Poudre Valley Hospital — procedure prices

Published prices for 394 procedures at Poudre Valley Hospital (Fort Collins, CO), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $60 $85 $52 $51
Abdominal fluid drain (paracentesis) $1,914 $2,734 $1,711 $284
Abdominal ultrasound $720 $1,028 $564 $100
Abscess incision and drainage $886 $1,266 $538 $174
Achilles tendon repair $6,902 $9,860 $7,179 $624
ACL knee reconstruction $7,179 $889
Acupuncture $37 $53 $37 $38
Adenoid removal (adenoidectomy) $3,259 $204
Albumin blood test $67 $96 $13 $5
Aldosterone test $40 $58 $54 $41
Alkaline phosphatase test $22 $32 $20 $5
Allergy patch testing $1,022 $5
Allergy shots $46 $11
Allergy testing $1,022 $4
Alpha-fetoprotein (AFP) test $79 $113 $67 $17
ALT liver enzyme test $56 $80 $21 $5
Ammonia blood test $162 $232 $62 $15
Amniocentesis $982 $1,403 $898 $120
Amylase test $241 $345 $22 $6
Anal fistula repair $2,756 $541
Ankle fracture repair $6,902 $9,860 $7,179 $608
Ankle replacement $12,290 $885
Annual physical (established patient) $124
Annual physical (new patient) $148
Anoscopy $238 $340 $261 $129
Antinuclear antibody (ANA) test $58 $83 $48 $12
Aortic aneurysm repair (AAA) $1,626 $1,345
Aortic valve replacement $12,461 $17,801 $10,503 $1,603
Arterial blood gas (ABG) $343 $490 $289 $26
AST liver enzyme test $112 $160 $62 $5
Barium swallow study $561 $801 $355 $107
Bartholin cyst removal $631 $902 $693 $182
Basic metabolic panel $183 $262 $155 $8
Benign skin lesion removal $781 $1,115 $734 $171
Bilirubin blood test $22 $32 $20 $5
Bladder function test (urodynamics) $1,264 $1,805 $1,098 $345
Bladder scope (cystoscopy) $1,462 $2,089 $1,337 $216
Bladder tumor removal (TURBT) $3,466 $236
Blood clotting test (PT/INR) $87 $124 $50 $4
Blood crossmatch $186 $266 $172
Blood glucose test $133 $190 $74 $5
Blood transfusion $805 $1,150 $715 $47
Blood type and screen $124 $178 $54 $10
Blood type test $58 $83 $39 $3
BNP (heart failure) test $211 $302 $159 $39
Bone density scan (DEXA) $608 $868 $370 $39
Bone marrow biopsy $2,248 $3,211 $2,173 $172
Bone scan (nuclear) $2,019 $2,884 $1,792 $259
Botox for migraine $678 $969 $621 $157
Brain shunt (VP shunt) $1,626 $1,023
Breast biopsy $5,635 $8,050 $5,158 $478
Breast MRI $953 $1,361 $583 $216
Breast reconstruction $8,890 $1,227
Breast reduction $6,554 $980
Breast ultrasound $478 $683 $411 $92
Breathing tube insertion (intubation) $860 $1,228 $946 $133
Bronchoscopy $2,413 $3,447 $2,730 $303
Bunion surgery (bunionectomy) $5,344 $883
Burn treatment $363 $518 $352 $129
C-reactive protein (CRP) $203 $290 $35 $5
CA 19-9 tumor marker test $70 $100 $47 $21
CA-125 ovarian marker test $225 $322 $109 $21
Calcium blood test $53 $76 $22 $5
Capsule endoscopy $2,126 $3,037 $1,947 $802
Cardiac ablation $54,218 $77,455 $40,688 $759
Cardiac catheterization $12,153 $17,361 $10,194 $1,049
Cardiac event monitor $171 $170
Cardiac MRI $1,712 $2,446 $1,140 $322
Cardiac rehabilitation $339 $484 $300 $26
Cardiac stress test $702 $1,003 $386 $39
Cardioversion $988 $1,411 $877 $155
Carotid artery surgery $1,626 $1,026
Carotid artery ultrasound $826 $1,180 $746 $156
Carpal tunnel release $2,181 $483
Cataract surgery $3,161 $547
CEA tumor marker test $366 $522 $245 $19
Celiac disease test $52 $74 $38 $12
Central line placement $3,562 $5,088 $3,163 $238
Cervical cerclage $3,195 $137
Cervical LEEP procedure $5,352 $7,646 $3,567 $325
Cesarean section (C-section) $9,060 $7,552
Chalazion (eyelid cyst) removal $496 $131
Chemotherapy infusion $530 $758 $333 $81
Chest fluid drain (thoracentesis) $1,871 $2,673 $1,673 $311
Chest tube insertion $1,877 $2,682 $1,667 $143
Chest X-ray $423 $605 $262 $37
Chickenpox (varicella) vaccine $396 $565 $434
Chiropractic adjustment $25 $38
Circumcision $2,039 $2,913 $2,059 $167
CK-MB heart enzyme test $128 $183 $108 $12
Clotting time test (PTT) $27 $39 $34 $6
Colon resection (colectomy) $2,202 $1,238
Colonoscopy $3,347 $4,782 $2,292 $480
Colostomy $1,626 $1,122
Colposcopy $594 $848 $675 $161
Complete blood count (CBC) $153 $219 $96 $7
Complex wound repair $1,410 $2,014 $1,551 $390
Comprehensive eye exam $130 $138
Comprehensive metabolic panel $230 $329 $194 $11
Contact lens fitting $99
Continuous glucose monitor setup $34 $35
Contraceptive implant (Nexplanon) $295 $421 $488 $115
Copper blood test $163 $232 $149 $12
Corneal transplant $5,645 $1,066
Coronary artery bypass (CABG) $63,825 $36,593
Coronary CT angiography $1,420 $2,029 $864 $326
Cortisol test $250 $357 $211 $16
COVID-19 PCR test $70 $100 $64 $51
CPAP titration study $657 $938 $587 $69
Craniotomy (brain surgery) $2,159 $2,161
Creatine kinase (CK) test $130 $185 $86 $7
CT angiography of the chest $3,142 $4,489 $890 $281
CT angiography of the head $2,151 $3,073 $639 $274
CT colonography (virtual colonoscopy) $578 $835
CT scan of the abdomen $1,853 $2,647 $890 $230
CT scan of the abdomen and pelvis $4,654 $6,648 $890 $300
CT scan of the arm $1,644 $2,349 $889 $199
CT scan of the chest $2,153 $3,075 $889 $167
CT scan of the head $2,129 $3,042 $639 $148
CT scan of the leg $1,653 $2,362 $889 $166
CT scan of the lower back (lumbar spine) $1,709 $2,442 $890 $169
CT scan of the neck $1,644 $2,349 $639 $183
CT scan of the neck (cervical spine) $2,333 $3,333 $890 $168
CT scan of the pelvis $1,691 $2,416 $890 $226
CT scan of the sinuses $1,733 $2,476 $639 $152
D-dimer test $145 $207 $116 $10
Defibrillator (ICD) implant $48,924 $69,891 $43,277 $798
Developmental screening (child) $12
DHEA-sulfate test $115 $165 $81 $22
Diagnostic mammogram $450 $643 $342 $140
Dialysis fistula creation $3,163 $601
Dilation and curettage (D&C) $4,693 $6,704 $4,159 $298
Droopy eyelid repair (ptosis) $2,874 $745
Drug screen (urine) $186 $265 $131 $17
Ear pressure test (tympanometry) $39 $16
Ear tubes (myringotomy) $1,427 $174
Eardrum repair (tympanoplasty) $5,945 $799
Echocardiogram $912 $1,303 $769 $138
Elbow replacement $18,482 $1,301
Electrocardiogram (EKG) $234 $334 $142 $8
Electroencephalogram (EEG) $1,976 $2,823 $1,775 $448
Electrolyte panel $167 $238 $140 $7
Electromyography (EMG) $329 $470 $356 $141
Emergency department visit $883 $1,261 $670 $69
Endometrial biopsy $277 $396 $304 $98
Epidural steroid injection $1,803 $2,576 $1,656 $275
ERCP (bile duct endoscopy) $4,639 $6,627 $4,241 $311
Esophageal dilation $2,308 $3,297 $2,049 $522
Esophageal variceal banding $1,906 $126
Estradiol (estrogen) test $260 $372 $94 $28
Eye refraction (glasses prescription) $19
Eyelid surgery (blepharoplasty) $2,020 $552
Facet joint injection (spine) $2,106 $3,008 $1,904 $99
Fallopian tube X-ray (HSG) $1,495 $2,135 $243 $164
Family therapy session $431 $616 $376 $110
Fecal occult blood (stool) test $21 $30 $16 $10
Feeding tube (PEG) placement $3,301 $4,715 $3,020 $178
Femoral hernia repair $3,547 $584
Ferritin (iron) test $201 $287 $166 $14
Fibrinogen test $246 $352 $208 $10
Fibroid removal (myomectomy) $2,754 $914
Flexible sigmoidoscopy $1,628 $2,325 $1,515 $323
Flu test $57 $81 $49 $17
Flu vaccine $60
Folate (folic acid) test $341 $487 $51 $15
Foreign body removal (skin) $614 $877 $561 $157
Free T4 thyroid test $209 $299 $70 $9
FSH hormone test $131 $187 $23 $19
Gallbladder removal (laparoscopic) $5,863 $658
Gallbladder scan (HIDA) $2,331 $3,330 $2,059 $334
Ganglion cyst removal $1,647 $321
GGT liver test $67 $96 $25 $7
Glaucoma surgery $3,391 $984
Glucose tolerance test $145 $208 $58 $8
Group therapy session $291 $416 $258 $30
H. pylori test $218 $312 $193 $67
Hammertoe repair $3,261 $548
HDL cholesterol test $199 $284 $168 $8
Hearing test (audiometry) $157 $36
Hematocrit test $108 $154 $91 $2
Hemodialysis $1,166 $1,665 $709 $75
Hemoglobin A1c (diabetes test) $203 $290 $49 $10
Hemorrhoid removal $1,987 $2,839 $1,667 $338
Hepatitis A vaccine $148 $212 $166
Hepatitis B test $99 $142 $86 $10
Hepatitis B vaccine $99 $142 $110
Hepatitis C test $60 $86 $55 $14
Hip arthroscopy $7,179 $931
Hip fracture repair $3,047 $1,120
Hip replacement $12,931 $1,162
HIV test $33 $47 $30 $19
Holter heart monitor $516 $738 $326 $26
Home sleep apnea test $578 $826 $450 $123
HPV vaccine $944
Hydrocele repair $3,547 $315
Hysterectomy $8,514 $933
Hysteroscopy $3,195 $1,270
Ileostomy $1,626 $968
Inguinal hernia repair $3,547 $538
Iron blood test $210 $300 $170 $6
IUD insertion $852 $1,217 $779
IUD removal $363 $518 $399 $112
IV infusion therapy $301 $431 $212 $44
IVC filter placement $23,017 $32,882 $19,400 $1,885
Joint aspiration (small/intermediate) $537 $768 $486 $57
Kidney biopsy $2,348 $3,354 $2,147 $492
Kidney removal (nephrectomy) $1,626 $1,164
Kidney scan (nuclear) $2,368 $3,383 $1,441 $172
Kidney stone shock-wave (lithotripsy) $3,466 $760
Kidney ultrasound $658 $941 $550 $84
Knee arthroscopy $3,261 $524
Knee joint injection $620 $886 $567 $69
Knee replacement $29,391 $18,054
Lactate test $15 $21 $40 $12
Laminectomy (spine) $7,179 $1,157
Laryngoscopy $1,518 $2,169 $490 $189
LDH test $46 $65 $40 $6
LDL cholesterol test $109 $155 $91 $11
Leg artery angiogram $3,686 $5,266 $3,163 $149
Leg artery angioplasty $16,090 $22,986 $11,397
Leg vein ultrasound (Doppler) $1,529 $2,185 $1,238 $150
LH hormone test $190 $271 $20 $19
Lipase test $148 $212 $125 $7
Lipid (cholesterol) panel $196 $280 $170 $13
Liver biopsy $3,434 $4,905 $3,071 $288
Liver function panel $190 $272 $160 $8
Lumbar discectomy $7,179 $898
Lumpectomy (breast) $5,856 $750
Lung function test (PFT) $474 $678 $286 $37
Lung scan (V/Q) $2,806 $4,008 $2,151 $291
Magnesium blood test $149 $213 $41 $7
Mastectomy $6,554 $1,021
Mastoidectomy $5,945 $840
Meniscus repair (knee) $3,728 $714
MMR vaccine $186 $266 $203
Mohs skin cancer surgery $811 $535
MRA of the brain $3,249 $4,642 $1,274 $226
MRA of the neck $3,492 $4,988 $1,274 $245
MRI of the abdomen $2,774 $3,963 $1,274 $300
MRI of the ankle $2,496 $3,566 $1,187 $261
MRI of the brain $2,597 $3,710 $1,274 $269
MRI of the chest $2,794 $3,992 $904 $371
MRI of the knee $1,924 $2,749 $1,187 $315
MRI of the lower back (lumbar spine) $2,741 $3,916 $1,274 $270
MRI of the mid-back (thoracic spine) $2,741 $3,916 $1,274 $271
MRI of the neck (cervical spine) $2,741 $3,916 $1,274 $274
MRI of the pelvis $2,869 $4,099 $1,274 $268
MRI of the shoulder $2,353 $3,362 $1,187 $313
MRI of the wrist $1,677 $2,395 $1,187 $330
Nebulizer breathing treatment $153 $219 $181 $9
Neck (cervical) spinal fusion $12,931 $1,410
Nerve conduction study $383 $547 $336 $118
Newborn hospital care $130 $58
Nuchal translucency ultrasound $762 $1,088 $674 $116
Nuclear cardiac stress test $5,352 $7,646 $3,256 $428
Occupational therapy evaluation $263 $375 $228 $101
Office visit (established patient) $128 $115
Office visit (new patient) $220 $177
Orthopedic hardware removal $2,876 $632
Ovarian cyst removal $4,961 $698
Ovary removal (oophorectomy) $2,580 $822
Pacemaker insertion $28,172 $15,506
Pap smear (cervical screening) $115 $164 $97 $20
Parathyroid hormone (PTH) test $77 $110 $68 $41
Parathyroid removal $5,945 $891
Pelvic ultrasound $622 $889 $484 $78
PET scan $5,576 $7,966 $3,337
Phosphorus blood test $134 $191 $113 $5
Physical therapy evaluation $263 $375 $228 $98
Pilonidal cyst removal $3,945 $5,635 $3,502 $541
Platelet count $70 $100 $59 $4
Pneumonia vaccine $236 $337 $258
Pregnancy blood test (hCG) $116 $166 $98 $8
Pregnancy ultrasound $823 $1,175 $728 $126
Procalcitonin test $152 $217 $137 $27
Prolactin test $244 $348 $205 $19
Prostate biopsy $2,951 $4,216 $2,698
Prostate removal (prostatectomy) $8,754 $1,063
Prostate surgery (TURP) $5,109 $526
Prostate test (PSA) $177 $253 $74 $18
Psychiatric evaluation $331 $473 $278 $188
Psychotherapy session $393 $562 $328 $140
Pterygium removal (eye) $2,345 $540
Pulmonary rehabilitation $230 $328 $203 $87
Radiofrequency nerve ablation $2,721 $3,887 $2,488 $462
Retina scan (OCT) $27 $33
Retinal (fundus) photography $31 $37
Retinal detachment repair $5,193 $966
Rheumatoid factor test $6 $6
Rotator cuff repair $7,179 $792
Routine eye exam $130 $88
RSV vaccine $558 $797 $612
Sacroiliac joint injection $164 $176
Scoliosis spine X-ray $219 $313 $157 $58
Screening colonoscopy $1,763 $2,519 $1,577 $378
Screening mammogram $295 $422 $263 $126
Scrotal ultrasound $823 $1,175 $728 $99
Sedimentation rate (ESR) test $134 $191 $11 $3
Semen analysis $126 $180 $42 $12
Septoplasty (deviated septum) $3,259 $613
Sex hormone binding globulin test $118 $169 $100 $22
Shingles vaccine $662
Shoulder arthroscopy $7,179 $962
Shoulder replacement $18,482 $1,300
Simple wound stitches $334 $477 $367 $127
Sinus surgery (endoscopic) $5,344 $224
Skin biopsy $529 $756 $587 $121
Skin cancer lesion removal $919 $1,313 $939 $240
Skin graft $4,813 $6,876 $4,201 $898
Skin lesion freezing (cryotherapy) $200 $285 $200 $36
Skin tag removal $363 $518 $399 $92
Sleep study (polysomnography) $5,966 $8,524 $4,471 $691
Small bowel resection $1,626 $1,136
Soft tissue ultrasound $643 $918 $568 $64
Speech therapy $238 $340 $208 $76
Spinal cord stimulator $8,573 $12,247 $7,838 $2,388
Spinal tap (lumbar puncture) $974 $1,391 $871 $165
Spine fracture repair (kyphoplasty) $10,124 $14,463 $9,263 $5,803
Spleen removal (splenectomy) $8,413 $1,036
Stomach removal (gastrectomy) $1,918 $1,595
Strabismus (eye muscle) surgery $3,790 $475
Strep throat test $67 $95 $57 $17
Stress echocardiogram $1,115 $1,593 $926 $209
Swallow study $237 $339 $207 $85
T3 thyroid test $30 $43 $34 $14
Tdap (tetanus) vaccine $81 $116 $90
Testicle removal (orchiectomy) $3,466 $306
Testosterone test $189 $270 $89 $26
Thyroid removal (thyroidectomy) $5,945 $1,004
Thyroid test (TSH) $326 $466 $275 $17
Thyroid ultrasound $834 $1,192 $738 $109
Thyroid uptake scan $1,121 $1,601 $803 $145
Tilt table test $1,182 $1,688 $751 $168
Tonsillectomy $3,391 $252
Total IgE allergy test $67 $95 $47 $16
Total protein test $22 $32 $20 $4
Tracheostomy $2,396 $3,423 $2,831 $273
Transesophageal echocardiogram (TEE) $2,209 $3,155 $1,675 $239
Transvaginal ultrasound $823 $1,175 $728 $118
Trigger finger release $1,608 $630
Trigger point injection $445 $635 $420 $56
Triglycerides test $130 $185 $109 $6
Troponin (heart) test $107 $153 $99 $12
Tubal ligation $5,863 $333
Turbinate reduction $3,259 $294
Turning a breech baby (version) $2,594 $3,705 $3,038 $94
Ulnar nerve surgery (elbow) $3,000 $575
Upper GI endoscopy (EGD) $2,153 $3,076 $2,083 $371
Upper GI series (barium) $791 $1,130 $515 $128
Ureteral stent placement $5,195 $7,421 $4,612 $373
Ureteroscopy (stone removal) $8,176 $11,680 $7,312 $365
Uric acid (gout) test $134 $191 $113 $5
Urinalysis $47 $67 $39 $3
Urine microalbumin test $143 $204 $40 $5
Urine pregnancy test $109 $156 $92 $9
UV light therapy (skin) $60 $106
Vaccine administration $87 $124 $83 $19
Vaginal delivery $6,705 $5,487
Varicocele repair $3,466 $327
Varicose vein ablation $5,545 $7,922 $4,114 $1,018
Vasectomy $2,059 $347
Visual field test $162 $64
Vitamin B12 test $197 $281 $52 $15
Vitamin D test $160 $228 $117 $30
Vitrectomy (eye) $4,669 $814
Vocal cord injection $3,705 $211
Wart removal $279 $398 $322 $121
Weight-loss (bariatric) surgery $25,019 $11,645
Well-child visit $104
Whipple procedure (pancreas) $3,015 $2,871
Wound debridement $1,133 $1,619 $1,131 $186
Wrist fracture repair $7,179 $735
X-ray of the abdomen $401 $573 $244 $36
X-ray of the ankle $305 $435 $185 $37
X-ray of the collarbone $308 $440 $187 $33
X-ray of the elbow $311 $444 $189 $33
X-ray of the facial bones $277 $396 $172 $39
X-ray of the foot $323 $461 $196 $34
X-ray of the forearm $254 $363 $155 $29
X-ray of the hand $404 $577 $246 $38
X-ray of the hip $468 $669 $269 $49
X-ray of the knee $323 $461 $222 $42
X-ray of the lower back (lumbar spine) $495 $707 $332 $47
X-ray of the lower leg $254 $363 $155 $31
X-ray of the mid-back (thoracic spine) $382 $545 $233 $36
X-ray of the neck (cervical spine) $509 $727 $338 $47
X-ray of the pelvis $344 $492 $206 $36
X-ray of the ribs $401 $573 $244 $42
X-ray of the shoulder $254 $363 $155 $36
X-ray of the skull $445 $635 $296 $40
X-ray of the upper arm $254 $363 $155 $32
X-ray of the wrist $311 $444 $189 $43
YAG laser capsulotomy (eye) $1,473 $335
Zinc blood test $120 $172 $101 $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.