Denver Metro Test/Procedure Costs

The following test / procedure costs 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
Location Service Description Test/Procedure Billing Code Self-Pay Rate Payment Method
DENVER METROINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCCDRG 807$6,768 PER CASE
DENVER METROINPATIENTMAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCCDRG 470$34,248 PER CASE
DENVER METROINPATIENTCESAREAN SECTION W STERILIZATION W/O CC/MCCDRG 785$12,899 PER CASE
DENVER METROINPATIENTCESAREAN SECTION W/O STERILIZATION W/O CC/MCCDRG 788$12,899 PER CASE
DENVER METROINPATIENTCESAREAN SECTION W STERILIZATION W MCCDRG 783$14,942 PER CASE
DENVER METROINPATIENTCESAREAN SECTION W STERILIZATION W CCDRG 784$14,942 PER CASE
DENVER METROINPATIENTCESAREAN SECTION W/O STERILIZATION W MCCDRG 786$14,942 PER CASE
DENVER METROINPATIENTCESAREAN SECTION W/O STERILIZATION W CCDRG 787$14,942 PER CASE
DENVER METROINPATIENTSPINAL FUSION EXCEPT CERVICAL W/O MCCDRG 460$77,088 PER CASE
DENVER METROINPATIENTSEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCCDRG 871$29,944 PER CASE
DENVER METROINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W MCCDRG 805$7,612 PER CASE
DENVER METROINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W CCDRG 806$7,612 PER CASE
DENVER METROINPATIENTPERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCCDRG 247$42,048 PER CASE
DENVER METROINPATIENTESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCCDRG 392$12,122 PER CASE
DENVER METROINPATIENTSEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCCDRG 872$19,337 PER CASE
DENVER METROINPATIENTCERVICAL SPINAL FUSION W/O CC/MCCDRG 473$38,094 PER CASE
DENVER METROINPATIENTO.R. PROCEDURES FOR OBESITY W/O CC/MCCDRG 621$28,601 PER CASE
DENVER METROINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W CCDRG 330$41,174 PER CASE
DENVER METROINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCCDRG 331$25,800 PER CASE
DENVER METROINPATIENTLOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W/O CC/MCCDRG 494$30,864 PER CASE
DENVER METROINPATIENTCELLULITIS W/O MCCDRG 603$12,943 PER CASE
DENVER METROINPATIENTUTERINE ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCCDRG 743$12,794 PER CASE
DENVER METROINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C W MCCDRG 796$7,102 PER CASE
DENVER METROINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C W CCDRG 797$7,102 PER CASE
DENVER METROINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCCDRG 798$7,102 PER CASE
DENVER METROINPATIENTMAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIESDRG 483$44,500 PER CASE
DENVER METROINPATIENTDISORDERS OF PANCREAS EXCEPT MALIGNANCY W CCDRG 439$16,528 PER CASE
DENVER METROINPATIENTPULMONARY EDEMA RESPIRATORY FAILUREDRG 189$18,220 PER CASE
DENVER METROINPATIENTMAJOR MALE PELVIC PROCEDURES W/O CC/MCCDRG 708$23,254 PER CASE
DENVER METROINPATIENTNEUROSES EXCEPT DEPRESSIVEDRG 882$3,882 PER CASE
DENVER METROINPATIENTINFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCCDRG 853$92,267 PER CASE
DENVER METROINPATIENTDIABETES W CCDRG 638$10,079 PER CASE
DENVER METROINPATIENTG.I. OBSTRUCTION W/O CC/MCCDRG 390$9,077 PER CASE
DENVER METROINPATIENTNORMAL NEWBORNDRG 795$2,458 PER CASE
DENVER METROINPATIENTALCOHOL/DRUG ABUSE/DEPEND W/O REHAB W/O MCCDRG 897$13,424 PER CASE
DENVER METROINPATIENTREVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCCDRG 468$53,079 PER CASE
DENVER METROINPATIENTSHOULDER, ELBOW, OR FOREARM PROC, EXC MAJOR JOINT W/O CC/MCCDRG 512$31,595 PER CASE
DENVER METROINPATIENTNEONATE W OTHER SIGNIFICANT PROBLEMSDRG 794$3,421 PER CASE
DENVER METROINPATIENTPSYCHOSESDRG 885$7,581 PER CASE
DENVER METROINPATIENTFULL TERM NEONATE W MAJOR PROBLEMSDRG 793$8,057 PER CASE
DENVER METROINPATIENTPREMATURITY W/O MAJOR PROBLEMSDRG 792$11,391 PER CASE
DENVER METROINPATIENTPOISONING TOXIC EFFECTS OF DRUGS W MCCDRG 917$18,819 PER CASE
DENVER METROINPATIENTEXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATEDRG 790$69,975 PER CASE
DENVER METROINPATIENTPREMATURITY W MAJOR PROBLEMSDRG 791$34,966 PER CASE
DENVER METROINPATIENTPOISONING TOXIC EFFECTS OF DRUGS W/O MCCDRG 918$16,253 PER CASE
DENVER METROINPATIENTINTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRSDRG 065$20,644 PER CASE
DENVER METROINPATIENTPERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTSDRG 246$63,384 PER CASE
DENVER METROINPATIENTMISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROLYTES W/O MCCDRG 641$14,773 PER CASE
DENVER METROINPATIENTOTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCCDRG 817$7,038 PER CASE
DENVER METROINPATIENTOTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CCDRG 818$7,038 PER CASE
DENVER METROINPATIENTOTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCCDRG 831$7,038 PER CASE
DENVER METROINPATIENTOTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CCDRG 832$7,038 PER CASE
DENVER METROINPATIENTLAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCCDRG 419$17,693 PER CASE
DENVER METROINPATIENTPULMONARY EMBOLISM W/O MCCDRG 176$13,489 PER CASE
DENVER METROINPATIENTBRONCHITIS ASTHMA W/O CC/MCCDRG 203$9,873 PER CASE
DENVER METROINPATIENTBILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCCDRG 462$51,659 PER CASE
DENVER METROINPATIENTSIMPLE PNEUMONIA PLEURISY W MCCDRG 193$18,096 PER CASE
DENVER METROINPATIENTSIMPLE PNEUMONIA PLEURISY W CCDRG 194$13,915 PER CASE
DENVER METROINPATIENTG.I. HEMORRHAGE W CCDRG 378$13,810 PER CASE
DENVER METROINPATIENTHIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCCDRG 482$38,343 PER CASE
DENVER METROINPATIENTRENAL FAILURE W CCDRG 683$15,659 PER CASE
DENVER METROINPATIENTCERVICAL SPINAL FUSION W CCDRG 472$50,742 PER CASE
DENVER METROINPATIENTCIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCCDRG 287$21,078 PER CASE
DENVER METROINPATIENTDISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCCDRG 440$8,562 PER CASE
DENVER METROINPATIENTPULMONARY EMBOLISM W MCCDRG 175$15,600 PER CASE
DENVER METROINPATIENTBRONCHITIS ASTHMA W CC/MCCDRG 202$12,784 PER CASE
DENVER METROINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W MCCDRG 329$83,113 PER CASE
DENVER METROINPATIENTKIDNEY URINARY TRACT INFECTIONS W/O MCCDRG 690$9,706 PER CASE
DENVER METROINPATIENTDEPRESSIVE NEUROSESDRG 881$3,670 PER CASE
DENVER METROINPATIENTINFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CCDRG 854$28,621 PER CASE
DENVER METROINPATIENTLAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CCDRG 418$20,387 PER CASE
DENVER METROINPATIENTINTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCCDRG 064$25,813 PER CASE
DENVER METROINPATIENTMEDICAL BACK PROBLEMS W/O MCCDRG 552$18,193 PER CASE
DENVER METROINPATIENTCOMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CCDRG 454$128,762 PER CASE
DENVER METROINPATIENTG.I. OBSTRUCTION W CCDRG 389$10,807 PER CASE
DENVER METROINPATIENTCOMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCCDRG 455$110,032 PER CASE
DENVER METROINPATIENTDEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCCDRG 057$26,275 PER CASE
DENVER METROINPATIENTLOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W CCDRG 493$53,415 PER CASE
DENVER METROINPATIENTSIMPLE PNEUMONIA PLEURISY W/O CC/MCCDRG 195$12,649 PER CASE
DENVER METROOUTPATIENTCARDIAC DIAGNOSTIC - ELECTROCARDIOGRAM TRACINGCPT 93005$372 PER PROCEDURE
DENVER METROOUTPATIENTCARDIAC DIAGNOSTIC - CARDIOVASCULAR STRESS TESTCPT 93017$375 PER PROCEDURE
DENVER METROOUTPATIENTCARDIAC DIAGNOSTIC - ECHOCARDIOGRAM, TTE W/DOPPLER COMPLETECPT 93306$862 PER PROCEDURE
DENVER METROOUTPATIENTSURGERY - COLONOSCOPY AND BIOPSYCPT 45380$1,417 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - DIAGNOSTIC COLONOSCOPYCPT 45378$1,309 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - EGD BIOPSY SINGLE/MULTIPLECPT 43239$1,375 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - LAPAROSCOPIC CHOLECYSTECTOMYCPT 47562$4,688 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - COLONOSCOPY W/LESION REMOVALCPT 45385$1,579 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - HYSTEROSCOPY BIOPSYCPT 58558$1,843 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - LAP ING HERNIA REPAIR INITCPT 49650$6,143 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - LOW BACK DISK SURGERYCPT 63030$5,426 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - PRP I/HERN INIT REDUC >5 YRCPT 49505$2,518 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - KNEE ARTHROSCOPY/SURGERYCPT 29881$3,931 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - LAP CHOLECYSTECTOMY/GRAPHCPT 47563$5,120 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - CARE OF MISCARRIAGECPT 59820$1,785 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - TLH W/T/O 250 G OR LESSCPT 58571$7,777 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - CYSTO/URETERO W/LITHOTRIPSYCPT 52356$5,059 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - EGD DIAGNOSTIC BRUSH WASHCPT 43235$1,348 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTSURGERY - INSERT TUNNELED CV CATHCPT 36561$4,017 PER CASE, SINGLE PROCEDURE
DENVER METROOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - CALCIUM SCORINGCPT 75571$99 PER SCAN
DENVER METROOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - LUNG SCREENINGCPT G0297$385 PER SCAN
DENVER METROOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - ALL OTHERCPT 70010-76499$537 PER SCAN
DENVER METROOUTPATIENTIMAGING - MAGNETIC RESONANCE IMAGING - MRICPT 70010-76499$681 PER SCAN
DENVER METROOUTPATIENTIMAGING - DIAGNOSTIC X-RAYCPT 70010-76499$236 PER SCAN
DENVER METROOUTPATIENTIMAGING - MAMMOGRAPHYCPT 77053-77067$201 PER SCAN
DENVER METROOUTPATIENTIMAGING - BREAST TOMOSYNTHESISCPT 77061-77063, G0279, 0159T$42 PER SCAN
DENVER METROOUTPATIENTIMAGING - POSITRON EMMISSION TOMOGRAHY - PETCPT 78491-78815$2,672 PER SCAN
DENVER METROOUTPATIENTIMAGING - ULTRASOUNDCPT 76506-76999$328 PER SCAN
DENVER METROOUTPATIENTLAB - ASSAY THYROID STIM HORMONECPT 84443$43 PER PROCEDURE
DENVER METROOUTPATIENTLAB - COMPREHEN METABOLIC PANELCPT 80053$19 PER PROCEDURE
DENVER METROOUTPATIENTLAB - URINALYSIS AUTO W/O SCOPECPT 81003$52 PER PROCEDURE
DENVER METROOUTPATIENTLAB - COMPLETE CBC W/AUTO DIFF WBCCPT 85025$55 PER PROCEDURE
DENVER METROOUTPATIENTLAB - METABOLIC PANEL TOTAL CACPT 80048$22 PER PROCEDURE
DENVER METROOUTPATIENTLAB - VENIPUNCTURECPT 36415$3 PER PROCEDURE
DENVER METROOUTPATIENTANCILLARY - SLEEP STUDY FACILITYCPT 95805, 95807-95811$1,141 PER VISIT
DENVER METROOUTPATIENTANCILLARY - PHYSICAL THERAPYREV 420-429$135 PER VISIT
DENVER METROOUTPATIENTANCILLARY - OCCUPATIONAL THERAPYREV 430-439$135 PER VISIT
DENVER METROOUTPATIENTANCILLARY - SPEECH THERAPYREV 440-449$140 PER VISIT

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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.