Supplies, drugs & other prices at HCA HealthOne Mountain Ridge

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $5,376.05 $5,376.05 14.6×
Adm tocilizu covid-19 1st (M0249) $748.69 $748.69 1.6×
Adm tocilizu covid-19 2nd (M0250) $748.69 $748.69 1.6×
Admin influenza virus vac (G0008) $599.98 $599.98 12.1×
Admin pneumococcal vaccine (G0009) $582.14 $582.14 11.8×
Catheterize for urine spec (P9612) $156.48 $156.48 16.8×
Covid-19 lab test non-cdc (U0002) $97.38 $97.38 1.9×
Direct refer hospital observ (G0379) $221.33 $221.33 0.4×
Drug test def 1-7 classes (G0480) $1,709.73 $1,709.73 14.9×
Drug test def 15-21 classes (G0482) $5,224.18 $5,224.18 26.3×
Drug test def 22+ classes (G0483) $6,965.50 $6,965.50 28.2×
Drug test def 8-14 classes (G0481) $3,482.75 $3,482.75 22.2×
Hbot, full body chamber, 30m (G0277) $2,533.47 $2,533.47 17.5×
Hiv combination assay (G0475) $753.71 $753.71 31.3×
Home sleep test/type 3 porta (G0399) $791.97 $791.97 3.5×
Lev 1 hosp type b ed visit (G0380) $1,164.28 $1,164.28 14.8×
Lev 2 hosp type b ed visit (G0381) $1,942.60 $1,942.60 19.8×
Lev 3 hosp type b ed visit (G0382) $3,578.34 $3,578.34 19.7×
Lev 4 hosp type b ed visit (G0383) $7,316.76 $7,316.76 26.2×
Lev 5 hosp type b ed visit (G0384) $15,849.08 $15,849.08 36.6×
Mra w/cont, abd (C8900) $18,032.28 $18,032.28 49.0×
Mra w/cont, chest (C8909) $15,090.03 $15,090.03 41.0×
Mra w/cont, lwr ext (C8912) $15,791.69 $15,791.69 42.9×
Mra w/o cont, abd (C8901) $17,112.74 $17,112.74 68.0×
Mra w/o cont, chest (C8910) $11,490.88 $11,490.88 45.7×
Mra w/o cont, lwr ext (C8913) $11,655.06 $11,655.06 46.3×
Mra w/o fol w/cont, abd (C8902) $20,499.68 $20,499.68 55.7×
Mra w/o fol w/cont, chest (C8911) $20,789.20 $20,789.20 56.5×
Mra w/o fol w/cont, lwr ext (C8914) $18,253.17 $18,253.17 49.6×
Mra w/o fol w/cont, pelvis (C8920) $20,202.76 $20,202.76 54.9×
Mra, w/dye, spinal canal (C8931) $14,105.36 $14,105.36 38.3×
Mra, w/dye, upper extremity (C8934) $15,542.45 $15,542.45 42.2×
Mra, w/o dye, spinal canal (C8932) $13,206.48 $13,206.48 52.5×
Mra, w/o dye, upper extr (C8935) $15,110.62 $15,110.62 60.0×
Mra, w/o&w/dye, spinal canal (C8933) $15,082.81 $15,082.81 41.0×
Mra, w/o&w/dye, upper extr (C8936) $15,805.18 $15,805.18 42.9×
Mri w/cont, breast, bi (C8906) $18,173.44 $18,173.44 49.4×
Mri w/o fol w/cont, breast, (C8908) $19,625.30 $19,625.30 53.3×
Mri w/o fol w/cont, brst, un (C8905) $16,521.25 $16,521.25 44.9×
Oral hiv-1/hiv-2 screen (G0435) $1,001.11 $1,001.11 83.6×
Oth resp proc, group (G0239) $194.23 $194.23 4.9×
Oth resp proc, indiv (G0238) $356.14 $356.14 11.7×
Psa screening (G0103) $164.19 $164.19 8.5×
Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0724T) $4,099.33 $4,099.33 4.2×
Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0723T) $4,099.33 $4,099.33 4.2×
Therapeutic procd strg endur (G0237) $580.49 $580.49 19.0×
Trauma respons w/hosp criti (G0390) $26,405.86 $26,405.86 18.8×
Tte w or w/o contr, cont ecg (C8930) $18,552.20 $18,552.20 22.4×
Tte w or wo fol wcon,doppler (C8929) $15,270.65 $15,270.65 18.5×
Unsched dialysis esrd pt hos (G0257) $6,989.03 $6,989.03 9.7×