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

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

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

Pricing information by hospital and center

UCHealth Broomfield Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$58
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$88-$94
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$104
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$241-$255
LABORATORYRoutine blood sample drawnCPT 36415$9
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$104
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$126
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$148
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$85
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$235-$287
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$84-$112
LAB CHEMISTRYUrine pregnancy testCPT 81025$83
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$118
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$93
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$17-$61
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$252
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,968
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$193
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$55-$58
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$82
LABORATORYFibrin degradation quant (Blood test to check for blood clotting problems)CPT 85379$66
LAB CHEMISTRYAssay of lactic acid (Blood test to measure lactic acid levels, produced when oxygen levels in the blood drop)CPT 83605$109-$116
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$31-$69
LAB CHEMISTRYAssay of phosphorus (Blood test to measure phosphorus, found most in bones and teeth)CPT 84100$49
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$79

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

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

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

UCHealth Broomfield Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$252
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$476
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$930
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$2,146
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$3,169

UCHealth Broomfield Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$35,480-$47,8961-2 days
AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W CC (Follow up care for muscle, bones or connective tissue issues with complications or conditions)MS-DRG 560$16,285-$40,5717-17 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$18,343-$33,4127-11.25 days
Follow up care in the hospital after surgery or an injury with complications or conditions or with major complications or conditionMS-DRG 949$18,373-$32,2367-12 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$40,521-$48,7311 day
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCCMS-DRG 56$25,340-$38,1008.75-14 days
AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W MCCMS-DRG 559$17,224-$42,6995.5-13.75 days
AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W/O CC/MCCMS-DRG 561$17,634-$22,2896.25-9 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$12,765-$18,6021.5-4 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$11,282-$43,7382-8.25 days
Follow up care in the hospital after surgery or an injury without complications or conditions or without major complications or conditionMS-DRG 950$11,755-$25,3285-10 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$14,086-$29,2382-8.5 days

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

UCHealth Grandview Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$52
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$80-$84
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$94
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$94
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$217-$230
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$134
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$76
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$113
LABORATORYRoutine blood sample drawnCPT 36415$8
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$211-$259
LABORATORYAssay 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 CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$106
IV THERAPYTx/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 BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,471
LAB CHEMISTRYUrine pregnancy testCPT 81025$75
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$71
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$227
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$49-$52
CT SCAN HEADCAT scan of the head or brain without using dyeCPT 70450$1,557
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$173
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$227
LAB CHEMISTRYChorionic gonadotropin test (Blood pregnancy test)CPT 84703$91-$97
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$28-$62
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$90-$123
LAB CHEMISTRYAssay of lactic acid (Blood test to measure lactic acid levels, produced when oxygen levels in the blood drop)CPT 83605$98-$104

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

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

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

UCHealth Grandview Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$227
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$428
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$837
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,931
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,852

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$32,016-$37,2071-2 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$49,438-$53,8672-3 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$33,169-$41,7701-2 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$6,442-$18,6142-3 days
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC (Operation to take out implant of hip or knee and replace with a new one without complications or conditions or serious complications or conditions)MS-DRG 468$28,345-$55,6691-2.25 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$7,727-$13,0312-3 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$9,693-$21,7741-3.75 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC (Alcohol, drug abuse or dependence without rehab treatment and without serious complications or conditions)MS-DRG 897$7,723-$19,3961.75-4.25 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$11,025-$14,7012-3 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$8,045-$14,8791-3 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$8,568-$13,8152-3 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$8,395-$15,5592-3 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 ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$78
LABORATORYRoutine blood sample drawnCPT 36415$31
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$48
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$149
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$54
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$109
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$44
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$98
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$40
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$90
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$159
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$76-$135
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$57-$78
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$36
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$302
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$23-$61
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$12-$30
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$357
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$47
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$76
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$49
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$35-$45
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$92
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$3,706
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$322

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

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

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

UCHealth Greeley Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$253
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$438
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$749
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,080
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,149

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$12,218-$17,9261-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$18,618-$45,0453-6 days
Normal NewbornMS-DRG 795$1,911-$2,9691-2 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$15,916-$30,3022-4 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$1,835-$4,1141-2 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$13,861-$29,8522-5 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$17,176-$35,3753-6 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$13,805-$19,5632-3 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCCMS-DRG 177$13,175-$28,9963-7 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$15,139-$36,1362-4.5 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$14,708-$23,6652-3 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$15,133-$29,8322-4.5 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$16,170-$27,5332-3.75 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$10,542-$22,8982-4 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$12,614-$29,9542-5.75 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$4,139-$9,3252-3 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$17,406-$26,1792-3 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$49,113-$70,6781.25-2 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$14,806-$26,1521-4 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$15,994-$42,4142-5 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$15,467-$26,0712-3 days
CESAREAN SECTION WITHOUT STERILIZATION WITH CC (Birth of a baby by c-section and without tubes being tied. With complications or conditions)MS-DRG 787$19,516-$27,7323-4 days
ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC (Patient with heart attack discharged alive with serious complications)MS-DRG 280$23,581-$58,1922-7 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$12,027-$20,8262-3.75 days
Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditionsMS-DRG 377$25,691-$46,8813-5 days
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC (Removal of the gallbladder without checking the common duct and without complications or conditions or serious complications or conditions)MS-DRG 419$27,173-$40,7481-2 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$15,331-$29,5292.25-5.5 days
ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS.MS-DRG 208$25,212-$91,8752-7 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$63,481-$164,1585.25-12.75 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$48,279-$57,0763-5 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$58,351-$98,3765-9 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$5,862-$27,9903-16 days
BRONCHITIS ASTHMA W CC/MCC (inflammation of airways for breathing with complications or conditions or serious complications or conditions)MS-DRG 202$13,085-$20,3801.5-3.5 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$11,500-$25,5431-4 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$16,379-$37,3422-5.5 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$27,534-$50,6992-3.75 days
POSTPARTUM POST ABORTION DIAGNOSES W/O O.R. PROCEDUREMS-DRG 776$10,561-$16,2782-2.75 days
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC (Heart Attack, patient left hospital alive with complications or other conditions)MS-DRG 281$17,815-$32,8271.25-3.75 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$15,633-$23,8543-4.75 days
PULMONARY EMBOLISM W/O MCC (blood clot in the lungs without serious complications)MS-DRG 176$13,069-$21,8892-3 days
HEART FAILURE SHOCK W CC (The heart is unable to pump enough blood to the body, this causes shock to happen with complications and conditions)MS-DRG 292$14,221-$23,9583-5 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$19,509-$36,2562-4 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$4,042-$5,7062-3 days
G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions)MS-DRG 389$14,896-$22,4942-4 days
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCCMS-DRG 70$17,384-$38,3602-5 days
G.I. OBSTRUCTION W/O CC/MCC (Blockage in the bowel without complications and conditions or serious complications or conditions)MS-DRG 390$12,353-$16,4452-3 days
KIDNEY URINARY TRACT INFECTIONS W MCC (Kidney infection and infection of the urinary tract with major complications or conditions)MS-DRG 689$18,438-$38,5053-6.25 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$11,250-$14,8972-3 days
CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W CC (Heart rhythm problems with complications or conditions)MS-DRG 309$11,027-$23,2342 days
OTHER DIGESTIVE SYSTEM DIAGNOSES W CCMS-DRG 394$16,870-$32,9613-4.25 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 Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$52
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$94
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$80-$84
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$217-$230
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$280
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$94
LABORATORYRoutine blood sample drawnCPT 36415$8
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$134
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$211-$259
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$113
LABORATORYAssay 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 CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$49-$52
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$76
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$83
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$106
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$227
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$37-$67
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$15-$55
LAB CHEMISTRYVitamin B-12 shotCPT 82607$119
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$74
LAB CHEMISTRYAssay of ferritin (Blood test to measure amount of iron)CPT 82728$119
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$28-$62
PATHOL HYSTOLThe staining process used to look at cells under a microscope, often used to look for cancer cells. This is for the first sample.CPT 88342$243
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,471
LAB CHEMISTRYFe test (Blood test to check Iron level in blood)CPT 83540$67

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

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

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

UCHealth Longs Peak Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$227
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$428
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$837
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,931
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,852

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$5,739-$8,6662 days
Normal NewbornMS-DRG 795$1,739-$2,6661-2 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,185-$3,8292-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$17,082-$44,7983-6 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$13,045-$17,0452-4 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$6,182-$10,5652-3 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$13,115-$22,5962-5 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$11,887-$19,9342-4 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$12,778-$24,4062-4 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$48,820-$62,1602-2.5 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$12,722-$24,0372-5 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$12,910-$19,1422-4 days
CESAREAN SECTION WITHOUT STERILIZATION WITH CC (Birth of a baby by c-section and without tubes being tied. With complications or conditions)MS-DRG 787$13,838-$18,2662-4 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$14,084-$25,5721.75-3 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$12,950-$21,3862-4 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$11,012-$16,9172-3 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$30,111-$40,4581-4 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$12,053-$26,7212-5 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$32,069-$47,8563-6 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$9,993-$15,3982-4 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$10,320-$17,6722-3 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$25,896-$32,2032-3 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$3,050-$28,1642-10 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$11,848-$17,6432-3 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$9,693-$23,2131.75-4 days
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$11,825-$19,1452-4 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$60,404-$90,0502-4 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCCMS-DRG 177$13,285-$35,7203-7 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$15,957-$18,3952-3 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$12,481-$28,4052.75-6 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$40,009-$73,5195-12 days
G.I. OBSTRUCTION W/O CC/MCC (Blockage in the bowel without complications and conditions or serious complications or conditions)MS-DRG 390$12,451-$16,7572-3 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$12,827-$29,8862-4 days
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC (Gallbladder taken out using a thin, lighted tube that lets the doctor see inside your belly. 4 small cuts are made in the belly area. The scope is placed in 1 of them and the gallbladder is taken out. No dye is used to look at the common bile duct for stones with complications or other conditions).MS-DRG 418$24,224-$48,9263-5.5 days
CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC (Diseases of the blood vessels except not a heart attack with a cardiac catheterization without serious complications or conditions)MS-DRG 287$19,335-$26,0091-3 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission)MS-DRG 65$17,864-$23,6902-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$2,426-$14,8352-4 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$12,020-$20,1782-5 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$13,758-$29,2393-7 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$43,452-$135,1655-18 days
ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS.MS-DRG 208$22,610-$61,7692.75-6 days
CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W MCCMS-DRG 286$26,191-$43,2332-5.75 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC (Surgery to join the bones of the front and back of the spine without complications or conditions or serious complications or conditions)MS-DRG 455$61,321-$92,8882-4 days
DIABETES W/O CC/MCC (Diabetes or high blood sugars without other complications)MS-DRG 639$10,574-$12,4791-2 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$15,235-$31,2042-4.25 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$8,523-$13,3272-3 days
CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W CC (Heart rhythm problems with complications or conditions)MS-DRG 309$11,044-$16,4691.5-3 days
G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions)MS-DRG 389$15,289-$29,3043-5.5 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$26,245-$39,6773-4 days
ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC (Patient with heart attack discharged alive with serious complications)MS-DRG 280$18,520-$32,8991.5-3.5 days
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC (Removal of the gallbladder without checking the common duct and without complications or conditions or serious complications or conditions)MS-DRG 419$25,613-$41,1912-3.5 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$11,572-$19,0412-3 days

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

UCHealth Highlands Ranch Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$52
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$94
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$80-$84
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$217-$230
LABORATORYRoutine blood sample drawnCPT 36415$8
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$211-$259
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$94
LABORATORYAssay 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 CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$113
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$280
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$134
LAB CHEMISTRYMetabolic panel ionized ca (Panel of blood tests with at least 8 measures including ionized calcium)CPT 80047$51
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$74
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$49-$52
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$83
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$76
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$4,471
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$227
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$173
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$15-$55
PATHOL HYSTOLThe staining process used to look at cells under a microscope, often used to look for cancer cells. This is for any samples after the first sample.CPT 88341$243
PATHOL HYSTOLExam with both the bare eye and under a microscope of tumor tissue from the uterus (without cancer such as a fibroid) but not the uterus itself.CPT 88307$427
LAB CHEMISTRYUrine pregnancy testCPT 81025$75
PATHOL HYSTOLThe staining process used to look at cells under a microscope, often used to look for cancer cells. This is for the first sample.CPT 88342$243
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$106

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

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

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

UCHealth Highlands Ranch Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$227
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$428
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$837
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,931
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,852

UCHealth Highlands Ranch Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
Normal NewbornMS-DRG 795$2,164-$2,8842 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$6,416-$8,6102-3 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$32,117-$35,6301 day
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,180-$3,3622-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$17,517-$41,7733-7 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$13,571-$17,6293-4 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$6,884-$10,0042-3 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$12,837-$18,5582-3 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$11,124-$21,3312-4 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$14,165-$17,2733-4 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$35,519-$45,2661 day
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$14,361-$25,1412.75-5 days
MAJOR HEAD NECK PROCEDURES W CC/MCC OR MAJOR DEVICEMS-DRG 129$35,154-$65,2654-7 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$6,436-$21,8012-4 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCCMS-DRG 177$10,846-$27,4922-7 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$10,289-$18,4352-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$3,180-$5,4262-4 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$10,320-$21,4802-5 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$9,300-$17,6372-3 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$11,194-$21,8911.75-3 days
PULMONARY EMBOLISM W/O MCC (blood clot in the lungs without serious complications)MS-DRG 176$11,952-$22,5091-3 days
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and with tubes being tied. Without complications or conditions or serious complications)MS-DRG 785$13,093-$15,8912-3 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$15,369-$21,3012-4 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$34,537-$43,8393-5 days
CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W CC (Heart rhythm problems with complications or conditions)MS-DRG 309$14,701-$26,5911-4 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$3,225-$5,0742-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCCMS-DRG 438$23,656-$52,2154-9.25 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions)MS-DRG 853$39,108-$97,0416-16.25 days
Procedure on the uterus or close structures such as ovaries, tubes or ligaments without complications or conditions or without major complications or conditions, not for cancerMS-DRG 743$22,418-$31,5621-2 days
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC (A condition of the swallowing tube that causes it to become red, swollen or irritated. Other disorders related to digesting food with serious complications or conditions).MS-DRG 391$15,564-$23,6892-5 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$14,072-$39,6991.5-4 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$8,115-$9,4382-3 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$3,866-$11,5723-9.5 days
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL /OR DCMS-DRG 768$7,395-$9,9992-3 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$9,593-$16,5891.25-3.75 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$12,063-$19,4952-3.75 days
Complicated procedures on either the small or large intestine with major complications or conditionsMS-DRG 329$45,373-$96,1918-15 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$10,952-$23,2822-4 days
G.I. OBSTRUCTION W CC (Blockage in the bowel with complications and conditions)MS-DRG 389$13,333-$15,6762-4 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$34,804-$55,3144-7 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$20,484-$47,6424-7 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CCMS-DRG 854$22,313-$35,7432-5 days
OTHER DIGESTIVE SYSTEM DIAGNOSES W CCMS-DRG 394$9,397-$18,7792-4 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$46,406-$64,6072-2.25 days
OTHER EAR NOSE MOUTH THROAT O.R. PROCEDURES W CC/MCCMS-DRG 133$30,247-$58,2142.75-6 days
POSTPARTUM POST ABORTION DIAGNOSES W/O O.R. PROCEDUREMS-DRG 776$3,874-$8,7661-2 days
HEART FAILURE SHOCK W CC (The heart is unable to pump enough blood to the body, this causes shock to happen with complications and conditions)MS-DRG 292$16,468-$21,9213-6.25 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$7,179-$14,2892-3 days
CARDUIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC (Improper beating of the heart, may be irregular, too fast, or too slow and disorder of how electrical signals travel through the heart with serious complications)MS-DRG 308$14,697-$47,9163-5.25 days
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC (Removal of the gallbladder without checking the common duct and without complications or conditions or serious complications or conditions)MS-DRG 419$26,779-$46,3482-3.5 days
MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions)MS-DRG 552$9,398-$17,7061.5-4.5 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$17,138-$22,7622.5-4 days
TRACHEOSTOMY FOR FACE MOUTH NECK DIAGNOSES OR LARYNGECTOMY W CCMS-DRG 12$60,145-$102,8027.5-14.5 days
MAJOR HEAD NECK PROCEDURES W/O CC/MCCMS-DRG 130$25,908-$35,0952-3.5 days
CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W/O CC/MCCMS-DRG 310$8,892-$12,1821 day

* 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
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONColonoscopy and biopsy (Camera with light passed through the rectum to take pictures of the intestines, a tissue sample is taken for testing.)CPT 45380$811
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONEGD 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$946
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONColonoscopy 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$946
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONCataract surg w/iol 1 stage (Removal of a cataract with an artificial lens being placed in the eye)CPT 66984$2,520
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONColonoscopy submucous njx (Camera with light passed through the rectum to take pictures of the intestines with injection given into tissue)CPT 45381$946
INTRAOCULAR LENSSurgery to take out the natural lens of the eye during cataract surgery and replace it with an artificial one. The lens bends light rays that come into the eye to help you to see.CPT V2632$352
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONDiagnostic 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$3,607
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONShot given with either pain medicines or a steroid into the disc of the lower back.CPT 64483$633
INTRAOCULAR LENSSurgery to take out the natural lens of the eye during cataract surgery and replace it with an artificial one to correct astigmatism (This is when the eye does not focus light evenly into the retina.) The lens bends light rays that come into the eye to help you to see.CPT V2787$572
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONEsoph 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$1,376
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONRemoval of sperm duct(s) (Removal of a section of the sperm duct or ducts)CPT 55250$1,796
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONTest 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$946
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONTest 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$1,376
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONResect inferior turbinate (Partial or complete removal of soft tissue of one the long thin bones on the inside of the nose)CPT 30140$2,120
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONThe use of high frequency sound (shock) waves to break up stones in your kidneyCPT 50590$2,422
STERILE SUPPLYDevice 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$276
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the wall in the nose that is between the nostrilsCPT 30520$2,120
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONDrain placed in the eye during cataract surgery. Increases the ability of the eye to drain fluid and keeps the pressure in the eye lower, preventing glaucoma.CPT 0191T$3,012
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a problem in the facet joint in the lumbar area (lower back) or sacral area (tailbone) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64493$633
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONTest done with a camera with light passed through the rectum to take pictures of the intestines in someone with a higher than normal risk for having disease.CPT G0105$693
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection (shot) given for pain into the sacroiliac joint (the joint between the sacrum (tailbone) and ilium (top of the hip bone). This area bears the weight of the trunk of the body.CPT G0260$595
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a second problem in the facet joint in the lumbar area (lower back) or sacral area (tailbone) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64494$946
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONInjection or a shot given to either diagnose or treat a problem in the facet joint in the cervical (neck) or thoracic (chest) joints of the spine. Uses imaging or X-ray to guide to the correct spot.CPT 64490$946
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONLaparo cholecystectomy/graph (Removal of gallbladder through small incisions in the belly or abdomen area with pictures of bile ducts taken)CPT 47563$3,802
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to take out the gallbladder using a small tube with a light at the end of the scope. Gallbladder is taken out through the tube.CPT 47562$3,802

UCHealth Medical Center of the Rockies
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$83
LABORATORYRoutine blood sample drawnCPT 36415$33
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$52
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$58
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$159
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$47
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$96
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$81-$144
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$38
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$116
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$169
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$104
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$43
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$75
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$24-$65
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$61-$84
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$13-$32
DX XRAY CHESTChest X-Ray with 1 view from the frontCPT 71045$322
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$53
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$51
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$81
LABORATORYA blood test to diagnose heart failure.CPT 83880$146-$239
PATHOL CYTOLOGYFlowcytometry/tc add-on (Test to evaluate characteristics of cells in the body, each marker characteristic)CPT 88185$48-$100
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$381
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$37-$48

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

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

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

UCHealth Medical Center of the Rockies
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$270
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$467
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$799
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,151
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,292

UCHealth Medical Center of the Rockies
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$11,030-$15,5952 days
Normal NewbornMS-DRG 795$1,917-$2,8891-2 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$56,585-$65,0602 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$26,007-$61,5713-7 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,314-$3,8401-2 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$61,896-$87,6872 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$64,700-$101,4492-3 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$15,032-$22,1422-3 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$19,352-$38,7322.75-5 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$17,334-$31,1772-4 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$12,551-$17,5262-3 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$16,111-$39,9762-5 days
SIMPLE PNEUMONIA PLEURISY W MCC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with serious complications or other conditions)MS-DRG 193$17,445-$30,5582-5 days
PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions)MS-DRG 274$63,786-$71,3941 day
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC (Procedure on a heart valve performed through the skin without serious complications or conditions)MS-DRG 267$110,120-$122,3101 day
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$72,498-$118,3362-5 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$68,280-$104,1554-7.5 days
CESAREAN SECTION WITHOUT STERILIZATION WITH CC (Birth of a baby by c-section and without tubes being tied. With complications or conditions)MS-DRG 787$17,076-$22,7352-3.75 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$21,510-$38,4272-5 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$74,958-$101,6851-3 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$18,509-$30,2112-3 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$46,477-$51,9501-2 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$18,112-$29,6262-4 days
MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions)MS-DRG 552$14,106-$29,8072-5 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$40,676-$61,5473-6 days
TRAUMATIC STUPOR COMA COMA <1 HR W CC (Unresponsive from trauma or in a coma for less than 1 hour with complications or conditions)MS-DRG 86$18,856-$37,2412-4.5 days
ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE W MCC (Patient with heart attack discharged alive with serious complications)MS-DRG 280$27,194-$54,3793-6.5 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$78,587-$168,2956-14 days
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC (Replacement of heart valve performed through the skin with serious complications or conditions)MS-DRG 266$117,158-$171,0041-6 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$16,873-$32,7092-5 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$74,841-$126,2743-10 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$228,549-$413,7997-14.5 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$35,551-$72,0673.25-8 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$15,586-$31,4982-4 days
CARDIAC VALVE OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC (Procedure on heart valve or other serious procedure of heart or chest without cardiac catheterization with complications or conditions)MS-DRG 220$178,560-$244,6115-8 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$14,480-$31,2392-4 days
CARDIAC ARRHYTHMIA CONDUCTION DISORDERS W CC (Heart rhythm problems with complications or conditions)MS-DRG 309$12,963-$26,5212-3 days
MAJOR CHEST PROCEDURES W/CC (Major surgery or procedures in the chest with complications or other conditions)MS-DRG 164$64,191-$96,9343-5 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$4,510-$12,6672-3 days
Bleeding in the digestive tract (stomach, intestines, colon, rectum or anus) with major complications and conditionsMS-DRG 377$36,960-$62,7133-6.75 days
OTHER KIDNEY URINARY TRACT DIAGNOSES W MCC (Other type of Kidney infection and infection of the urinary tract with major complications or conditions)MS-DRG 698$21,770-$54,8333-6 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCCMS-DRG 177$16,934-$43,4433-6 days
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC (Heart Attack, patient left hospital alive with complications or other conditions)MS-DRG 281$16,025-$33,7912-3 days
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL /OR DCMS-DRG 768$13,586-$21,9232-3 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$58,380-$86,2052-3 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$19,106-$34,6842-4 days
POISONING TOXIC EFFECTS OF DRUGS W MCC (Effects from drugs that are poison-like or causing harm with major complications or conditions)MS-DRG 917$16,728-$42,8342-5 days
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC (Procedure or surgery on the lower leg or upper arm does not include the hip, foot or thigh bone with complications or conditions).MS-DRG 493$41,001-$72,1653-6 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$17,091-$20,6112-3 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$160,019-$211,2955-8 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 ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$65
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$23-$30
LABORATORYRoutine blood sample drawnCPT 36415$10
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$99
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$204
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$48-$53
LAB CHEMISTRYMetabolic panel ionized ca (Panel of blood tests with at least 8 measures including ionized calcium)CPT 80047$49
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$90
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$84
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$239-$254
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$106
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$60
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$104
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$55-$69
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$79
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$17
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$50
LAB CHEMISTRYHepatic function panel (Liver Function blood test)CPT 80076$41-$43
OTHERLevel 2 Office/outpatient visit established patientCPT 99212$180-$205
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$40
SUPPLY IMPLANTS Human tissue cells for graftingCPT Q4116$32
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$81-$86
LAB IMMUNOLOGYAllergy testingCPT 86003$18-$54
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$41-$55
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$19-$25

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

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

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

UCHealth Memorial Hospital Central and Memorial Hospital North
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$250
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$516
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$935
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,727
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$3,313

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$8,392-$13,7322-3 days
Normal NewbornMS-DRG 795$2,496-$3,8521-2 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$3,078-$5,1842-3 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$20,023-$46,1923-7 days
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC (Birth of a baby by c-section and without tubes being tied. Without complications or conditions or serious complications)MS-DRG 788$17,338-$26,7692-3 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$10,167-$16,6332-3 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$16,252-$32,3423-6 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$16,278-$31,5722-5 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$14,601-$27,6182-4 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$15,344-$30,4612-5 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$12,137-$24,1232-4 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$55,847-$70,2681-2 days
BRONCHITIS ASTHMA W/O CC/MCC (inflammation of airways for breathing without complications or conditions or serious complications or conditions)MS-DRG 203$6,558-$13,6162-3 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$39,231-$52,7022-3 days
INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC (Infectious disease from a parasite with Operating Room procedure with serious complications or conditions)MS-DRG 853$61,305-$151,4396-16 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$4,314-$12,6882-4 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$10,889-$22,8042-4 days
CESAREAN SECTION WITHOUT STERILIZATION WITH CC (Birth of a baby by c-section and without tubes being tied. With complications or conditions)MS-DRG 787$19,844-$31,3522-4 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$18,548-$31,1992-4 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$13,389-$27,9202-4 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$4,079-$10,0062-5 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$11,549-$21,3472-4 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$22,886-$36,7702-5 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$17,431-$24,7612-3 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$40,882-$65,2253-8 days
NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY (A baby 4 weeks old or less that died or is moved to another hospital for care)MS-DRG 789$1,265-$11,3381 day
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC (Group of long term lung diseases such as bronchitis or emphysema that block airflow and make it hard to breathe, with major complications or conditions)MS-DRG 190$17,292-$32,4962-5 days
BRONCHITIS ASTHMA W CC/MCC (inflammation of airways for breathing with complications or conditions or serious complications or conditions)MS-DRG 202$12,019-$28,3382-4.25 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$15,179-$26,3362-5 days
PULMONARY EMBOLISM W MCC (blood clot in the lungs with serious complications)MS-DRG 175$17,584-$31,7572-5 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$42,924-$50,7961-2 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$13,659-$23,0992-4 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$12,003-$20,7801.5-3 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$12,085-$21,1692-3.5 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$6,476-$62,9803-18 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$92,593-$180,3282-3 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$24,315-$55,5076.25-17 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$37,702-$58,7393-6 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$17,158-$35,3723-6 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC (Stroke caused by either bleeding or a blood clot with serious complications or conditions)MS-DRG 64$27,719-$62,5353-9 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$22,694-$44,3893-5 days
SIMPLE PNEUMONIA PLEURISY W/O CC/MCC (Simple pneumonia - responds well to treatment- and inflammation of the space between the lungs and the chest wall, without complications or other conditions)MS-DRG 195$6,654-$12,9212-3 days
SEIZURES W/O MCC (Seizures without major complications or conditions)MS-DRG 101$11,767-$25,1061-3 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$16,018-$35,2052-4 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$11,653-$20,8122-4 days
POISONING TOXIC EFFECTS OF DRUGS W/O MCC (Effects from drugs that are poison-like or causing harm without major complications or conditions)MS-DRG 918$9,906-$17,6551-3 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$13,780-$25,5702-4.25 days
ILLNESS OF THE LUNGS THAT REQUIRES BEING PUT ON THE BREATHING MACHINE FOR LESS THAN OR EQUAL TO 96 HOURS.MS-DRG 208$39,692-$78,2663-9 days
PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC (Heart procedure performed with needle passed through the skin without serious complications or conditions)MS-DRG 274$79,334-$81,3121 day
MEDICAL BACK PROBLEMS W/O MCC (Back problems without serious complications or conditions)MS-DRG 552$17,259-$32,3932-5 days

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

UCHealth Pikes Peak Regional Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$87
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$47
LABORATORYRoutine blood sample drawnCPT 36415$66
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$142
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$108
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$316
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$98
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$70
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$370
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$78
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$164
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$111
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$45
LABORATORYAssay of troponin quant (Blood test to measure troponin level to check for heart muscle damage as with a heart attack)CPT 84484$127-$167
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$108
DX XRAY CHESTXray of the chest with 2 views, from the front and the side.CPT 71046$333
LAB CHEMISTRYAssay of lipase (Lipase level as blood test of pancreas)CPT 83690$29
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$125
CT SCAN BODYCT abd and pelv w/contrast (CAT scan of belly and hip area using IV dye)CPT 74177$2,974
LAB BACT MICROInfluenza assay w/optic (Rapid Flu test done with swab of nose to test for flu)CPT 87804$100
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$29
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$17
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$276-$292
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$100
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine or substance given before by IV into a vein)CPT 96376$132

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

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

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

UCHealth Pikes Peak Regional Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$133
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$466
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$666
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,332
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$1,997

UCHealth Pikes Peak Regional Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$45,595-$50,8553 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$8,820-$14,3342-3 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$6,448-$13,3871.5-3 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$4,294-$12,9912-3.75 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$8,211-$17,0612-4 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$4,266-$15,8911-3 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$8,373-$17,1283 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$7,151-$14,6472-3 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$7,411-$11,9982.5-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$9,711-$12,9161.5-3 days

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

UCHealth Poudre Valley Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
LABORATORYRoutine blood sample drawnCPT 36415$33
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$83
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$58
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$52
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$96
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$81-$144
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$159
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$47
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$39-$79
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$96
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$38
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$116
LABORATORYCulture aerobic identify (Blood test to identify type of bacteria)CPT 87077$58-$69
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$94
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$75
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$68
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$104
LABORATORYAssay 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$35-$177
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$169
LABORATORYTest of urine to find which antibiotic works best to treat infection caused by bacteria.CPT 87186$108
LAB IMMUNOLOGYC-reactive protein (Blood test to check for inflammation in the body)CPT 86140$53
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$43
LAB CHEMISTRYVitamin d 25 hydroxy (Vitamin D level blood test)CPT 82306$183
LABORATORYAssay of free thyroxine (Blood test to measure thyroid hormone levels)CPT 84439$100
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$13-$32

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

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

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

UCHealth Poudre Valley Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$270
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$467
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$799
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,151
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,292

UCHealth Poudre Valley Hospital
Inpatient Services

Description of Services Billing Code Self-Pay Price* Length of Stay*
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC (Major joint replacment or reattaching of leg or part of leg without serious complications or conditions)MS-DRG 470$53,907-$64,3841-2 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$8,956-$17,4672-5 days
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT CC/MCC (Birth of a baby by vaginal delivery and without tubes being tied or uterus being cleaned out. Without complications or conditions or serious complications)MS-DRG 807$12,086-$17,2562-3 days
PSYCHOSES (condition of having lost touch with reality)MS-DRG 885$6,480-$14,6163-6 days
Normal NewbornMS-DRG 795$1,985-$2,9651-2 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$22,836-$60,2113-7 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,308-$4,0112 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$44,573-$51,7501 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$16,264-$25,4172-4 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$13,462-$21,4532-3 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$15,876-$32,8262-4 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$21,110-$40,1783-7 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$90,980-$97,0643 days
PREMATURITY W MAJOR PROBLEMS (Baby born too early with major problems)MS-DRG 791$38,341-$107,96512-30 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$15,586-$28,4582-4 days
PULMONARY EDEMA RESPIRATORY FAILURE (a build up of fluid in the lungs and not enough oxygen getting to the blood from the lungs)MS-DRG 189$16,067-$36,0882-5 days
DEPRESSIVE NEUROSES (Mental disorder with anxiety, fear or depression)MS-DRG 881$4,766-$9,6172-4 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$4,447-$31,1672-8 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$15,094-$34,1462-5 days
CESAREAN SECTION WITHOUT STERILIZATION WITH CC (Birth of a baby by c-section and without tubes being tied. With complications or conditions)MS-DRG 787$17,580-$29,8333-4 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$18,450-$32,8632-3 days
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC (Chemo without having acute leukemia as a diagnosis with complications or conditions)MS-DRG 847$21,917-$52,0153-4 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$14,558-$29,1352-4 days
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC (Nervous system disorder with gradual loss of function without serious complications or conditions)MS-DRG 57$25,937-$53,1217-15 days
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well)MS-DRG 790$51,178-$127,23011.5-34 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$16,008-$31,5112-4 days
BRONCHITIS ASTHMA W/O CC/MCC (inflammation of airways for breathing without complications or conditions or serious complications or conditions)MS-DRG 203$4,641-$12,6441-3 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$14,463-$32,3742-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$15,121-$31,5522-4 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$69,651-$180,7966-18 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$15,627-$32,1681-3 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$16,356-$44,0032-5 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS (Stroke caused by either bleeding or a blood clot with complications or conditions or needing a "clot buster" in 24 hours of admission)MS-DRG 65$18,521-$35,8472-4 days
POISONING TOXIC EFFECTS OF DRUGS W/O MCC (Effects from drugs that are poison-like or causing harm without major complications or conditions)MS-DRG 918$10,686-$24,0831-3 days
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC (Operation to take out implant of hip or knee and replace with a new one without complications or conditions or serious complications or conditions)MS-DRG 468$38,279-$78,6692-3 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$13,620-$23,4722-4 days
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC (heart procedure done through the skin and placing a stent to support the vessel that gives off medicine without major complications or conditions)MS-DRG 247$63,076-$83,3741-2 days
Follow up care in the hospital after surgery or an injury with complications or conditions or with major complications or conditionMS-DRG 949$21,520-$47,9776-13 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$20,639-$50,2452-5 days
HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC (Procedure on hip or thigh but not a major joint with complications or conditions)MS-DRG 481$35,968-$54,0753-5 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$16,695-$21,9162-3 days
AFTERCARE MUSCULOSKELETAL SYSTEM CONNECTIVE TISSUE W CC (Follow up care for muscle, bones or connective tissue issues with complications or conditions)MS-DRG 560$19,020-$40,0775-11 days
BRONCHITIS ASTHMA W CC/MCC (inflammation of airways for breathing with complications or conditions or serious complications or conditions)MS-DRG 202$10,174-$21,9911-4 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$14,094-$29,3722-4.25 days
VAGINAL BIRTH WITH MAJOR COMPLICATIONS OR CONDITIONS, WITHOUT GETTING "TUBES TIED" OR HAVING A D&C (DILATION AND CURETTAGE - WHERE THE UTERUS HAS TISSUE CLEANED OUT).MS-DRG 805$15,404-$27,0342-3 days
NEUROSES EXCEPT DEPRESSIVE (Mental disorder with anxiety or fear but not depression)MS-DRG 882$4,706-$11,9812-5.5 days
OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCCMS-DRG 833$5,648-$12,4171-2.75 days
OTHER KIDNEY URINARY TRACT DIAGNOSES W MCC (Other type of Kidney infection and infection of the urinary tract with major complications or conditions)MS-DRG 698$21,282-$38,8113-6 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$62,069-$92,6402-3 days
DIABETES W/O CC/MCC (Diabetes or high blood sugars without other complications)MS-DRG 639$15,004-$24,3761-2 days

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

UCHealth Medical Group
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OTHERLevel 4 Office/outpatient visit established patientCPT 99214$178
OTHERLevel 3 Office/outpatient visit established patientCPT 99213$122
OTHERLevel 3 Office/outpatient visit new patientCPT 99203$178
OTHERLevel 4 Office/outpatient visit new patientCPT 99204$270
LABORATORYRoutine blood sample drawnCPT 36415$5
OTHERHome or Outpatient monitoring of blood thinning medicine program for a new patient.CPT 93793$22
OTHERSubsequent hospital care (Follow up visit for patient in hospital with moderate complexity, at least 25 minutes)CPT 99232$115
OTHERVaccine given to child less than 18 years of age. Face to face counsel by provider. Vaccine with only 1 part.CPT 90460$37
LAB UROLOGYUrinalysis auto w/o scope (Urine test by machine without microscope)CPT 81003$4
OTHERElectrocardiogram (EKG) Heart tracingCPT 93010$17
OTHERSubsequent hospital careCPT 99233$165
CARDIOLOGY - ECHOCARDIOLOGYTte w/doppler complete (Transthoracic - through the chest wall - Echocardiogram - ultrasound- with color ultrasound doppler to view blood flow of heart)CPT 93306$120-$363
OTHERLevel 5 Office/outpatient visit established patientCPT 99215$239
LAB BACT MICROInfluenza assay w/optic (Rapid Flu test done with swab of nose to test for flu)CPT 87804$26
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$72
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$7
OTHERPrev visit est age 40-64 (Preventive medicine visit for patient ages 40 to 64, known to doctor already)CPT 99396$60-$200
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$18
ALLERGY TEST OTH DX SVCSPercut allergy skin tests (Allergy testing with skin pricks)CPT 95004$10
LAB BACT MICROStrep a assay w/optic (Rapid strep test throat culture)CPT 87880$26
OTHERElectrocardiogram completeCPT 93000$30
TREATMENT ROOMTher/proph/diag inj sc/im (Medicine or substance given into skin or into muscle as a shot)CPT 96372$41
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$72
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$20
OTHERPersonalized prevention plan of service (Yearly "well" visit to plan for needed care during the year for a patient already known to the provider.CPT G0439$186

UCHealth Inverness Orthopedics and Spine Surgery Center
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your knee.CPT 29881$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to repair the anterior cruciate ligament (strong fiber that connects the thigh to shinbone and runs down the front of the knee). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29888$5,404
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint.CPT 29826$1,134
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a torn tendon in the shoulder. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29827$5,404
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to take out a deep implant such as a pin, screw or wire.CPT 20680$2,241
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to trim or smooth away a large amount of tissue from the ankle joints. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29898$2,550
RECOVERY ROOMMedical service provided during the hours of 10 pm to 8 am in a facility that is open 24 hours a day.CPT 99053$351
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to trim or smooth away a large amount of tissue in the shoulder joint. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29823$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery 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$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery 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$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix the synovium (tissue that lines a joint) in at least 2 areas such as the medial (inside) or lateral (outside) of the knee. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29876$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to smooth away the head on the hip bone. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29914$5,404
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in the labrum (cushions the hip joint and holds the hip bone in the socket). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29916$5,404
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in the bicep tendon (muscle on the front of the upper arm) by sewing the end of the tendon to a bone.CPT 23430$5,404
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery on a joint that doesn’t have a specific code to describe the procedure. Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29999$3,607
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to cut the carpal ligament (thick tissue at the wrist) to allow more space for the carpal nerve to move.CPT 64721$1,350
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery 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$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to cut the tendon sheath of the finger or thumb, allowing the tendon to move easily through the sheath (holds the tendon close to the finger bone).CPT 26055$1,423
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONShot given with either pain medicines or a steroid into the disc of the lower back.CPT 64483$633
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONRepair of ligament (tough connective tissue that holds bones together) at the ankle or leg area.CPT 27698$5,404
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to shave off damaged cartilage of the knee (chondroplasty). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29877$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in a ligament ( a band of tissue that connects one bone to another) of the ankleCPT 27695$5,404
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery (either by cutting open the skin or by placing stitches on the outside of the skin) to fix a tear in the Achilles tendon (connects calf muscles to the heel bone).CPT 27650$4,716
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery that uses a tiny camera to look inside your knee. Small cuts are made to place the camera and small tools into your knee for the procedure to release the tight ligaments (bands of tissue) on the outside of the kneecap to let it slide to the correct place.CPT 29873$2,550
AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATIONSurgery to fix a tear in the joint capsule of the shoulder (strong tissue that supports and protects the joint). Done by placing a thin tube through the skin that has a camera on the end. Allows doctor to see inside joint without making a large cut (incision).CPT 29806$5,404

UCHealth Physical Therapy and Rehabilitation at Castle Rock, Sterling Ranch, and Steadman Hawkins Clinic - Denver
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$72
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$72
OTHERVasopneumatic device therapy (Use of a device to apply pressure to lower swelling in an area)CPT 97016$72
EVAL REEVAL PHYS THERPT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity)CPT 97161$135
PHYSICAL THERPNeuromuscular reeducation (Exercise to help re-educate the body part to perform a function or task that it was able to do in its pre-injury state)CPT 97112$84
OTHERHot or cold packs therapy (Use of hot or cold packs for pain relief or to increase blood flow as part of a treatment)CPT 97010$10
EVAL REEVAL PHYS THERPt re-eval est plan care (Physical Therapy re-evaluation for established patient for new plan of care, lasting about 20 minutes)CPT 97164$92
EVAL REEVAL OCCUP THEROT eval low complex 30 min (Occupational Therapy assessment for 30 minutes of low complexity patient)CPT 97165$146
PHYSICAL THERPElectric stimulation therapy (Electical stimulation to muscle group used for wound healing)CPT 97014$23
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$65
EVAL REEVAL PHYS THERPt eval mod complex 30 min (Physical Therapy evaluation of moderately complex patient, lasting 30 minutes)CPT 97162$135
PHYSICAL THERPDirect patient teaching for home care and life skills with adaptive tools for areas such as the kitchen, bath or car. Billed in 15 minute segments.CPT 97535$57
PHYSICAL THERPUltrasound therapy (Ultrasound use of deep heat as therapy in a certain place for pain or flexibility)CPT 97035$41
OTHERElec stim other than wound (Electical stimulation to muscle group without constant attention by provider, not for wound healing)CPT G0283$24
PROSTHETIC DEVFO w/o joints cf (Finger brace that does not move, custom made for a patient, maybe ring style or splint style)CPT L3933$302
OTHERUpper ext fx orthosis wrist (Brace used on a wrist for a break to keep it from moving during healing.)CPT L3984$556
OTHERUpper ext fx orthosis rad/ul (Brace used on radius or ulna (bones of the forearm) for a break to keep it from moving during healing.)CPT L3982$538
PROSTHETIC DEVWHFO - rigid w/o joints (Wrist, hand, finger brace that does not move, allows fingers to move)CPT L3808$513
PROSTHETIC DEVWHFO w/o joints pre cst (Wrist, hand, finger premade brace that does not bend, customized to fit the patient)CPT L3807$354
PHYSICAL THERPTherapy for help with walking (may include stair training as well)CPT 97116$54
PROSTHETIC DEVWHO w/o joints cf (Wrist or hand brace that does not bend, custom made for a specific patient)CPT L3906$575
PROSTHETIC DEVHFO w/o joints cf (Hand, finger brace that does not move, custom made for a patient)CPT L3913$383
OTHERHfo without joints pre cst (Brace for the hand or fingers, premade but adjusted for the patient's needs.)CPT L3923$122
EVAL REEVAL OCCUP THEROccupational Therapy evaluation that is moderately complex, reviews medical history and finds 3 to 5 areas that need to be addressed. Takes about 45 minutes to complete.CPT 97166$146
PHYSICAL THERPOrthotic mgmt and training (Training and management for use of a brace)CPT 97760$76

UCHealth Radiology Freestanding Clinic – Broomfield
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
DX XRAYX-ray exam of footCPT 73630$17-$57
DX XRAYX-ray exam of finger(s)CPT 73140$14-$60
DX XRAYX-ray exam of ankleCPT 73610$16-$60
DX XRAYX-ray exam of wristCPT 73110$16-$68
DX XRAYX-ray exam of handCPT 73130$16-$60
DX XRAYX-ray of one hip with the pelvis (area between the hip bones), 2 to 3 views taken.CPT 73502$23-$82
DX XRAYX-ray of the knee with 4 or more views taken.CPT 73564$22-$77
DX XRAYX-ray exam of kneeCPT 73562$18-$68
DX XRAYX-ray of the wrist with 2 views, from the front to back and from the side viewCPT 73100$16-$63
DX XRAYX-rays of the lower part of the spine. This area includes the lumbar (lower back) region and the sacrum, the area that connects the spine to the pelvis with at least 4 views taken.CPT 72110$32-$92
DX XRAYX-ray of the elbow with at least 3 views taken.CPT 73080$16-$60
DX XRAYX-ray of the cervical spine (neck area) with at least 4 or 5 views.CPT 72050$32-$90
DX XRAYX-ray exam of lower legCPT 73590$17-$55
DX XRAYX-rays of the lower part of the spine. This area includes the lumbar (lower back) region and the sacrum, the area that connects the spine to the pelvis with 2 or 3 views taken while bending over.CPT 72120$22-$77
DX XRAYX-ray of the cervical spine (neck area) with 2 to 3 views taken.CPT 72040$22-$66
DX XRAYX-rays of the lower part of the spine. This area includes the lumbar (lower back) region and the sacrum, the area that connects the spine to the pelvis with 2 or 3 views taken.CPT 72100$22-$66
DX XRAYX-ray of the femur (thighbone) with at least 2 viewsCPT 73552$19-$67
DX XRAYX-ray of the knee with 1 or 2 views taken.CPT 73560$17-$60
DX XRAYX-ray of the pelvis (area between the hip bones) with 2 views taken.CPT 72170$17-$59

UCHealth Radiology Freestanding Clinic – Inverness
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
MAGNETIC RESONANCE TECHNOLOGY MRT - MRI - OTHERMRI uses a large magnet and radiowaves to look at a joint of a lower extremity such as on the legs without using dye.CPT 73721$239-$814
MRIMRI uses a large magnet and radiowaves to look at a joint of an upper extremity such as on the arms without using dye.CPT 73221$233-$797
MRI SPINAL CORDMRI uses a large magnet and radiowaves to look at bones of the spine at the lumbar area (lower back) without using dye.CPT 72148$273-$808
MAGNETIC RESONANCE TECHNOLOGY MRT - MRI - OTHERMRI uses a large magnet and radiowaves to look at a lower extremity (not a joint) such as the legs without using dye.CPT 73718$204-$794
MRI SPINAL CORDMRI uses a large magnet and radiowaves to look at bones of the spine at the neck area without using dye.CPT 72141$267-$791
MAGNETIC RESONANCE TECHNOLOGY MRT - MRI - OTHERMRI uses a large magnet and radiowaves to look at an extremity (not a joint) such as the arms without using dye.CPT 73218$179-$780
MRI BRAINMRI uses a large magnet and radiowaves to look at the brain and brain stem (controls breathing and heart beat) without using dye.CPT 70551$290-$884
MAGNETIC RESONANCE TECHNOLOGY MRT - MRI - OTHERMRI of the pelvis (area between the hip bones) without any contrast dyeCPT 72195$220-$813

UCHealth Radiology Freestanding Clinic – Highlands Ranch
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$77-$278
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$46-$112
DX XRAYA special type of x-ray of your bones. Uses a very low amount of radiation to find how strong or weak your bones are. At least 1 view of the bones that form the trunk of the body such as the hips or spine.CPT 77080$38-$178
ULTRASOUNDUltrasound test (uses sound waves to get pictures) of 1 breast, including under the arm pit.CPT 76642$69-$179
MAMMOGRAPHYSpecial low dose xray on one breast to look for cancer. Uses the computer to look for dense or thick areas of tissue that might be cancer.CPT 77065$83-$273
DX XRAYX-ray exam of shoulderCPT 73030$18-$56
MAMMOGRAPHYSpecial low dose xray on both breasts to look for cancer. Uses the computer to look for dense or thick areas of tissue that might be cancer.CPT 77066$102-$345
DX XRAYX-ray of one hip with the pelvis (area between the hip bones), 2 to 3 views taken.CPT 73502$23-$82
MAMMOGRAPHYSpecial xray of 1 breast where thin slices or images are taken and then made into a 3D image to look for signs of cancer.CPT 77061$62-$232
DX XRAYX-ray exam of kneeCPT 73562$18-$68
MAMMOGRAPHYSpecial xray of both breasts where thin slices or images are taken and then made into a 3D image to look for signs of cancer.CPT 77062$53-$183
DX XRAYX-ray of the knee with 4 or more views taken.CPT 73564$22-$77
DX XRAYA sample of breast tissue is taken to look for cancer with the placement of a clip or pellet to mark the site. Marker placed through the skin using an ultrasound to find the exact spot.CPT 19083$1,361
DX XRAYX-ray exam of ankleCPT 73610$16-$60
DX XRAYX-ray of the knee with 1 or 2 views taken.CPT 73560$17-$60
DX XRAYX-ray exam of footCPT 73630$17-$57
MAMMOGRAPHYDiagnostic mammogram (no signs or symptoms of breast cancer) with view of either one or both sides of the breast.CPT G0279$46-$99
DX XRAYX-ray to check leg length. Uses ruler on the x-ray to measure length of legs and find any differences in length.CPT 77073$27-$80
DX XRAYA sample of breast tissue is taken to look for cancer with the placement of a clip or pellet to mark the site. Marker placed through the skin using a mammogram to find the exact spot.CPT 19081$1,400
DX XRAYX-ray of breast tissue taken out during surgery to make sure the correct area was all removed.CPT 76098$29-$77
ULTRASOUNDUltrasound test of a joint or joint space to examine a soft tissue mass.CPT 76882$50-$117
DX XRAYX-rays of the lower part of the spine. This area includes the lumbar (lower back) region and the sacrum, the area that connects the spine to the pelvis with 2 or 3 views taken.CPT 72100$22-$66
DX XRAYX-ray of the elbow with at least 3 views taken.CPT 73080$16-$60
DX XRAYPlacement of metal device such as a clip to mark the site of an area in the breast to be examined including the use of ultrasound.CPT 19285$1,050
DX XRAYX-ray of both hips with the pelvis (area between the hip bones) with at least 3 to 4 views taken.CPT 73522$28-$94

UCHealth Steadman Hawkins Clinic - Denver physical therapy services Outpatient Services
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$72
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$72
OTHERVasopneumatic device therapy (Use of a device to apply pressure to lower swelling in an area)CPT 97016$72
EVAL REEVAL PHYS THERPT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity)CPT 97161$135
PHYSICAL THERPNeuromuscular reeducation (Exercise to help re-educate the body part to perform a function or task that it was able to do in its pre-injury state)CPT 97112$84
OTHERHot or cold packs therapy (Use of hot or cold packs for pain relief or to increase blood flow as part of a treatment)CPT 97010$10
EVAL REEVAL PHYS THERPt re-eval est plan care (Physical Therapy re-evaluation for established patient for new plan of care, lasting about 20 minutes)CPT 97164$92
EVAL REEVAL OCCUP THEROT eval low complex 30 min (Occupational Therapy assessment for 30 minutes of low complexity patient)CPT 97165$146
PHYSICAL THERPElectric stimulation therapy (Electical stimulation to muscle group used for wound healing)CPT 97014$23
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$65
EVAL REEVAL PHYS THERPt eval mod complex 30 min (Physical Therapy evaluation of moderately complex patient, lasting 30 minutes)CPT 97162$135
PHYSICAL THERPDirect patient teaching for home care and life skills with adaptive tools for areas such as the kitchen, bath or car. Billed in 15 minute segments.CPT 97535$57
PHYSICAL THERPUltrasound therapy (Ultrasound use of deep heat as therapy in a certain place for pain or flexibility)CPT 97035$41
OTHERElec stim other than wound (Electical stimulation to muscle group without constant attention by provider, not for wound healing)CPT G0283$24
PROSTHETIC DEVFO w/o joints cf (Finger brace that does not move, custom made for a patient, maybe ring style or splint style)CPT L3933$302
OTHERUpper ext fx orthosis rad/ul (Brace used on radius or ulna (bones of the forearm) for a break to keep it from moving during healing.)CPT L3982$538
OTHERUpper ext fx orthosis wrist (Brace used on a wrist for a break to keep it from moving during healing.)CPT L3984$556
PROSTHETIC DEVWHFO - rigid w/o joints (Wrist, hand, finger brace that does not move, allows fingers to move)CPT L3808$513
PROSTHETIC DEVWHFO w/o joints pre cst (Wrist, hand, finger premade brace that does not bend, customized to fit the patient)CPT L3807$354
PHYSICAL THERPTherapy for help with walking (may include stair training as well)CPT 97116$54
PROSTHETIC DEVWHO w/o joints cf (Wrist or hand brace that does not bend, custom made for a specific patient)CPT L3906$575
PROSTHETIC DEVHFO w/o joints cf (Hand, finger brace that does not move, custom made for a patient)CPT L3913$383
OTHERHfo without joints pre cst (Brace for the hand or fingers, premade but adjusted for the patient's needs.)CPT L3923$122
EVAL REEVAL OCCUP THEROccupational Therapy evaluation that is moderately complex, reviews medical history and finds 3 to 5 areas that need to be addressed. Takes about 45 minutes to complete.CPT 97166$146
PHYSICAL THERPOrthotic mgmt and training (Training and management for use of a brace)CPT 97760$76

UCHealth University of Colorado Hospital
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$180
LABORATORYRoutine blood sample drawnCPT 36415$46-$50
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$18-$59
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$156-$164
OTHERLevel 3 Office/outpatient visit established patientCPT 99213$78
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$131-$131
LAB CHEMISTRYAssay glucose blood quant (Blood glucose or blood sugar test except with testing on paper strip)CPT 82947$10-$39
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$154-$155
OTHERLevel 2 Office/outpatient visit established patientCPT 99212$56
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$89-$98
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$91
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$238-$251
OTHERLevel 4 Office/outpatient visit established patientCPT 99214$97
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$83-$98
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$68
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$16-$34
LAB CHEMISTRYAssay of creatinine (Measure of waste products in the blood to monitor kidney function)CPT 82565$10-$21
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$41-$83
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$17-$115
LAB CHEMISTRYAssay of phosphorus (Blood test to measure phosphorus, found most in bones and teeth)CPT 84100$12-$21
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$19-$48
LAB CHEMISTRYAssay of magnesium (Blood test to measure magnesium levels which helps control blood sugar level and immune system)CPT 83735$17-$73
LAB UROLOGYUrinalysis auto w/scope (Urine test by machine with microscope)CPT 81001$32
PULMONARY FUNCMeasure blood oxygen levelCPT 94760$58
LAB CHEMISTRYAssay of urea nitrogen (Blood test to measure breakdown of protein into urea nitrogen to monitor kidney function)CPT 84520$10-$50

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

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

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

UCHealth University of Colorado Hospital
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$212
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$390
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$773
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,877
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,536

UCHealth University of Colorado 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$12,619-$18,2662-3 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$19,769-$51,9263-8 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$3,814-$6,6921-2 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$29,329-$37,6501-3 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$13,403-$19,6292-3 days
Normal NewbornMS-DRG 795$3,814-$6,2241-2 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$14,152-$26,5682-5 days
SEIZURES W/O MCC (Seizures without major complications or conditions)MS-DRG 101$18,011-$33,5652-4 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$13,193-$24,4284-5 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$19,516-$40,6733-8 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$15,371-$25,1222-4 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$12,103-$23,5152-4 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$15,538-$34,7612-6 days
MAJOR SMALL LARGE BOWEL PROCEDURES W CC (Major procedure on small and large intestines with complications or conditions)MS-DRG 330$29,780-$62,1913-8 days
CRANIOTOMY ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC (Open brain surgery or brain procedure on the vessels performed through the skin with serious complications or conditions)MS-DRG 25$61,612-$115,2593-10 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$18,233-$29,6543-4 days
Kidney TransplantMS-DRG 652$119,164-$147,1603-4 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$62,332-$215,5478-25.75 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$16,531-$33,6663-6 days
RESPIRATORY INFECTIONS INFLAMMATIONS W MCCMS-DRG 177$13,914-$33,1943-7 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$48,309-$76,6582-4 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$12,116-$21,8842-4 days
RENAL FAILURE W CC (Kidney failure with complications or other conditions)MS-DRG 683$12,647-$27,8452-5 days
MISC DISORDERS OF NUTRITION METABOLISM FLUIDS/ELECTROLYTES W/O MCC (Miscellanous disorders affecting breakdown of food into energy without serious complications or conditions)MS-DRG 641$11,774-$23,7802-5 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$15,421-$32,8452-5 days
ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY (Alcohol, drug abuse or dependence with rehab treatment)MS-DRG 895$23,997-$46,6509-20.5 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$21,766-$37,9783-5.5 days
CELLULITIS W/O MCC (Deep bacterial skin infection without serious complications)MS-DRG 603$10,099-$20,6502-4 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$15,521-$23,1162-4 days
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC (Diseases of the Pancreas except cancer with complications and conditions)MS-DRG 439$13,188-$25,7882-5 days
SPINAL FUSION EXCEPT CERVICAL W/O MCC (Surgery to join the bones of the back, not the neck, without serious complications or conditions)MS-DRG 460$63,661-$110,1872-6 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$295,159-$726,77719.5-46.5 days
G.I. HEMORRHAGE W CC (Excessive bleeding in the stomach or bowels with complications or conditions)MS-DRG 378$12,809-$26,4072-5 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$15,480-$31,6462-5 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$20,961-$41,9742-5.5 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$19,627-$38,2852-4 days
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC (Surgery to join 2 or more bones in the spine so there is no movement. Can be done through the front of the neck or belly or through the back of the spinal canal with complications and conditions).MS-DRG 454$96,751-$170,7614-8 days
HEART FAILURE SHOCK W CC (The heart is unable to pump enough blood to the body, this causes shock to happen with complications and conditions)MS-DRG 292$15,890-$31,1833-6.25 days
OTHER KIDNEY URINARY TRACT DIAGNOSES W MCC (Other type of Kidney infection and infection of the urinary tract with major complications or conditions)MS-DRG 698$20,688-$47,3793-8 days
RENAL FAILURE W MCC (Kidney failure with serious complications or other conditions)MS-DRG 682$17,291-$40,9722-8 days
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC (Diseases of the blood moving through the body with serious complications and conditions)MS-DRG 314$21,856-$50,4433-9 days
SIMPLE PNEUMONIA PLEURISY W CC (Simple pneumonia - responds well to treatment - and inflammation of the space between the lungs and the chest wall, with complications or other conditions)MS-DRG 194$10,644-$24,0972-4 days
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC (Stroke caused by either bleeding or a blood clot with serious complications or conditions)MS-DRG 64$32,272-$92,1163-11 days
KIDNEY URINARY TRACT INFECTIONS W/O MCC (Kidney infection and infection of the urinary tract without major complications or conditions)MS-DRG 690$11,581-$23,8012-4 days
PREMATURITY W/O MAJOR PROBLEMS (Baby born too early but without major problems)MS-DRG 792$4,659-$53,9543-12.75 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$32,810-$40,7531-2 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$14,969-$38,6532-5 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$5,918-$18,6942-5.5 days
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE ( Baby born very early or with lungs not mature enough for breathing well)MS-DRG 790$67,580-$291,51815-58 days
OTHER KIDNEY URINARY TRACT DIAGNOSES W CCMS-DRG 699$14,209-$35,3632-6 days

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

UCHealth Yampa Valley Medical Center
Outpatient Services

Billing Code Type Description of Services Billing Code Self-Pay Price
PHYSICAL THERPManual therapy 1/> regions (Manual therapy such as lymph node drainage or traction in more than 1 area)CPT 97140$64-$74
PHYSICAL THERPTherapeutic exercises (Physical Therapy, Occupational Therapy or Rehab exercises taught to increase strength and flexibilty)CPT 97110$64-$74
LAB CHEMISTRYComprehen metabolic panel (Full panel of blood tests with at least 14 measurements)CPT 80053$48
LAB HEMATOLOGYComplete cbc w/auto diff wbc (Complete blood count with count of types of cells by machine)CPT 85025$32
LABORATORYRoutine blood sample drawnCPT 36415$27
OBS ROOMHospital observation per hr (Observation of patient by providers, cost by hour)CPT G0378$221
PHYSICAL THERPTherapeutic activities (Activities intended to improve functioning of patient)CPT 97530$68-$72
LAB CHEMISTRYAssay thyroid stim hormone (Thyroid Stimulating Hormone - TSH- blood test)CPT 84443$75
LAB CHEMISTRYLipid panel (blood test for cholesterol levels)CPT 80061$30-$60
IV THERAPYHydrate IV infusion add-on (IV drip for additional hour)CPT 96361$118
PATHOL HYSTOLTissue exam by pathologist (Tissue sample examined by doctor (pathologist) for diagnosis)CPT 88305$167
IV THERAPYTx/pro/dx inj same drug adon (Another dose of a medicine given before by IV into a vein)CPT 96375$112-$118
LAB IMMUNOLOGYAllergy testingCPT 86003$21-$27
LAB HEMATOLOGYComplete cbc automated (Complete blood count by machine)CPT 85027$23
LAB CHEMISTRYMetabolic panel total ca (Basic panel of blood tests with at least 8 measures including calcium)CPT 80048$38
PHYSICAL THERPNeuromuscular reeducation (Exercise to help re-educate the body part to perform a function or task that it was able to do in its pre-injury state)CPT 97112$64-$72
SCREENING MAMMOGRAPHYScreening mamography on both breasts with computer aided detectionCPT 77067$279
SCREENING MAMMOGRAPHYBreast tomosynthesis bilateral (3D Mamogram on both breast)CPT 77063$40
LAB HEMATOLOGYProthrombin time (Protime test or INR for checking levels of the factors in blood that allow clotting)CPT 85610$18-$21
IV THERAPYTher/proph/diag inj iv push (Single dose or first dose of medicine by IV into a vein)CPT 96374$225-$235
EVAL REEVAL PHYS THERPT eval low complex 20 min (Physical Therapy assessment for 20 minutes of low complexity)CPT 97161$126
LABORATORYBlood test to check for prostate cancer in menCPT 84153$83-$107
LAB BACT MICROUrine culture/colony count (Urine test for bacteria with number of cells counted)CPT 87086$36
LAB CHEMISTRYGlycosylated hemoglobin test (Hemoglobin A1C blood test for diabetes - this gives your average blood sugar level for 3 months)CPT 83036$43
EKG ECGElectrocardiogram (EKG) Heart tracingCPT 93005$194

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

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

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

UCHealth Yampa Valley Medical Center
Emergency Services

Billing Code Type Description of Services Billing Code Self-Pay Price
ERLevel 1 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems usually self-limiting or minor)CPT 99281$192
ERLevel 2 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are low to moderate severity)CPT 99282$365
ERLevel 3 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are moderate severity)CPT 99283$847
ERLevel 4 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity but do not pose a threat to life or function)CPT 99284$1,773
ERLevel 5 Emergency Dept Visit (Evaluation and care of patient with coordination by other care providers, consistent with needs of patient. Problems are urgent and of high severity and pose an immediate threat to life or function)CPT 99285$2,523

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$8,926-$13,3752-3 days
Normal NewbornMS-DRG 795$2,206-$2,6382 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$42,684-$51,4271-2 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$16,064-$23,0202-4 days
NEONATE W OTHER SIGNIFICANT PROBLEMS (newborn baby with serious sickness)MS-DRG 794$2,206-$3,4992-3 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours with major complications and conditions)MS-DRG 871$23,424-$51,2302-5 days
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES (Major joint replacment or reattaching of arm or part of arm)MS-DRG 483$42,173-$50,2601 day
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$54,037-$68,7501-2 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$56,995-$62,4811 day
VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH CC (Birth of a baby by vaginal delivery without tubes being tied or uterus being cleaned out. With complications or conditions)MS-DRG 806$9,402-$12,8822-3 days
FULL TERM NEONATE W MAJOR PROBLEMS (Full term baby with serious complications)MS-DRG 793$2,624-$5,7752-3 days
ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC (Inflammation of the swallowing tube or stomach or other problems with digestion without serious complications or conditions)MS-DRG 392$18,496-$26,8772-3 days
CERVICAL SPINAL FUSION W/O CC/MCC (Surgery to join the bones of the neck without complications or conditions or serious complications or conditions)MS-DRG 473$38,925-$50,7611-2 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$14,723-$19,6242-3 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$56,834-$75,3181-2 days
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC (severe infection in the blood without being put on a breathing machine, lasting more than 96 hours without major complications and conditions)MS-DRG 872$16,254-$27,8112-3 days
HEART FAILURE SHOCK W MCC (The heart is unable to pump enough blood to the body, this causes shock to happen with serious complications and conditions)MS-DRG 291$19,874-$37,8142.25-4 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$16,699-$20,2763-4 days
DIABETES W CC (Diabetes or high blood sugars with complications or conditions)MS-DRG 638$17,158-$23,9381-3 days
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC (Serious procedures of the lower gut area of a male without complications or conditions or without serious complications or conditions)MS-DRG 708$41,942-$45,7791 day

* 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.