Supplies, drugs & other prices at Children's Hospital Colorado - Colorado Springs

Colorado Springs, CO · every code in this section with a posted price and a Medicare benchmark.

72 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $148.85 $229 4.1×
2d tee w or w/o fol w/con,in (C8925) $1,502.15 $2,311 1.8×
2d tte w or w/o fol w/con,co (C8923) $1,320.80 $2,032 1.6×
2d tte w or w/o fol w/con,fu (C8924) $637.65 $981 1.7×
3d bn img algor drvd fr mri (G0566) $286.65 $441 2.1×
3D cntr simula trgt lvr les (0944T) $150.15 $231 0.6×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) $9,409.40 $14,476 0.8×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,476.80 $2,272 0.7×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
likely a partial charge, not the full procedure
$1,769.30 $2,722 0.2×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,838.85 $2,829 0.9×
Admin pneumococcal vaccine (G0009) $52.65 $81 1.1×
Diab manage trn per indiv (G0108) $79.95 $123 1.4×
Diab manage trn ind/group (G0109) $61.75 $95 3.9×
Direct refer hospital observ (G0379) $315.90 $486 0.5×
Drug test def 1-7 classes (G0480) $297.70 $458 2.6×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $5,543.20 $8,528 2.7×
Egd flexible transnasal w/biopsy single/multiple (0653T) $7,649.20 $11,768 3.8×
Egd flexible transnasal w/insj intral tube/cath (0654T) $7,330.70 $11,278 1.8×
Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) $507 $780 8.1×
Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) $1,608.75 $2,475 16.0×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $392.60 $604 3.9×
Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and… (0789T) $624 $960 6.2×
Elisa hiv-1/hiv-2 screen (G0433) $171.96 $264.54 9.4×
Fern test (Q0114) $44.20 $68 4.5×
Hiv combination assay (G0475) $96.85 $149 4.0×
Home sleep test/type 3 porta (G0399) $1,396.20 $2,148 6.1×
Ig paraprotein qual bld/ur (0077U) $119.60 $184 2.8×
Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major… (0095U) $521.30 $802 0.7×
Initial care training 30 m (G0539) $95.55 $147 1.8×
Insertion of substernal implantable defibrillator electrode (0572T) $28,449.20 $43,768 3.3×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $34,516.30 $53,102 1.0×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $317.20 $488 2.6×
Lev 1 hosp type b ed visit (G0380) $342.55 $527 4.4×
Lev 2 hosp type b ed visit (G0381) $342.55 $527 3.5×
Lev 3 hosp type b ed visit (G0382) $342.55 $527 1.9×
Lev 4 hosp type b ed visit (G0383) $351.65 $541 1.3×
Lev 5 hosp type b ed visit (G0384) $547.95 $843 1.3×
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) $328.90 $506 5.3×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $1,665.30 $2,562 3.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,227.85 $1,889 2.6×
Non-blind interatrial shunt (C9760) $30,163.25 $46,405 1.1×
Pathogen test for platelets (P9100) $154.05 $237 2.5×
Perc drug-el cor stent sing (C9600) $17,990.70 $27,678 1.5×
Pet not otherwise specified (G0235) $5,220.80 $8,032 12.4×
Pinworm examinations (Q0113) $97.50 $150 22.8×
Post d/c phone follow up (G0544) $48.10 $74 0.4×
Prgrmg dev eval icds ss ip (0575T) $912.60 $1,404 23.2×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $632.45 $973 16.1×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $646.10 $994 16.4×
Psa screening (G0103) $101.40 $156 5.3×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $2,980.90 $4,586 3.0×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $2,859.35 $4,399 2.9×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $2,757.95 $4,243 2.8×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $2,874.95 $4,423 2.9×
Quan MRI alys brain with diagnostic MRI (0866T) $2,902.90 $4,466 11.5×
Quan MRI alys brn w/o dx MRI (0865T) $2,844.40 $4,376 11.3×
Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) $848.25 $1,305 21.5×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $6,791.85 $10,449 1.7×
Rmvl substernal implantable defibrillator eltrd (0573T) $6,367.40 $9,796 1.6×
Safety plan interven (G0560) $63.05 $97 1.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $24,740.30 $38,062 1.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $28,451.15 $43,771 1.4×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $13,711.10 $21,094 2.3×
Tee w or w/o fol w/cont, mon (C8927) $750.75 $1,155 0.9×
Tee w or w/o fol w/cont,cong (C8926) $1,739.40 $2,676 2.1×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $731.25 $1,125 1.6×
Train for caregiver add 15 (G0540) $48.10 $74 1.8×
Tte w or w/o fol w/con,stres (C8928) $1,691.30 $2,602 2.0×
Tte w or w/o fol w/cont, com (C8921) $707.85 $1,089 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $869.70 $1,338 1.1×
Tte w or wo fol wcon,doppler (C8929) $1,400.10 $2,154 1.7×
Wet mounts/ w preparations (Q0111) $97.50 $150 5.3×