Supplies, drugs & other prices at Intermountain Health Platte Valley Hospital
Brighton, CO · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | — | $1,756.95 | — |
| Admin hepatitis b vaccine (G0010) | — | $21.17 | — |
| Catheterize for urine spec (P9612) | — | $159.70 | — |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
— | $164.44–$171 | — |
| Diab manage trn per indiv (G0108) | — | $110.45 | — |
| Direct refer hospital observ (G0379) | — | $1,564.35 | — |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
— | $357.05–$464.25 | — |
| Drug test def 15-21 classes (G0482) | — | $478.85 | — |
| Drug test def 22+ classes (G0483) | — | $862.95 | — |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
— | $343.30–$478.85 | — |
| Eia hiv-1/hiv-2 screen (G0432) range across 2 matching MRF lines |
— | $59.60–$330.08 | — |
| Elisa hiv-1/hiv-2 screen (G0433) | — | $58.45 | — |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | — | $100,101.45 | — |
| Hbot, full body chamber, 30m (G0277) | — | $921.80 | — |
| Heart Symp Image Plnr (0331T) | — | $4,073.10 | — |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
— | $123.50–$211.70 | — |
| Hepb screen high risk indiv (G0499) range across 2 matching MRF lines |
— | $116.45–$135.67 | — |
| Hospital outpt clinic visit (G0463) | — | $415.10 | — |
| Mnt subs tx for change dx (G0270) | — | $81.25 | — |
| Neuro csf prion prtn qual (0035U) | — | $596.30 | — |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
— | $112.05–$134.50 | — |
| Perc d-e cor revasc chro sin (C9607) | — | $31,508.72 | — |
| Perq Sacral Augmt Bilat Inj (0201T) | — | $21,947.60 | — |
| Perq Sacral Augmt Unilat Inj (0200T) | — | $20,993.35 | — |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | — | $17,104.55 | — |
| Prostate biopsy, any mthd (G0416) | — | $954.29 | — |
| Psa screening (G0103) | — | $69.05 | — |
| Revasc intra lithotrip-ather (C9766) | — | $49,026.05 | — |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
— | $49,026.05–$53,984.10 | — |
| Revasc intravasc lithotripsy (C9764) | — | $28,782 | — |
| Revasc lithotr-ather tib/per (C9774) | — | $46,778.35 | — |
| Revasc lithotr-stent tib/per (C9773) | — | $44,979.20 | — |
| Revasc lithotrip tibi/perone (C9772) | — | $30,296.85 | — |
| Revasc lithotrip-stent-ather (C9767) | — | $52,126.85 | — |
| Scr c/v cyto,thinlayer,rescr (G0145) | — | $117.22 | — |
| Screen cerv/vag thin layer (G0123) | — | $89.65 | — |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
— | $6,468.55–$9,254.85 | — |
| Trluml perip athrc abd aorta (0236T) | — | $40,910.30 | — |
| Trluml Perip Athrc Brchiocph (0237T) | — | $35,574.20 | — |
| Trluml Perip Athrc Iliac Art (0238T) | — | $45,797.15 | — |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | — | $40,910.30 | — |
| Unsched dialysis esrd pt hos (G0257) | — | $1,799.55 | — |
| Visit to determ ldct elig (G0296) | — | $216.50 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.