Supplies, drugs & other prices at UCHealth Memorial Hospital Central
Colorado Springs, CO · every code in this section with a posted price and a Medicare benchmark.
125 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,277 | $5,060 | 2.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,262.70 | $2,806 | 3.4× |
| Admin hepatitis b vaccine (G0010) | $65.25 | $145 | 1.3× |
| Admin influenza virus vac (G0008) | $65.25 | $145 | 1.3× |
| Admin pneumococcal vaccine (G0009) | $65.25 | $145 | 1.3× |
| Blind interatrial shunt ide (C9758) | $24,965.10 | $55,478 | 1.4× |
| Blind/nonblind trans atrial (C9792) | $13,222.80 | $29,384 | 1.3× |
| Ca screen;flexi sigmoidscope (G0104) | $826.65 | $1,837 | 0.8× |
| Catheterize for urine spec (P9612) | $22.05 | $49 | 2.4× |
| Chemo extend iv infus w/pump (G0498) | $666.45 | $1,481 | 1.9× |
| Colon ca scrn not hi rsk ind (G0121) | $1,667.70 | $3,706 | 1.7× |
| Colorectal scrn; hi risk ind (G0105) | $1,667.70 | $3,706 | 1.7× |
| Covid-19 lab test non-cdc (U0002) | $45 | $100 | 0.9× |
| Diab manage trn per indiv (G0108) | $131.85 | $293 | 2.4× |
| Diab manage trn ind/group (G0109) | $87.75 | $195 | 5.5× |
| Direct refer hospital observ (G0379) | $889.65 | $1,977 | 1.4× |
| Drug test def 1-7 classes (G0480) range across 62 matching MRF lines |
$96.22–$389.84 | $213.82–$866.30 | varies |
| Drug test def 8-14 classes (G0481) | $30.34 | $67.42 | 0.2× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $247.50 | $550 | 4.0× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $1,172.70 | $2,606 | 1.2× |
| Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) | $81 | $180 | 1.3× |
| Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) | $103.95 | $231 | 1.0× |
| Elec stim other than wound (G0283) | $103.95 | $231 | 8.2× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $303.75 | $675 | 0.2× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $303.75 | $675 | 0.2× |
| Endo outlet restrict w/tube (C9785) | $14,250.60 | $31,668 | 1.3× |
| Esd endoscopy or colonoscopy (C9779) | $4,687.20 | $10,416 | 1.2× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $21,366 | $47,480 | 1.8× |
| Fecal microbiota prep instil (G0455) | $1,579.50 | $3,510 | 1.6× |
| Fern test (Q0114) | $76.95 | $171 | 7.9× |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $3,003.75 | $6,675 | 7.4× |
| Group mnt 2 or more 30 mins (G0271) | $76.95 | $171 | 4.5× |
| Hbot, full body chamber, 30m (G0277) | $678.60 | $1,508 | 4.7× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $1,766.70 | $3,926 | 2.4× |
| Hep c screen high risk/other (G0472) | $112.50 | $250 | 2.4× |
| Hiv combination assay (G0475) | $80.10 | $178 | 3.3× |
| Home sleep test/type 3 porta (G0399) | $1,048.50 | $2,330 | 4.6× |
| Hospital outpt clinic visit (G0463) range across 15 matching MRF lines |
$118.35–$666.45 | $263–$1,481 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 2 matching MRF lines |
$222.18–$243.61 | $493.73–$541.35 | varies |
| Inj for sacroiliac jt anesth (G0260) | $935.55 | $2,079 | 1.3× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $35,102.70 | $78,006 | 1.5× |
| Insj Wcs Lv Eltrd Only (0516T) | $14,197.05 | $31,549 | 1.3× |
| Insj Wcs Lv Pg Compnt (0517T) | $14,197.05 | $31,549 | 1.3× |
| Interrog dev eval impl ccm-d system in person (0927T) | $253.80 | $564 | 6.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $641.22 | $1,424.93 | 5.3× |
| Lev 1 hosp type b ed visit (G0380) range across 2 matching MRF lines |
$118.35–$180.45 | $263–$401 | varies |
| Lev 2 hosp type b ed visit (G0381) range across 2 matching MRF lines |
$145.80–$180.45 | $324–$401 | varies |
| Lev 3 hosp type b ed visit (G0382) range across 2 matching MRF lines |
$242.10–$300.60 | $538–$668 | varies |
| Lev 4 hosp type b ed visit (G0383) range across 2 matching MRF lines |
$341.10–$490.05 | $758–$1,089 | varies |
| Lev 5 hosp type b ed visit (G0384) range across 2 matching MRF lines |
$464.40–$666.45 | $1,032–$1,481 | varies |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $766.59 | $1,703.53 | 1.5× |
| Mnt subs tx for change dx (G0270) | $86.40 | $192 | 2.7× |
| Mra w/cont, abd (C8900) | $1,588.50 | $3,530 | 4.3× |
| Mra w/cont, chest (C8909) | $2,309.85 | $5,133 | 6.3× |
| Mra w/o cont, abd (C8901) | $1,340.10 | $2,978 | 5.3× |
| Mra w/o cont, chest (C8910) | $1,946.70 | $4,326 | 7.7× |
| Mra w/o cont, lwr ext (C8913) | $1,930.05 | $4,289 | 7.7× |
| Mra w/o cont, pelvis (C8919) | $1,237.05 | $2,749 | 4.9× |
| Mra w/o fol w/cont, abd (C8902) | $1,684.80 | $3,744 | 4.6× |
| Mra w/o fol w/cont, chest (C8911) | $2,440.35 | $5,423 | 6.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,024 | $6,720 | 8.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,787.40 | $3,972 | 4.9× |
| Mra, w/o dye, upper extr (C8935) | $1,237.05 | $2,749 | 4.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,821.60 | $4,048 | 4.9× |
| Mri w/o fol w/cont, breast, (C8908) | $1,285.20 | $2,856 | 3.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,115.55 | $2,479 | 3.0× |
| Neuro csf prion prtn qual (0035U) | $721.50 | $1,603.32 | 1.3× |
| Njx platelet plasma (0232T) | $849.15 | $1,887 | 1.8× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $616.21 | $1,369.35 | 1.9× |
| Open impltj int neurostimulation sys vagus nerve (0908T) | $57,571.65 | $127,937 | 1.8× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) | $142.20 | $316 | 1.3× |
| Oth resp proc, group (G0239) | $324.90 | $722 | 8.2× |
| Oth resp proc, indiv (G0238) | $63.90 | $142 | 2.1× |
| Perc d-e cor revasc chro sin (C9607) | $15,574.05 | $34,609 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $20,234.70 | $44,966 | 1.7× |
| Perc d-e cor stent ather s (C9602) | $21,323.70 | $47,386 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $15,452.10 | $34,338 | 1.3× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,240.15 | $13,867 | 0.8× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $7,735.50 | $17,190 | 0.6× |
| Pinworm examinations (Q0113) | $75.15 | $167 | 17.6× |
| Place device/marker, non pro (C9728) | $1,856.25 | $4,125 | 1.3× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $48.60 | $108 | 1.2× |
| Programming device eval impl ccm-d sys in person (0926T) | $314.10 | $698 | 8.0× |
| Prolonged iv inf, req pump (C8957) | $733.95 | $1,631 | 3.3× |
| Prostate biopsy, any mthd (G0416) | $621.90 | $1,382 | 1.6× |
| Psa screening (G0103) | $70.20 | $156 | 3.6× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $609.75 | $1,355 | 4.3× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $1,288.80 | $2,864 | 1.3× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,738.80 | $3,864 | 1.8× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $316.80 | $704 | 1.3× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $430.20 | $956 | 1.7× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $151.20 | $336 | 1.6× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) | $225 | $500 | 5.7× |
| Removal int neurostimulation sys vagus nerve (0910T) | $4,151.70 | $9,226 | 1.1× |
| Replacement int neurostimulation sys vagus nerve (0909T) | $57,571.65 | $127,937 | 1.8× |
| Revasc intra lithotrip-ather (C9766) | $15,927.75 | $35,395 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $15,927.75 | $35,395 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $9,796.50 | $21,770 | 0.8× |
| Revasc lithotr-ather tib/per (C9774) | $24,504.30 | $54,454 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $18,205.65 | $40,457 | 0.9× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $14,197.05 | $31,549 | 1.3× |
| Rmvl Pg Compnt Wcs (0518T) | $4,995.90 | $11,102 | 1.3× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $35,102.70 | $78,006 | 3.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $25,203.15 | $56,007 | 1.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $4,122.90 | $9,162 | 1.2× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $25,203.15 | $56,007 | 1.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $7,740 | $17,200 | 1.3× |
| Tee w or w/o fol w/cont, mon (C8927) | $1,161.90 | $2,582 | 1.4× |
| Therapeutic procd strg endur (G0237) | $111.15 | $247 | 3.6× |
| Therapeutic ultrafiltration (0692T) | $870.75 | $1,935 | 0.5× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$78.30–$90 | $174–$200 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $8,308.35 | $18,463 | 1.4× |
| Transcatheter renal sympath denervation unilat (0338T) | $7,912.80 | $17,584 | 1.3× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$1,990.35–$6,635.25 | $4,423–$14,745 | varies |
| Trluml perip athrc abd aorta (0236T) | $16,241.85 | $36,093 | 1.3× |
| Trluml Perip Athrc Brchiocph (0237T) | $14,523.30 | $32,274 | 1.2× |
| Trluml Perip Athrc Iliac Art (0238T) | $23,221.35 | $51,603 | 1.2× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $16,241.85 | $36,093 | 1.3× |
| Tte w or w/o contr, cont ecg (C8930) | $2,226.60 | $4,948 | 2.7× |
| Tte w or w/o fol w/con,stres (C8928) | $2,099.25 | $4,665 | 2.5× |
| Tte w or w/o fol w/cont, com (C8921) | $1,450.80 | $3,224 | 1.8× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,071.90 | $2,382 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $3,623.40 | $8,052 | 4.4× |
| Unsched dialysis esrd pt hos (G0257) | $1,774.80 | $3,944 | 2.5× |
| Wet mounts/ w preparations (Q0111) | $75.15 | $167 | 4.1× |
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.