UCHealth strongly encourages you to contact a financial counselor at 970.495.7222 to discuss payment options prior to receiving a health care service from a UCHealth facility, since prices for health care services posted on this site may not reflect the actual amount of your financial responsibility.
The pricing information on this site reflects the typical price for uninsured or self-pay patients for hospital services. All prices posted on this site already reflect the hospital’s uninsured discount. The prices do not reflect additional financial assistance discounts which patients may be eligible for.
In most cases, physicians providing you with services related to your hospital stay or visit will bill you separately.
Pricing information by hospital and center
UCHealth Broomfield Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $58 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $187-$794 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $89-$95 |
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $327-$2,831 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $105 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $9-$80 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $127 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $243-$258 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $105 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $237-$290 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $150 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $50-$59 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $85-$113 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $86-$86 |
| CT SCAN BODY | CT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye) | CPT 74177 | $5,024 |
| LAB UROLOGY | Urine pregnancy test | CPT 81025 | $84 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein) | CPT 96376 | $94 |
| PHYSICAL THERP | Therapeutic activities (Activities intended to improve functioning of patient) | CPT 97530 | $96 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $255 |
| LAB CHEMISTRY | Assay of lipase (Lipase level as blood test of pancreas) | CPT 83690 | $119 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $83 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $195 |
| MED SURG SUPPLIES | Various instruments needed for surgery such as scissors or clamps. | CPT A4550 | $339-$1,302 |
| LAB HEMATOLOGY | Prothrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting) | CPT 85610 | $17-$62 |
| ADMIN VACCINE | Monoclonal antibodies (blocks the COVID virus from entering cells in your body and limits the amount of virus in your body) given to someone with mild to moderate COVID illness and is at high risk of it becoming severe or needing to be in the hospital. | CPT M0243 | $393 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $255 |
| ER | Level 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 | $481 |
| ER | Level 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 | $940 |
| ER | Level 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 | $2,170 |
| ER | Level 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 | $3,204 |
UCHealth Broomfield Hospital
Inpatient Services
| Description of Services | Billing Code | Self-Pay Price* | Length of Stay* |
|---|---|---|---|
| AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W CC (Follow up care for muscle, bones or connective tissue issues with complications or conditions) | MS-DRG 560 | $22,755-$39,072 | 8.75-14 days |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions) | MS-DRG 57 | $20,586-$41,047 | 8-14 days |
| Follow up care in the hospital after surgery or an injury with complications or conditions or with major complications or condition | MS-DRG 949 | $21,002-$39,638 | 7-14 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 | $16,475-$28,059 | 7-11 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 | $16,683-$31,553 | 2.75-8.25 days |
| MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm) | MS-DRG 483 | $42,829-$49,363 | 1-2 days |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $9,595-$20,465 | 3-4 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 | $7,825-$17,618 | 2-3 days |
| MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions) | MS-DRG 470 | $36,204-$42,707 | 1-2 days |
| Follow up care in the hospital after surgery or an injury without complications or conditions or without major complications or condition | MS-DRG 950 | $16,171-$28,295 | 6-10 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 | $16,799-$42,148 | 6-18 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions) | MS-DRG 641 | $9,662-$19,328 | 1-7 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $8,892-$21,057 | 2-6 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 | $23,558-$36,599 | 7-14 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions) | MS-DRG 439 | $13,970-$19,630 | 3-4 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $8,867-$18,904 | 1-4 days |
| KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions) | MS-DRG 690 | $12,950-$22,313 | 2-5.5 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 | $15,787-$32,630 | 2.5-8 days |
| Diagnosis code that means the main reason for being in the hospital is a sign or symptom with major complications or conditions (other illness or disease). Example is weakness or malaise (pain or lack of well-being). | MS-DRG 947 | $18,706-$33,201 | 6.5-11.5 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Cherry Creek Surgery Center
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $146-$1,297 |
| GASTR INTS SVS | Colonoscopy 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 | $833 |
| GASTR INTS SVS | Colonoscopy and biopsy (Camera with light passed through the rectum to take pictures of the intestines, a tissue sample is taken for testing.) | CPT 45380 | $833 |
| LAB UROLOGY | Urine pregnancy test | CPT 81025 | $93 |
| GASTR INTS SVS | Diagnostic 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 | $793 |
| GASTR INTS SVS | EGD 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 | $793 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $56-$65 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to fix the wall in the nose that is between the nostrils | CPT 30520 | $2,199 |
| SUPPLY IMPLANTS | Placement of a temporary stent such as in the ureter with the catheter but not the supplies needed to release the stent in the correct place.* | CPT C2617 | $152-$220 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Resect inferior turbinate (Partial or complete removal of soft tissue of one the long thin bones on the inside of the nose) | CPT 30140 | $2,199 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Repair of nasal blockage that makes breathing difficult through the nose. | CPT 30465 | $4,088 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Exam 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 | $3,547 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to cut the carpal ligament (thick tissue at the wrist) to allow more space for the carpal nerve to move. | CPT 64721 | $1,410 |
| SUPPLY IMPLANTS | Device 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 | $337-$775 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Procedure on the head using computer assistance to find the exact location. | CPT 61782 | $332 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | The use of fat taken from the patient's own body by liposuction and placed in another part of the body to fill in a soft tissue defect. This refers to the injections after the first injection in amounts of about 50 ccs (less than 2 ounces). | CPT 15772 | $332 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Also 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 | $2,538 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery procedure to look down the throat using a small camera. A tumor is removed and vocal cords may be "stripped" (outer layer of skin on vocal cords is removed) or even removed.. May be used to treat laryngeal cancer. | CPT 31541 | $2,490 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | A 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 | $4,680 |
| GASTR INTS SVS | Colonoscopy submucous njx (Camera with light passed through the rectum to take pictures of the intestines with injection given into tissue) | CPT 45381 | $833 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $142-$238 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | The 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 | $4,680 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | The 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 | $793 |
| SUPPLY IMPLANTS | Man made device to replace one of the 3 small bones of the inner ear.* | CPT L8613 | $524-$1,421 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Thin 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 | $2,472 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Grandview Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $58 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $186-$717 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $9-$80 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $105 |
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $529-$2,985 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $89-$95 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $127 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $105 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $150 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $237-$290 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $85-$113 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $50-$59 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $86 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $243-$258 |
| PHYSICAL THERP | Therapy for help with walking (may include stair training as well) | CPT 97116 | $100 |
| LAB CHEMISTRY | Assay of lipase (Lipase level as blood test of pancreas) | CPT 83690 | $119 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $255 |
| CT SCAN BODY | CT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye) | CPT 74177 | $5,024 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $83 |
| LAB CHEMISTRY | Hepatic function panel (Liver Function blood test) | CPT 80076 | $104-$110 |
| TREATMENT ROOM | Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot) | CPT 96372 | $80 |
| LAB UROLOGY | Urine pregnancy test | CPT 81025 | $84 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein) | CPT 96376 | $94 |
| SUPPLY IMPLANTS | The use of a man made joint that is placed in the natural joint site during surgery.* | CPT C1776 | $2,406-$8,422 |
| OCCUPATION THER | Direct 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 | $95 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $255 |
| ER | Level 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 | $481 |
| ER | Level 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 | $940 |
| ER | Level 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 | $2,170 |
| ER | Level 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 | $3,204 |
UCHealth Grandview Hospital
Inpatient Services
| Description of Services | Billing Code | Self-Pay Price* | Length of Stay* |
|---|---|---|---|
| MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions) | MS-DRG 470 | $35,907-$40,343 | 1-2 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $11,940-$29,118 | 2-6 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 | $38,888-$75,057 | 1-2 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 | $55,738-$61,804 | 2-3 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $7,567-$16,181 | 1.75-4 days |
| MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm) | MS-DRG 483 | $41,795-$45,320 | 1 day |
| 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 | $10,173-$18,518 | 2-4 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 | $14,118-$27,127 | 3-4 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $8,769-$16,311 | 1-3 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 | $10,687-$15,665 | 2-3 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 | $7,090-$17,731 | 1-3 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Greeley Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $73 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $29-$119 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $45 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $51 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $140 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $41 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $102 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $214-$1,284 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $85 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $71-$126 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $149 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $143 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $37 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $34 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $53-$74 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $283 |
| LAB HEMATOLOGY | Prothrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting) | CPT 85610 | $11-$28 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $21-$57 |
| LAB CHEMISTRY | Assay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system) | CPT 83735 | $33-$42 |
| LAB BACT MICRO | Lab test to diagnose 4 viruses at once: severe acute respiratory syndrome COVID 2, Influenza A, Influenza B or respiratory syncytial virus (RSV). | CPT 0241U | $241 |
| LAB IMMUNOLOGY | C-reactive protein (Blood test to check for inflammation in the body) | CPT 86140 | $46 |
| LAB CHEMISTRY | Assay of lipase (Lipase level as blood test of pancreas) | CPT 83690 | $71 |
| TREATMENT ROOM | Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot) | CPT 96372 | $86 |
| SCREENING MAMMOGRAPHY | Screening mamography on both breasts with computer aided detection | CPT 77067 | $254-$367 |
| CT SCAN BODY | CT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye) | CPT 74177 | $3,474 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor) | CPT 99281 | $238 |
| ER | Level 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 | $410 |
| ER | Level 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 | $702 |
| ER | Level 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 | $1,012 |
| ER | Level 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 | $1,977 |
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 | $11,540-$15,299 | 2 days |
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $1,886-$3,598 | 1-2 days |
| Normal Newborn | MS-DRG 795 | $1,641-$2,878 | 1-2 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 | $23,132-$47,072 | 3-7 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $21,398-$48,554 | 3-8 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 | $17,353-$33,440 | 3-5.75 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 | $15,040-$25,283 | 2-4 days |
| CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications) | MS-DRG 788 | $14,099-$20,200 | 2-4 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 | $11,193-$17,549 | 2-3 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $4,265-$7,559 | 2-3 days |
| MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) | MS-DRG 330 | $46,220-$75,376 | 3-7 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 | $17,536-$24,733 | 3-4 days |
| G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions) | MS-DRG 378 | $17,176-$30,316 | 2-3 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 | $48,056-$69,474 | 1-2 days |
| PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems) | MS-DRG 791 | $4,671-$28,946 | 2.25-14.5 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 | $15,777-$28,172 | 2-4 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 | $11,790-$16,518 | 2-3 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 | $17,388-$30,370 | 2-5 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 | $41,963-$57,797 | 2-4.25 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 | $41,889-$54,445 | 4-6 days |
| SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions) | MS-DRG 193 | $15,261-$27,409 | 2.5-5 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 | $18,060-$36,514 | 3-7 days |
| RENAL FAILURE W CC (Kidney failure with complications or other conditions) | MS-DRG 683 | $12,930-$25,745 | 2-5 days |
| PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems) | MS-DRG 792 | $4,005-$5,429 | 2-3 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 | $187,902-$388,587 | 14-31 days |
| Complicated procedures on either the small or large intestine with major complications or conditions | MS-DRG 329 | $66,076-$124,495 | 6-15 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 | $54,711-$152,054 | 6-16 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 | $20,704-$50,541 | 2-7.25 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 | $12,164-$19,608 | 2-3 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 | $14,441-$21,282 | 2-4 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 | $17,551-$25,996 | 2.5-4 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions) | MS-DRG 439 | $13,570-$23,628 | 2-4 days |
| G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions) | MS-DRG 389 | $12,550-$23,036 | 2-3.5 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 | $15,207-$20,542 | 2-3 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions) | MS-DRG 641 | $12,106-$22,835 | 2-4 days |
| Admission to hospital for tracheostomy (a hole is made in the throat that goes to the windpipe for breathing) with mechanical ventilation (breathing machine) for more than 96 hours but does not include procedures of the face, mouth and neck without major operating room procedures. | MS-DRG 4 | $454,356-$775,463 | 34-51 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $17,967-$26,678 | 1.75-4 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 | $7,284-$16,076 | 1.75-2 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $12,540-$26,939 | 2-5 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 | $13,192-$26,547 | 2-4 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 | $51,365-$88,267 | 2-3.5 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 | $23,498-$74,624 | 3.25-6.75 days |
| EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well) | MS-DRG 790 | $8,374-$23,931 | 2.25-9.75 days |
| BRONCHITIS ASTHMA W CC/MCC (inflammation of airways for breathing with complications or conditions or serious complications or conditions) | MS-DRG 202 | $11,427-$28,641 | 2.25-5 days |
| KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions) | MS-DRG 690 | $13,500-$23,034 | 2-3.75 days |
| ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS. | MS-DRG 208 | $26,961-$116,549 | 2-7 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 | $35,376-$54,087 | 3-5 days |
| RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions) | MS-DRG 682 | $19,239-$54,985 | 3-9 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions) | MS-DRG 640 | $19,346-$38,448 | 3-7 days |
| Admitted to the hospital for replacement of the hip joint with a man-made joint due to hip fracture without major complications or conditions (other illness or disease). | MS-DRG 522 | $47,611-$70,590 | 3-6 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Highlands Ranch Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $52 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $231-$708 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $79-$84 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $93 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $216-$229 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $8-$71 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $113 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $211-$258 |
| PATHOL HYSTOL | Tissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis) | CPT 88305 | $279 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $94 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $133 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $173 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $76-$101 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $45-$52 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $90-$123 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $74 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $76 |
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $426-$2,856 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein) | CPT 96376 | $83 |
| CT SCAN BODY | CT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye) | CPT 74177 | $4,466 |
| LAB CHEMISTRY | Glycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months) | CPT 83036 | $76-$84 |
| TREATMENT ROOM | Taking a blood sample from a central venous access device. These are small, flexible tubes placed in large veins (often in the neck) for people who need access to the bloodstream often. | CPT 36591 | $71 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $226 |
| PATHOL HYSTOL | The 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 | $242 |
| LAB HEMATOLOGY | Prothrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting) | CPT 85610 | $15-$55 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $227 |
| ER | Level 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 | $428 |
| ER | Level 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 | $836 |
| ER | Level 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 | $1,929 |
| ER | Level 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 | $2,848 |
UCHealth Highlands Ranch Hospital
Inpatient Services
| Description of Services | Billing Code | Self-Pay Price* | Length of Stay* |
|---|---|---|---|
| Normal Newborn | MS-DRG 795 | $1,749-$2,935 | 1-2 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 | $7,171-$10,199 | 2-3 days |
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $1,909-$3,396 | 1-2 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 | $19,739-$49,703 | 3-9 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $15,876-$36,397 | 3-8 days |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $12,703-$24,417 | 2-5 days |
| HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions) | MS-DRG 291 | $16,482-$31,108 | 3-8 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 | $8,583-$11,334 | 2-3 days |
| SEIZURES W/O MCC (Seizures without major complications or conditions) | MS-DRG 101 | $10,532-$20,384 | 2-4 days |
| CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications) | MS-DRG 788 | $13,091-$17,019 | 2-4 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 | $10,679-$25,289 | 2-4.25 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 | $13,980-$19,143 | 3-4 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $2,923-$7,966 | 2-4 days |
| PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems) | MS-DRG 792 | $2,873-$4,958 | 2-3 days |
| KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions) | MS-DRG 690 | $12,661-$21,998 | 3-5 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 | $16,820-$33,566 | 3-7 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 | $36,893-$73,014 | 4-8 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 | $13,701-$26,912 | 2-6 days |
| MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) | MS-DRG 330 | $29,010-$55,933 | 4-6 days |
| MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm) | MS-DRG 483 | $38,575-$45,108 | 1-1.25 days |
| PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications) | MS-DRG 175 | $18,411-$32,731 | 2.75-6 days |
| KIDNEY URINARY TRACT INFECTIONS W MCC (Kidney infection and infection of the urinary tract with major complications or conditions) | MS-DRG 689 | $13,803-$33,571 | 3-8 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 | $162,226-$334,423 | 14.25-29 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 | $9,057-$11,734 | 2-3 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $9,078-$16,642 | 2-3.75 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions) | MS-DRG 641 | $10,637-$20,376 | 2-4 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 | $17,120-$34,046 | 2-4 days |
| RENAL FAILURE W CC (Kidney failure with complications or other conditions) | MS-DRG 683 | $10,713-$21,173 | 2-5 days |
| PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems) | MS-DRG 791 | $11,533-$69,539 | 5-21 days |
| G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions) | MS-DRG 378 | $15,224-$26,303 | 2-4 days |
| CARDUIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC (Improper beating of the heart, may be irregular, too fast, or too slow and disorder of how electrical signals travel through the heart with serious complications) | MS-DRG 308 | $15,647-$31,804 | 3-7 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 | $39,830-$106,725 | 5-13.5 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 | $18,923-$40,626 | 3-7 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 | $8,477-$12,048 | 2-3 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions) | MS-DRG 439 | $12,563-$18,681 | 2-5 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 | $8,933-$22,793 | 2-6 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions) | MS-DRG 640 | $15,988-$29,216 | 3-6 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 | $15,039-$29,507 | 3-6 days |
| CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W CC (Heart rhythm problems with complications or conditions) | MS-DRG 309 | $11,156-$21,582 | 2-4.5 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 | $41,800-$54,565 | 2-2.5 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $9,607-$17,137 | 2-3 days |
| Complicated procedures on either the small or large intestine with major complications or conditions | MS-DRG 329 | $51,694-$108,961 | 6-15.5 days |
| G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions) | MS-DRG 389 | $11,162-$20,086 | 2-5.75 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 | $16,188-$20,682 | 3-4 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 | $32,659-$38,910 | 3-5 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 | $13,559-$22,708 | 3-4 days |
| ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC (A condition of the swallowing tube that causes it to become red, swollen or irritated. Other disorders related to digesting food with serious complications or conditions). | MS-DRG 391 | $16,557-$31,281 | 3-7 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 | $26,635-$43,397 | 3-7.25 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 | $22,748-$49,207 | 3-10 days |
| ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS. | MS-DRG 208 | $32,762-$71,421 | 3-9.5 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Longs Peak Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $52 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $79-$84 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $244-$1,061 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $93 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $216-$229 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $8-$71 |
| PATHOL HYSTOL | Tissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis) | CPT 88305 | $279 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $94 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $113 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $211-$258 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $133 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $76-$101 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $226 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $74 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $45-$52 |
| LAB IMMUNOLOGY | C-reactive protein (Blood test to check for inflammation in the body) | CPT 86140 | $37-$67 |
| LAB CHEMISTRY | Assay of lipase (Lipase level as blood test of pancreas) | CPT 83690 | $106 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $173 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $76 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $90-$123 |
| LAB CHEMISTRY | Vitamin B-12 shot | CPT 82607 | $118 |
| LAB HEMATOLOGY | Prothrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting) | CPT 85610 | $15-$55 |
| LAB CHEMISTRY | Assay of ferritin (Blood test to measure amount of iron) | CPT 82728 | $45-$118 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein) | CPT 96376 | $83 |
| LAB CHEMISTRY | Assay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system) | CPT 83735 | $28-$62 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $227 |
| ER | Level 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 | $428 |
| ER | Level 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 | $836 |
| ER | Level 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 | $1,929 |
| ER | Level 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 | $2,848 |
UCHealth Longs Peak 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 | $5,410-$7,724 | 2 days |
| Normal Newborn | MS-DRG 795 | $1,693-$2,602 | 1-2 days |
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $1,814-$3,097 | 1-2 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $17,160-$34,767 | 3-7 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 | $18,963-$42,816 | 3-7 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 | $11,237-$15,141 | 2-3 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 | $13,456-$23,550 | 2-5 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 | $5,658-$7,938 | 2-3 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 | $50,065-$66,954 | 2 days |
| ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions) | MS-DRG 392 | $12,731-$21,157 | 2-4 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 | $14,021-$26,671 | 2-5 days |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $10,796-$20,874 | 2-4 days |
| PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems) | MS-DRG 792 | $3,185-$10,246 | 2-5 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 | $47,818-$93,367 | 5-11 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions) | MS-DRG 641 | $12,883-$21,054 | 2-4 days |
| MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) | MS-DRG 330 | $35,008-$55,012 | 3-6 days |
| PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications) | MS-DRG 175 | $14,973-$30,195 | 3-6 days |
| G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions) | MS-DRG 378 | $17,066-$26,454 | 2-3 days |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions) | MS-DRG 190 | $13,819-$24,445 | 2-4 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $3,021-$10,730 | 2-4 days |
| DIABETES WITH MCC (Disease where the blood sugar level is too high (diabetes) with major complications and conditions.) | MS-DRG 637 | $16,204-$29,813 | 2-4 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 | $12,995-$19,184 | 2-4 days |
| RENAL FAILURE W CC (Kidney failure with complications or other conditions) | MS-DRG 683 | $9,881-$17,845 | 2-4 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 | $50,521-$79,765 | 2-4 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions) | MS-DRG 439 | $13,599-$22,283 | 2-4 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 | $12,291-$17,127 | 2-3.25 days |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission) | MS-DRG 65 | $16,726-$24,965 | 2-4.75 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 | $10,447-$20,776 | 2-5 days |
| KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions) | MS-DRG 690 | $10,908-$17,247 | 2-3 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 | $27,179-$34,415 | 2-3 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $9,149-$16,335 | 2-3.5 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 | $6,798-$9,223 | 2 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 | $66,613-$114,720 | 2.25-6.75 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions) | MS-DRG 640 | $14,355-$28,433 | 2-5 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 | $21,453-$37,267 | 2-6 days |
| CARDUIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC (Improper beating of the heart, may be irregular, too fast, or too slow and disorder of how electrical signals travel through the heart with serious complications) | MS-DRG 308 | $13,457-$33,717 | 2-5 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 | $22,116-$45,513 | 3-7 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $13,379-$20,318 | 2-5 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 | $23,084-$42,103 | 2-4 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 | $23,379-$36,901 | 2-6 days |
| Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditions | MS-DRG 377 | $19,982-$34,403 | 2-5 days |
| OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC (Diseases of the blood moving through the body with serious complications and conditions) | MS-DRG 314 | $21,153-$30,847 | 2.5-5.5 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 | $104,367-$195,240 | 12-25 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 | $11,711-$45,646 | 1-5.75 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 | $84,455-$110,429 | 3-5 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC (Disease of the pancreas (except cancer) with major complications or conditions.) | MS-DRG 438 | $18,127-$41,562 | 3-8 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 | $14,134-$15,445 | 2 days |
| HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions) | MS-DRG 481 | $30,182-$42,818 | 3-5 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 | $62,335-$91,558 | 2-3 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 | $25,349-$39,565 | 3-9.25 days |
| Admitted to the hospital for illness of the respiratory system (lungs or breathing) caused by bacteria, virus or other germs with inflammation (the body's way of protecting itself from these germs that causes redness and swelling) with complications and conditions (other illness or disease). | MS-DRG 178 | $12,485-$19,303 | 2-4.25 days |
| Diagnosis code for cirrhosis (scarring of the liver from injury or long-term disease) and alcoholic hepatitis (inflmmation of the liver caused by drinking alcohol) with complications and conditions (other illness or disease). | MS-DRG 433 | $13,098-$28,366 | 2-6.25 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Longs Peak Surgery Center
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| GASTR INTS SVS | Colonoscopy and biopsy (Camera with light passed through the rectum to take pictures of the intestines, a tissue sample is taken for testing.) | CPT 45380 | $833 |
| GASTR INTS SVS | Colonoscopy 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 | $833 |
| GASTR INTS SVS | EGD 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 | $793 |
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $138-$1,226 |
| LAB UROLOGY | Urine pregnancy test | CPT 81025 | $93 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Cataract surg w/iol 1 stage (Removal of a cataract with an artificial lens being placed in the eye) | CPT 66984 | $2,884 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $56-$65 |
| GASTR INTS SVS | Colonoscopy submucous njx (Camera with light passed through the rectum to take pictures of the intestines with injection given into tissue) | CPT 45381 | $833 |
| INTRAOCULAR LENS | Surgery to take out the natural lens of the eye during cataract surgery and replace it with an artificial one. The lens bends light rays that come into the eye to help you to see. | CPT V2632 | $352 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $299-$943 |
| GASTR INTS SVS | Test to look at the colon (bowel) using a small tube with a light at the end. Tissue samples, precancerous or early stage cancer tissues are taken out during the test. | CPT 45390 | $1,964 |
| GASTR INTS SVS | Diagnostic 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 | $793 |
| GASTR INTS SVS | Esoph 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 | $1,306 |
| GASTR INTS SVS | Test 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 | $793 |
| GASTR INTS SVS | Test 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 | $1,306 |
| INTRAOCULAR LENS | Surgery to take out the natural lens of the eye during cataract surgery and replace it with an artificial one to correct astigmatism (This is when the eye does not focus light evenly into the retina.) The lens bends light rays that come into the eye to help you to see. | CPT V2787 | $572 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Removal of sperm duct(s) (Removal of a section of the sperm duct or ducts) | CPT 55250 | $1,441 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to cut the carpal ligament (thick tissue at the wrist) to allow more space for the carpal nerve to move. | CPT 64721 | $1,410 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | The use of high frequency sound (shock) waves to break up stones in your kidney | CPT 50590 | $2,472 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Resect inferior turbinate (Partial or complete removal of soft tissue of one the long thin bones on the inside of the nose) | CPT 30140 | $2,199 |
| INTRAOCULAR LENS | Eye surgery to correct presbyopia (cannot see well close up) placing a lens in the eye after cataract surgery. | CPT V2788 | $572 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your knee. | CPT 29881 | $2,275 |
| SUPPLY IMPLANTS | Device 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 | $188-$535 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to fix the wall in the nose that is between the nostrils | CPT 30520 | $2,199 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. | CPT 29826 | $1,066 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Medical Center of the Rockies
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $84 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $34-$138 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $52 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $59 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $371-$1,969 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $161 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $47 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $118 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $39 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $171 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $165 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $82-$146 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $25-$66 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $62-$85 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $98 |
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $494-$3,526 |
| PHYSICAL THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $76 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $326 |
| LAB HEMATOLOGY | Prothrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting) | CPT 85610 | $13-$33 |
| LAB CHEMISTRY | A blood test to diagnose heart failure. | CPT 83880 | $148-$242 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $43 |
| SUPPLY IMPLANTS | A thin wire used to guide a catheter or other device into place.* | CPT C1769 | $1,481-$3,935 |
| TREATMENT ROOM | Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot) | CPT 96372 | $100 |
| PATHOL CYTOLOGY | Flowcytometry/tc add-on (Test to evaluate characteristics of cells in the body, each marker characteristic) | CPT 88185 | $48-$102 |
| CT SCAN BODY | CT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye) | CPT 74177 | $4,009 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $274 |
| ER | Level 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 | $473 |
| ER | Level 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 | $810 |
| ER | Level 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 | $1,168 |
| ER | Level 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 | $2,282 |
UCHealth Medical Center of the Rockies
Inpatient Services
| Description of Services | Billing Code | Self-Pay Price* | Length of Stay* |
|---|---|---|---|
| Normal Newborn | MS-DRG 795 | $1,759-$2,844 | 1-2 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 | $12,236-$16,829 | 1-2 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 | $29,702-$70,486 | 3-8 days |
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $1,998-$3,821 | 1-2 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $28,525-$69,564 | 3-10 days |
| PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions) | MS-DRG 274 | $60,709-$68,472 | 1 day |
| 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 | $14,700-$22,337 | 2-3 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 | $61,384-$88,390 | 1-2 days |
| HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions) | MS-DRG 291 | $20,887-$43,519 | 3-6 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 | $13,465-$19,569 | 2-3 days |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC (Procedure on a heart valve performed through the skin without serious complications or conditions) | MS-DRG 267 | $103,959-$117,499 | 1 day |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $20,024-$39,912 | 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 | $76,810-$223,923 | 6-18 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 | $46,367-$67,245 | 3-7 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 | $17,958-$26,540 | 2-4 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 | $78,095-$142,762 | 2-5 days |
| MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) | MS-DRG 330 | $68,878-$99,598 | 3-6 days |
| G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions) | MS-DRG 378 | $21,464-$39,312 | 2-4 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 | $207,637-$366,403 | 15-26 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 | $179,734-$254,867 | 5-9 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 | $68,447-$141,115 | 3-12 days |
| MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions) | MS-DRG 552 | $18,001-$36,796 | 2-6 days |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC (Replacement of heart valve performed through the skin with serious complications or conditions) | MS-DRG 266 | $112,358-$177,458 | 1-7 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 | $19,762-$59,524 | 2-6 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 | $18,235-$27,944 | 2-4 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 | $19,265-$45,352 | 2-5 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 | $20,512-$40,979 | 2-4 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 | $20,353-$42,337 | 3-6 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 | $182,963-$229,067 | 6-10 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 | $28,853-$68,742 | 3-8 days |
| ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC (Patient with heart attack discharged alive with serious complications) | MS-DRG 280 | $26,808-$63,180 | 3-7 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 | $61,848-$81,446 | 2-4 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $3,732-$10,583 | 2-4 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 | $14,734-$20,044 | 2-3 days |
| Admitted to the hospital for procedures on the vascular system (the body's network of blood vessels) not mentioned in other codes, with complications and conditions (other illness or disease). | MS-DRG 253 | $66,395-$107,319 | 2.25-6 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 | $41,433-$74,077 | 3-5 days |
| Complicated procedures on either the small or large intestine with major complications or conditions | MS-DRG 329 | $92,381-$224,927 | 7-18 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $19,960-$35,587 | 2-4 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions) | MS-DRG 640 | $25,454-$49,468 | 2.5-7 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 | $229,655-$399,879 | 7-15 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 | $18,397-$32,110 | 2-4 days |
| PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications) | MS-DRG 175 | $20,114-$33,461 | 2-4 days |
| Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditions | MS-DRG 377 | $35,256-$70,231 | 3-7 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 | $17,006-$32,089 | 2-3 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 | $20,981-$46,735 | 2-4 days |
| Admitted to the hospital for stupor (can only be awakened with forceful physical stimulation) and coma (does not awaken even with forceful stimulation and eyes remain closed) from some type of trauma lasting more than 1 hour with complications and conditions (other illness or disease). | MS-DRG 83 | $28,799-$65,663 | 3-8 days |
| RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions) | MS-DRG 682 | $23,779-$74,701 | 3.75-9 days |
| ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS. | MS-DRG 208 | $51,360-$109,908 | 3-8 days |
| Admitted to the hospital for surgery to treat blocked arteries of the heart by taking a healthy piece of leg vein or artery of the chest or wrist and sewing it above and below the blockage. This allows blood to go around the blockage. No cardiac heart catherization (test done by passing a wire into an artery in the leg or wrist to look at the arteries of the heart) done before with major complications and conditions (other illness or disease). | MS-DRG 235 | $227,464-$287,572 | 8-13 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 | $22,546-$46,825 | 3-6 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Memorial Hospital Central and Memorial Hospital North
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $79 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $96-$100 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $11-$77 |
| PHYSICAL THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $111 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $230-$255 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $64-$282 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $147 |
| PHYSICAL THERP | Manual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area) | CPT 97140 | $94-$94 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $101 |
| LAB IMMUNOLOGY | COVID-19 testing using DNA or RNA with equipment that is able to process up to 200 tests a day. | CPT U0003 | $35 |
| LABORATORY | COVID-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 | $12 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $197 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $316-$1,204 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $77-$156 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $269 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $119 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $128 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $7-$63 |
| LAB CHEMISTRY | Glycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months) | CPT 83036 | $113 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $129 |
| TREATMENT ROOM | Ther/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot) | CPT 96372 | $91-$91 |
| LAB CHEMISTRY | Hepatic function panel (Liver Function blood test) | CPT 80076 | $58-$125 |
| OTHER | Level 2 Office/outpatient visit established patient | CPT 99212 | $202-$230 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $319 |
| LAB BACT MICRO | Urine culture/colony count (Urine test for bacteria with number of cells counted) | CPT 87086 | $154 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $281 |
| ER | Level 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 | $580 |
| ER | Level 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 | $1,051 |
| ER | Level 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 | $1,940 |
| ER | Level 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 | $3,723 |
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 | $8,398-$12,646 | 1-2 days |
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $3,392-$5,533 | 1-2 days |
| Normal Newborn | MS-DRG 795 | $2,585-$4,117 | 1-2 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $23,206-$48,207 | 3-9 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 | $26,012-$56,911 | 3-8 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 | $18,128-$26,453 | 2-3 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 | $9,691-$15,208 | 2-3 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 | $18,412-$34,863 | 3-6 days |
| A BABY 4 WEEKS OLD OR LESS THAT DIED OR IS MOVED TO ANOTHER HOSPITAL FOR CARE. | MS-DRG 789 | $1,314-$2,288 | 1 day |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $18,790-$32,375 | 2-5 days |
| INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions) | MS-DRG 853 | $57,472-$162,405 | 6-17 days |
| PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems) | MS-DRG 792 | $4,422-$8,315 | 2-3 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $4,617-$9,710 | 2-3 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 | $60,732-$79,503 | 1-2 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 | $18,716-$39,511 | 2-6 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 | $19,072-$32,048 | 2-4 days |
| G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions) | MS-DRG 378 | $19,879-$33,627 | 2-4 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 | $16,062-$28,269 | 2-4 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 | $12,978-$23,545 | 2-4 days |
| PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions) | MS-DRG 274 | $81,799-$90,413 | 1 day |
| RENAL FAILURE W CC (Kidney failure with complications or other conditions) | MS-DRG 683 | $16,495-$30,698 | 2-5 days |
| MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) | MS-DRG 330 | $40,291-$75,295 | 3-9 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 | $141,991-$237,188 | 12.75-24 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 | $11,357-$16,916 | 2-3 days |
| HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions) | MS-DRG 481 | $44,563-$64,665 | 3-6 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $15,081-$26,863 | 2-4 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 | $24,241-$40,803 | 2-5 days |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions) | MS-DRG 57 | $22,139-$48,633 | 6-13.5 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 | $17,381-$46,363 | 2-5 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions) | MS-DRG 439 | $17,211-$31,150 | 2-5 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 | $17,120-$24,906 | 2-3 days |
| PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications) | MS-DRG 175 | $20,285-$43,538 | 2-5.75 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 | $33,496-$79,083 | 3-9.75 days |
| RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions) | MS-DRG 682 | $21,070-$45,218 | 3-7 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions) | MS-DRG 641 | $15,711-$26,736 | 2-4 days |
| Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditions | MS-DRG 377 | $26,787-$54,343 | 3-6 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 | $24,606-$40,224 | 3-5 days |
| SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions) | MS-DRG 193 | $18,356-$35,765 | 2-5 days |
| DIABETES WITH MCC (Disease where the blood sugar level is too high (diabetes) with major complications and conditions.) | MS-DRG 637 | $21,752-$38,904 | 2-6 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $15,073-$26,577 | 2-5 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 | $11,350-$20,901 | 2-3 days |
| PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems) | MS-DRG 791 | $7,188-$48,724 | 3-13.5 days |
| Complicated procedures on either the small or large intestine with major complications or conditions | MS-DRG 329 | $55,333-$136,685 | 6-18 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 | $27,388-$61,186 | 3-7 days |
| ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS. | MS-DRG 208 | $43,050-$97,919 | 3-10 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 | $139,289-$194,028 | 5.5-9 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 | $22,515-$47,532 | 3-7 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions) | MS-DRG 640 | $20,509-$43,505 | 3-6 days |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS - An illness caused by germs (often bacteria) in the blood. The body has an extreme reaction to the infection. On the breathing machine (mechanical ventilation) for more than 96 hours. | MS-DRG 870 | $126,557-$237,953 | 10-23 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 | $6,771-$15,256 | 1-3 days |
| PULMONARY EMBOLISM W/O MCC (blood clot in the lungs without serious complications) | MS-DRG 176 | $16,816-$26,951 | 2-3 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Pikes Peak Regional Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| PHYSICAL THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $95 |
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $52 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $61-$73 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $119 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $156 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $347 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $77 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $129-$827 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $122 |
| PHYSICAL THERP | Manual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area) | CPT 97140 | $110 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $49 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $107 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $407 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $180 |
| LABORATORY | Assay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack) | CPT 84484 | $140-$184 |
| LAB UROLOGY | Urinalysis auto w/scope (Urine test by machine with microscope) | CPT 81001 | $86 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $119 |
| DX XRAY CHEST | Chest X-Ray with 1 view from the front | CPT 71045 | $278 |
| SCREENING MAMMOGRAPHY | Screening mamography on both breasts with computer aided detection | CPT 77067 | $303-$320 |
| SCREENING MAMMOGRAPHY | Breast tomosynthesis bilateral (3D Mamogram on both breast) | CPT 77063 | $44 |
| CT SCAN BODY | CT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye) | CPT 74177 | $3,267 |
| LAB CHEMISTRY | Assay of lipase (Lipase level as blood test of pancreas) | CPT 83690 | $31 |
| CARDIAC REHAB OTH RX SVCS | A qualified health care professional supervises program for patients with heart (cardiac) in areas of exercise, diet, and related treatments. | CPT 93798 | $298 |
| LAB CHEMISTRY | Assay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system) | CPT 83735 | $31 |
| LAB HEMATOLOGY | Prothrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting) | CPT 85610 | $19 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $157 |
| ER | Level 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 | $512 |
| ER | Level 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 | $731 |
| ER | Level 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 | $1,463 |
| ER | Level 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 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 | $12,393-$21,351 | 2-5 days |
| SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions) | MS-DRG 193 | $10,152-$19,351 | 2-5 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 | $8,943-$16,921 | 2-3.75 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 | $6,505-$14,100 | 2-5 days |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $10,550-$13,678 | 2-4 days |
| KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions) | MS-DRG 690 | $6,040-$10,464 | 2-3 days |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions) | MS-DRG 871 | $8,649-$20,227 | 3-4 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Poudre Valley Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $84 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $34-$138 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $59 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $52 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $161 |
| LAB IMMUNOLOGY | Allergy testing | CPT 86003 | $19-$34 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $118 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $47 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $98 |
| LAB CHEMISTRY | Glycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months) | CPT 83036 | $39-$80 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $82-$146 |
| LAB BACT MICRO | Urine culture/colony count (Urine test for bacteria with number of cells counted) | CPT 87086 | $98 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $39 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $371-$1,479 |
| PHYSICAL THERP | Therapeutic activities (Activities intended to improve functioning of patient) | CPT 97530 | $96 |
| PHYSICAL THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $76 |
| PHYSICAL THERP | Manual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area) | CPT 97140 | $69 |
| LAB BACT MICRO | Culture aerobic identify (Blood test to identify type of bacteria) | CPT 87077 | $59-$70 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $165 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $171 |
| OCCUPATION THER | Direct 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 | $103 |
| SCREENING MAMMOGRAPHY | Screening mamography on both breasts with computer aided detection | CPT 77067 | $293-$424 |
| LAB CHEMISTRY | Assay iga/igd/igg/igm each (Test to measure the amount of proteins known as antibodies, made by the body in response to foreign proteins known as antigens.) | CPT 82784 | $36-$180 |
| LAB CHEMISTRY | Assay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system) | CPT 83735 | $38-$49 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $25-$66 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $274 |
| ER | Level 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 | $473 |
| ER | Level 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 | $810 |
| ER | Level 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 | $1,168 |
| ER | Level 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 | $2,282 |
UCHealth Poudre Valley 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 | $12,513-$17,327 | 2-3 days |
| PSYCHOSES (condition of having lost touch with reality) | MS-DRG 885 | $7,236-$16,743 | 3-7 days |
| Normal Newborn | MS-DRG 795 | $1,894-$2,966 | 1-2 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 | $25,112-$64,125 | 3-7 days |
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $2,215-$3,910 | 1-2 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 | $8,476-$17,874 | 2-5 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $23,195-$67,427 | 3-10 days |
| CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications) | MS-DRG 788 | $16,492-$27,460 | 2-4 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 | $21,123-$39,563 | 3-6 days |
| EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well) | MS-DRG 790 | $38,563-$123,253 | 9-31 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 | $13,852-$19,644 | 2-3 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 | $16,994-$33,414 | 2-4 days |
| DEPRESSIVE NEUROSES (Mental disorder with anxiety, fear or depression) | MS-DRG 881 | $6,707-$13,362 | 3-6 days |
| MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions) | MS-DRG 470 | $64,125-$73,937 | 2 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 | $19,119-$32,712 | 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 | $12,851-$27,143 | 2-4 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $3,752-$21,290 | 2-5.5 days |
| G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions) | MS-DRG 378 | $19,580-$38,311 | 2-4 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 | $17,244-$34,272 | 2-5 days |
| PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions) | MS-DRG 247 | $65,816-$87,218 | 1-2 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions) | MS-DRG 439 | $16,142-$35,248 | 2-5 days |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions) | MS-DRG 57 | $24,631-$51,330 | 6.5-14 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 | $17,302-$37,405 | 2-6 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 | $56,744-$187,905 | 5-17 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 | $20,382-$44,715 | 3-7 days |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission) | MS-DRG 65 | $21,468-$35,758 | 2-5 days |
| KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions) | MS-DRG 690 | $15,636-$27,346 | 2-4 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions) | MS-DRG 641 | $15,374-$32,304 | 2-4.5 days |
| MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) | MS-DRG 330 | $48,527-$79,215 | 3-7 days |
| PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems) | MS-DRG 791 | $25,937-$60,505 | 7.75-20 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 | $16,806-$56,874 | 3-8 days |
| HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions) | MS-DRG 481 | $47,785-$62,544 | 4-7 days |
| Follow up care in the hospital after surgery or an injury with complications or conditions or with major complications or condition | MS-DRG 949 | $26,006-$44,705 | 7-13 days |
| RENAL FAILURE W CC (Kidney failure with complications or other conditions) | MS-DRG 683 | $17,645-$32,957 | 2-5 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 | $234,894-$373,504 | 15-33 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 | $36,203-$52,085 | 2-3.75 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $20,606-$37,050 | 2-3 days |
| PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications) | MS-DRG 175 | $19,200-$37,077 | 2-5 days |
| BRONCHITIS ASTHMA W/O CC/MCC (inflammation of airways for breathing without complications or conditions or serious complications or conditions) | MS-DRG 203 | $4,209-$11,414 | 1-3 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions) | MS-DRG 640 | $20,385-$56,755 | 2-7 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 | $19,346-$53,987 | 2-6 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 | $17,829-$24,569 | 2-3 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 | $15,761-$27,126 | 2-3 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 | $100,095-$108,138 | 2-3 days |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions) | MS-DRG 190 | $16,678-$39,825 | 2-5 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 | $21,839-$35,160 | 3-5 days |
| NEUROSES EXCEPT DEPRESSIVE (Mental disorder with anxiety or fear but not depression) | MS-DRG 882 | $6,008-$14,780 | 2.5-6.5 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $13,389-$25,241 | 2-4 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 | $72,780-$123,469 | 2-4 days |
| Admitted to the hospital for replacement of the hip joint with a man-made joint due to hip fracture without major complications or conditions (other illness or disease). | MS-DRG 522 | $58,864-$85,353 | 3-5 days |
* Price and length-of-stay ranges represent 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Medical Group
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OTHER | Level 4 Office/outpatient visit established patient | CPT 99214 | $195 |
| OTHER | Level 3 Office/outpatient visit established patient | CPT 99213 | $134 |
| OTHER | Level 3 Office/outpatient visit new patient | CPT 99203 | $178 |
| OTHER | Level 4 Office/outpatient visit new patient | CPT 99204 | $270 |
| OTHER | Level 5 Office/outpatient visit established patient | CPT 99215 | $263 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $5 |
| OTHER | Subsequent hospital care (Follow up visit for patient in hospital with moderate complexity, at least 25 minutes) | CPT 99232 | $115 |
| ADMIN VACCINE | Immunization admin (Giving a vaccine) | CPT 90471 | $17-$37 |
| LAB UROLOGY | Urinalysis auto w/o scope (Urine test by machine without microscope) | CPT 81003 | $4 |
| OTHER | Subsequent hospital care | CPT 99233 | $165 |
| OTHER | Vaccine given to child less than 18 years of age. Face to face counsel by provider. Vaccine with only 1 part. | CPT 90460 | $17-$37 |
| PROFESSIONAL FEES - EKG | Electrocardiogram (EKG) Heart tracing | CPT 93010 | $17 |
| OTHER | Home or Outpatient monitoring of blood thinning medicine program for a new patient. | CPT 93793 | $22 |
| PHYSICAL THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $72 |
| PHARMACY DRUGS REQ DETAIL | Flu vaccine supply of a preservative free, split virus influenza vaccine 0.5 mL dose that is given to the patient. | CPT 90686 | $21 |
| CARDIOLOGY - ECHOCARDIOLOGY | Tte w/doppler complete (Transthoracic - through the chest wall - Echocardiogram - ultrasound- with color ultrasound doppler to view blood flow of heart) | CPT 93306 | $120-$363 |
| LAB CHEMISTRY | Glycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months) | CPT 83036 | $18 |
| OTHER | Level 2 Office/outpatient visit established patient | CPT 99212 | $79 |
| OTHER | Prev visit est age 40-64 (Preventive medicine visit for patient ages 40 to 64, known to doctor already) | CPT 99396 | $60-$200 |
| ALLERGY TEST OTH DX SVCS | Percut allergy skin tests (Allergy testing with skin pricks) | CPT 95004 | $10 |
| LAB BACT MICRO | Lab test to diagnose 4 viruses at once: severe acute respiratory syndrome COVID 2, Influenza A, Influenza B or respiratory syncytial virus (RSV). | CPT 0241U | $223 |
| OTHER | Electrocardiogram complete | CPT 93000 | $31 |
| LAB BACT MICRO | A test for strep throat | CPT 87651 | $67 |
| OTHER | Ongoing prenatal care. Excludes patients seen for a condition unrelated to pregnancy or prenatal care. Billed with global pregnancy care codes. | CPT 0502F | $0 |
| PHYSICAL THERP | Manual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area) | CPT 97140 | $72 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Inverness Orthopedics and Spine Surgery Center
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $272-$1,949 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your knee. | CPT 29881 | $2,275 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $5,035 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $2,275 |
| SUPPLY IMPLANTS | The use of human connective tissue as a skin graft for issues such as closing a wound or burns.* | CPT C1762 | $584-$3,918 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. | CPT 29826 | $1,066 |
| TREATMENT ROOM | Shot given with either pain medicines or a steroid into the disc of the lower back. | CPT 64483 | $793 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to take out a deep implant such as a pin, screw or wire. | CPT 20680 | $1,905 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to fix the meniscus (provides a cushion and stablizes 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 | $2,275 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to cut the carpal ligament (thick tissue at the wrist) to allow more space for the carpal nerve to move. | CPT 64721 | $1,410 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $5,035 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $1,119 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $56-$65 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $5,035 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $2,275 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $5,035 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to fix the meniscus (provides a cushion and stablizes 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 | $2,275 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $2,275 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $2,275 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $5,035 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $1,156 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Injection 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 | $332 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery 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 | $5,035 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Surgery to trim or smooth away a small 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 29822 | $2,275 |
| AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION | Injection 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 | $661 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Physical Therapy and Rehabilitation at Castle Rock, Sterling Ranch, Northfield, Longs Peak Medical Center, and Steadman Hawkins Clinic - Denver
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| PHYSICAL THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $72 |
| PHYSICAL THERP | Manual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area) | CPT 97140 | $72 |
| EVAL REEVAL PHYS THER | PT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity) | CPT 97161 | $141 |
| PHYSICAL THERP | Neuromuscular 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 |
| PHYSICAL THERP | Vasopneumatic device therapy (Use of a device to apply pressure to lower swelling in an area) | CPT 97016 | $72 |
| PHYSICAL THERP | Therapeutic activities (Activities intended to improve functioning of patient) | CPT 97530 | $65 |
| OTHER RX SVCS | Also 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 | $43 |
| OCCUPATION THER | Direct 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 |
| OTHER RX SVCS | Also 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 OCCUP THER | OT eval low complex 30 min (Occupational Therapy assessment for 30 minutes of low complexity patient) | CPT 97165 | $146 |
| EVAL REEVAL PHYS THER | Pt re-eval est plan care (Physical Therapy re-evaluation for established patient for new plan of care, lasting about 20 minutes) | CPT 97164 | $97 |
| OCCUPATION THER | Orthotic mgmt and training (Training and management for use of a brace) | CPT 97760 | $76 |
| EVAL REEVAL PHYS THER | Pt eval mod complex 30 min (Physical Therapy evaluation of moderately complex patient, lasting 30 minutes) | CPT 97162 | $141 |
| OCCUPATION THER | The fitting or training of a patient in the use of an upper or lower extrmity (arm or leg) orthotic or prothesis such as a brace or articial limb. Billed in time use of 15 minute segments. | CPT 97763 | $86 |
| PHYSICAL THERP | Ultrasound therapy (Ultrasound use of deep heat as therapy in a certain place for pain or flexibility) | CPT 97035 | $58 |
| PROSTHETIC DEV | HFO w/o joints cf (Hand, finger brace that does not move, custom made for a patient) | CPT L3913 | $383 |
| PHYSICAL THERP | Electric stimulation therapy (Electical stimulation to muscle group used for wound healing) | CPT 97014 | $23 |
| PHYSICAL THERP | Therapy for help with walking (may include stair training as well) | CPT 97116 | $58 |
| OCCUPATION THER | The use of hot wax as a treatment by an Occupational or Physical Therapist for pain in the hands or feet. | CPT 97018 | $18 |
| OTHER | Upper 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 |
| PROSTHETIC DEV | WHFO - rigid w/o joints (Wrist, hand, finger brace that does not move, allows fingers to move) | CPT L3808 | $513 |
| PHYSICAL THERP | Electrical stimulation (Electical stimulation to muscle group with constant attention by provider, used for wound healing) | CPT 97032 | $31 |
| PROSTHETIC DEV | WHO w/o joints cf (Wrist or hand brace that does not bend, custom made for a specific patient) | CPT L3906 | $575 |
| PROSTHETIC DEV | FO w/o joints cf (Finger brace that does not move, custom made for a patient, maybe ring style or splint style) | CPT L3933 | $302 |
| OTHER | Hot 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 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth Radiology Freestanding Clinic
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| SCREENING MAMMOGRAPHY | Screening mamography on both breasts with computer aided detection | CPT 77067 | $258 |
| SCREENING MAMMOGRAPHY | Breast tomosynthesis bilateral (3D Mamogram on both breast) | CPT 77063 | $104 |
| DX XRAY | A 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 | $74 |
| DX XRAY | X-ray exam of knee | CPT 73562 | $82 |
| DX XRAY | X-ray exam of foot | CPT 73630 | $69 |
| MAGNETIC RESONANCE TECHNOLOGY MRT - MRI - OTHER | MRI 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 | $588 |
| ULTRASOUND | Ultrasound test (uses sound waves to get pictures) of 1 breast, including under the arm pit. | CPT 76642 | $170 |
| CT SCAN BODY | CT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye) | CPT 74177 | $649 |
| DX XRAY | X-ray exam of shoulder | CPT 73030 | $69 |
| DX XRAY | X-ray of one hip with the pelvis (area between the hip bones), 2 to 3 views taken. | CPT 73502 | $94 |
| LAB CHEMISTRY | Assay of creatinine (Measure of waste products in the blood to monitor kidney function) | CPT 82565 | $10 |
| ULTRASOUND | A 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 | $237 |
| MAMMOGRAPHY | Special 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 | $253 |
| DX XRAY | X-ray exam of ankle | CPT 73610 | $74 |
| DX XRAY | X-ray of the knee with 4 or more views taken. | CPT 73564 | $93 |
| DX XRAY CHEST | Xray of the chest with 2 views, from the front and the side. | CPT 71046 | $67 |
| ULTRASOUND | A test that uses sound waves to create a picture of the soft tissues of the head and neck. | CPT 76536 | $227 |
| CT SCAN BODY | Scan of the chest area using both x-rays and computer images to get a better picture of the area being looked at. Contrast dye is used help improve the pictures. | CPT 71260 | $482 |
| DX XRAY | X-ray exam of hand | CPT 73130 | $73 |
| ULTRASOUND | Ultrasound 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 | $149 |
| MRI SPINAL CORD | MRI uses a large magnet and radiowaves to look at bones of the spine at the lumbar area (lower back) without using dye. | CPT 72148 | $588 |
| ULTRASOUND | Ultrasound or sound wave test done through the vagina (womb) done but not related to pregnancy. | CPT 76830 | $243 |
| MRI | MRI 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 | $588 |
| DX XRAY | X-ray exam of wrist | CPT 73110 | $82 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
UCHealth University of Colorado Hospital
Outpatient Services
| Billing Code Type | Description of Services | Billing Code | Self-Pay Price |
|---|---|---|---|
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $203 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $48-$56 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $20-$66 |
| LAB IMMUNOLOGY | COVID-19 testing using DNA or RNA with equipment that is able to process up to 200 tests a day. | CPT U0003 | $30 |
| LABORATORY | COVID-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 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $177-$186 |
| PHYSICAL THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $148-$150 |
| OTHER | Level 3 Office/outpatient visit established patient | CPT 99213 | $85 |
| TELEMEDICINE - GENERAL CLASSIFICATION | The site where the patient is located during a telehealth visit. | CPT Q3014 | $32 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $103 |
| PHYSICAL THERP | Manual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area) | CPT 97140 | $175 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $88-$111 |
| OTHER | Level 4 Office/outpatient visit established patient | CPT 99214 | $106 |
| LAB CHEMISTRY | Assay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip) | CPT 82947 | $11-$44 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $94-$111 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $256-$284 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $77 |
| LAB CHEMISTRY | Glycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months) | CPT 83036 | $46-$93 |
| OTHER | Level 2 Office/outpatient visit established patient | CPT 99212 | $61 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $19-$129 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $17-$39 |
| LAB CHEMISTRY | Assay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system) | CPT 83735 | $19-$77 |
| LAB CHEMISTRY | Assay of phosphorus (Blood test to measure phosphorus, found most in bones and teeth) | CPT 84100 | $13-$24 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $138-$759 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $94-$115 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $226 |
| ER | Level 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 | $416 |
| ER | Level 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 | $825 |
| ER | Level 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 | $2,002 |
| ER | Level 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 | $2,705 |
UCHealth University of Colorado Hospital
Inpatient Services
| Description of Services | Billing Code | Self-Pay Price* | Length of Stay* |
|---|---|---|---|
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $2,886-$6,310 | 1-2 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 | $13,029-$17,615 | 2-3 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 | $26,957-$68,100 | 3-9 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $19,051-$45,385 | 2.25-8 days |
| Normal Newborn | MS-DRG 795 | $2,443-$5,335 | 1-2 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 | $14,195-$19,225 | 2-3 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 | $20,694-$46,861 | 3-8 days |
| ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY (Alcohol, drug abuse or dependence with rehab treatment) | MS-DRG 895 | $29,179-$52,067 | 9-20 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 | $15,785-$23,791 | 2-4 days |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $17,237-$32,819 | 2-5 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 | $18,756-$27,283 | 3-5 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 | $13,293-$24,781 | 3-4 days |
| MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions) | MS-DRG 330 | $36,168-$77,703 | 3-9 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 | $72,085-$146,529 | 3-11 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 | $49,657-$80,124 | 1-3 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 | $14,541-$26,241 | 2-4 days |
| INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions) | MS-DRG 853 | $70,840-$209,528 | 8-24 days |
| PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems) | MS-DRG 792 | $6,255-$18,604 | 3-5 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W MCC (Miscellanous disorders affecting breakdown of food into energy with serious complications or conditions) | MS-DRG 640 | $21,364-$48,485 | 3-9 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $6,263-$25,237 | 2-4 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 | $22,657-$58,211 | 3-9 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 | $19,466-$38,749 | 2-6 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 | $369,176-$772,139 | 21-60.5 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 | $35,115-$96,996 | 4-11.75 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 | $18,360-$37,848 | 2-6 days |
| MAJOR CHEST PROCEDURES W/CC (Major surgery or procedures in the chest with complications or other conditions) | MS-DRG 164 | $38,432-$67,805 | 2-6 days |
| Kidney Transplant | MS-DRG 652 | $147,603-$172,640 | 3-4 days |
| SEIZURES W/O MCC (Seizures without major complications or conditions) | MS-DRG 101 | $16,838-$33,446 | 2-4 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 | $15,137-$21,550 | 2-3 days |
| RENAL FAILURE W CC (Kidney failure with complications or other conditions) | MS-DRG 683 | $14,247-$29,034 | 2-5 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 | $20,854-$38,197 | 3-6 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 | $84,249-$125,882 | 2-6 days |
| EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well) | MS-DRG 790 | $79,600-$299,755 | 14-53.5 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 | $19,970-$49,434 | 2-6 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 | $24,487-$45,391 | 2-6 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $13,820-$26,320 | 2-4 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 | $21,020-$35,239 | 3-6 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 | $16,535-$26,003 | 2-3 days |
| MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions) | MS-DRG 641 | $14,427-$30,661 | 2-5 days |
| KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions) | MS-DRG 690 | $16,966-$29,635 | 2-5 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 | $28,369-$44,394 | 2-5 days |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions) | MS-DRG 439 | $16,003-$31,954 | 2-6 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 | $140,742-$271,269 | 14-28 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 | $112,711-$225,440 | 3-7 days |
| CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications) | MS-DRG 603 | $12,873-$25,127 | 2-5 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 | $132,643-$244,765 | 6-12 days |
| RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions) | MS-DRG 682 | $19,892-$50,235 | 3-8 days |
| RED BLOOD CELL DISORDERS W/O MCC (Disease of the red blood cell without serious complications or conditions) | MS-DRG 812 | $15,171-$31,465 | 2-7 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 | $5,770-$14,900 | 1-3 days |
| PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems) | MS-DRG 791 | $38,667-$109,231 | 6.5-21 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 THERP | Therapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty) | CPT 97110 | $71-$81 |
| PHYSICAL THERP | Manual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area) | CPT 97140 | $71-$81 |
| LAB CHEMISTRY | Comprehen metabolic panel (Full panel of blood tests with at least 14 measurements) | CPT 80053 | $53 |
| LAB HEMATOLOGY | Complete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine) | CPT 85025 | $35 |
| LABORATORY | Routine blood sample drawn | CPT 36415 | $30 |
| OBS ROOM | Hospital observation per hr (Observation of patient by providers, cost by hour) | CPT G0378 | $243 |
| STERILE SUPPLY | Various supplies needed for surgery such as instruments, gauze or towels.* | CPT A4649 | $241-$1,442 |
| LAB CHEMISTRY | Assay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test) | CPT 84443 | $82 |
| LAB CHEMISTRY | Lipid panel (blood test for cholesterol levels) | CPT 80061 | $33-$66 |
| PHYSICAL THERP | Therapeutic activities (Activities intended to improve functioning of patient) | CPT 97530 | $75-$79 |
| IV THERAPY | Hydrate IV infusion add-on (IV drip for additional hour) | CPT 96361 | $130 |
| IV THERAPY | Tx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein) | CPT 96375 | $123-$130 |
| LAB CHEMISTRY | Metabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium) | CPT 80048 | $42 |
| PATHOL HYSTOL | Tissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis) | CPT 88305 | $184 |
| SCREENING MAMMOGRAPHY | Screening mamography on both breasts with computer aided detection | CPT 77067 | $308 |
| SCREENING MAMMOGRAPHY | Breast tomosynthesis bilateral (3D Mamogram on both breast) | CPT 77063 | $43 |
| LAB HEMATOLOGY | Complete cbc automated (Complete blood count by machine) | CPT 85027 | $25 |
| LAB CHEMISTRY | Glycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months) | CPT 83036 | $34-$47 |
| PHYSICAL THERP | Neuromuscular 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 | $71-$79 |
| IV THERAPY | Ther/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein) | CPT 96374 | $249-$259 |
| SUPPLY IMPLANTS | Anchor/screw bn/bn -tis/bn (Use of an anchor or screw to secure a bone to bone or soft tissue to bone fixation)* | CPT C1713 | $566-$4,243 |
| EVAL REEVAL PHYS THER | PT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity) | CPT 97161 | $139 |
| EKG ECG | Electrocardiogram (EKG) Heart tracing | CPT 93005 | $214 |
| LAB CHEMISTRY | Vitamin d 25 hydroxy (Vitamin D level blood test) | CPT 82306 | $146 |
| LAB CHEMISTRY | Blood test to check for prostate cancer in men | CPT 84153 | $92-$118 |
* Price represents 25th and 75th percentiles. Actual prices may be higher or lower than those listed here.
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 |
|---|---|---|---|
| ER | Level 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 | $212 |
| ER | Level 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 |
| ER | Level 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 | $934 |
| ER | Level 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 | $1,955 |
| ER | Level 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 | $2,781 |
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 | $9,196-$14,475 | 2-3 days |
| Normal Newborn | MS-DRG 795 | $1,568-$2,547 | 1-2 days |
| NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness) | MS-DRG 794 | $2,306-$3,414 | 1-2 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 | $19,748-$29,598 | 2-4 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 | $11,099-$18,076 | 2-3 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 | $24,195-$64,527 | 2-4 days |
| RESPIRATORY INFECTIONS INFLAMMATIONS W MCC (Infection or inflammation in the lungs (such as pneumonia) with serious complications or conditions.) | MS-DRG 177 | $26,246-$59,153 | 2-5 days |
| FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications) | MS-DRG 793 | $4,287-$16,665 | 2.75-4 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 | $21,412-$23,740 | 2 days |
| MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions) | MS-DRG 470 | $48,536-$61,797 | 1-2 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 | $19,079-$35,837 | 2-4.25 days |
| PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems) | MS-DRG 792 | $3,141-$8,416 | 2-3.5 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 | $9,370-$14,226 | 2 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 | $54,270-$76,491 | 3-5 days |
| SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions) | MS-DRG 872 | $23,697-$38,231 | 2.5-4 days |
| DIABETES W CC (Diabetes or high blood sugars with complications or conditions) | MS-DRG 638 | $17,608-$30,153 | 1.25-2 days |
| LOWER EXTREM HUMER PROC EXCEPT HIP FOOT FEMUR W/O CC/MCC (Procedure to legs or upper arms except the hip, foot or thigh bone without complications or conditions or without serious complications or conditions) | MS-DRG 494 | $47,936-$58,922 | 1-3 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 | $21,140-$41,149 | 2.75-4.25 days |
| BRONCHITIS ASTHMA W/O CC/MCC (inflammation of airways for breathing without complications or conditions or serious complications or conditions) | MS-DRG 203 | $9,909-$17,664 | 1-2.5 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.