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 Medicare 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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20 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $744.80 | $744.80 – $744.80 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $744.80 | $744.80 – $744.80 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $744.80 | $744.80 – $744.80 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 2 | $744.80 | $744.80 – $744.80 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 14 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 15 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 16 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 17 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 18 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 19 | ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
| 20 | St Francis Hospital Colorado Springs, CO fee schedule · outpatient | 1 | $744.80 | $744.80 – $744.80 |
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