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
HB OT-CSTM-HFO-NO JT STATC-LBR/SPLY
Longmont, CO
Negotiated rates from the hospital’s own file: 10 payers, 22 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 | Anthem commercial percent of total billed charges · inpatientfrom % of charges | $227 | $227 | $25 | 11% | — | $202 – $253 |
| 2 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $226 | $234 | $50 | 21% | — | $159 – $342 |
| 3 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $264 | $264 | $30 | 11% | — | $234 – $293 |
| 4 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $270 | $275 | $58 | 21% | — | $201 – $361 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $288 | $288 | $32 | 11% | — | $255 – $320 |
| 6 | Aetna medicare advantage fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 7 | Anthem medicare advantage fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 8 | Cigna medicare advantage fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 9 | Devoted medicare advantage fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 10 | Humana medicare advantage fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 11 | Kaiser medicare advantage fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 12 | UnitedHealthcare medicare advantage fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 13 | UnitedHealthcare select rates percent of total billed charges · outpatientfrom % of charges | $314 | $314 | $35 | 11% | — | $279 – $350 |
| 14 | Cigna colorado rockies percent of total billed charges · outpatientfrom % of charges | $355 | $355 | $40 | 11% | — | $315 – $395 |
| 15 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $366 | $366 | $41 | 11% | — | $325 – $407 |
| 16 | UnitedHealthcare broad networks percent of total billed charges · outpatientfrom % of charges | $379 | $379 | $42 | 11% | — | $336 – $421 |
| 17 | Cigna local plus/surefit/connect percent of total billed charges · outpatientfrom % of charges | $413 | $413 | $46 | 11% | — | $367 – $459 |
| 18 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $421 | $421 | $47 | 11% | — | $374 – $468 |
| 19 | Phcs commercial percent of total billed charges · outpatientfrom % of charges | $427 | $427 | $48 | 11% | — | $380 – $475 |
| 20 | Cigna broad networks percent of total billed charges · outpatientfrom % of charges | $433 | $433 | $48 | 11% | — | $384 – $481 |
| 21 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $550 | $550 | $61 | 11% | — | $488 – $611 |
| 22 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $550 | $550 | $61 | 11% | — | $488 – $611 |