Supplies, drugs & other prices at Foothills Hospital
Boulder, CO · every code in this section with a posted price and a Medicare benchmark.
75 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $4,809.50 | $9,619 | 5.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $4,178 | $8,356 | 5.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,048 | $4,096 | 5.5× |
| Adm tocilizu covid-19 1st (M0249) | $830.50 | $1,661 | 1.8× |
| Adm tocilizu covid-19 2nd (M0250) | $830.50 | $1,661 | 1.8× |
| Admin hepatitis b vaccine (G0010) | $67.50 | $135 | 1.4× |
| Admin influenza virus vac (G0008) | $113.50 | $227 | 2.3× |
| Admin pneumococcal vaccine (G0009) | $67.50 | $135 | 1.4× |
| Alcohol/subs interv 15-30mn (G0396) | $31.50 | $63 | 0.8× |
| Alcohol/subs interv >30 min (G0397) | $63.50 | $127 | 0.3× |
| Arthro/shoul surg; w/spacer (C9781) likely a partial charge, not the full procedure |
$4,057 | $8,114 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $27.50 | $55 | 0.3× |
| Cysto impl 4 or more (C9740) likely a partial charge, not the full procedure |
$1,881.25 | $3,762.50 | 0.2× |
| Cystoscopy prostatic imp 1-3 (C9739) unusually low: confirm this is the full procedure |
$1,881.25 | $3,762.50 | 0.3× |
| Diab manage trn per indiv (G0108) | $55 | $110 | 1.0× |
| Diab manage trn ind/group (G0109) | $16 | $32 | 1.0× |
| Direct refer hospital observ (G0379) | $817 | $1,634 | 1.3× |
| Ekg tracing for initial prev (G0404) | $13.50 | $27 | 0.4× |
| Elec stim other than wound (G0283) | $65 | $130 | 5.1× |
| Hospital outpt clinic visit (G0463) | $214.50 | $429 | 1.5× |
| Ig paraprotein qual bld/ur (0077U) | $200 | $400 | 4.6× |
| Initial preventive exam (G0402) | $129.50 | $259 | 0.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $45,563 | $91,126 | 1.4× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $11,595 | $23,190 | 1.3× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $11,595 | $23,190 | 1.3× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $32,412.50 | $64,825 | 1.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $292 | $584 | 2.4× |
| Liver dis 10 assays w/nash (0003M) | $476 | $952 | 0.9× |
| Obtaining screen pap smear (Q0091) | $34 | $68 | 1.1× |
| Oral hiv-1/hiv-2 screen (G0435) | $16.50 | $33 | 1.4× |
| Oth resp proc, group (G0239) | $37 | $74 | 0.9× |
| Oth resp proc, indiv (G0238) | $37.50 | $75 | 1.2× |
| Pathogen test for platelets (P9100) | $33 | $66 | 0.5× |
| Pemivibart infusion (M0224) | $830.50 | $1,661 | 1.8× |
| Perc d-e cor revasc chro sin (C9607) | $48,773 | $97,546 | 2.5× |
| Perc d-e cor revasc t cabg s (C9604) | $40,884 | $81,768 | 3.3× |
| Perc d-e cor stent ather s (C9602) | $48,046 | $96,092 | 2.5× |
| Perc drug-el cor stent sing (C9600) | $40,884 | $81,768 | 3.3× |
| Perq Sacral Augmt Bilat Inj (0201T) | $4,515.50 | $9,031 | 0.6× |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,414.25 | $8,828.50 | 0.6× |
| Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T) likely a partial charge, not the full procedure |
$2,276 | $4,552 | 0.2× |
| Potassium hydroxide preps (Q0112) | $10.50 | $21 | 1.8× |
| Ppps, initial visit (G0438) | $166.50 | $333 | 1.0× |
| Ppps, subseq visit (G0439) | $131.50 | $263 | 1.0× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $48 | $96 | 1.2× |
| Psa screening (G0103) | $25.50 | $51 | 1.3× |
| Revasc intra lithotrip-ather (C9766) | $25,358.50 | $50,717 | 1.3× |
| Revasc intra lithotrip-stent (C9765) | $25,358.50 | $50,717 | 1.3× |
| Revasc intravasc lithotripsy (C9764) | $15,859.50 | $31,719 | 1.3× |
| Revasc lith-sten-ath tib/per (C9775) | $25,358.50 | $50,717 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $25,358.50 | $50,717 | 1.3× |
| Revasc lithotr-stent tib/per (C9773) | $25,358.50 | $50,717 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $15,859.50 | $31,719 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $25,358.50 | $50,717 | 1.3× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $24,738 | $49,476 | 1.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $24,738 | $49,476 | 1.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $24,738 | $49,476 | 1.2× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $4,047 | $8,094 | 1.2× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $4,047 | $8,094 | 1.2× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $4,047 | $8,094 | 1.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $24,738 | $49,476 | 1.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $24,738 | $49,476 | 1.2× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $24,738 | $49,476 | 1.2× |
| Tee w or w/o fol w/cont, mon (C8927) | $4,458.50 | $8,917 | 5.3× |
| Tee w or w/o fol w/cont,cong (C8926) | $4,809.50 | $9,619 | 5.8× |
| Therapeutic procd strg endur (G0237) | $38 | $76 | 1.2× |
| Trauma respons w/hosp criti (G0390) | $5,461 | $10,922 | 3.8× |
| Trim nail(s) (G0127) | $91.25 | $182.50 | 1.5× |
| Trluml Perip Athrc Renal Art (0234T) | $20,380 | $40,760 | 1.7× |
| Tte w or w/o fol w/con,stres (C8928) | $2,210.50 | $4,421 | 2.6× |
| Tte w or w/o fol w/cont, com (C8921) | $4,819 | $9,638 | 5.8× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,147 | $2,294 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $4,458.50 | $8,917 | 5.3× |
| Unsched dialysis esrd pt hos (G0257) | $2,763 | $5,526 | 3.8× |
| Wet mounts/ w preparations (Q0111) | $16.50 | $33 | 0.9× |