| Procedure | Poudre Valley Hospital | Boulder Community Health | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $60 | $27 | $51 |
| Abdominal ultrasound | $720 | $850 | $100 |
| Abdominal ultrasound (complete) | $823 | $1,002 | $114 |
| Abdominal ultrasound (limited) | $617 | $845 | $86 |
| Abscess drainage (complex or multiple) | $886 | $367 | $220 |
| Abscess drainage (simple) | $463 | $348 | $129 |
| Abscess incision and drainage | $886 | $367 | $174 |
| Acupuncture | $37 | $143 | $38 |
| Acupuncture (each additional) | $32 | $143 | $28 |
| Albumin blood test | $67 | $28 | $5 |
| Aldosterone test | $40 | $111 | $41 |
| Alkaline phosphatase test | $22 | $28 | $5 |
| Alpha-fetoprotein (AFP) test | $79 | $26 | $17 |
| ALT liver enzyme test | $56 | $31 | $5 |
| Ammonia blood test | $162 | $191 | $15 |
| Amniocentesis | $982 | $501 | $120 |
| Amylase test | $241 | $61 | $6 |
| Anoscopy | $238 | $175 | $129 |
| Antinuclear antibody (ANA) test | $58 | $101 | $12 |
| Aortic valve replacement | $12,461 | $2,168 | $1,603 |
| Arterial blood gas (ABG) | $343 | $63 | $26 |
| AST liver enzyme test | $112 | $28 | $5 |
| Barium swallow study | $561 | $1,447 | $107 |
| Bartholin cyst removal | $631 | $112 | $182 |
| Basic metabolic panel | $183 | $72 | $8 |
| Benign skin lesion removal | $781 | $134 | $171 |
| Bilirubin blood test | $22 | $28 | $5 |
| Bladder function test (urodynamics) | $1,264 | $382 | $345 |
| Bladder scope (cystoscopy) | $1,462 | $1,127 | $216 |
| Blood clotting test (PT/INR) | $87 | $68 | $4 |
| Blood crossmatch | $186 | $122 | — |
| Blood glucose test | $133 | $28 | $5 |
| Blood transfusion | $805 | $2,390 | $47 |
| Blood type and screen | $124 | $158 | $10 |
| Blood type test | $58 | $35 | $3 |
| Blood type test (ABO group) | $67 | $44 | $3 |
| Blood type test (Rh/D antigen) | $31 | $30 | $3 |
| BNP (heart failure) test | $211 | $191 | $39 |
| Bone density scan (DEXA) | $608 | $503 | $39 |
| Bone marrow biopsy | $2,248 | $2,686 | $172 |
| Bone scan (nuclear) | $2,019 | $3,136 | $259 |
| Breast biopsy | $5,635 | $4,129 | $478 |
| Breast MRI | $953 | $1,647 | $216 |
| Breast MRI without contrast | $1,390 | $1,647 | $216 |
| Breast ultrasound (limited) | $454 | $143 | $84 |
| Breathing tube insertion (intubation) | $860 | $493 | $133 |
| Burn dressing and debridement (medium) | $363 | $285 | $166 |
| Burn dressing and debridement (small) | $321 | $238 | $93 |
| Burn treatment | $363 | $265 | $129 |
| C-reactive protein (CRP) | $203 | $56 | $5 |
| CA 19-9 tumor marker test | $70 | $33 | $21 |
| CA-125 ovarian marker test | $225 | $115 | $21 |
| Calcium blood test | $53 | $28 | $5 |
| Cardiac ablation | $54,218 | $54,177 | $759 |
| Cardiac catheterization | $12,153 | $26,337 | $1,049 |
| Cardiac MRI | $1,712 | $2,543 | $322 |
| Cardiac MRI without contrast | $1,353 | $2,543 | $280 |
| Cardiac rehabilitation | $339 | $649 | $26 |
| Cardiac stress test | $702 | $1,085 | $39 |
| Cardioversion | $988 | $2,348 | $155 |
| Carotid artery ultrasound | $826 | $947 | $156 |
| CEA tumor marker test | $366 | $187 | $19 |
| Celiac disease test | $52 | $70 | $12 |
| Central line placement | $3,562 | $1,026 | $238 |
| Chemotherapy infusion | $530 | $396 | $81 |
| Chemotherapy infusion (each additional) | $221 | $161 | $28 |
| Chemotherapy infusion (first hour) | $839 | $632 | $133 |
| Chest tube insertion | $1,877 | $2,976 | $143 |
| Chest X-ray | $423 | $681 | $37 |
| Chest X-ray (1 view) | $379 | $600 | $25 |
| Chest X-ray (2 views) | $404 | $681 | $33 |
| Chickenpox (varicella) vaccine | $396 | $193 | — |
| CK-MB heart enzyme test | $128 | $87 | $12 |
| Clotting time test (PTT) | $27 | $31 | $6 |
| Colonoscopy | $3,347 | $1,002 | $480 |
| Colposcopy | $594 | $132 | $161 |
| Complete blood count (CBC) | $153 | $81 | $7 |
| Complete blood count (CBC) (complete) | $199 | $87 | $8 |
| Complex wound repair | $1,410 | $842 | $390 |
| Comprehensive metabolic panel | $230 | $64 | $11 |
| Contraceptive implant (Nexplanon) | $295 | $67 | $115 |
| Copper blood test | $163 | $92 | $12 |
| Coronary CT angiography | $1,420 | $2,102 | $326 |
| Cortisol test | $250 | $105 | $16 |
| COVID-19 PCR test | $70 | $53 | $51 |
| Creatine kinase (CK) test | $130 | $45 | $7 |
| CT angiography of the chest | $3,142 | $2,102 | $281 |
| CT angiography of the head | $2,151 | $2,102 | $274 |
| CT scan of the abdomen | $1,853 | $2,102 | $230 |
| CT scan of the abdomen and pelvis | $4,654 | $2,102 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $4,942 | $2,102 | $338 |
| CT scan of the abdomen and pelvis with contrast | $4,654 | $2,102 | $300 |
| CT scan of the abdomen and pelvis without contrast | $3,175 | $2,102 | $183 |
| CT scan of the abdomen with and without contrast | $2,221 | $2,102 | $259 |
| CT scan of the abdomen with contrast | $1,853 | $2,102 | $230 |
| CT scan of the abdomen without contrast | $1,600 | $2,102 | $136 |
| CT scan of the arm | $1,644 | $2,102 | $199 |
| CT scan of the arm with contrast | $1,644 | $2,102 | $199 |
| CT scan of the arm without contrast | $1,431 | $2,102 | $161 |
| CT scan of the chest | $2,153 | $2,023 | $167 |
| CT scan of the chest with contrast | $2,153 | $2,102 | $167 |
| CT scan of the chest without contrast | $1,229 | $1,945 | $133 |
| CT scan of the head | $2,129 | $2,102 | $148 |
| CT scan of the head with and without contrast | $2,686 | $2,102 | $173 |
| CT scan of the head with contrast | $2,283 | $2,102 | $148 |
| CT scan of the head without contrast | $1,975 | $1,945 | $107 |
| CT scan of the leg | $1,653 | $2,102 | $166 |
| CT scan of the leg with contrast | $1,653 | $2,102 | $166 |
| CT scan of the leg without contrast | $1,226 | $2,102 | $130 |
| CT scan of the lower back (lumbar spine) | $1,709 | $2,102 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,050 | $2,102 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $1,709 | $2,102 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,580 | $2,102 | $130 |
| CT scan of the neck | $1,644 | $2,102 | $183 |
| CT scan of the neck (cervical spine) | $2,333 | $2,102 | $168 |
| CT scan of the neck (cervical spine) with and without contrast | $2,615 | $2,102 | $196 |
| CT scan of the neck (cervical spine) with contrast | $2,333 | $2,102 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,747 | $2,102 | $131 |
| CT scan of the neck with and without contrast | $1,941 | $2,102 | $220 |
| CT scan of the neck with contrast | $1,644 | $2,102 | $183 |
| CT scan of the neck without contrast | $1,580 | $2,102 | $150 |
| CT scan of the pelvis | $1,691 | $2,102 | $226 |
| CT scan of the pelvis with and without contrast | $1,896 | $2,102 | $251 |
| CT scan of the pelvis with contrast | $1,691 | $2,102 | $226 |
| CT scan of the pelvis without contrast | $1,665 | $2,102 | $133 |
| CT scan of the sinuses | $1,733 | $2,102 | $152 |
| CT scan of the sinuses with and without contrast | $2,178 | $1,945 | $184 |
| CT scan of the sinuses with contrast | $1,733 | $2,102 | $152 |
| CT scan of the sinuses without contrast | $1,225 | $2,102 | $128 |
| D-dimer test | $145 | $432 | $10 |
| Defibrillator (ICD) implant | $48,924 | $19,817 | $798 |
| DHEA-sulfate test | $115 | $36 | $22 |
| Diagnostic mammogram | $450 | $271 | $140 |
| Drug screen (urine) | $186 | $87 | $17 |
| Echocardiogram | $912 | $2,048 | $138 |
| Echocardiogram with and without contrast | $721 | $2,048 | $101 |
| EEG (awake and asleep) | $1,992 | $916 | $482 |
| EKG / ECG (tracing only) | $234 | $393 | $7 |
| Electrocardiogram (EKG) | $234 | $201 | $8 |
| Electroencephalogram (EEG) | $1,976 | $884 | $448 |
| Electrolyte panel | $167 | $75 | $7 |
| Electromyography (EMG) | $329 | $80 | $141 |
| Emergency department visit | $883 | $193 | $69 |
| Emergency department visit (level 1) | $299 | $117 | $11 |
| Emergency department visit (level 2) | $516 | $454 | $40 |
| Emergency department visit (level 3) | $883 | $162 | $69 |
| Emergency department visit (level 4) | $1,273 | $1,504 | $118 |
| Emergency department visit (level 5) | $2,487 | $2,699 | $171 |
| Estradiol (estrogen) test | $260 | $144 | $28 |
| Facet joint injection (spine) | $2,106 | $172 | $99 |
| Fallopian tube X-ray (HSG) | $1,495 | $709 | $164 |
| Family therapy session | $431 | $402 | $110 |
| Fecal occult blood (stool) test | $21 | $39 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $21 | $37 | $4 |
| Ferritin (iron) test | $201 | $82 | $14 |
| Fibrinogen test | $246 | $17 | $10 |
| Flu test | $57 | $94 | $17 |
| Folate (folic acid) test | $341 | $149 | $15 |
| Foreign body removal (skin) | $614 | $572 | $157 |
| Free T4 thyroid test | $209 | $133 | $9 |
| FSH hormone test | $131 | $133 | $19 |
| Gallbladder scan (HIDA) | $2,331 | $2,937 | $334 |
| GGT liver test | $67 | $52 | $7 |
| Glucose tolerance test | $145 | $81 | $8 |
| Group therapy session | $291 | $727 | $30 |
| H. pylori test | $218 | $156 | $67 |
| HDL cholesterol test | $199 | $68 | $8 |
| Hematocrit test | $108 | $44 | $2 |
| Hemoglobin A1c (diabetes test) | $203 | $129 | $10 |
| Hemorrhoid removal | $1,987 | $270 | $338 |
| Hepatitis A vaccine | $148 | $147 | — |
| Hepatitis B test | $99 | $96 | $10 |
| Hepatitis B vaccine | $99 | $58 | — |
| Hepatitis C test | $60 | $183 | $14 |
| HIV test | $33 | $79 | $19 |
| HIV test (antibody) | $33 | $133 | $14 |
| Holter heart monitor | $516 | $858 | $26 |
| Iron blood test | $210 | $117 | $6 |
| IUD insertion | $852 | $75 | — |
| IUD removal | $363 | $65 | $112 |
| IV infusion therapy | $301 | $527 | $44 |
| IV infusion therapy (each additional) | $161 | $223 | $21 |
| IV infusion therapy (initial) | $442 | $831 | $67 |
| IVC filter placement | $23,017 | $12,735 | $1,885 |
| Joint aspiration (small/intermediate) | $537 | $256 | $57 |
| Joint aspiration or injection (mid-size joint) | $532 | $349 | $57 |
| Joint aspiration or injection (small joint) | $543 | $255 | $56 |
| Kidney biopsy | $2,348 | $5,187 | $492 |
| Kidney scan (nuclear) | $2,368 | $3,172 | $172 |
| Kidney ultrasound | $658 | $676 | $84 |
| Kidney ultrasound (limited) | $620 | $673 | $61 |
| Knee joint injection | $620 | $265 | $69 |
| Lactate test | $15 | $147 | $12 |
| Laryngoscopy | $1,518 | $301 | $189 |
| LDH test | $46 | $28 | $6 |
| LDL cholesterol test | $109 | $58 | $11 |
| Leg artery angiogram | $3,686 | $5,096 | $149 |
| Leg artery angioplasty | $16,090 | $3,296 | — |
| Leg vein ultrasound (Doppler) | $1,529 | $157 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,397 | $123 | $116 |
| LH hormone test | $190 | $133 | $19 |
| Lipase test | $148 | $77 | $7 |
| Lipid (cholesterol) panel | $196 | $32 | $13 |
| Liver biopsy | $3,434 | $2,289 | $288 |
| Liver function panel | $190 | $83 | $8 |
| Lung function test (PFT) | $474 | $180 | $37 |
| Lung scan (V/Q) | $2,806 | $3,981 | $291 |
| Magnesium blood test | $149 | $99 | $7 |
| MMR vaccine | $186 | $116 | — |
| MRA of the brain | $3,249 | $2,543 | $226 |
| MRA of the brain without contrast | $3,492 | $2,543 | $328 |
| MRA of the neck | $3,492 | $2,543 | $245 |
| MRA of the neck with contrast | $3,492 | $2,543 | $245 |
| MRA of the neck without contrast | $4,029 | $2,543 | $343 |
| MRI of the abdomen | $2,774 | $2,543 | $300 |
| MRI of the abdomen with contrast | $2,774 | $2,543 | $300 |
| MRI of the abdomen without contrast | $2,155 | $2,543 | $194 |
| MRI of the ankle | $2,496 | $2,543 | $261 |
| MRI of the ankle with contrast | $2,496 | $2,543 | $261 |
| MRI of the ankle without contrast | $1,607 | $2,543 | $222 |
| MRI of the brain | $2,597 | $2,543 | $269 |
| MRI of the brain with contrast | $2,597 | $2,543 | $269 |
| MRI of the brain without contrast | $2,169 | $2,543 | $195 |
| MRI of the chest | $2,794 | $2,543 | $371 |
| MRI of the chest without contrast | $3,291 | $2,543 | $466 |
| MRI of the knee | $1,924 | $2,543 | $315 |
| MRI of the knee with contrast | $1,924 | $2,543 | $315 |
| MRI of the knee without contrast | $1,841 | $2,543 | $204 |
| MRI of the lower back (lumbar spine) | $2,741 | $2,543 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $2,741 | $2,543 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,157 | $2,543 | $192 |
| MRI of the mid-back (thoracic spine) | $2,741 | $2,543 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $2,878 | $2,543 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $2,741 | $2,543 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,232 | $2,543 | $190 |
| MRI of the neck (cervical spine) | $2,741 | $2,543 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $2,878 | $2,543 | $318 |
| MRI of the neck (cervical spine) with contrast | $2,741 | $2,543 | $274 |
| MRI of the neck (cervical spine) without contrast | $2,110 | $2,543 | $191 |
| MRI of the pelvis | $2,869 | $2,543 | $268 |
| MRI of the pelvis with contrast | $2,869 | $2,543 | $268 |
| MRI of the pelvis without contrast | $2,440 | $2,543 | $227 |
| MRI of the shoulder | $2,353 | $2,543 | $313 |
| MRI of the shoulder with contrast | $2,353 | $2,543 | $313 |
| MRI of the shoulder without contrast | $1,837 | $2,543 | $205 |
| MRI of the wrist | $1,677 | $2,543 | $330 |
| MRI of the wrist with contrast | $1,677 | $2,543 | $330 |
| MRI of the wrist without contrast | $1,568 | $2,543 | $303 |
| Nebulizer breathing treatment | $153 | $145 | $9 |
| Nerve conduction study | $383 | $103 | $118 |
| Nuchal translucency ultrasound | $762 | $792 | $116 |
| Nuclear cardiac stress test | $5,352 | $8,194 | $428 |
| Occupational therapy evaluation | $263 | $491 | $101 |
| Occupational therapy evaluation (high complexity) | $271 | $491 | $101 |
| Occupational therapy evaluation (low complexity) | $257 | $491 | $101 |
| Occupational therapy evaluation (moderate complexity) | $263 | $491 | $101 |
| Pap smear (cervical screening) | $115 | $58 | $20 |
| Parathyroid hormone (PTH) test | $77 | $87 | $41 |
| Pelvic ultrasound (limited) | $529 | $519 | $51 |
| Phosphorus blood test | $134 | $28 | $5 |
| Physical therapy evaluation | $263 | $491 | $98 |
| Physical therapy evaluation (high complexity) | $271 | $491 | $98 |
| Physical therapy evaluation (moderate complexity) | $263 | $491 | $98 |
| Pilonidal cyst removal | $3,945 | $318 | $541 |
| Platelet count | $70 | $68 | $4 |
| Pneumonia vaccine | $236 | $286 | — |
| Pregnancy blood test (hCG) | $116 | $97 | $8 |
| Pregnancy ultrasound | $823 | $579 | $126 |
| Pregnancy ultrasound (first trimester) | $823 | $419 | $117 |
| Pregnancy ultrasound (second or third trimester) | $823 | $579 | $136 |
| Procalcitonin test | $152 | $157 | $27 |
| Prolactin test | $244 | $167 | $19 |
| Prostate biopsy | $2,951 | $1,406 | — |
| Prostate test (PSA) | $177 | $26 | $18 |
| Psychiatric evaluation | $331 | $643 | $188 |
| Psychotherapy session | $393 | $459 | $140 |
| Pulmonary rehabilitation | $230 | $505 | $87 |
| Scoliosis spine X-ray | $219 | $662 | $58 |
| Scoliosis spine X-ray (1 view) | $204 | $168 | $44 |
| Scoliosis spine X-ray (3 views) | $233 | $1,156 | $72 |
| Screening mammogram | $295 | $251 | $126 |
| Scrotal ultrasound | $823 | $1,604 | $99 |
| Sedimentation rate (ESR) test | $134 | $56 | $3 |
| Semen analysis | $126 | $117 | $12 |
| Sex hormone binding globulin test | $118 | $69 | $22 |
| Simple laceration repair (small, up to 2.5 cm) | $334 | $44 | $114 |
| Simple wound stitches | $334 | $220 | $127 |
| Skin biopsy | $529 | $1,117 | $121 |
| Skin biopsy (punch) | $529 | $1,112 | $121 |
| Skin cancer lesion removal | $919 | $162 | $240 |
| Skin graft | $4,813 | $2,316 | $898 |
| Skin lesion freezing (cryotherapy) | $200 | $29 | $36 |
| Skin tag removal | $363 | $78 | $92 |
| Sleep study (polysomnography) | $5,966 | $3,885 | $691 |
| Speech therapy | $238 | $507 | $76 |
| Spinal tap (lumbar puncture) | $974 | $733 | $165 |
| Spine fracture repair (kyphoplasty) | $10,124 | $25,076 | $5,803 |
| Spirometry (lung function test) | $259 | $178 | $30 |
| Spirometry with bronchodilator | $690 | $437 | $43 |
| Strep throat test | $67 | $52 | $17 |
| Stress echocardiogram | $1,115 | $1,085 | $209 |
| Swallow study | $237 | $496 | $85 |
| T3 thyroid test | $30 | $87 | $14 |
| Tdap (tetanus) vaccine | $81 | $79 | — |
| Testosterone test | $189 | $26 | $26 |
| Thyroid test (TSH) | $326 | $49 | $17 |
| Thyroid ultrasound | $834 | $759 | $109 |
| Thyroid uptake scan | $1,121 | $2,066 | $145 |
| Tilt table test | $1,182 | $2,303 | $168 |
| Total IgE allergy test | $67 | $89 | $16 |
| Total protein test | $22 | $28 | $4 |
| Tracheostomy | $2,396 | $297 | $273 |
| Transesophageal echocardiogram (TEE) | $2,209 | $4,810 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $2,538 | $4,810 | $239 |
| Transvaginal ultrasound | $823 | $762 | $118 |
| Trigger point injection | $445 | $702 | $56 |
| Trigger point injection (1-2 muscles) | $416 | $353 | $52 |
| Triglycerides test | $130 | $23 | $6 |
| Troponin (heart) test | $107 | $55 | $12 |
| Upper GI series (barium) | $791 | $1,609 | $128 |
| Uric acid (gout) test | $134 | $85 | $5 |
| Urinalysis | $47 | $74 | $3 |
| Urine microalbumin test | $143 | $84 | $5 |
| Urine pregnancy test | $109 | $12 | $9 |
| Vaccine administration | $87 | $114 | $19 |
| Vaccine administration (each additional) | $72 | $114 | $16 |
| Varicose vein ablation | $5,545 | $5,729 | $1,018 |
| Vitamin B12 test | $197 | $151 | $15 |
| Vitamin D test | $160 | $77 | $30 |
| Wart removal | $279 | $217 | $121 |
| Wound debridement | $1,133 | $654 | $186 |
| X-ray of the abdomen | $401 | $720 | $36 |
| X-ray of the ankle | $305 | $681 | $37 |
| X-ray of the collarbone | $308 | $643 | $33 |
| X-ray of the elbow | $311 | $720 | $33 |
| X-ray of the facial bones | $277 | $830 | $39 |
| X-ray of the foot | $323 | $681 | $34 |
| X-ray of the forearm | $254 | $643 | $29 |
| X-ray of the hand | $404 | $720 | $38 |
| X-ray of the hip | $468 | $720 | $49 |
| X-ray of the hip (1 view) | $308 | $600 | $34 |
| X-ray of the hip (3 views) | $468 | $720 | $49 |
| X-ray of the hip (4 views) | $599 | $977 | $63 |
| X-ray of the knee | $323 | $760 | $42 |
| X-ray of the knee (2 views) | $276 | $622 | $34 |
| X-ray of the knee (3 views) | $323 | $760 | $42 |
| X-ray of the knee (4+ views) | $404 | $879 | $49 |
| X-ray of the lower back (lumbar spine) | $495 | $1,152 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $375 | $879 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $614 | $1,425 | $53 |
| X-ray of the lower leg | $254 | $681 | $31 |
| X-ray of the mid-back (thoracic spine) | $382 | $838 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $362 | $798 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $401 | $879 | $39 |
| X-ray of the neck (cervical spine) | $509 | $1,046 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $404 | $798 | $40 |
| X-ray of the pelvis | $344 | $720 | $36 |
| X-ray of the pelvis (1 view) | $339 | $643 | $28 |
| X-ray of the ribs | $401 | $879 | $42 |
| X-ray of the ribs (2 views) | $351 | $923 | $36 |
| X-ray of the ribs (3 views) | $401 | $879 | $42 |
| X-ray of the shoulder | $254 | $741 | $36 |
| X-ray of the skull | $445 | $889 | $40 |
| X-ray of the upper arm | $254 | $643 | $32 |
| X-ray of the wrist | $311 | $700 | $43 |
| Zinc blood test | $120 | $111 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
