Mopath procedure level 4 (CPT 81403)
81403 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.
69 of 118 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 |
|---|---|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins, CO | $85.76 | $617 | $185.20 | 0.5× |
| Memorial Hospital of Converse County | Douglas, WY | $119.13 | $209 | $185.20 | 0.6× |
| St. Mary-Corwin Hospital | Pueblo, CO | $145.68 | $364.18 | $185.20 | 0.8× |
| St. Anthony Summit Medical Center | Frisco, CO | $171.45 | $428.62 | $185.20 | 0.9× |
| Longmont United Hospital | Longmont, CO | $182.40 | $455.99 | $185.20 | 1.0× |
| St. Anthony Hospital | Lakewood, CO | $182.40 | $455.99 | $185.20 | 1.0× |
| Penrose Hospital | Colorado Springs, CO | $182.40 | $455.99 | $185.20 | 1.0× |
| St. Anthony North Health Campus | Westminster, CO | $182.40 | $455.99 | $185.20 | 1.0× |
| OrthoColorado Hospital | Lakewood, CO | $182.40 | $455.99 | $185.20 | 1.0× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $182.40 | $455.99 | $185.20 | 1.0× |
| Mercy Hospital Durango | Durango, CO | $188.44 | $471.10 | $185.20 | 1.0× |
| Sterling Regional MedCenter | Sterling, CO | $190.04 | $617 | $185.20 | 1.0× |
| Community Hospital Grand Junction | Grand Junction, CO | $230.72 | $412 | $185.20 | 1.2× |
| Banner Wyoming Medical Center | Casper, WY | $233.52 | $556 | $185.20 | 1.3× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $240.01 | $800.01 | $185.20 | 1.3× |
| Banner North Colorado Medical Center | Greeley, CO | $266.54 | $617 | $185.20 | 1.4× |
| Parkland Memorial Hospital | Dallas, TX | $278.80 | $697 | $185.20 | 1.5× |
| Longs Peak Hospital | Longmont, CO | $280.01 | $800.01 | $185.20 | 1.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $280.01 | $800.01 | $185.20 | 1.5× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $280.01 | $800.01 | $185.20 | 1.5× |
| Evanston Regional Hospital | Evanston, WY | $283 | $471.67 | $185.20 | 1.5× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $293.25 | $345 | $185.20 | 1.6× |
| UCHealth Greeley Hospital | Greeley, CO | $300 | $500 | $185.20 | 1.6× |
| Denver Health Medical Center | Denver, CO | $321.78 | $919.38 | $185.20 | 1.7× |
| Grand River Medical Center | Rifle, CO | $326.75 | $653.50 | $185.20 | 1.8× |
| Poudre Valley Hospital | Fort Collins, CO | $350 | $500 | $185.20 | 1.9× |
| Medical Center of the Rockies | Loveland, CO | $350 | $500 | $185.20 | 1.9× |
| Family Health West Hospital | Fruita, CO | $357 | $510 | $185.20 | 1.9× |
| UCHealth University of Colorado Hospital | Aurora, CO | $358.65 | $1,024.69 | $185.20 | 1.9× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $360.01 | $800.01 | $185.20 | 1.9× |
| Platte County Hospital | Wheatland, WY | $372.05 | $617 | $185.20 | 2.0× |
| Rio Grande Hospital | Del Norte, CO | $382.97 | $510.62 | $185.20 | 2.1× |
| AdventHealth Porter | Denver, CO | $396.01 | $396.01 | $185.20 | 2.1× |
| AdventHealth Avista | Louisville, CO | $396.01 | $396.01 | $185.20 | 2.1× |
| AdventHealth Littleton | Littleton, CO | $396.01 | $396.01 | $185.20 | 2.1× |
| AdventHealth Parker | Parker, CO | $396.01 | $396.01 | $185.20 | 2.1× |
| AdventHealth Castle Rock | Castle Rock, CO | $396.01 | $396.01 | $185.20 | 2.1× |
| Kit Carson County Memorial Hospital | Burlington, CO | $407.11 | $478.95 | $185.20 | 2.2× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $415 | $830 | $185.20 | 2.2× |
| Foothills Hospital | Boulder, CO | $416.50 | $833 | $185.20 | 2.2× |
| Washakie Medical Center | Worland, WY | $443.62 | $617 | $185.20 | 2.4× |
| Vail Health Hospital | Vail, CO | $462 | $616 | $185.20 | 2.5× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $497.78 | $829.62 | $185.20 | 2.7× |
| Campbell County Health | Gillette, WY | $498.60 | $554 | $185.20 | 2.7× |
| Sheridan Memorial Hospital | Sheridan, WY | $586.40 | $733 | $185.20 | 3.2× |
| Prowers Medical Center | Lamar, CO | $594.90 | $991.50 | $185.20 | 3.2× |
| Haxtun Hospital District | Haxtun, CO | $623.03 | $639 | $185.20 | 3.4× |
| Ivinson Memorial Hospital | Laramie, WY | $628.50 | $628.50 | $185.20 | 3.4× |
| Valley View Hospital | Glenwood Springs, CO | $637.08 | $749.50 | $185.20 | 3.4× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $646.66 | $1,077.77 | $185.20 | 3.5× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $662.66 | $617 | $185.20 | 3.6× |
| Memorial Hospital at Craig | Craig, CO | $679.32 | $1,045.11 | $185.20 | 3.7× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $687 | $687 | $185.20 | 3.7× |
| Delta County Memorial Hospital | Delta, CO | $690.15 | $1,150.25 | $185.20 | 3.7× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $720.01 | $800.01 | $185.20 | 3.9× |
| Star Valley Medical Center | Afton, WY | $816.90 | $1,167 | $185.20 | 4.4× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $1,047.15 | $1,047.15 | $185.20 | 5.7× |
| Weston County Health Services | Newcastle, WY | $1,205 | $1,205 | $185.20 | 6.5× |
| HCA HealthOne Rose Medical Center | Denver, CO | $1,597 | $1,597 | $185.20 | 8.6× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $1,901.46 | $1,901.46 | $185.20 | 10.3× |
| Medical City Dallas | Dallas, TX | $1,962.03 | $1,962.03 | $185.20 | 10.6× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $2,453.38 | $2,453.38 | $185.20 | 13.2× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $2,860.56 | $2,860.56 | $185.20 | 15.4× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $3,832.69 | $3,832.69 | $185.20 | 20.7× |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $705.38 | $185.20 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $705.38 | $185.20 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $705.38 | $185.20 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $879.25 | $185.20 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $1,250.50 | $185.20 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.