Supplies, drugs & other prices at HCA HealthOne Sky Ridge Medical Center

Lone Tree, 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 tee w or w/o fol w/con,in (C8925) $14,177.08 $14,177.08 17.1×
2d tte w or w/o fol w/con,co (C8923) $8,670.75 $8,670.75 10.5×
2d tte w or w/o fol w/con,fu (C8924) $6,080.25 $6,080.25 16.5×
Adm tocilizu covid-19 1st (M0249) $681.38 $681.38 1.5×
Admin hepatitis b vaccine (G0010) $824.45 $824.45 16.7×
Admin influenza virus vac (G0008) $503.52 $503.52 10.2×
Admin pneumococcal vaccine (G0009) $744.15 $744.15 15.1×
Catheterize for urine spec (P9612) $249.01 $249.01 26.7×
Direct refer hospital observ (G0379) $911.90 $911.90 1.5×
Drug test def 1-7 classes (G0480) $5,177.08 $5,177.08 45.2×
Drug test def 22+ classes (G0483) $454.62 $454.62 1.8×
Drug test def 8-14 classes (G0481) $16,262.52 $16,262.52 103.9×
Hbot, full body chamber, 30m (G0277) $3,258.20 $3,258.20 22.4×
Home sleep test/type 2 porta (G0398) $1,690.70 $1,690.70 7.4×
Home sleep test/type 3 porta (G0399) $1,690.70 $1,690.70 7.4×
Home sleep test/type 4 porta (G0400) $1,690.70 $1,690.70 7.4×
Lev 1 hosp type b ed visit (G0380) $1,109.90 $1,109.90 14.2×
Lev 2 hosp type b ed visit (G0381) $1,983.30 $1,983.30 20.2×
Lev 3 hosp type b ed visit (G0382) $3,839.55 $3,839.55 21.2×
Lev 4 hosp type b ed visit (G0383) $8,042.10 $8,042.10 28.8×
Lev 5 hosp type b ed visit (G0384) $19,864.35 $19,864.35 45.8×
Mra w/cont, abd (C8900) $14,190 $14,190 38.6×
Mra w/cont, chest (C8909) $16,612.20 $16,612.20 45.1×
Mra w/cont, lwr ext (C8912) $14,190 $14,190 38.6×
Mra w/o cont, abd (C8901) $13,248.95 $13,248.95 52.6×
Mra w/o cont, chest (C8910) $11,788.15 $11,788.15 46.8×
Mra w/o cont, lwr ext (C8913) $11,788.15 $11,788.15 46.8×
Mra w/o fol w/cont, abd (C8902) $15,545.20 $15,545.20 42.2×
Mra w/o fol w/cont, chest (C8911) $14,190 $14,190 38.6×
Mra w/o fol w/cont, lwr ext (C8914) $15,302.10 $15,302.10 41.6×
Mra w/o fol w/cont, pelvis (C8920) $14,190 $14,190 38.6×
Mra, w/dye, upper extremity (C8934) $14,190 $14,190 38.6×
Mri w/cont, breast, uni (C8903) $14,190 $14,190 76.7×
Mri w/o fol w/cont, breast, (C8908) $14,190 $14,190 38.6×
Mri w/o fol w/cont, brst, un (C8905) $17,668.20 $17,668.20 48.0×
Oth resp proc, group (G0239) $1,152.25 $1,152.25 29.2×
Oth resp proc, indiv (G0238) $1,321.10 $1,321.10 43.3×
Psa screening (G0103) $1,176.68 $1,176.68 60.9×
Quan mr tis wo MRI 1orgn (0648T) $1,136.85 $1,136.85 1.2×
Quan mr tiss w/MRI 1orgn (0649T) $1,136.85 $1,136.85 1.2×
Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0724T) $4,176.15 $4,176.15 4.3×
Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0723T) $4,176.15 $4,176.15 4.3×
Tee w or w/o fol w/cont,cong (C8926) $14,192.20 $14,192.20 17.2×
Therapeutic procd strg endur (G0237) $1,321.10 $1,321.10 43.3×
Trauma respons w/hosp criti (G0390) $28,595.50 $28,595.50 20.3×
Tte w or w/o fol w/con,stres (C8928) $10,982.68 $10,982.68 13.3×
Tte w or w/o fol w/cont, com (C8921) $7,994.80 $7,994.80 9.7×
Tte w or w/o fol w/cont, f/u (C8922) $5,605.05 $5,605.05 6.8×
Tte w or wo fol wcon,doppler (C8929) $9,719.05 $9,719.05 11.8×
Unsched dialysis esrd pt hos (G0257) $6,799.21 $6,799.21 9.4×