Mopath procedure level 5 (CPT 81404)
81404 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.
62 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
Compare interactively — search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins, CO | $114.68 | $825 | $274.83 | 0.4× |
| Longmont United Hospital | Longmont, CO | $244.29 | $610.72 | $274.83 | 0.9× |
| St. Anthony Hospital | Lakewood, CO | $244.29 | $610.72 | $274.83 | 0.9× |
| Penrose Hospital | Colorado Springs, CO | $244.29 | $610.72 | $274.83 | 0.9× |
| St. Anthony North Health Campus | Westminster, CO | $244.29 | $610.72 | $274.83 | 0.9× |
| OrthoColorado Hospital | Lakewood, CO | $244.29 | $610.72 | $274.83 | 0.9× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $244.29 | $610.72 | $274.83 | 0.9× |
| Sterling Regional MedCenter | Sterling, CO | $254.10 | $825 | $274.83 | 0.9× |
| Denver Health Medical Center | Denver, CO | $307.23 | $877.80 | $274.83 | 1.1× |
| Banner Wyoming Medical Center | Casper, WY | $346.50 | $825 | $274.83 | 1.3× |
| Banner North Colorado Medical Center | Greeley, CO | $356.40 | $825 | $274.83 | 1.3× |
| Kit Carson County Memorial Hospital | Burlington, CO | $360.92 | $424.61 | $274.83 | 1.3× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $377.75 | $755.50 | $274.83 | 1.4× |
| UCHealth University of Colorado Hospital | Aurora, CO | $403.84 | $1,153.82 | $274.83 | 1.5× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $514.49 | $1,143.30 | $274.83 | 1.9× |
| Southwest Memorial Hospital | Cortez, CO | $537 | $1,073 | $274.83 | 2.0× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $568.52 | $1,895.05 | $274.83 | 2.1× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $579.96 | $966.60 | $274.83 | 2.1× |
| Community Hospital Grand Junction | Grand Junction, CO | $580.72 | $1,037 | $274.83 | 2.1× |
| Washakie Medical Center | Worland, WY | $593.18 | $825 | $274.83 | 2.2× |
| Memorial Hospital of Converse County | Douglas, WY | $595.65 | $1,045 | $274.83 | 2.2× |
| Rangely District Hospital | Rangely, CO | $623.92 | $959.88 | $274.83 | 2.3× |
| Longs Peak Hospital | Longmont, CO | $663.27 | $1,895.05 | $274.83 | 2.4× |
| UCHealth Broomfield Hospital | Broomfield, CO | $663.27 | $1,895.05 | $274.83 | 2.4× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $663.27 | $1,895.05 | $274.83 | 2.4× |
| AdventHealth Porter | Denver, CO | $678.32 | $678.32 | $274.83 | 2.5× |
| AdventHealth Avista | Louisville, CO | $678.32 | $678.32 | $274.83 | 2.5× |
| AdventHealth Littleton | Littleton, CO | $678.32 | $678.32 | $274.83 | 2.5× |
| AdventHealth Parker | Parker, CO | $678.32 | $678.32 | $274.83 | 2.5× |
| AdventHealth Castle Rock | Castle Rock, CO | $678.32 | $678.32 | $274.83 | 2.5× |
| Melissa Memorial Hospital | Holyoke, CO | $748.80 | $936 | $274.83 | 2.7× |
| Rio Grande Hospital | Del Norte, CO | $800.62 | $1,067.49 | $274.83 | 2.9× |
| Valley View Hospital | Glenwood Springs, CO | $805.80 | $948 | $274.83 | 2.9× |
| Ivinson Memorial Hospital | Laramie, WY | $823 | $823 | $274.83 | 3.0× |
| Haxtun Hospital District | Haxtun, CO | $827.78 | $849 | $274.83 | 3.0× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $886.05 | $825 | $274.83 | 3.2× |
| Delta County Memorial Hospital | Delta, CO | $890.40 | $1,484 | $274.83 | 3.2× |
| UCHealth Greeley Hospital | Greeley, CO | $891.76 | $1,486.26 | $274.83 | 3.2× |
| Parkland Memorial Hospital | Dallas, TX | $916.40 | $2,291 | $274.83 | 3.3× |
| Montrose Regional Health | Montrose, CO | $1,004.25 | $1,339 | $274.83 | 3.7× |
| Grand River Medical Center | Rifle, CO | $1,028 | $2,056 | $274.83 | 3.7× |
| Poudre Valley Hospital | Fort Collins, CO | $1,040.39 | $1,486.26 | $274.83 | 3.8× |
| Medical Center of the Rockies | Loveland, CO | $1,040.39 | $1,486.26 | $274.83 | 3.8× |
| UCHealth Yampa Valley Medical Center | Steamboat Springs, CO | $1,066.64 | $1,185.14 | $274.83 | 3.9× |
| St. John's Medical Center | Jackson, WY | $1,215 | $1,215 | $274.83 | 4.4× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $1,267.35 | $1,491 | $274.83 | 4.6× |
| Evanston Regional Hospital | Evanston, WY | $1,403.21 | $2,338.68 | $274.83 | 5.1× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $1,502.40 | $1,878 | $274.83 | 5.5× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,534.88 | $2,558.12 | $274.83 | 5.6× |
| Star Valley Medical Center | Afton, WY | $1,662.50 | $2,375 | $274.83 | 6.0× |
| Prowers Medical Center | Lamar, CO | $1,671.60 | $2,786 | $274.83 | 6.1× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $1,791.48 | $1,791.48 | $274.83 | 6.5× |
| Medical City Dallas | Dallas, TX | $2,433.98 | $2,433.98 | $274.83 | 8.9× |
| HCA HealthOne Rose Medical Center | Denver, CO | $3,783 | $3,783 | $274.83 | 13.8× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $4,428.54 | $4,428.54 | $274.83 | 16.1× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $4,840 | $4,840 | $274.83 | 17.6× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $5,969.13 | $5,969.13 | $274.83 | 21.7× |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $621.20 | $274.83 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $621.20 | $274.83 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $621.20 | $274.83 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $1,021.89 | $274.83 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $1,281 | $274.83 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.