Cisternogram (CPT 78630)
78630 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
199 of 309 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Lee Memorial Hospital | Fort Myers, FL | $201.80 | $1,009 | $567.01 | 0.4× |
| Gulf Coast Medical Center | Fort Myers, FL | $201.80 | $1,009 | $567.01 | 0.4× |
| Cape Coral Hospital | Cape Coral, FL | $201.80 | $1,009 | $567.01 | 0.4× |
| Holmes Regional Medical Center | Melbourne, FL | $362.25 | $1,449 | $567.01 | 0.6× |
| Cape Canaveral Hospital | Cocoa Beach, FL | $362.25 | $1,449 | $567.01 | 0.6× |
| Baptist Hospital | Pensacola, FL | $437.10 | $2,914 | $567.01 | 0.8× |
| Lower Keys Medical Center | Key West, FL | $446.51 | $1,653.75 | $567.01 | 0.8× |
| Denver Health Medical Center | Denver, CO | $449.69 | $1,284.81 | $572.77 | 0.8× |
| Sterling Regional MedCenter | Sterling, CO | $467.65 | $1,175 | $572.77 | 0.8× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $481.95 | $1,785 | $567.01 | 0.8× |
| Lakeside Medical Center | Belle Glade, FL | $540.30 | — | $567.01 | 1.0× |
| Banner Wyoming Medical Center | Casper, WY | $550.62 | $1,311 | $554.73 | 1.0× |
| Tampa General Hospital | Tampa, FL | $576.10 | $1,646 | $567.01 | 1.0× |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | $619.71 | $2,950.99 | $567.01 | 1.1× |
| Sheridan Memorial Hospital | Sheridan, WY | $623.60 | $779.50 | $554.73 | 1.1× |
| St. Anthony Summit Medical Center | Frisco, CO | $659.74 | $1,649.33 | $572.77 | 1.2× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $701.50 | $1,403 | $545.44 | 1.3× |
| Mercy Hospital Durango | Durango, CO | $712.30 | $1,780.73 | $572.77 | 1.2× |
| Sarasota Memorial Hospital | Sarasota, FL | $802.40 | $2,006 | $567.01 | 1.4× |
| Sarasota Memorial Hospital - Venice | North Venice, FL | $802.40 | $2,006 | $567.01 | 1.4× |
| UF Health Jacksonville | Jacksonville, FL | $829.42 | $1,508.03 | $567.01 | 1.5× |
| Southwest Memorial Hospital | Cortez, CO | $850 | $1,700 | $572.77 | 1.5× |
| Parrish Medical Center | Titusville, FL | $887.20 | $2,218 | $567.01 | 1.6× |
| Naples Community Hospital | Naples, FL | $920.40 | $2,301 | $567.01 | 1.6× |
| UCHealth University of Colorado Hospital | Aurora, CO | $927.50 | $2,650 | $572.77 | 1.6× |
| Banner North Colorado Medical Center | Greeley, CO | $965.28 | $1,954 | $572.77 | 1.7× |
| Orlando Health Orlando Regional Medical Center | Orlando, FL | $1,013.60 | $2,534 | $567.01 | 1.8× |
| Orlando Health - Health Central Hospital | Ocoee, FL | $1,013.60 | $2,534 | $567.01 | 1.8× |
| Orlando Health Bayfront Hospital | Saint Petersburg, FL | $1,013.60 | $2,534 | $567.01 | 1.8× |
| Orlando Health South Lake Hospital | Clermont, FL | $1,013.60 | $2,534 | $567.01 | 1.8× |
| Orlando Health Sebastian River Hospital | Sebastian, FL | $1,013.60 | $2,534 | $567.01 | 1.8× |
| Orlando Health Melbourne Hospital | Melbourne, FL | $1,013.60 | $2,534 | $567.01 | 1.8× |
| Orlando Health St. Cloud Hospital | Saint Cloud, FL | $1,013.60 | $2,534 | $567.01 | 1.8× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $1,064.93 | $1,954 | $572.77 | 1.9× |
| Good Samaritan Medical Center | West Palm Beach, FL | $1,065.75 | $1,421 | $567.01 | 1.9× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $1,091.50 | $2,183 | $567.01 | 1.9× |
| UF Health Leesburg Hospital | Leesburg, FL | $1,104.95 | $2,009 | $567.01 | 1.9× |
| Flagler Hospital | Saint Augustine, FL | $1,104.95 | $2,009 | $567.01 | 1.9× |
| UF Health Shands Hospital | Gainesville, FL | $1,104.95 | $2,009 | $567.01 | 1.9× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $1,104.95 | $2,009 | $567.01 | 1.9× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $1,132.80 | $1,888 | $545.44 | 2.1× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $1,156.92 | $1,866 | $567.01 | 2.0× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $1,156.92 | $1,866 | $567.01 | 2.0× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $1,156.92 | $1,866 | $567.01 | 2.0× |
| HCA Florida Westside Hospital | Plantation, FL | $1,172 | $1,172 | $567.01 | 2.1× |
| Sacred Heart Hospital on the Emerald Coast | Miramar Beach, FL | $1,190 | $2,975 | $567.01 | 2.1× |
| Ascension Sacred Heart Gulf | Port Saint Joe, FL | $1,192.80 | $2,982 | $567.01 | 2.1× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $1,253.10 | $4,177 | $572.77 | 2.2× |
| Mease Dunedin Hospital | Dunedin, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| Winter Haven Hospital | Winter Haven, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| St. Anthony's Hospital | Saint Petersburg, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| St. Joseph's Hospital | Tampa, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| Bartow Regional Medical Center | Bartow, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| Morton Plant Hospital | Clearwater, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| South Florida Baptist Hospital | Plant City, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| Mease Countryside Hospital | Safety Harbor, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $1,263.60 | $2,106 | $567.01 | 2.2× |
| St. Mary's Medical Center | West Palm Beach, FL | $1,356 | $1,808 | $567.01 | 2.4× |
| Coral Gables Hospital | Coral Gables, FL | $1,358.14 | $1,358.14 | $567.01 | 2.4× |
| Parkland Memorial Hospital | Dallas, TX | $1,365.60 | $3,414 | $545.44 | 2.5× |
| Ascension Sacred Heart Pensacola | Pensacola, FL | $1,429.60 | $3,574 | $567.01 | 2.5× |
| St. Thomas More Hospital | Canon City, CO | $1,455.87 | $3,639.66 | $572.77 | 2.5× |
| Longs Peak Hospital | Longmont, CO | $1,461.95 | $4,177 | $579.13 | 2.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $1,461.95 | $4,177 | $572.77 | 2.6× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $1,461.95 | $4,177 | $572.77 | 2.6× |
| Larkin Community Hospital Palm Springs Campus | Hialeah, FL | $1,463.70 | $2,091 | $567.01 | 2.6× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,489.99 | $2,483.31 | $545.44 | 2.7× |
| Larkin Community Hospital | South Miami, FL | $1,500.80 | $2,144 | $567.01 | 2.6× |
| Boca Raton Regional Hospital | Boca Raton, FL | $1,507.35 | $2,319 | $567.01 | 2.7× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $1,547 | $2,380 | $567.01 | 2.7× |
| UCHealth Greeley Hospital | Greeley, CO | $1,549.20 | $2,582 | $572.77 | 2.7× |
| Holy Cross Hospital | Fort Lauderdale, FL | $1,550.25 | $2,385 | $567.01 | 2.7× |
| Ascension St. Vincent's Riverside | Jacksonville, FL | $1,550.95 | $4,191.75 | $567.01 | 2.7× |
| Ascension St. Vincent's Clay County | Middleburg, FL | $1,550.95 | $4,191.75 | $567.01 | 2.7× |
| Jupiter Medical Center | Jupiter, FL | $1,616 | $1,616 | $567.01 | 2.9× |
| Bethesda Hospital East | Boynton Beach, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| Baptist Hospital of Miami | Miami, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| Homestead Hospital | Homestead, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| South Miami Hospital | South Miami, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| Doctors Hospital | Coral Gables, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| West Kendall Baptist Hospital | Miami, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| Fishermen's Community Hospital | Marathon, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| Mariners Hospital | Tavernier, FL | $1,679.60 | $2,584 | $567.01 | 3.0× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $1,699.78 | $1,699.78 | $572.77 | 3.0× |
| MedStar Washington Hospital Center | Washington, DC | $1,700.46 | $2,616.09 | $578.13 | 2.9× |
| Palmetto General Hospital | Hialeah, FL | $1,706.94 | $1,706.94 | $567.01 | 3.0× |
| North Shore Medical Center | Miami, FL | $1,711.30 | $1,711.30 | $567.01 | 3.0× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $1,723.63 | $2,462.32 | $554.73 | 3.1× |
| St. Mary-Corwin Hospital | Pueblo, CO | $1,732.42 | $4,331.04 | $572.77 | 3.0× |
| Howard University Hospital | Washington, DC | $1,792.67 | $2,240.84 | $578.13 | 3.1× |
| Poudre Valley Hospital | Fort Collins, CO | $1,807.40 | $2,582 | $572.77 | 3.2× |
| Medical Center of the Rockies | Loveland, CO | $1,807.40 | $2,582 | $572.77 | 3.2× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,809.90 | $4,022 | $572.77 | 3.2× |
| HCA Florida Lehigh Hospital | Lehigh Acres, FL | $1,846.83 | $1,846.83 | $567.01 | 3.3× |
| Manatee Memorial Hospital | Bradenton, FL | $1,946 | $4,865 | $567.01 | 3.4× |
| Lakewood Ranch Medical Center | Bradenton, FL | $1,946 | $4,865 | $567.01 | 3.4× |
| Halifax Health Medical Center | Daytona Beach, FL | $1,984 | $2,480 | $567.01 | 3.5× |
| Halifax Health | UF Health Medical Center of Deltona | Deltona, FL | $1,984 | $2,480 | $567.01 | 3.5× |
| Broward Health Imperial Point | Fort Lauderdale, FL | $2,010.41 | $2,010.41 | $567.01 | 3.5× |
| Delta County Memorial Hospital | Delta, CO | $2,011.80 | $3,353 | $572.77 | 3.5× |
| HCA Florida Englewood Hospital | Englewood, FL | $2,031.51 | $2,031.51 | $567.01 | 3.6× |
| Memorial Regional Hospital | Hollywood, FL | $2,040.50 | $2,915 | $567.01 | 3.6× |
| Memorial Hospital Pembroke | Pembroke Pines, FL | $2,040.50 | $2,915 | $567.01 | 3.6× |
| Memorial Hospital West | Pembroke Pines, FL | $2,040.50 | $2,915 | $567.01 | 3.6× |
| Memorial Hospital Miramar | Miramar, FL | $2,040.50 | $2,915 | $567.01 | 3.6× |
| Mount Sinai Medical Center | Miami Beach, FL | $2,050.34 | $2,050.34 | $567.01 | 3.6× |
| HCA Florida Aventura Hospital | Aventura, FL | $2,053 | $2,053 | $567.01 | 3.6× |
| Hialeah Hospital | Hialeah, FL | $2,166.92 | $2,166.92 | $567.01 | 3.8× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $2,190 | $2,190 | $554.73‡ | 3.9× |
| Tallahassee Memorial Hospital | Tallahassee, FL | $2,202.44 | $3,146.34 | $567.01 | 3.9× |
| St. Elizabeth Hospital | Fort Morgan, CO | $2,425.79 | $6,064.46 | $572.77 | 4.2× |
| Longmont United Hospital | Longmont, CO | $2,430.50 | $6,076.24 | $579.13 | 4.2× |
| St. Anthony Hospital | Lakewood, CO | $2,430.50 | $6,076.24 | $572.77 | 4.2× |
| Penrose Hospital | Colorado Springs, CO | $2,430.50 | $6,076.24 | $572.77 | 4.2× |
| St. Anthony North Health Campus | Westminster, CO | $2,430.50 | $6,076.24 | $572.77 | 4.2× |
| OrthoColorado Hospital | Lakewood, CO | $2,430.50 | $6,076.24 | $572.77 | 4.2× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $2,430.50 | $6,076.24 | $572.77 | 4.2× |
| St. John's Medical Center | Jackson, WY | $2,441 | $2,441 | $554.73 | 4.4× |
| MedStar Georgetown University Hospital | Washington, DC | $2,441.46 | $3,756.09 | $578.13 | 4.2× |
| Delray Medical Center | Delray Beach, FL | $2,441.62 | $3,255.50 | $567.01 | 4.3× |
| HCA Florida University Hospital | Davie, FL | $2,445 | $2,445 | $567.01 | 4.3× |
| Broward Health North | Pompano Beach, FL | $2,518.11 | $2,518.11 | $567.01 | 4.4× |
| AdventHealth Waterman | Tavares, FL | $2,563.44 | $2,563.44 | $567.01 | 4.5× |
| Sibley Memorial Hospital | Washington, DC | $2,579 | $2,579 | $578.13 | 4.5× |
| Broward Health Medical Center | Fort Lauderdale, FL | $2,616.23 | $2,616.23 | $567.01 | 4.6× |
| George Washington University Hospital | Washington, DC | $2,670.80 | $6,677 | $578.13 | 4.6× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $2,670.80 | $6,677 | $578.13 | 4.6× |
| Oviedo Medical Center | Oviedo, FL | $2,671.38 | $2,671.38 | $567.01 | 4.7× |
| Wellington Regional Medical Center | Wellington, FL | $2,730 | $3,640 | $567.01 | 4.8× |
| Johns Hopkins All Children's Hospital | Saint Petersburg, FL | $2,741 | $2,741 | $567.01 | 4.8× |
| Florida Coast Medical Center | Port St. Lucie, FL | $2,826 | $3,768 | $567.01 | 5.0× |
| HCA Florida Lake Monroe Hospital | Sanford, FL | $2,854 | $2,854 | $567.01 | 5.0× |
| HCA Florida Mercy Hospital | Miami, FL | $2,900 | $2,900 | $567.01 | 5.1× |
| HCA Florida St. Lucie Hospital | Port Saint Lucie, FL | $2,942 | $2,942 | $567.01 | 5.2× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $3,017.95 | $4,643 | $567.01 | 5.3× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $3,017.95 | $4,643 | $567.01 | 5.3× |
| Cleveland Clinic Hospital | Weston, FL | $3,017.95 | $4,643 | $567.01 | 5.3× |
| AdventHealth Ocala | Ocala, FL | $3,075.45 | $3,075.45 | $567.01 | 5.4× |
| Broward Health Coral Springs | Coral Springs, FL | $3,282.14 | $3,282.14 | $567.01 | 5.8× |
| HCA Florida Kendall Hospital | Miami, FL | $3,290 | $3,290 | $567.01 | 5.8× |
| Palm Beach Gardens Medical Center | Palm Beach Gardens, FL | $3,297.75 | $4,397 | $567.01 | 5.8× |
| HCA Florida Oak Hill Hospital | Brooksville, FL | $3,312.98 | $3,312.98 | $567.01 | 5.8× |
| Foothills Hospital | Boulder, CO | $3,415 | $6,830 | $579.13 | 5.9× |
| Nemours Children's Hospital, Florida | Orlando, FL | $3,555 | $3,555 | $567.01 | 6.3× |
| HCA Florida Capital Hospital | Tallahassee, FL | $3,585.15 | $3,585.15 | $567.01 | 6.3× |
| HCA Florida Ocala Hospital | Ocala, FL | $3,670.21 | $3,670.21 | $567.01 | 6.5× |
| HCA Florida Bayonet Point Hospital | Hudson, FL | $3,882 | $3,882 | $567.01 | 6.8× |
| HCA Florida Gulf Coast Hospital | Panama City, FL | $4,001.35 | $4,001.35 | $567.01 | 7.1× |
| HCA Florida Orange Park Hospital | Orange Park, FL | $4,119.72 | $4,119.72 | $567.01 | 7.3× |
| West Boca Medical Center | Boca Raton, FL | $4,134.75 | $5,513 | $567.01 | 7.3× |
| AdventHealth Zephyrhills | Zephyrhills, FL | $4,191.86 | $4,191.86 | $567.01 | 7.4× |
| AdventHealth Carrollwood | Tampa, FL | $4,191.86 | $4,191.86 | $567.01 | 7.4× |
| AdventHealth Tampa | Tampa, FL | $4,191.86 | $4,191.86 | $567.01 | 7.4× |
| AdventHealth Wesley Chapel | Wesley Chapel, FL | $4,191.86 | $4,191.86 | $567.01 | 7.4× |
| AdventHealth Riverview | Riverview, FL | $4,191.86 | $4,191.86 | $567.01 | 7.4× |
| HCA Florida South Tampa Hospital | Tampa, FL | $4,250.93 | $4,250.93 | $567.01 | 7.5× |
| HCA Florida Memorial Hospital | Jacksonville, FL | $4,393 | $4,393 | $567.01 | 7.7× |
| HCA Florida Palms West Hospital | Loxahatchee, FL | $4,406 | $4,406 | $567.01 | 7.8× |
| HCA Florida Northwest Hospital | Margate, FL | $4,428 | $4,428 | $567.01 | 7.8× |
| Medical City Dallas | Dallas, TX | $4,526.13 | $4,526.13 | $545.44 | 8.3× |
| HCA Florida JFK Hospital | Atlantis, FL | $4,543 | $4,543 | $567.01 | 8.0× |
| HCA Florida Poinciana Hospital | Kissimmee, FL | $4,582 | $4,582 | $567.01 | 8.1× |
| HCA Florida Brandon Hospital | Brandon, FL | $4,640.35 | $4,640.35 | $567.01 | 8.2× |
| HCA Florida Osceola Hospital | Kissimmee, FL | $4,716.95 | $4,716.95 | $567.01 | 8.3× |
| HCA Florida Blake Hospital | Bradenton, FL | $4,759.50 | $4,759.50 | $567.01 | 8.4× |
| HCA Florida South Shore Hospital | Sun City Center, FL | $5,259.87 | $5,259.87 | $567.01 | 9.3× |
| AdventHealth Porter | Denver, CO | $5,433.40 | $5,433.40 | $572.77 | 9.5× |
| AdventHealth Avista | Louisville, CO | $5,433.40 | $5,433.40 | $579.13 | 9.4× |
| AdventHealth Littleton | Littleton, CO | $5,433.40 | $5,433.40 | $572.77 | 9.5× |
| AdventHealth Parker | Parker, CO | $5,433.40 | $5,433.40 | $572.77 | 9.5× |
| AdventHealth Castle Rock | Castle Rock, CO | $5,433.40 | $5,433.40 | $572.77 | 9.5× |
| AdventHealth Orlando | Orlando, FL | $5,498 | $5,498 | $567.01 | 9.7× |
| AdventHealth Dade City | Dade City, FL | $5,579.04 | $5,579.04 | $567.01 | 9.8× |
| HCA Florida Fawcett Hospital | Port Charlotte, FL | $5,700.07 | $5,700.07 | $567.01 | 10.1× |
| HCA Florida West Hospital | Pensacola, FL | $6,384.70 | $6,384.70 | $567.01 | 11.3× |
| AdventHealth Heart of Florida | Davenport, FL | $7,109.36 | $7,109.36 | $567.01 | 12.5× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $7,165.53 | $7,165.53 | $567.01 | 12.6× |
| HCA Florida North Florida Hospital | Gainesville, FL | $7,216.31 | $7,216.31 | $567.01 | 12.7× |
| HCA HealthOne Rose Medical Center | Denver, CO | $7,543 | $7,543 | $572.77 | 13.2× |
| HCA Florida Woodmont Hospital | Tamarac, FL | $7,625.50 | $7,625.50 | $567.01 | 13.4× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $7,662.48 | $7,662.48 | $572.77 | 13.4× |
| HCA Florida Citrus Hospital | Inverness, FL | $8,374.65 | $8,374.65 | $567.01 | 14.8× |
| HCA Florida Lawnwood Hospital | Fort Pierce, FL | $8,457 | $8,457 | $567.01 | 14.9× |
| HCA Florida Pasadena Hospital | Saint Petersburg, FL | $8,473.82 | $8,473.82 | $567.01 | 14.9× |
| HCA Florida Trinity Hospital | Trinity, FL | $8,674.07 | $8,674.07 | $567.01 | 15.3× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $8,762.20 | $8,762.20 | $572.77 | 15.3× |
| HCA Florida St. Petersburg Hospital | Saint Petersburg, FL | $9,321.20 | $9,321.20 | $567.01 | 16.4× |
| HCA Florida Highlands Hospital | Sebring, FL | $10,074 | $10,074 | $567.01 | 17.8× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $10,842.50 | $10,842.50 | $572.77 | 18.9× |
| HCA Florida Fort Walton-Destin Hospital | Fort Walton Beach, FL | $12,015.20 | $12,015.20 | $567.01 | 21.2× |
| HCA Florida Largo Hospital | Largo, FL | $12,130.20 | $12,130.20 | $567.01 | 21.4× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $13,412 | $13,412 | $572.77 | 23.4× |
| HCA Florida Sarasota Doctors Hospital | Sarasota, FL | $24,383.92 | $24,383.92 | $567.01 | 43.0× |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $3,364.95 | $572.77 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $4,914.45 | $572.77 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $5,090.95 | $572.77 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $5,604.50 | $572.77 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $6,693.80 | $579.13 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.