Pricing Search Test

Below you can search for test / procedure costs that apply to:

  • Avista Adventist Hospital
  • Castle Rock Adventist Hospital
  • Littleton Adventist Hospital 
  • OrthoColorado Hospital
  • Parker Adventist Hospital
  • Porter Adventist Hospital
  • Longmont United Hospital
  • St. Anthony Hospital
  • St. Anthony North Health Campus

Please use the above field to search by procedure or code.

LOCATION
 
SERVICE
DESCRIPTION
PROCEDURE/TEST
 
PLAIN LANGUAGE DESCRIPTION
 
BILLING
CODE
SELF-PAY
RATE
PAYMENT
METHOD
DENVER METRO INPATIENT VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC VAGINAL DELIVERY WITHOUT TUBAL LIGATION AND WITHOUT COMPLICATIONS DRG 807 $6,489 PER CASE
DENVER METRO INPATIENT MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC VAGINAL DELIVERY WITHOUT TUBAL LIGATION AND WITHOUT COMPLICATIONS DRG 470 $32,836 PER CASE
DENVER METRO INPATIENT CESAREAN SECTION W STERILIZATION W/O CC/MCC   DRG 785 $12,367 PER CASE
DENVER METRO INPATIENT CESAREAN SECTION W/O STERILIZATION W/O CC/MCC   DRG 788 $12,367 PER CASE
DENVER METRO INPATIENT CESAREAN SECTION W STERILIZATION W MCC   DRG 783 $14,326 PER CASE
DENVER METRO INPATIENT CESAREAN SECTION W STERILIZATION W CC   DRG 784 $14,326 PER CASE
DENVER METRO INPATIENT CESAREAN SECTION W/O STERILIZATION W MCC   DRG 786 $14,326 PER CASE
DENVER METRO INPATIENT CESAREAN SECTION W/O STERILIZATION W CC   DRG 787 $14,326 PER CASE
DENVER METRO INPATIENT SPINAL FUSION EXCEPT CERVICAL W/O MCC SPINAL FUSION WITHOUT MAJOR COMPLICATIONS DRG 460 $73,910 PER CASE
DENVER METRO INPATIENT SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC   DRG 871 $28,710 PER CASE
DENVER METRO INPATIENT VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC   DRG 805 $7,298 PER CASE
DENVER METRO INPATIENT VAGINAL DELIVERY W/O STERILIZATION/D&C W CC   DRG 806 $7,298 PER CASE
DENVER METRO INPATIENT PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC   DRG 247 $40,315 PER CASE
DENVER METRO INPATIENT ESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCC   DRG 392 $11,622 PER CASE
DENVER METRO INPATIENT SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC   DRG 872 $18,539 PER CASE
DENVER METRO INPATIENT CERVICAL SPINAL FUSION W/O CC/MCC C SPINE FUSION WITHOUT COMPLICATIONS DRG 473 $36,523 PER CASE
DENVER METRO INPATIENT O.R. PROCEDURES FOR OBESITY W/O CC/MCC GASTRIC BYPASS DRG 621 $27,422 PER CASE
DENVER METRO INPATIENT MAJOR SMALL LARGE BOWEL PROCEDURES W CC   DRG 330 $39,477 PER CASE
DENVER METRO INPATIENT MAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCC   DEG 331 $24,737 PER CASE
DENVER METRO INPATIENT LOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W/O CC/MCC   DEG 494 $29,592 PER CASE
DENVER METRO INPATIENT CELLULITIS W/O MCC   DRG 603 $12,409 PER CASE
DENVER METRO INPATIENT UTERINE ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC   DRG 743 $12,267 PER CASE
DENVER METRO INPATIENT VAGINAL DELIVERY W STERILIZATION/D&C W MCC   DRG 796 $6,809 PER CASE
DENVER METRO INPATIENT VAGINAL DELIVERY W STERILIZATION/D&C W CC   DRG 797 $6,809 PER CASE
DENVER METRO INPATIENT VAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCC   DRG 798 $6,809 PER CASE
DENVER METRO INPATIENT MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES   DRG 483 $42,666 PER CASE
DENVER METRO INPATIENT DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC   DRG 439 $15,847 PER CASE
DENVER METRO INPATIENT PULMONARY EDEMA RESPIRATORY FAILURE   DRG 189 $17,469 PER CASE
DENVER METRO INPATIENT MAJOR MALE PELVIC PROCEDURES W/O CC/MCC   DRG 708 $22,296 PER CASE
DENVER METRO INPATIENT NEUROSES EXCEPT DEPRESSIVE   DRG 882 $3,722 PER CASE
DENVER METRO INPATIENT INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCC   DRG 853 $88,463 PER CASE
DENVER METRO INPATIENT DIABETES W CC DIABETES WITH COMPLICATIONS DRG 638 $9,664 PER CASE
DENVER METRO INPATIENT G.I. OBSTRUCTION W/O CC/MCC   DRG 390 $8,703 PER CASE
DENVER METRO INPATIENT NORMAL NEWBORN BABY DRG 795 $2,356 PER CASE
DENVER METRO INPATIENT ALCOHOL/DRGU ABUSE/DEPEND W/O REHAB W/O MCC   DRG 897 $12,871 PER CASE
DENVER METRO INPATIENT REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC   DRG 468 $50,890 PER CASE
DENVER METRO INPATIENT SHOULDER, ELBOW, OR FOREARM PROC, EXC MAJOR JOINT W/O CC/MCC   DRG 512 $30,293 PER CASE
DENVER METRO INPATIENT NEONATE W OTHER SIGNIFICANT PROBLEMS   DRG 794 $3,280 PER CASE
DENVER METRO INPATIENT PSYCHOSES   DRG 885 $7,268 PER CASE
DENVER METRO INPATIENT FULL TERM NEONATE W MAJOR PROBLEMS FULL TERM BABY WITH MAJOR PROBLEMS DRG 793 $7,725 PER CASE
DENVER METRO INPATIENT PREMATURITY W/O MAJOR PROBLEMS   DRG 792 $10,921 PER CASE
DENVER METRO INPATIENT POISONING TOXIC EFFECTS OF DRUGS W MCC   DRG 917 $18,043 PER CASE
DENVER METRO INPATIENT EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE   DRG 790 $67,090 PER CASE
DENVER METRO INPATIENT PREMATURITY W MAJOR PROBLEMS   DRG 791 $33,524 PER CASE
DENVER METRO INPATIENT POISONING TOXIC EFFECTS OF DRUGS W/O MCC   DRG 918 $15,583 PER CASE
DENVER METRO INPATIENT INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS   DRG 065 $19,793 PER CASE
DENVER METRO INPATIENT PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS   DRG 246 $60,771 PER CASE
DENVER METRO INPATIENT MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROLYTES W/O MCC   DRG 641 $14,164 PER CASE
DENVER METRO INPATIENT MS817 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC   DRG 817 $6,748 PER CASE
DENVER METRO INPATIENT MS818 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC   DRG 818 $6,748 PER CASE
DENVER METRO INPATIENT MS831 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC   DRG 831 $6,748 PER CASE
DENVER METRO INPATIENT MS832 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC   DRG 832 $6,748 PER CASE
DENVER METRO INPATIENT LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC   DRG 419 $16,964 PER CASE
DENVER METRO INPATIENT PULMONARY EMBOLISM W/O MCC   DRG 176 $12,933 PER CASE
DENVER METRO INPATIENT BRONCHITIS ASTHMA W/O CC/MCC   DRG 203 $9,466 PER CASE
DENVER METRO INPATIENT BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC   DRG 462 $49,530 PER CASE
DENVER METRO INPATIENT SIMPLE PNEUMONIA PLEURISY W MCC   DRG 193 $17,350 PER CASE
DENVER METRO INPATIENT SIMPLE PNEUMONIA PLEURISY W CC   DRG 194 $13,342 PER CASE
DENVER METRO INPATIENT G.I. HEMORRHAGE W CC   DRG 378 $13,241 PER CASE
DENVER METRO INPATIENT HIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC   DRG 482 $36,762 PER CASE
DENVER METRO INPATIENT RENAL FAILURE W CC   DRG 683 $15,013 PER CASE
DENVER METRO INPATIENT CERVICAL SPINAL FUSION W CC   DRG 472 $48,650 PER CASE
DENVER METRO INPATIENT CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC   DRG 287 $20,209 PER CASE
DENVER METRO INPATIENT DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC   DRG 440 $8,209 PER CASE
DENVER METRO INPATIENT PULMONARY EMBOLISM W MCC   DRG 175 $14,957 PER CASE
DENVER METRO INPATIENT BRONCHITIS ASTHMA W CC/MCC   DRG 202 $12,257 PER CASE
DENVER METRO INPATIENT MAJOR SMALL LARGE BOWEL PROCEDURES W MCC   DRG 329 $79,686 PER CASE
DENVER METRO INPATIENT KIDNEY URINARY TRACT INFECTIONS W/O MCC   DRG 690 $9,306 PER CASE
DENVER METRO INPATIENT DEPRESSIVE NEUROSES   DRG 881 $3,518 PER CASE
DENVER METRO INPATIENT INFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CC   DRG 854 $27,441 PER CASE
DENVER METRO INPATIENT LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC   DRG 418 $19,547 PER CASE
DENVER METRO INPATIENT INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC   DRG 064 $24,749 PER CASE
DENVER METRO INPATIENT MEDICAL BACK PROBLEMS W/O MCC   DRG 552 $17,443 PER CASE
DENVER METRO INPATIENT COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC   DRG 454 $123,454 PER CASE
DENVER METRO INPATIENT G.I. OBSTRUCTION W CC   DRG 389 $10,362 PER CASE
DENVER METRO INPATIENT COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC   DRG 455 $105,496 PER CASE
DENVER METRO INPATIENT DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC   DRG 057 $25,192 PER CASE
DENVER METRO INPATIENT LOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W CC   DRG 493 $51,213 PER CASE
DENVER METRO INPATIENT SIMPLE PNEUMONIA PLEURISY W/O CC/MCC   DRG 195 $12,127 PER CASE
DENVER METRO OUTPATIENT CARDIAC DIAGNOSTIC - ELECTROCARDIOGRAM TRACING   CPT 93005 $357 PER PROCEDURE
DENVER METRO OUTPATIENT CARDIAC DIAGNOSTIC - CARDIOVASCULAR STRESS TEST   CPT 93017 $360 PER PROCEDURE
DENVER METRO OUTPATIENT CARDIAC DIAGNOSTIC - ECHOCARDIOGRAM, TTE W/DOPPLER COMPLETE   CPT 93306 $827 PER PROCEDURE
DENVER METRO OUTPATIENT SURGERY - COLONOSCOPY AND BIOPSY   CPT 45380 $1,359 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - DIAGNOSTIC COLONOSCOPY   CPT 45378 $1,255 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - EGD BIOPSY SINGLE/MULTIPLE   CPT 43239 $1,318 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - LAPAROSCOPIC CHOLECYSTECTOMY   CPT 47562 $4,495 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - COLONOSCOPY W/LESION REMOVAL   CPT 45385 $1,514 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - HYSTEROSCOPY BIOPSY   CPT 58558 $1,767 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - LAP ING HERNIA REPAIR INIT INGUINAL HERNIA REPAIR CPT 49650 $5,889 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - LOW BACK DISK SURGERY   CPT 63030 $5,202 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - PRP I/HERN INIT REDUC >5 YR INGUINAL HERNIA REPAIR, OLDER THAN 5 YEARS CPT 49505 $2,414 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - KNEE ARTHROSCOPY/SURGERY   CPT 29881 $3,769 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - LAPARO CHOLECYSTECTOMY/GRAPH LAPROSCOPIC GALLBLADDER CPT 47563 $4,909 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - CARE OF MISCARRIAGE   CPT 59820 $1,711 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - TLH W/T/O 250 G OR LESS   CPT 58571 $7,457 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - CYSTO/URETERO W/LITHOTRIPSY   CPT 52356 $4,851 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - EGD DIAGNOSTIC BRUSH WASH   CPT 43235 $1,293 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT SURGERY - INSERT TUNNELED CV CATH   CPT 36561 $3,852 PER CASE, SINGLE PROCEDURE
DENVER METRO OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - CALCIUM SCORING   CPT 75571 $99 PER SCAN
DENVER METRO OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - LUNG SCREENING   CPT G0297 $385 PER SCAN
DENVER METRO OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - ALL OTHER   CPT 70010-76499 $515 PER SCAN
DENVER METRO OUTPATIENT IMAGING - MAGNETIC RESONANCE IMAGING - MRI   CPT 70010-76499 $653 PER SCAN
DENVER METRO OUTPATIENT IMAGING - DIAGNOSTIC X-RAY   CPT 70010-76499 $226 PER SCAN
DENVER METRO OUTPATIENT IMAGING - MAMMOGRAPHY   CPT 77053-77067 $193 PER SCAN
DENVER METRO OUTPATIENT IMAGING - BREAST TOMOSYNTHESIS 3D MAMMOGRAM CPT 77063 $40 PER SCAN
DENVER METRO OUTPATIENT IMAGING - POSITRON EMMISSION TOMOGRAHY - PET   CPT 78491-78815 $2,562 PER SCAN
DENVER METRO OUTPATIENT IMAGING - ULTRASOUND   CPT 76506-76999 $315 PER SCAN
DENVER METRO OUTPATIENT LAB - ASSAY THYROID STIM HORMONE   CPT 84443 $41 PER PROCEDURE
DENVER METRO OUTPATIENT LAB - COMPREHEN METABOLIC PANEL   CPT 80053 $18 PER PROCEDURE
DENVER METRO OUTPATIENT LAB - URINALYSIS AUTO W/O SCOPE   CPT 81003 $50 PER PROCEDURE
DENVER METRO OUTPATIENT LAB - COMPLETE CBC W/AUTO DIFF WBC   CPT 85025 $52 PER PROCEDURE
DENVER METRO OUTPATIENT LAB - METABOLIC PANEL TOTAL CA   CPT 80048 $21 PER PROCEDURE
DENVER METRO OUTPATIENT LAB - VENIPUNCTURE   CPT 36415 $3 PER PROCEDURE
DENVER METRO OUTPATIENT ANCILLARY - SLEEP STUDY FACILITY   CPT 95805-95811 $1,094 PER VISIT
DENVER METRO OUTPATIENT ANCILLARY - PHYSICAL THERAPY   REV 420-429 $105 PER VISIT
DENVER METRO OUTPATIENT ANCILLARY - OCCUPATIONAL THERAPY   REV 430-439 $105 PER VISIT
DENVER METRO OUTPATIENT ANCILLARY - SPEECH THERAPY   REV 440-449 $131 PER VISIT

The pricing information provided on this website is intended to give self-pay patients, who have scheduled services, an estimate of the prices and expected payment amounts for commonly provided health care services at Centura Health hospitals. The pricing only covers the specific service listed and provided through the hospital, and does not include complicating factors or professional fees for services such as those provided by a physician, surgeon, pathologist, anesthesiologist, radiologist, nurse practitioner or other independent practitioners. Please contact those offices directly for price information associated with their care and service. The pricing does not include fees associated with implants, high-cost drugs, or second procedures. The pricing is for patients who have pre-scheduled the service and not applicable to patients who receive services in the emergency department.

This pricing does not apply to patients who have health insurance coverage through Medicare, Medicaid, other government insurance programs, or an insurance company. If a patient has health insurance, the patient’s health insurance policy (including deductibles, co-pay, co-insurance and out-of-pocket maximums) will apply and the amount the patient owes for health care services will depend on the patient’s insurance coverage.

The pricing information provided is region specific, and is not transferrable across regions.

The pricing information is not a guarantee of insurance coverage or availability of services.

There are certain chronic conditions or long-term care that Centura Health may not be able to provide customized pricing  for without additional clinical information from your physician.

Centura Health reserves the right to update or change any price at any time.

If you do not see the procedure or service you are looking for, or wish to receive a customized quote on a specific procedure, please request a custom estimate.

  • View Full Procedure List

    Location Service Description Test/Procedure Billing Code Self-Pay Rate Payment Method
    DENVER METRO INPATIENT VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC DRG 807 $6,489 PER CASE
    DENVER METRO INPATIENT MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC DRG 470 $32,836 PER CASE
    DENVER METRO INPATIENT CESAREAN SECTION W STERILIZATION W/O CC/MCC DRG 785 $12,367 PER CASE
    DENVER METRO INPATIENT CESAREAN SECTION W/O STERILIZATION W/O CC/MCC DRG 788 $12,367 PER CASE
    DENVER METRO INPATIENT CESAREAN SECTION W STERILIZATION W MCC DRG 783 $14,326 PER CASE
    DENVER METRO INPATIENT CESAREAN SECTION W STERILIZATION W CC DRG 784 $14,326 PER CASE
    DENVER METRO INPATIENT CESAREAN SECTION W/O STERILIZATION W MCC DRG 786 $14,326 PER CASE
    DENVER METRO INPATIENT CESAREAN SECTION W/O STERILIZATION W CC DRG 787 $14,326 PER CASE
    DENVER METRO INPATIENT SPINAL FUSION EXCEPT CERVICAL W/O MCC DRG 460 $73,910 PER CASE
    DENVER METRO INPATIENT SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC DRG 871 $28,710 PER CASE
    DENVER METRO INPATIENT VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC DRG 805 $7,298 PER CASE
    DENVER METRO INPATIENT VAGINAL DELIVERY W/O STERILIZATION/D&C W CC DRG 806 $7,298 PER CASE
    DENVER METRO INPATIENT PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC DRG 247 $40,315 PER CASE
    DENVER METRO INPATIENT ESOPHAGITIS GASTROENT  MISC DIGEST DISORDERS W/O MCC DRG 392 $11,622 PER CASE
    DENVER METRO INPATIENT SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC DRG 872 $18,539 PER CASE
    DENVER METRO INPATIENT CERVICAL SPINAL FUSION W/O CC/MCC DRG 473 $36,523 PER CASE
    DENVER METRO INPATIENT O.R. PROCEDURES FOR OBESITY W/O CC/MCC DRG 621 $27,422 PER CASE
    DENVER METRO INPATIENT MAJOR SMALL  LARGE BOWEL PROCEDURES W CC DRG 330 $39,477 PER CASE
    DENVER METRO INPATIENT MAJOR SMALL  LARGE BOWEL PROCEDURES W/O CC/MCC DRG 331 $24,737 PER CASE
    DENVER METRO INPATIENT LOWER EXTREM  HUMER PROC EXCEPT HIPFOOTFEMUR W/O CC/MCC DRG 494 $29,592 PER CASE
    DENVER METRO INPATIENT CELLULITIS W/O MCC DRG 603 $12,409 PER CASE
    DENVER METRO INPATIENT UTERINE  ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC DRG 743 $12,267 PER CASE
    DENVER METRO INPATIENT VAGINAL DELIVERY W STERILIZATION/D&C W MCC DRG 796 $6,809 PER CASE
    DENVER METRO INPATIENT VAGINAL DELIVERY W STERILIZATION/D&C W CC DRG 797 $6,809 PER CASE
    DENVER METRO INPATIENT VAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCC DRG 798 $6,809 PER CASE
    DENVER METRO INPATIENT MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES DRG 483 $42,666 PER CASE
    DENVER METRO INPATIENT DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC DRG 439 $15,847 PER CASE
    DENVER METRO INPATIENT PULMONARY EDEMA  RESPIRATORY FAILURE DRG 189 $17,469 PER CASE
    DENVER METRO INPATIENT MAJOR MALE PELVIC PROCEDURES W/O CC/MCC DRG 708 $22,296 PER CASE
    DENVER METRO INPATIENT NEUROSES EXCEPT DEPRESSIVE DRG 882 $3,722 PER CASE
    DENVER METRO INPATIENT INFECTIOUS  PARASITIC DISEASES W O.R. PROCEDURE W MCC DRG 853 $88,463 PER CASE
    DENVER METRO INPATIENT DIABETES W CC DRG 638 $9,664 PER CASE
    DENVER METRO INPATIENT G.I. OBSTRUCTION W/O CC/MCC DRG 390 $8,703 PER CASE
    DENVER METRO INPATIENT NORMAL NEWBORN DRG 795 $2,356 PER CASE
    DENVER METRO INPATIENT ALCOHOL/DRUG ABUSE/DEPEND W/O REHAB W/O MCC DRG 897 $12,871 PER CASE
    DENVER METRO INPATIENT REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC DRG 468 $50,890 PER CASE
    DENVER METRO INPATIENT SHOULDER, ELBOW, OR FOREARM PROC, EXC MAJOR JOINT W/O CC/MCC DRG 512 $30,293 PER CASE
    DENVER METRO INPATIENT NEONATE W OTHER SIGNIFICANT PROBLEMS DRG 794 $3,280 PER CASE
    DENVER METRO INPATIENT PSYCHOSES DRG 885 $7,268 PER CASE
    DENVER METRO INPATIENT FULL TERM NEONATE W MAJOR PROBLEMS DRG 793 $7,725 PER CASE
    DENVER METRO INPATIENT PREMATURITY W/O MAJOR PROBLEMS DRG 792 $10,921 PER CASE
    DENVER METRO INPATIENT POISONING  TOXIC EFFECTS OF DRUGS W MCC DRG 917 $18,043 PER CASE
    DENVER METRO INPATIENT EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE DRG 790 $67,090 PER CASE
    DENVER METRO INPATIENT PREMATURITY W MAJOR PROBLEMS DRG 791 $33,524 PER CASE
    DENVER METRO INPATIENT POISONING  TOXIC EFFECTS OF DRUGS W/O MCC DRG 918 $15,583 PER CASE
    DENVER METRO INPATIENT INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS DRG 065 $19,793 PER CASE
    DENVER METRO INPATIENT PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS DRG 246 $60,771 PER CASE
    DENVER METRO INPATIENT MISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROLYTES W/O MCC DRG 641 $14,164 PER CASE
    DENVER METRO INPATIENT OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC DRG 817 $6,748 PER CASE
    DENVER METRO INPATIENT OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC DRG 818 $6,748 PER CASE
    DENVER METRO INPATIENT OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC DRG 831 $6,748 PER CASE
    DENVER METRO INPATIENT OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC DRG 832 $6,748 PER CASE
    DENVER METRO INPATIENT LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC DRG 419 $16,964 PER CASE
    DENVER METRO INPATIENT PULMONARY EMBOLISM W/O MCC DRG 176 $12,933 PER CASE
    DENVER METRO INPATIENT BRONCHITIS  ASTHMA W/O CC/MCC DRG 203 $9,466 PER CASE
    DENVER METRO INPATIENT BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC DRG 462 $49,530 PER CASE
    DENVER METRO INPATIENT SIMPLE PNEUMONIA  PLEURISY W MCC DRG 193 $17,350 PER CASE
    DENVER METRO INPATIENT SIMPLE PNEUMONIA  PLEURISY W CC DRG 194 $13,342 PER CASE
    DENVER METRO INPATIENT G.I. HEMORRHAGE W CC DRG 378 $13,241 PER CASE
    DENVER METRO INPATIENT HIP  FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC DRG 482 $36,762 PER CASE
    DENVER METRO INPATIENT RENAL FAILURE W CC DRG 683 $15,013 PER CASE
    DENVER METRO INPATIENT CERVICAL SPINAL FUSION W CC DRG 472 $48,650 PER CASE
    DENVER METRO INPATIENT CIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCC DRG 287 $20,209 PER CASE
    DENVER METRO INPATIENT DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC DRG 440 $8,209 PER CASE
    DENVER METRO INPATIENT PULMONARY EMBOLISM W MCC DRG 175 $14,957 PER CASE
    DENVER METRO INPATIENT BRONCHITIS  ASTHMA W CC/MCC DRG 202 $12,257 PER CASE
    DENVER METRO INPATIENT MAJOR SMALL  LARGE BOWEL PROCEDURES W MCC DRG 329 $79,686 PER CASE
    DENVER METRO INPATIENT KIDNEY  URINARY TRACT INFECTIONS W/O MCC DRG 690 $9,306 PER CASE
    DENVER METRO INPATIENT DEPRESSIVE NEUROSES DRG 881 $3,518 PER CASE
    DENVER METRO INPATIENT INFECTIOUS  PARASITIC DISEASES W O.R. PROCEDURE W CC DRG 854 $27,441 PER CASE
    DENVER METRO INPATIENT LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC DRG 418 $19,547 PER CASE
    DENVER METRO INPATIENT INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC DRG 064 $24,749 PER CASE
    DENVER METRO INPATIENT MEDICAL BACK PROBLEMS W/O MCC DRG 552 $17,443 PER CASE
    DENVER METRO INPATIENT COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC DRG 454 $123,454 PER CASE
    DENVER METRO INPATIENT G.I. OBSTRUCTION W CC DRG 389 $10,362 PER CASE
    DENVER METRO INPATIENT COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC DRG 455 $105,496 PER CASE
    DENVER METRO INPATIENT DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC DRG 057 $25,192 PER CASE
    DENVER METRO INPATIENT LOWER EXTREM  HUMER PROC EXCEPT HIPFOOTFEMUR W CC DRG 493 $51,213 PER CASE
    DENVER METRO INPATIENT SIMPLE PNEUMONIA  PLEURISY W/O CC/MCC DRG 195 $12,127 PER CASE
    DENVER METRO OUTPATIENT CARDIAC DIAGNOSTIC - ELECTROCARDIOGRAM TRACING CPT 93005 $357 PER PROCEDURE
    DENVER METRO OUTPATIENT CARDIAC DIAGNOSTIC - CARDIOVASCULAR STRESS TEST CPT 93017 $360 PER PROCEDURE
    DENVER METRO OUTPATIENT CARDIAC DIAGNOSTIC - ECHOCARDIOGRAM, TTE W/DOPPLER COMPLETE CPT 93306 $827 PER PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - COLONOSCOPY AND BIOPSY CPT 45380 $1,359 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - DIAGNOSTIC COLONOSCOPY CPT 45378 $1,255 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - EGD BIOPSY SINGLE/MULTIPLE CPT 43239 $1,318 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - LAPAROSCOPIC CHOLECYSTECTOMY CPT 47562 $4,495 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - COLONOSCOPY W/LESION REMOVAL CPT 45385 $1,514 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - HYSTEROSCOPY BIOPSY CPT 58558 $1,767 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - LAP ING HERNIA REPAIR INIT CPT 49650 $5,889 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - LOW BACK DISK SURGERY CPT 63030 $5,202 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - PRP I/HERN INIT REDUC >5 YR CPT 49505 $2,414 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - KNEE ARTHROSCOPY/SURGERY CPT 29881 $3,769 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - LAP CHOLECYSTECTOMY/GRAPH CPT 47563 $4,909 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - CARE OF MISCARRIAGE CPT 59820 $1,711 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - TLH W/T/O 250 G OR LESS CPT 58571 $7,457 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - CYSTO/URETERO W/LITHOTRIPSY CPT 52356 $4,851 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - EGD DIAGNOSTIC BRUSH WASH CPT 43235 $1,293 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT SURGERY - INSERT TUNNELED CV CATH CPT 36561 $3,852 PER CASE, SINGLE PROCEDURE
    DENVER METRO OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - CALCIUM SCORING CPT 75571 $99 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - LUNG SCREENING CPT G0297 $385 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - COMPUTED TOMOGRAPHY SCAN - ALL OTHER CPT 70010-76499 $515 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - MAGNETIC RESONANCE IMAGING - MRI CPT 70010-76499 $653 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - DIAGNOSTIC X-RAY CPT 70010-76499 $226 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - MAMMOGRAPHY CPT 77053-77067 $193 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - BREAST TOMOSYNTHESIS CPT 77061-77063, G0279, 0159T $40 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - POSITRON EMMISSION TOMOGRAHY - PET CPT 78491-78815 $2,562 PER SCAN
    DENVER METRO OUTPATIENT IMAGING - ULTRASOUND CPT 76506-76999 $315 PER SCAN
    DENVER METRO OUTPATIENT LAB - ASSAY THYROID STIM HORMONE CPT 84443 $41 PER PROCEDURE
    DENVER METRO OUTPATIENT LAB - COMPREHEN METABOLIC PANEL CPT 80053 $18 PER PROCEDURE
    DENVER METRO OUTPATIENT LAB - URINALYSIS AUTO W/O SCOPE CPT 81003 $50 PER PROCEDURE
    DENVER METRO OUTPATIENT LAB - COMPLETE CBC W/AUTO DIFF WBC CPT 85025 $52 PER PROCEDURE
    DENVER METRO OUTPATIENT LAB - METABOLIC PANEL TOTAL CA CPT 80048 $21 PER PROCEDURE
    DENVER METRO OUTPATIENT LAB - VENIPUNCTURE CPT 36415 $3 PER PROCEDURE
    DENVER METRO OUTPATIENT ANCILLARY - SLEEP STUDY FACILITY CPT 95805-95811 $1,094 PER VISIT
    DENVER METRO OUTPATIENT ANCILLARY - PHYSICAL THERAPY REV 420-429 $105 PER VISIT
    DENVER METRO OUTPATIENT ANCILLARY - OCCUPATIONAL THERAPY REV 430-439 $105 PER VISIT
    DENVER METRO OUTPATIENT ANCILLARY - SPEECH THERAPY REV 440-449 $131 PER VISIT