What you need to know about your emergency or urgent care visit.

Updated: 07/17/2019

Thank you for choosing Centura Health for your emergency or urgent care needs. We are a dedicated community of caregivers working for the lasting health, vibrancy and success of the communities we serve. The following information is designed to provide answers and guidance around the services that may be provided to you.

  • We will screen and treat you regardless of your ability to pay.
  • You have a right to ask questions regarding your treatment options and costs.
  • You have a right to receive prompt and reasonable responses to questions and requests.
  • You have a right to reject treatment.
  • We encourage you to defer your questions until after we screen you for an emergency medical condition.

If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this location.

This facility accepts patients enrolled in Medicare, Medicaid, and CHP+.

This facility, or a physician providing services at this facility, may not be a participating provider in your insurance network.

A physician providing health care services at this facility may bill separately from the facility services provided.

Centura Health provides different options topay your medical bills. We accept cash, personal checks or Visa, MasterCard, Discover and American Express credit cards. The easiest way to pay your hospital bill is through our online patient portal, MyChart, at epic.mycenturahealth.org.

 

Emergency & Urgent Care – Arvada
16320 W 64th Ave
Arvada, CO 80007

ER Hours: 24/7
Urgent Care Hours: 7 a.m. – 9 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 INFLUENZA AG A AND/OR B $199
2 URINALYSIS AUTO W/O SCOPE $83
3 CBC WITH AUTO DIFF $208
4 XR CHEST 2 VIEWS $693
5 STREP A RAPID DIRECT OPTICAL $123
6 COMPREHENSIVE METABOLIC PANEL $198
7 IV INFUSION HYDRATION ADDL HR $486
8 IV PUSH SINGLE OR INITIAL DRUG $657
9 IV PUSH SEQUENTIAL NEW DRUG $657
10 EKG 12 LEAD $586
11 PREGNANCY TEST URINE $64
12 CULTURE PRESUMPTIVE SCREEN $90
13 TROPONIN I QUAN $159
14 BASIC METABOLIC PANEL $180
15 CT ABD PELVIS W CONTRAST $9,464
16 CULTURE URINE COLONY CT $117
17 XR FOOT MIN 3 VIEW $712
18 XR ANKLE MIN 3 VIEW $1,022
19 VACCINE ADMIN 1ST VACCINE $156
20 CT HEAD W/O CONTRAST $4,157
21 INJECTION SQ/IM $447
22 XR HAND MIN 3 VIEW $854
23 INHALATION TREATMENT $260
24 XR WRIST MIN 3 VIEW $692
25 CBC PLT AUTO NO DIFF $125
FSED Rates - Metro
Level I $633
Level II  $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Solutions
(ER physicians)
Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St. Anthony Hospital
11600 West 2nd Place
Lakewood, CO 80228

Main Hospital: 720-321-0000
Financial Counseling: 720-321-0402

Emergency & Urgent Care – Avon
50 Buck Creek Rd
Avon, CO 81620

ER Hours: 24/7
Urgent Care Hours: 7 a.m. – 9 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 INFLUENZA AG A AND/OR B $184
2 CBC WITH AUTO DIFF $70
3 IV PUSH SEQUENTIAL NEW DRUG $477
4 IV INFUSION HYDRATION ADDL HR $241
5 URINALYSIS AUTO W/O SCOPE $22
6 IV PUSH SINGLE OR INITIAL DRUG $477
7 EKG 12 LEAD $170
8 COMPREHENSIVE METABOLIC PANEL $127
9 XR CHEST 2 VIEWS $495
10 BASIC METABOLIC PANEL $89
11 TROPONIN I QUAN $90
12 STREP A RAPID DIRECT OPTICAL $119
13 XR CHEST 1 VIEW $419
14 PREGNANCY TEST URINE $65
15 CULTURE PRESUMPTIVE SCREEN $81
16 IV PUSH SEQ SAME DRUG >30 MIN $477
17 INHALATION TREATMENT $209
18 CT ABD PELVIS W CONTRAST $4,314
19 LACTIC ACID $70
20 CT HEAD W/O CONTRAST $1,952
21 IV INFUSION HYDRATION 31MIN-1H $1,088
22 HEPATIC FUNCTION PANEL $91
23 D-DIMER QUAN $86
24 IV INFUSION NON-CHEMO INIT HR $1,088
25 VACCINE ADMIN 1ST VACCINE $110
FSED Rates - Mountain
Level I $604
Level II $1,163
Level III $2,503
Level IV $5,372
Level V $11,290

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Solutions
(ER physicians)
Humana
Centura Health Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St Anthony Summit Medical Center
340 Peak One Drive
Frisco, CO 80443

Main Hospital: 970-668-3300
Financial Counseling: 970-668-2811

Emergency & Urgent Care – Golden
760 Warner Dr
Golden, CO 80401

ER Hours: 24/7
Urgent Care Hours: 7 a.m. – 9 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 CBC WITH AUTO DIFF $208
2 URINALYSIS AUTO W/O SCOPE $83
3 INFLUENZA AG A AND/OR B $199
4 IV INFUSION HYDRATION ADDL HR $486
5 XR CHEST 2 VIEWS $693
6 COMPREHENSIVE METABOLIC PANEL $198
7 IV PUSH SINGLE OR INITIAL DRUG $657
8 EKG 12 LEAD $586
9 IV PUSH SEQUENTIAL NEW DRUG $657
10 STREP A RAPID DIRECT OPTICAL $123
11 PREGNANCY TEST URINE $64
12 BASIC METABOLIC PANEL $180
13 TROPONIN I QUAN $159
14 CULTURE PRESUMPTIVE SCREEN $90
15 CT ABD PELVIS W CONTRAST $9,464
16 XR ANKLE MIN 3 VIEW $1,022
17 IV INFUSION HYDRATION 31MIN-1H $601
18 XR HAND MIN 3 VIEW $854
19 XR FOOT MIN 3 VIEW $712
20 VACCINE ADMIN 1ST VACCINE $156
21 LACTIC ACID $159
22 CT HEAD W/O CONTRAST $4,157
23 REPAIR SMP SC/NK/TK/EXT<=2.5CM $389
24 XR WRIST MIN 3 VIEW $692
25 D-DIMER QUAN $266
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Solutions
(ER physicians)
Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St Anthony Hospital
11600 W 2nd Place
Lakewood, CO 80228

Main Hospital: 720-321-0000
Financial Counseling: 720-321-0402

Emergency & Urgent Care – Highlands Ranch
9205 Broadway
Highlands Ranch, CO 80129

ER Hours: 24/7
Urgent Care Hours: 7 a.m. – 9 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 INFLUENZA AG A AND/OR B $199
2 CBC WITH AUTO DIFF $208
3 IV INFUSION HYDRATION ADDL HR $486
4 URINALYSIS AUTO W/O SCOPE $83
5 IV PUSH SEQUENTIAL NEW DRUG $657
6 XR CHEST 2 VIEWS $693
7 STREP A RAPID DIRECT OPTICAL $123
8 IV PUSH SINGLE OR INITIAL DRUG $657
9 BASIC METABOLIC PANEL $180
10 EKG 12 LEAD $586
11 COMPREHENSIVE METABOLIC PANEL $198
12 CULTURE PRESUMPTIVE SCREEN $90
13 TROPONIN I QUAN $159
14 PREGNANCY TEST URINE $64
15 CT ABD PELVIS W CONTRAST $9,464
16 LACTIC ACID $159
17 XR CHEST 1 VIEW $620
18 IV INFUSION HYDRATION 31MIN-1H $601
19 VACCINE ADMIN 1ST VACCINE $156
20 D-DIMER QUAN $266
21 XR FOOT MIN 3 VIEW $712
22 CULTURE URINE COLONY CT $117
23 IV PUSH SEQ SAME DRUG >30 MIN $639
24 INJECTION SQ/IM $447
25 XR ANKLE MIN 3 VIEW $1,022
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Solutions
(ER physicians)
Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
Littleton Adventist Hospital
7700 S Broadway
Littleton, CO 80122

Main Hospital: 303-730-8900
Financial Counseling: 303-738-2764

Emergency & Urgent Care – Frederick
4943 State Highway 52 Ste 100
Frederick, CO 80514

ER Hours: 24/7
Urgent Care Hours: 7 a.m. – 9 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 INFLUENZA AG A AND/OR B $199
2 CBC WITH AUTO DIFF $208
3 URINALYSIS AUTO W/O SCOPE $83
4 IV PUSH SEQUENTIAL NEW DRUG $657
5 IV INFUSION HYDRATION ADDL HR $486
6 XR CHEST 2 VIEWS $693
7 COMPREHENSIVE METABOLIC PANEL $198
8 IV PUSH SINGLE OR INITIAL DRUG $657
9 EKG 12 LEAD $586
10 STREP A RAPID DIRECT OPTICAL $123
11 TROPONIN I QUAN $159
12 PREGNANCY TEST URINE $64
13 BASIC METABOLIC PANEL $180
14 CULTURE PRESUMPTIVE SCREEN $90
15 INJECTION SQ/IM $447
16 INHALATION TREATMENT $260
17 CT ABD PELVIS W CONTRAST $9,464
18 D-DIMER QUAN $266
19 XR ANKLE MIN 3 VIEW $1,022
20 IV PUSH SEQ SAME DRUG >30 MIN $639
21 XR FOOT MIN 3 VIEW $712
22 VENIPUNCTURE $38
23 VACCINE ADMIN 1ST VACCINE $156
24 CULTURE URINE COLONY CT $117
25 IV INFUSION HYDRATION 31MIN-1H $601
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Solutions
(ER physicians)
Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
Longmont United Hospital
1950 Mountain View Ave
Longmont, CO 80501

Main Hospital: 303-651-5111
Financial Counseling: 303-485-4110

Emergency & Urgent Care – Lakewood
3280 S Wadsworth Blvd
Lakewood, CO 80227

ER Hours: 24/7
Urgent Care Hours: 7 a.m. – 9 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 CBC WITH AUTO DIFF $208
2 URINALYSIS AUTO W/O SCOPE $83
3 INFLUENZA AG A AND/OR B $199
4 IV INFUSION HYDRATION ADDL HR $486
5 IV PUSH SEQUENTIAL NEW DRUG $657
6 IV PUSH SINGLE OR INITIAL DRUG $657
7 BASIC METABOLIC PANEL $180
8 PREGNANCY TEST URINE $64
9 COMPREHENSIVE METABOLIC PANEL $198
10 XR CHEST 2 VIEWS $693
11 STREP A RAPID DIRECT OPTICAL $123
12 EKG 12 LEAD $586
13 TROPONIN I QUAN $159
14 CULTURE PRESUMPTIVE SCREEN $90
15 INJECTION SQ/IM $447
16 LACTIC ACID $159
17 CT ABD PELVIS W CONTRAST $9,464
18 CULTURE URINE COLONY CT $117
19 VACCINE ADMIN 1ST VACCINE $156
20 IV INFUSION HYDRATION 31MIN-1H $601
21 XR CHEST 1 VIEW $620
22 XR FOOT MIN 3 VIEW $712
23 CT HEAD W/O CONTRAST $4,157
24 XR ANKLE MIN 3 VIEW $1,022
25 XR HAND MIN 3 VIEW $854
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Solutions
(ER physicians)
Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St Anthony Hospital
11600 W 2nd Place
Lakewood, CO 80228

Main Hospital: 720-321-0000
Financial Counseling: 720-321-0402

Emergency & Urgent Care – Meridian
9949 S Oswego St
Parker, CO 80134

ER Hours: 24/7
Urgent Care Hours: 7 a.m. – 9 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 CBC WITH AUTO DIFF $208
2 INFLUENZA AG A AND/OR B $199
3 URINALYSIS AUTO W/O SCOPE $83
4 IV INFUSION HYDRATION ADDL HR $486
5 IV PUSH SEQUENTIAL NEW DRUG $657
6 STREP A RAPID DIRECT OPTICAL $123
7 IV PUSH SINGLE OR INITIAL DRUG $657
8 BASIC METABOLIC PANEL $180
9 COMPREHENSIVE METABOLIC PANEL $198
10 EKG 12 LEAD $586
11 XR CHEST 2 VIEWS $693
12 PREGNANCY TEST URINE $64
13 TROPONIN I QUAN $159
14 CULTURE PRESUMPTIVE SCREEN $90
15 XR CHEST 1 VIEW $620
16 LACTIC ACID $159
17 IV INFUSION HYDRATION 31MIN-1H $601
18 CT ABD PELVIS W CONTRAST $9,464
19 CULTURE URINE COLONY CT $117
20 IV PUSH SEQ SAME DRUG >30 MIN $639
21 INJECTION SQ/IM $447
22 VACCINE ADMIN 1ST VACCINE $156
23 D-DIMER QUAN $266
24 CULTURE BLOOD W ISOL $211
25 IV INFUSION NON-CHEMO INIT HR $1,019
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Solutions
(ER physicians)
Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
Parker Adventist Hospital
9395 Crown Crest Blvd
Parker, CO 80138

Main Hospital: 303-469-4000
Financial Counseling: 303-269-4983

St. Anthony Copper Mountain Clinic
860 Copper Rd
Copper Mountain, CO 80443

ER & Urgent Care Hours: Sun.-Sat. 8:30 a.m. - 5 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 XR KNEE MIN 4 VIEW $709
2 XR WRIST MIN 3 VIEW $524
3 XR CLAVICLE $521
4 XR SHOULDER MIN 2 VIEW $524
5 IV PUSH SINGLE OR INITIAL DRUG $477
6 XR CHEST 2 VIEWS $495
7 INFLUENZA ASSAY W/OPTI OBSRV $81
8 STREP A RAPID DIRECT OPTICAL $119
9 IV PUSH SEQUENTIAL NEW DRUG $477
10 XR ANKLE MIN 3 VIEW $524
11 APPLY SPLINT LONG ARM $383
12 XR TIBIA FIBULA 2 VIEW $524
13 URINALYSIS AUTO W/O SCOPE $22
14 IV PUSH SEQ SAME DRUG >30 MIN $477
15 XR SHOULDER 1 VIEW $336
16 XR FINGER MIN 2 VIEW $403
17 INJECTION SQ/IM $241
18 APPLY SPLINT SHORT ARM STATIC $281
19 CLOSED TX SHOULDER DISLOC W MAN WO ANES $626
20 EKG 12 LEAD $170
21 XR WRIST 2 VIEW $403
22 APPLY SPLINT LONG LEG $365
23 CALCIUM IONIZED $166
24 ELECTROLYTE PANEL $68
25 IV INFUSION HYDRATION 31MIN-1H $1,088
FSED Rates - Mountain
Level I $604
Level II $1,163
Level III $2,503
Level IV $5,372
Level V $11,290

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions), durable medical equipment (BREG) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
BREG Bright Health
Private HealthCare Systems (PHCS)
Centura Health Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St Anthony Summit Medical Center
340 Peak One Drive
Frisco, CO 80443

Main Hospital: 970-668-3300
Financial Counseling: 970-668-2811

St. Anthony Breckenridge Mountain Clinic
555 S Park Ave
Breckenridge, CO 80424

ER & Urgent Care Hours: Sun.-Sat. 8:30 a.m. - 6 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 XR KNEE MIN 4 VIEW $709
2 INFLUENZA ASSAY W/OPTI OBSRV $81
3 XR WRIST MIN 3 VIEW $524
4 STREP A RAPID DIRECT OPTICAL $119
5 XR SHOULDER MIN 2 VIEW $524
6 XR CHEST 2 VIEWS $495
7 IV PUSH SINGLE OR INITIAL DRUG $477
8 XR AC JOINT W-W/O WEIGHTS BI $800
9 IV PUSH SEQUENTIAL NEW DRUG $477
10 XR ANKLE MIN 3 VIEW $524
11 XR CLAVICLE $521
12 INJECTION SQ/IM $241
13 CLOSED TX DIST RAD/ULNA FX $596
14 XR TIBIA FIBULA 2 VIEW $524
15 URINALYSIS AUTO W/O SCOPE $22
16 INHALATION TREATMENT $209
17 EKG 12 LEAD $170
18 XR RIBS 3 VIEW W PA CHEST $403
19 XR SHOULDER 1 VIEW $336
20 HEMATOCRIT $24
21 HEMOGLOBIN $24
22 XR FINGER MIN 2 VIEW $403
23 PULSE OXIMETRY MULTIPLE $259
24 CREATININE BLOOD $51
25 GLUCOSE BLOOD QUAN $39
FSED Rates - Mountain
Level I $604
Level II $1,163
Level III $2,503
Level IV $5,372
Level V $11,290

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions), durable medical equipment (BREG) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
BREG Bright Health
Private HealthCare Systems (PHCS)
Centura Health Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St Anthony Summit Medical Center
340 Peak One Drive
Frisco, CO 80443

Main Hospital: 970-668-3300
Financial Counseling: 970-668-2811

St. Anthony Keystone Mountain Clinic
1252 Co Rd 8
Keystone, CO 80435

ER & Urgent Care Hours: Sun.-Sat. 8:30 a.m. - 5 p.m.

Max Possible Charges & Network Information

Rank Description Max Charge
1 XR KNEE MIN 4 VIEW $709
2 XR WRIST MIN 3 VIEW $524
3 XR SHOULDER MIN 2 VIEW $524
4 XR CLAVICLE $521
5 INFLUENZA ASSAY W/OPTI OBSRV $81
6 IV PUSH SINGLE OR INITIAL DRUG $477
7 XR AC JOINT W-W/O WEIGHTS BI $800
8 STREP A RAPID DIRECT OPTICAL $119
9 IV PUSH SEQUENTIAL NEW DRUG $477
10 XR TIBIA FIBULA 2 VIEW $524
11 XR WRIST 2 VIEW $403
12 CLOSED TX DIST RAD/ULNA FX $596
13 XR ANKLE MIN 3 VIEW $524
14 CLOSED TX DISTAL RAD FX W MAN $1,303
15 XR CHEST 2 VIEWS $495
16 XR SHOULDER 1 VIEW $336
17 INJECTION SQ/IM $241
18 XR RIBS 3 VIEW W PA CHEST $403
19 URINALYSIS AUTO W/O SCOPE $22
20 CLOSED TX CLAVICULAR FX $446
21 INJ ASP JOINT INTERM $1,391
22 XR FINGER MIN 2 VIEW $403
23 CREATININE BLOOD $51
24 CALCIUM IONIZED $166
25 UREA NITROGEN URINE $46
Emergency Room Rates
Level I $604
Level II $1,163
Level III $2,503
Level IV $5,372
Level V $11,290

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions), durable medical equipment (BREG) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
BREG Bright Health
Private HealthCare Systems (PHCS)
Centura Health Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St Anthony Summit Medical Center
340 Peak One Drive
Frisco, CO 80443

Main Hospital: 970-668-3300
Financial Counseling: 970-668-2811

Church Ranch Neighborhood Health Center ER
7233 Church Ranch Blvd
Westminster, Colorado 80021

ER Hours: 24/7

Max Possible Charges & Network Information

Rank Description Max Charge
1 CBC WITH AUTO DIFF $208
2 URINALYSIS AUTO W/O SCOPE $83
3 IV PUSH SEQUENTIAL NEW DRUG $657
4 IV INFUSION HYDRATION ADDL HR $486
5 BASIC METABOLIC PANEL $180
6 IV PUSH SINGLE OR INITIAL DRUG $657
7 PHSE 1 STD RECOVERY PER MIN $18
8 EKG 12 LEAD $586
9 TROPONIN I QUAN $159
10 OBSERVATION PER HOUR $129
11 PREGNANCY TEST URINE $64
12 XR CHEST 2 VIEWS $693
13 COMPREHENSIVE METABOLIC PANEL $198
14 ANES GEN EA ADDL MIN $43
15 INFLUENZA AG A AND/OR B $199
16 LVL 4 OR RM TIME EA ADDL MIN $133
17 VENIPUNCTURE $38
18 WD LACERATION REPAIR SIMPLE $620
19 PHSE 2 RECOVERY PER MIN $11
20 D-DIMER QUAN $266
21 LACTIC ACID $159
22 HEPATIC FUNCTION PANEL $178
23 CT ABD PELVIS W CONTRAST $9,464
24 INHALATION TREATMENT $260
25 VACCINE ADMIN 1ST VACCINE $156
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions), durable medical equipment (BREG) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Service Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
BREG Bright Health
Private HealthCare Systems (PHCS)
Financial Resources

If you would like more information about your financial options and resources, please contact:
Avista Adventist Hospital
100 Health Park Drive
Louisville, CO 80027

Main Hospital: 303-673-1000
Financial Counseling: 303-673-1223

84th Ave Neighbhorhood Health Center ER
2551 W 84th Ave
Westminster, CO 80031

ER Hours: 24/7

Max Possible Charges & Network Information

Rank Description Max Charge
1 CBC WITH AUTO DIFF $208
2 ANES GEN EA ADDL MIN $43
3 IV INFUSION HYDRATION ADDL HR $486
4 IV PUSH SEQUENTIAL NEW DRUG $657
5 PHSE 1 STD RECOVERY PER MIN $18
6 LVL 4 OR RM TIME EA ADDL MIN $133
7 OBSERVATION PER HOUR $129
8 IV PUSH SINGLE OR INITIAL DRUG $657
9 COMPREHENSIVE METABOLIC PANEL $198
10 BASIC METABOLIC PANEL $180
11 EKG 12 LEAD $586
12 URINALYSIS AUTO W SCOPE $142
13 TROPONIN I QUAN $159
14 LIPASE ASSAY $247
15 INFLUENZA AG A AND/OR B $199
16 XR CHEST 2 VIEWS $693
17 PREGNANCY TEST URINE $64
18 URINALYSIS AUTO W/O SCOPE $83
19 LACTIC ACID $159
20 DRUG TEST PRSMV DIR OPT OBS 80305 $139
21 CT HEAD W/O CONTRAST $4,157
22 PHSE 2 RECOVERY PER MIN $11
23 INHALATION TREATMENT SUBSEQUENT $290
24 XR CHEST 1 VIEW $620
25 IV PUSH SEQ SAME DRUG >30 MIN $639
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Service Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
Financial Resources

If you would like more information about your financial options and resources, please contact:
St Anthony North Health Campus
14300 Orchard Parkway
Westminster, CO 80023

Main Hospital: 720-627-0000
Financial Counseling: 720-627-3003

Southlands ER
6159 S Southlands Pkwy
Aurora, CO 80016

ER Hours: 24/7

Max Possible Charges & Network Information

Rank Description Max Charge
1 CBC WITH AUTO DIFF $208
2 IV PUSH SEQUENTIAL NEW DRUG $657
3 IV INFUSION HYDRATION ADDL HR $486
4 PHSE 1 STD RECOVERY PER MIN $18
5 ANES GEN EA ADDL MIN $43
6 URINALYSIS AUTO W/O SCOPE $83
7 BASIC METABOLIC PANEL $180
8 IV PUSH SINGLE OR INITIAL DRUG $657
9 COMPREHENSIVE METABOLIC PANEL $198
10 EKG 12 LEAD $586
11 INFLUENZA AG A AND/OR B $199
12 LVL 4 OR RM TIME EA ADDL MIN $133
13 TROPONIN I QUAN $159
14 OBSERVATION PER HOUR $129
15 XR CHEST 1 VIEW $620
16 XR CHEST 2 VIEWS $693
17 PREGNANCY TEST URINE $64
18 PHSE 2 RECOVERY PER MIN $11
19 LACTIC ACID $159
20 IV PUSH SEQ SAME DRUG >30 MIN $639
21 LVL 5 OR RM TIME EA ADDL MIN $167
22 CT ABD PELVIS W CONTRAST $9,464
23 IV INFUSION HYDRATION 31MIN-1H $601
24 CT HEAD W/O CONTRAST $4,157
25 INJECTION SQ/IM $447
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions), durable medical equipment (BREG) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Insurance Company
US Acute Care Service Humana
Centura Health Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
BREG Bright Health
Private HealthCare Systems (PHCS)
Financial Resources

If you would like more information about your financial options and resources, please contact:
Parker Adventist Hospital
9395 Crown Crest Blvd
Parker, CO 80138

Main Hospital: 303-469-4000
Financial Counseling: 303-269-4983

West Littleton ER
9670 W Coal Mine Ave
Littleton, CO 80123

ER Hours: 24/7

Max Possible Charges & Network Information

Rank Description Max Charge
1 CBC WITH AUTO DIFF $208
2 IV PUSH SEQUENTIAL NEW DRUG $657
3 IV INFUSION HYDRATION ADDL HR $486
4 PHSE 1 STD RECOVERY PER MIN $18
5 ANES GEN EA ADDL MIN $43
6 URINALYSIS AUTO W/O SCOPE $83
7 BASIC METABOLIC PANEL $180
8 IV PUSH SINGLE OR INITIAL DRUG $657
9 COMPREHENSIVE METABOLIC PANEL $198
10 EKG 12 LEAD $586
11 INFLUENZA AG A AND/OR B $199
12 LVL 4 OR RM TIME EA ADDL MIN $133
13 TROPONIN I QUAN $159
14 OBSERVATION PER HOUR $129
15 XR CHEST 1 VIEW $620
16 XR CHEST 2 VIEWS $693
17 PREGNANCY TEST URINE $64
18 PHSE 2 RECOVERY PER MIN $11
19 LACTIC ACID $159
20 IV PUSH SEQ SAME DRUG >30 MIN $639
21 LVL 5 OR RM TIME EA ADDL MIN $167
22 CT ABD PELVIS W CONTRAST $9,464
23 IV INFUSION HYDRATION 31MIN-1H $601
24 CT HEAD W/O CONTRAST $4,157
25 INJECTION SQ/IM $447
FSED Rates - Metro
Level I $633
Level II $1,218
Level III $2,622
Level IV $5,628
Level V $11,828

Understanding Billing and Out of Network Insurance
A physician providing health care services at this facility may bill separately from the facility services provided. Below you can find out of network plans for both physician bill (US Acute Care Solutions), durable medical equipment (BREG) and facility bill (Centura Health).

Out of Network Plans
Billing Provider Out of Network Insurance Companies
US Acute Care Solutions
(Physician Bill)
Humana
Centura Health
(Facilty Bill)
Blue Cross Pathways
Cigna Sure-Fit
Kaiser
Cigna Connect
BREG
(Durable Medical Equipment)
Bright Health
Private HealthCare Systems (PHCS)
Financial Resources

If you would like more information about your financial options and resources, please contact:
Littleton Adventist Hospital
7700 S Broadway
Littleton, CO 80122

Main Hospital: 303-730-8900
Financial Counseling: 303-738-2764