Grand River Hospital District — procedure prices

Published prices for 317 procedures at Grand River Hospital District (Rifle, CO), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $38 $75 $903 $51
Abdominal fluid drain (paracentesis) $426 $851 $903 $284
Abdominal ultrasound $459 $918 $903 $100
Abscess incision and drainage $212 $425 $903 $174
Achilles tendon repair $4,675 $9,351 $6,615 $624
ACL knee reconstruction $7,111 $14,223 $6,615 $889
Adenoid removal (adenoidectomy) $454 $908 $2,845 $204
Albumin blood test $60 $120 $5 $5
Aldosterone test $230 $459 $41 $41
Alkaline phosphatase test $50 $99 $5 $5
Allergy patch testing $22 $44 $934 $5
Allergy shots $35 $70 $903 $11
Allergy testing $7 $14 $934 $4
Alpha-fetoprotein (AFP) test $135 $270 $17 $17
ALT liver enzyme test $60 $120 $5 $5
Ammonia blood test $138 $276 $15 $15
Amylase test $84 $169 $6 $6
Anal fistula repair $1,014 $2,027 $2,569 $541
Ankle fracture repair $3,851 $7,702 $6,615 $608
Annual physical (established patient) $105 $211 $106
Annual physical (new patient) $123 $245 $125
Anoscopy $147 $293 $903 $129
Antinuclear antibody (ANA) test $94 $188 $12 $12
Arterial blood gas (ABG) $162 $324 $26 $26
AST liver enzyme test $61 $123 $5 $5
Barium swallow study $547 $1,094 $903 $107
Bartholin cyst removal $251 $502 $903 $182
Basic metabolic panel $108 $216 $8 $8
Benign skin lesion removal $320 $641 $903 $171
Bilirubin blood test $60 $120 $5 $5
Bladder scope (cystoscopy) $343 $685 $903 $216
Bladder tumor removal (TURBT) $1,736 $3,471 $3,205 $236
Blood clotting test (PT/INR) $37 $73 $4 $4
Blood crossmatch $179 $357 $903
Blood glucose test $61 $123 $4 $5
Blood transfusion $620 $1,241 $903 $47
Blood type and screen $76 $152 $10 $10
Blood type test $66 $133 $3 $3
BNP (heart failure) test $152 $303 $39 $39
Bone density scan (DEXA) $237 $475 $903 $39
Bone marrow biopsy $2,555 $5,109 $1,500 $172
Bone scan (nuclear) $1,305 $2,611 $903 $259
Breast biopsy $2,663 $5,325 $1,500 $478
Breast MRI $1,990 $3,980 $903 $216
Breast reconstruction $3,161 $6,321 $16,684 $1,227
Breast ultrasound $274 $547 $903 $92
Breathing tube insertion (intubation) $363 $725 $903 $133
Bunion surgery (bunionectomy) $2,104 $4,208 $6,615 $883
Burn treatment $181 $363 $903 $129
C-reactive protein (CRP) $61 $123 $5 $5
CA 19-9 tumor marker test $118 $237 $21 $21
CA-125 ovarian marker test $173 $347 $21 $21
Calcium blood test $59 $117 $5 $5
Cardiac rehabilitation $153 $306 $903 $26
Cardiac stress test $514 $1,028 $903 $39
Cardioversion $760 $1,520 $903 $155
Carotid artery ultrasound $753 $1,505 $903 $156
Carpal tunnel release $1,998 $3,996 $1,798 $483
Cataract surgery $967 $1,934 $2,159 $547
CEA tumor marker test $121 $241 $19 $19
Central line placement $485 $970 $2,979 $238
Cervical LEEP procedure $392 $783 $2,827 $325
Cesarean section (C-section) $4,823 $7,552
Chalazion (eyelid cyst) removal $154 $307 $903 $131
Chemotherapy infusion $373 $745 $903 $81
Chest fluid drain (thoracentesis) $525 $1,051 $903 $311
Chest tube insertion $576 $1,151 $1,488 $143
Chest X-ray $148 $296 $903 $37
Circumcision $323 $646 $1,855 $167
CK-MB heart enzyme test $121 $242 $12 $12
Clotting time test (PTT) $59 $119 $6 $6
Colon resection (colectomy) $2,842 $5,683 $903 $1,238
Colonoscopy $1,288 $2,575 $903 $480
Colostomy $2,544 $5,088 $903 $1,122
Colposcopy $134 $267 $903 $161
Complete blood count (CBC) $60 $119 $8 $7
Complex wound repair $628 $1,256 $903 $390
Comprehensive eye exam $182 $364 $121 $138
Comprehensive metabolic panel $201 $401 $11 $11
Continuous glucose monitor setup $35 $70 $903 $35
Contraceptive implant (Nexplanon) $183 $367 $903 $115
Copper blood test $112 $224 $12 $12
Coronary artery bypass (CABG) $4,823 $36,593
Cortisol test $142 $285 $16 $16
COVID-19 PCR test $77 $153 $51 $51
CPAP titration study $443 $886 $4,823 $69
Creatine kinase (CK) test $81 $161 $7 $7
CT angiography of the chest $1,713 $3,427 $903 $281
CT angiography of the head $1,527 $3,054 $903 $274
CT scan of the abdomen $1,476 $2,952 $903 $230
CT scan of the abdomen and pelvis $2,164 $4,327 $903 $300
CT scan of the arm $1,181 $2,362 $903 $199
CT scan of the chest $1,411 $2,822 $903 $167
CT scan of the head $1,254 $2,508 $903 $148
CT scan of the leg $1,094 $2,188 $903 $166
CT scan of the lower back (lumbar spine) $1,411 $2,822 $903 $169
CT scan of the neck $1,482 $2,963 $903 $183
CT scan of the neck (cervical spine) $1,155 $2,309 $903 $168
CT scan of the pelvis $1,469 $2,938 $903 $226
CT scan of the sinuses $1,180 $2,359 $903 $152
D-dimer test $119 $238 $10 $10
DHEA-sulfate test $41 $82 $22 $22
Diagnostic mammogram $319 $637 $903 $140
Dilation and curettage (D&C) $333 $666 $2,827 $298
Drug screen (urine) $101 $202 $17 $17
Ear tubes (myringotomy) $328 $655 $903 $174
Eardrum repair (tympanoplasty) $1,967 $3,933 $5,340 $799
Echocardiogram $851 $1,702 $903 $138
Electrocardiogram (EKG) $133 $266 $903 $8
Electrolyte panel $104 $207 $7 $7
Emergency department visit $392 $783 $245 $69
Endometrial biopsy $800 $1,601 $903 $98
Epidural steroid injection $741 $1,481 $903 $275
ERCP (bile duct endoscopy) $742 $1,484 $3,261 $311
Esophageal dilation $327 $653 $903 $522
Estradiol (estrogen) test $41 $82 $28 $28
Eye refraction (glasses prescription) $113 $225 $15
Eyelid surgery (blepharoplasty) $2,564 $5,128 $1,726 $552
Facet joint injection (spine) $146 $292 $903 $99
Fallopian tube X-ray (HSG) $407 $814 $903 $164
Family therapy session $115 $229 $903 $110
Fecal occult blood (stool) test $36 $72 $4 $10
Feeding tube (PEG) placement $429 $858 $1,742 $178
Femoral hernia repair $1,260 $2,520 $3,542 $584
Ferritin (iron) test $67 $134 $14 $14
Fibrinogen test $94 $189 $10 $10
Flexible sigmoidoscopy $532 $1,064 $903 $323
Flu test $13 $26 $17 $17
Folate (folic acid) test $118 $235 $15 $15
Foreign body removal (skin) $257 $513 $903 $157
Free T4 thyroid test $90 $181 $9 $9
FSH hormone test $103 $206 $19 $19
Gallbladder removal (laparoscopic) $3,251 $6,503 $5,212 $658
Gallbladder scan (HIDA) $1,360 $2,721 $903 $334
Ganglion cyst removal $638 $1,275 $1,435 $321
GGT liver test $68 $135 $7 $7
Glucose tolerance test $79 $158 $8 $8
Group therapy session $24 $47 $903 $30
H. pylori test $215 $430 $67 $67
Hammertoe repair $5,536 $11,072 $2,977 $548
HDL cholesterol test $48 $96 $8 $8
Hematocrit test $27 $53 $2 $2
Hemoglobin A1c (diabetes test) $116 $231 $10 $10
Hemorrhoid removal $654 $1,307 $903 $338
Hepatitis B test $71 $142 $10 $10
Hepatitis C test $46 $92 $14 $14
Hip arthroscopy $2,205 $4,410 $6,615 $931
Hip fracture repair $2,593 $5,185 $903 $1,120
Hip replacement $11,356 $22,712 $13,048 $1,162
HIV test $102 $203 $24 $19
Holter heart monitor $315 $630 $903 $26
Home sleep apnea test $376 $752 $903 $123
Hydrocele repair $712 $1,424 $3,542 $315
Hysterectomy $2,015 $4,030 $903 $933
Hysteroscopy $2,331 $4,662 $2,827 $1,270
Ileostomy $2,211 $4,421 $903 $968
Inguinal hernia repair $4,650 $9,300 $3,542 $538
Iron blood test $60 $120 $6 $6
IUD insertion $192 $383 $903
IUD removal $142 $285 $903 $112
IV infusion therapy $116 $231 $903 $44
Joint aspiration (small/intermediate) $132 $264 $903 $57
Kidney biopsy $2,555 $5,109 $1,500 $492
Kidney ultrasound $405 $810 $903 $84
Knee arthroscopy $1,123 $2,246 $2,977 $524
Knee joint injection $208 $415 $903 $69
Knee replacement $4,823 $18,054
Lactate test $180 $360 $12 $12
Laminectomy (spine) $2,459 $4,918 $6,615 $1,157
Laryngoscopy $237 $473 $903 $189
LDH test $65 $130 $6 $6
LDL cholesterol test $51 $101 $11 $11
Leg vein ultrasound (Doppler) $521 $1,042 $903 $150
LH hormone test $118 $237 $19 $19
Lipase test $86 $173 $7 $7
Lipid (cholesterol) panel $89 $179 $13 $13
Liver biopsy $1,380 $2,761 $1,500 $288
Liver function panel $102 $204 $8 $8
Lumbar discectomy $1,987 $3,974 $6,615 $898
Lumpectomy (breast) $1,617 $3,233 $3,438 $750
Lung function test (PFT) $77 $154 $903 $37
Lung scan (V/Q) $2,113 $4,225 $903 $291
Magnesium blood test $63 $126 $7 $7
Mastectomy $2,263 $4,526 $5,943 $1,021
Meniscus repair (knee) $1,781 $3,562 $2,977 $714
MRA of the brain $1,505 $3,010 $903 $226
MRA of the neck $1,641 $3,282 $903 $245
MRI of the abdomen $2,335 $4,670 $903 $300
MRI of the ankle $1,960 $3,921 $903 $261
MRI of the brain $1,865 $3,731 $903 $269
MRI of the chest $2,017 $4,035 $903 $371
MRI of the knee $1,902 $3,805 $903 $315
MRI of the lower back (lumbar spine) $1,641 $3,282 $903 $270
MRI of the mid-back (thoracic spine) $1,960 $3,921 $903 $271
MRI of the neck (cervical spine) $1,896 $3,791 $903 $274
MRI of the pelvis $1,641 $3,282 $903 $268
MRI of the shoulder $1,990 $3,980 $903 $313
MRI of the wrist $1,641 $3,282 $903 $330
Nebulizer breathing treatment $111 $223 $4,823 $9
Neck (cervical) spinal fusion $3,115 $6,231 $13,048 $1,410
Nuclear cardiac stress test $2,750 $5,499 $1,327 $428
Occupational therapy evaluation $190 $379 $903 $101
Office visit (established patient) $140 $279 $105 $115
Office visit (new patient) $145 $290 $134 $177
Orthopedic hardware removal $1,235 $2,470 $2,583 $632
Ovarian cyst removal $1,554 $3,107 $4,635 $698
Ovary removal (oophorectomy) $1,098 $2,196 $903 $822
Pacemaker insertion $4,823 $15,506
Parathyroid hormone (PTH) test $182 $363 $41 $41
Parathyroid removal $2,033 $4,066 $5,340 $891
Pelvic ultrasound $326 $652 $903 $78
Phosphorus blood test $60 $120 $5 $5
Physical therapy evaluation $177 $354 $903 $98
Pilonidal cyst removal $884 $1,768 $2,583 $541
Platelet count $45 $89 $4 $4
Pregnancy blood test (hCG) $73 $145 $8 $8
Pregnancy ultrasound $386 $771 $903 $126
Procalcitonin test $144 $289 $27 $27
Prolactin test $112 $223 $19 $19
Prostate surgery (TURP) $1,596 $3,192 $4,702 $526
Prostate test (PSA) $130 $260 $18 $18
Psychiatric evaluation $112 $223 $903 $188
Psychotherapy session $112 $223 $903 $140
Pterygium removal (eye) $596 $1,192 $2,114 $540
Pulmonary rehabilitation $107 $213 $903 $87
Radiofrequency nerve ablation $390 $779 $1,798 $462
Retina scan (OCT) $32 $63 $903 $33
Retinal (fundus) photography $130 $260 $903 $37
Rotator cuff repair $2,151 $4,302 $6,615 $792
Routine eye exam $209 $417 $121 $88
Sacroiliac joint injection $454 $907 $903 $176
Scoliosis spine X-ray $356 $713 $903 $58
Screening colonoscopy $656 $1,311 $903 $378
Screening mammogram $220 $440 $903 $126
Scrotal ultrasound $415 $831 $903 $99
Sedimentation rate (ESR) test $44 $89 $4 $3
Semen analysis $107 $214 $12 $12
Septoplasty (deviated septum) $7,611 $15,222 $2,845 $613
Sex hormone binding globulin test $61 $123 $22 $22
Shoulder arthroscopy $2,234 $4,468 $6,615 $962
Shoulder replacement $7,717 $15,434 $13,048 $1,300
Simple wound stitches $186 $372 $903 $127
Sinus surgery (endoscopic) $2,558 $5,117 $6,187 $224
Skin biopsy $115 $229 $903 $121
Skin cancer lesion removal $475 $950 $903 $240
Skin graft $1,787 $3,573 $1,726 $898
Skin lesion freezing (cryotherapy) $35 $71 $903 $36
Skin tag removal $133 $266 $903 $92
Sleep study (polysomnography) $2,712 $5,425 $934 $691
Small bowel resection $2,592 $5,184 $903 $1,136
Speech therapy $166 $332 $903 $76
Spinal tap (lumbar puncture) $443 $886 $903 $165
Strep throat test $13 $26 $17 $17
Swallow study $310 $619 $903 $85
T3 thyroid test $118 $237 $14 $14
Tdap (tetanus) vaccine $68 $136 $903
Testicle removal (orchiectomy) $687 $1,374 $3,205 $306
Testosterone test $29 $57 $26 $26
Thyroid removal (thyroidectomy) $2,311 $4,623 $5,212 $1,004
Thyroid test (TSH) $61 $123 $17 $17
Thyroid ultrasound $492 $984 $903 $109
Thyroid uptake scan $2,165 $4,331 $903 $145
Tonsillectomy $649 $1,297 $2,845 $252
Total IgE allergy test $116 $232 $16 $16
Total protein test $63 $125 $4 $4
Tracheostomy $679 $1,357 $2,845 $273
Transesophageal echocardiogram (TEE) $1,520 $3,039 $903 $239
Transvaginal ultrasound $260 $520 $903 $118
Trigger finger release $2,276 $4,551 $1,435 $630
Trigger point injection $78 $155 $903 $56
Triglycerides test $43 $85 $6 $6
Troponin (heart) test $92 $184 $12 $12
Tubal ligation $754 $1,507 $5,212 $333
Turbinate reduction $890 $1,779 $2,845 $294
Ulnar nerve surgery (elbow) $1,241 $2,482 $1,798 $575
Upper GI endoscopy (EGD) $608 $1,215 $903 $371
Upper GI series (barium) $594 $1,187 $903 $128
Ureteroscopy (stone removal) $3,719 $7,437 $4,702 $365
Uric acid (gout) test $61 $123 $5 $5
Urinalysis $25 $50 $2 $3
Urine microalbumin test $61 $122 $5 $5
Urine pregnancy test $71 $142 $9 $9
Vaccine administration $32 $64 $903 $19
Vaginal delivery $4,823 $5,487
Varicose vein ablation $2,752 $5,503 $2,979 $1,018
Vasectomy $3,236 $6,472 $1,855 $347
Visual field test $47 $94 $903 $64
Vitamin B12 test $118 $235 $15 $15
Vitamin D test $111 $221 $30 $30
Vocal cord injection $527 $1,054 $3,334 $211
Wart removal $123 $245 $903 $121
Weight-loss (bariatric) surgery $4,823 $11,645
Well-child visit $92 $183 $90
Wound debridement $287 $575 $903 $186
Wrist fracture repair $1,619 $3,238 $6,615 $735
X-ray of the abdomen $252 $504 $903 $36
X-ray of the ankle $232 $463 $903 $37
X-ray of the collarbone $178 $356 $903 $33
X-ray of the elbow $237 $475 $903 $33
X-ray of the facial bones $281 $562 $903 $39
X-ray of the foot $232 $463 $903 $34
X-ray of the forearm $178 $356 $903 $29
X-ray of the hand $243 $486 $903 $38
X-ray of the hip $232 $463 $903 $49
X-ray of the knee $252 $504 $903 $42
X-ray of the lower back (lumbar spine) $274 $547 $903 $47
X-ray of the lower leg $178 $356 $903 $31
X-ray of the mid-back (thoracic spine) $266 $533 $903 $36
X-ray of the neck (cervical spine) $266 $533 $903 $47
X-ray of the pelvis $237 $475 $903 $36
X-ray of the ribs $319 $637 $903 $42
X-ray of the shoulder $232 $463 $903 $36
X-ray of the skull $310 $619 $903 $40
X-ray of the upper arm $174 $347 $903 $32
X-ray of the wrist $243 $486 $903 $43
YAG laser capsulotomy (eye) $491 $982 $903 $335
Zinc blood test $95 $189 $11 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.