,8612-3 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellaneous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$20,494-$59,2453-8 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$13,266-$24,3582-4 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$11,119-$24,9362-4 days
Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditionsMS-DRG 377$27,981-$52,5933-6 days
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL /OR DC (Delivery of baby by vaginal birth that includes a procedure in the Operating Room but not having "tubes tied" (sterilization) - or a D&C (clears lining of uterus))MS-DRG 768$14,909-$27,8912-3 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$17,973-$22,2092-3 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$22,691-$44,7723-6 days

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

UCHealth Medical Group
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OTHERLevel 4 Office/outpatient visit established patientCPT 99214$195
OTHERLevel 3 Office/outpatient visit established patientCPT 99213$134
DRUGS RADIOLOGYContrast dye used for testing during exams such as a CT scan.CPT Q9967$0
OTHERLevel 3 Office/outpatient visit new patientCPT 99203$178
OTHERLevel 4 Office/outpatient visit new patientCPT 99204$270
LABORATORYRoutine blood sample drawnCPT 36415$5
ADMIN VACCINEImmunization admin (Giving a vaccine)CPT 90471$37
OTHERSubsequent hospital care (Follow up visit for patient in hospital with moderate complexity, at least 25 minutes)CPT 99232$115
OTHERLevel 5 Office/outpatient visit established patientCPT 99215$263
OTHERVaccine given to child less than 18 years of age. Face to face counsel by provider. Vaccine with only 1 part.CPT 90460$37
OTHERHome or Outpatient monitoring of blood thinning medicine program for a new patient.CPT 93793$22
OTHERSubsequent hospital careCPT 99233$165
LAB UROLOGYUrinalysis auto w/o scope (Urine test by machine without microscope)CPT 81003$4
PHARMACY DRUGS REQ DETAILFlu vaccine supply of a preservative free, split virus influenza vaccine 0.5 mL dose that is given to the patient.CPT 90686$23
PROFESSIONAL FEES - EKGElectrocardiogram (EKG) Heart tracingCPT 93010$17
ALLERGY TEST OTH DX SVCSPercut allergy skin tests (Allergy testing with skin pricks)CPT 95004$10
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$72
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
OTHERPrev visit est age 40-64 (Preventive medicine visit for patient ages 40 to 64, known to doctor already)CPT 99396$60-$200
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$18
OTHERElectrocardiogram completeCPT 93000$31
OTHERLevel 2 Office/outpatient visit established patientCPT 99212$79
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$72
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$41
OTHERPersonalized prevention plan of service (Yearly "well" visit to plan for needed care during the year for a patient already known to the provider.CPT G0439$186

UCHealth Inverness Orthopedics and Spine Surgery Center
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your knee.CPT 29881$1,885
TREATMENT ROOMShot given with either pain medicines or a steroid into the disc of the lower back.CPT 64483$559
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to repair the anterior cruciate ligament (strong fiber that connects the thigh to shinbone and runs down the front of the knee). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29888$4,119
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the synovium (tissue that lines a joint) in at least 2 areas such as the medial (inside) or lateral (outside) of the knee. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29876$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint.CPT 29826$932
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to take out a deep implant such as a pin, screw or wire.CPT 20680$1,597
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to cut the tendon sheath of the finger or thumb, allowing the tendon to move easily through the sheath (holds the tendon close to the finger bone).CPT 26055$933
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a torn tendon in the shoulder. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29827$4,119
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to cut the carpal ligament (thick tissue at the wrist) to allow more space for the carpal nerve to move.CPT 64721$1,184
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the meniscus (provides a cushion and stabilizes the knee joint). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29882$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to smooth away the head on the hip bone. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29914$158
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to trim or smooth away a large amount of tissue from the ankle joints. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29898$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the meniscus (provides a cushion and stabilizes the knee joint) and shave off damaged cartilage of the knee (chondroplasty). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29880$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in the labrum (cushions the hip joint and holds the hip bone in the socket). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29916$68
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery on a joint that doesn’t have a specific code to describe the procedure. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29999$990
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to trim or smooth away a large amount of tissue in the shoulder joint. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29823$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery that uses a tiny camera to look inside your knee. Small cuts are made to place the camera and small tools into your knee for the procedure to release the tight ligaments (bands of tissue) on the outside of the kneecap to let it slide to the correct place.CPT 29873$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a problem in the facet joint in the lumbar area (lower back) or sacral area (tailbone) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64493$559
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in the bicep tendon (muscle on the front of the upper arm) by sewing the end of the tendon to a bone.CPT 23430$4,119
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a second problem in the facet joint in the lumbar area (lower back) or sacral area (tailbone) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64494$276
TREATMENT ROOMCyst or tumor taken out of lower leg (tibia or fibula). Bone graft may or may not be needed.CPT 27635$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to shave off damaged cartilage of the knee (chondroplasty). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29877$1,885
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in a ligament ( a band of tissue that connects one bone to another) of the ankleCPT 27695$4,119
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a problem in the facet joint in the cervical (neck) or thoracic (chest) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64490$559
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in the joint capsule of the shoulder (strong tissue that supports and protects the joint). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29806$4,119

UCHealth Physical Therapy and Rehabilitation at Castle Rock, Sterling Ranch, and Steadman Hawkins Clinic - Denver
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
EVAL REEVAL PHYS THERPT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity)CPT 97161$141
PHYSICAL THERPVasopneumatic device therapy (Use of a device to apply pressure to lower swelling in an area)CPT 97016$72
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
OTHER RX SVCSAlso known as "dry needling", a thin solid wire is placed into 1 or 2 muscles to relieve pain. No medication or shot given during this treatment.CPT 20560$42
OTHER RX SVCSAlso known as "dry needling", a thin solid wire is placed into 3 or more muscles to relieve pain. No medication or shot given during this treatment.CPT 20561$62
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$97
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$65
EVAL REEVAL OCCUP THEROT eval low complex 30 min (Occupational Therapy assessment for 30 minutes of low complexity patient)CPT 97165$146
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$57
PHYSICAL THERPElectric stimulation therapy (Electrical stimulation to muscle group used for wound healing)CPT 97014$23
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$10
EVAL REEVAL PHYS THERPt eval mod complex 30 min (Physical Therapy evaluation of moderately complex patient, lasting 30 minutes)CPT 97162$141
PROSTHETIC DEVHFO w/o joints cf (Hand, finger brace that does not move, custom made for a patient)CPT L3913$383
PHYSICAL THERPTherapy for help with walking (may include stair training as well)CPT 97116$54
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 THERThe fitting or training of a patient in the use of an upper or lower extremity (arm or leg) orthotic or prothesis such as a brace or articial limb. Billed in time use of 15 minute segments.CPT 97763$81
PHYSICAL THERPUltrasound therapy (Ultrasound use of deep heat as therapy in a certain place for pain or flexibility)CPT 97035$41
PHYSICAL THERPElec stim other than wound (Electrical stimulation to muscle group without constant attention by provider, not for wound healing)CPT G0283$24
OCCUPATION THEROrthotic mgmt and training (Training and management for use of a brace)CPT 97760$76
PROSTHETIC DEVWHFO - rigid w/o joints (Wrist, hand, finger brace that does not move, allows fingers to move)CPT L3808$513
PROSTHETIC DEVFO w/o joints cf (Finger brace that does not move, custom made for a patient, maybe ring style or splint style)CPT L3933$302
PROSTHETIC DEVWHO w/o joints cf (Wrist or hand brace that does not bend, custom made for a specific patient)CPT L3906$575
EVAL REEVAL OCCUP THEROccupational Therapy evaluation that is moderately complex, reviews medical history and finds 3 to 5 areas that need to be addressed. Takes about 45 minutes to complete.CPT 97166$146

UCHealth Radiology Freestanding Clinics
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$223
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$89
MAGNETIC RESONANCE TECHNOLOGY MRT - MRI - OTHERMRI uses a large magnet and radiowaves to look at a joint of a lower extremity such as on the legs without using dye.CPT 73721$536
DX XRAYA special type of x-ray of your bones. Uses a very low amount of radiation to find how strong or weak your bones are. At least 1 view of the bones that form the trunk of the body such as the hips or spine.CPT 77080$64
DX XRAYX-ray exam of footCPT 73630$56
ULTRASOUNDUltrasound test (uses sound waves to get pictures) of 1 breast, including under the arm pit.CPT 76642$145
DX XRAYX-ray exam of kneeCPT 73562$67
DX XRAYX-ray of one hip with the pelvis (area between the hip bones), 2 to 3 views taken.CPT 73502$77
MRIMRI uses a large magnet and radiowaves to look at a joint of an upper extremity such as on the arms without using dye.CPT 73221$536
DX XRAYX-ray exam of shoulderCPT 73030$56
DX XRAYX-ray exam of ankleCPT 73610$60
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$550
MAMMOGRAPHYSpecial low dose xray on one breast to look for cancer. Uses the computer to look for dense or thick areas of tissue that might be cancer.CPT 77065$218
DX XRAYX-ray exam of handCPT 73130$60
DX XRAYX-ray of the knee with 4 or more views taken.CPT 73564$76
LAB CHEMISTRYAssay of creatinine (Measure of waste products in the blood to monitor kidney function)CPT 82565$8
MRI SPINAL CORDMRI uses a large magnet and radiowaves to look at bones of the spine at the lumbar area (lower back) without using dye.CPT 72148$536
ULTRASOUNDA limited view ultrasound of the arteries and veins in the belly (abdomina), pelvis (area between the hip bones), or genitals or rectum (genitorectal) areas to look at vascular blood flow to the area.CPT 93976$268
ULTRASOUNDA test that uses sound waves to create a picture (also known as a sonogram) of the area near the kidneys behind the other organs in the belly area. No radiation is used. It can also show parts of the body in motion, such as a heart beating or blood flowing through blood vessels.CPT 76700$201
DX XRAYX-ray exam of wristCPT 73110$67
MAMMOGRAPHYSpecial low dose xray on both breasts to look for cancer. Uses the computer to look for dense or thick areas of tissue that might be cancer.CPT 77066$275
ULTRASOUNDUltrasound or sound wave test of the pelvic area (area between the hip bones) with limited views or as a follow up to look at a specific area.CPT 76857$140
DX XRAYX-ray exam of finger(s)CPT 73140$62
ULTRASOUNDUltrasound or sound wave test done through the vagina (womb) done but not related to pregnancy.CPT 76830$206
OTHERElectrocardiogram completeCPT 93000$28

UCHealth University of Colorado Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$191
LABORATORYRoutine blood sample drawnCPT 36415$48-$53
LAB IMMUNOLOGYCOVID-19 testing using DNA or RNA with equipment that is able to process up to 200 tests a day.CPT U0003$34
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$19-$63
TELEMEDICINE - GENERAL CLASSIFICATIONThe charge for when a hospital provides services on a computer or mobile device (telehealth) to a registered outpatient of the hospitalCPT Q3014$30
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$167-$175
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$139-$140
OTHERLevel 3 Office/outpatient visit established patientCPT 99213$80
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$164-$165
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$97
LABORATORYCOVID-19 testing using DNA or RNA with equipment that is able to process up to 200 tests a day, completed within 2 calendar days of collecting specimen.CPT U0005$10
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$94-$104
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$88-$104
OTHERLevel 4 Office/outpatient visit established patientCPT 99214$100
OTHERLevel 2 Office/outpatient visit established patientCPT 99212$58
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$253-$267
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$72
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$11-$42
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$17-$37
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$43-$88
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$18-$122
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$18-$77
LAB CHEMISTRYAssay of phosphorus (Blood test to measure phosphorus, found most in bones and teeth)CPT 84100$12-$22
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$18-$51
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$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 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$219
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$403
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$800
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$1,942
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$2,623

UCHealth University of Colorado Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$17,838-$38,2423-7 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$24,222-$62,6953-9 days
Normal NewbornMS-DRG 795$2,657-$5,5441-2 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$12,748-$17,9102-3 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$19,387-$40,9973-7 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$15,789-$30,6202-5 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$14,910-$22,3722-4 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$17,226-$26,5583-5 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$12,956-$25,3872-4 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$67,796-$139,7944-12 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$47,411-$78,5161-3 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY (Alcohol, drug abuse or dependence with rehab treatment)MS-DRG 895$27,024-$49,5189-20 days
SEIZURES W/O MCC (Seizures without major complications or conditions)MS-DRG 101$15,338-$30,0792-4 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$31,073-$67,6833-8 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$13,503-$19,1542-3 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$14,672-$25,5694-5 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$363,537-$770,85222.75-49.25 days
Kidney TransplantMS-DRG 652$137,484-$164,4723-4 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$17,590-$42,4622-6 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellaneous disorders affecting breakdown of food into energy with serious complications or conditions)MS-DRG 640$19,709-$45,0813-7 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$62,195-$169,0607-21 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$6,145-$26,6662-6 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$6,662-$22,6162-5 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$19,937-$55,8073-9 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$32,790-$104,9393-11 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellaneous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$12,803-$27,4322-5 days
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well)MS-DRG 790$70,026-$279,72413.75-47.5 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$22,916-$40,4782-5 days
CARDIAC VALVE OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC (Heart valve procedure or other heart procedure without having a heart catherization with serious complications or conditions)MS-DRG 219$133,949-$256,8907-13 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$12,788-$26,8112-5 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$14,309-$27,5162-4 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$68,306-$114,2092-5 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$14,431-$46,6002-8 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$18,213-$44,0272-5 days
MAJOR CHEST PROCEDURES W/CC (Major surgery or procedures in the chest with complications or other conditions)MS-DRG 164$36,379-$59,2923-6 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$28,366-$108,3096.75-22 days
DELIVERY OF BABY BY C-SECTION (CUTTING INTO THE BELLY OF THE MOTHER) WITH MAJOR COMPLICATIONS OR CONDITIONS WITHOUT HAVING "TUBES TIED".MS-DRG 786$18,863-$29,9663-5 days
OTHER KIDNEY URINARY TRACT DIAGNOSES W CC (Disease or disorder of the kidney or urinary tract system, not listed in other codes, with complications or conditions.)MS-DRG 699$13,154-$30,2972-5 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$14,965-$31,6402-6 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$25,452-$34,0431-2 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$13,018-$22,0852-4 days
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC (Procedures performed on the brain and in the brain with complications and conditions.)MS-DRG 26$54,842-$95,8802-5 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$10,954-$26,7622-5 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$17,548-$44,0873-8 days
CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W MCC (Disease of the circulatory system (cardiovascular system or heart) except for an acute myocardial infarction (heart attack). Does include having a cardiac catherization (long thin tube placed into blood vessel with dye given. Looks at blood vessels of the heart and how the heart pumps) with major complications and conditions.)MS-DRG 286$46,333-$84,5205-12 days
FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC (Third degree burn with skin grafts or injury to lungs (inhalation) with complications and conditions or major complications and conditions.)MS-DRG 928$54,692-$126,08512-22.25 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$103,395-$192,7203-7 days
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC (Inflammation of the liver caused by drinking alcohol (alcoholic hepatitis) and late stage of scarring (fibrosis) of the liver (cirrhosis) with major complications or conditions.)MS-DRG 432$22,375-$59,7254-10 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$21,517-$44,6702-5 days

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

UCHealth 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$68-$77
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$68-$77
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$50
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$33
LABORATORYRoutine blood sample drawnCPT 36415$29
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$231
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$78
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$32-$63
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$71-$76
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$124
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$117-$124
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$23
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$293
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$41
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$40
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$176
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$68-$76
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$32-$45
EVAL REEVAL PHYS THERPT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity)CPT 97161$132
LAB CHEMISTRYVitamin d 25 hydroxy (Vitamin D level blood test)CPT 82306$139
LAB CHEMISTRYBlood test to check for prostate cancer in menCPT 84153$87-$113
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$237-$247
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$19-$22
LABORATORYAssay of free thyroxine (Blood test to measure thyroid hormone levels)CPT 84439$39-$56
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$38

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$202
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$383
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$889
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$1,862
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$2,649

UCHealth Yampa Valley Medical Center
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$9,443-$14,3062-3 days
Normal NewbornMS-DRG 795$1,736-$2,5221-2 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,186-$3,1352 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$20,004-$31,3892-4 days
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacement or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$42,195-$57,2081-2 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacement or reattaching of arm or part of arm)MS-DRG 483$44,555-$65,5321 day
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$9,777-$16,4202-3 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$59,411-$65,3421-2 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.)MS-DRG 177$20,658-$37,6122-4 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$46,704-$66,6233-5 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$22,544-$29,9063-4 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$23,254-$29,8092-3 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$2,911-$8,9872-3 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$17,244-$35,0591-3.25 days
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC (Serious procedures of the lower gut area of a male without complications or conditions or without serious complications or conditions)MS-DRG 708$42,792-$51,5251 day
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$15,855-$28,9481-3 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$16,825-$31,7311.5-3 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.