Injection, Hydromorphone, Up To 4 Mg at Haxtun Hospital District

Haxtun, CO

Pricing by billing methodology

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Payers reporting CPT 64101 at Haxtun Hospital District

Negotiated rates from the hospital’s own file: 4 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Cigna commercial fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
2	Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
3	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
4	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$12	$12	—	—	—	$12 – $12

Last updated: Jul 16, 2026

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