Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
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The hospitals that file a Kaiser rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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130 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 3 | $1,343 | $775.20 – $1,859 |
| 2 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 10 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 11 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $760.00 | $760.00 – $760.00 |
| 12 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 13 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 14 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $1,102 | $1,102 – $1,102 |
| 15 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · case rate · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 16 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 17 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 18 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $836.00 | $836.00 – $836.00 |
| 19 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 20 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 21 | HCA HEALTHONE AURORA Aurora, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 22 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 23 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 24 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 25 | HCA HEALTHONE NORTHEAST ER THORNTON, CO fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
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