HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's
2001 N High Street, Denver, CO · HCA HealthONE · · NPI 1720038946
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $308.07 – $321.04 | 2 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $613.57 – $639.40 | 2 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $966.42 – $1,007.11 | 2 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $840.00 | $840.00 | $209.78 – $209.78 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $4,980.71 – $5,190.42 | 2 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $448.26 – $467.13 | 2 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $2,494.78 – $2,599.82 | 2 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $1,082.63 – $1,128.21 | 2 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $846.63 – $882.28 | 2 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $4,810.71 – $5,013.27 | 2 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $4,980.71 – $5,190.42 | 2 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $4,980.71 – $5,190.42 | 2 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,815.84 – $1,892.30 | 2 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $4,954.20 – $5,162.80 | 2 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $2,494.78 – $2,599.82 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $2,346.68 – $2,445.49 | 2 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $846.63 – $882.28 | 2 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.60 – $2.23 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $46.50 | $46.50 | $11.85 – $11.85 | 2 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $209.78 – $209.78 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $209.78 – $209.78 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $209.78 – $209.78 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $13.25 – $16.37 | 18 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $209.78 – $209.78 | 2 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $209.78 – $209.78 | 2 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $209.78 – $209.78 | 2 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $209.78 – $209.78 | 2 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $209.78 – $209.78 | 2 |
| Drug assay caffeine CPT 80155 | $1,254.50 | $1,254.50 | $24.57 – $93.73 | 21 |
| Drug assay posaconazole CPT 80187 | $407.75 | $407.75 | $17.27 – $65.88 | 21 |
| Drug assay rufinamide CPT 80210 | $229.00 | $229.00 | $17.27 – $65.88 | 21 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $24.57 – $93.73 | 21 |
| Drug assay voriconazole CPT 80285 | $407.75 | $407.75 | $17.27 – $65.88 | 21 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $11.88 – $45.30 | 21 |
| Drug of abuse screen urine CPT 80305 | $1,328.75 | $1,328.75 | $8.03 – $36.05 | 23 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $17.27 – $65.88 | 21 |
| Drug test def 15-21 classes HCPCS G0482 | $4,284.75 | $4,284.75 | $126.60 – $482.94 | 21 |
| Drug test def 1-7 classes HCPCS G0480 | $3,025.50 | $3,025.50 | $72.89 – $278.06 | 21 |
| Drug test def 22+ classes HCPCS G0483 | $5,041.00 | $5,041.00 | $157.29 – $600.02 | 21 |
| Drug test def 8-14 classes HCPCS G0481 | $3,781.00 | $3,781.00 | $99.74 – $380.51 | 21 |
| Drug test prsmv instrmnt CPT 80306 | $1,328.75 | $1,328.75 | $10.92 – $41.65 | 21 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $1,328.75 | $1,328.75 | $39.58 – $151.00 | 21 |
| Drvvt confirm - quest CPT 85597 | $822.00 | $822.00 | $11.46 – $43.69 | 21 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $5,949.43 – $6,199.93 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,971.00 – $3,096.10 | 2 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $613.57 – $639.40 | 2 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $613.57 – $639.40 | 2 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $966.42 – $1,007.11 | 2 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $966.42 – $1,007.11 | 2 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $894.43 – $932.09 | 2 |
| Ductogram sgl duct CPT 77053 | not published | not published | $41.24 – $694.14 | 6 |
| Duodenal motility study CPT 91022 | not published | not published | $824.75 – $859.48 | 2 |
| Duplex scan bilateral study 93985 CPT 93985 | $835.50 | $835.50 | $377.05 – $694.14 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | $402.00 | $402.00 | $169.18 – $317.72 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $7,842.75 | $7,842.75 | $169.18 – $317.72 | 3 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $240.36 – $832.49 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $3,272.00 | $3,272.00 | $377.05 – $694.14 | 3 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $209.78 – $209.78 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $22,536.50 | $22,536.50 | $118.68 – $142.35 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $35.45 – $317.72 | 6 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $240.36 – $250.48 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $2,611.68 – $2,721.65 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $2,611.68 – $2,721.65 | 2 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $2,611.68 – $2,721.65 | 2 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $613.10 – $638.92 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $1,394.86 – $1,453.59 | 2 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $1,394.86 – $1,453.59 | 2 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $482.98 – $503.32 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $240.36 – $250.48 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $628.32 – $654.78 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $2,611.68 – $2,721.65 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $380.30 – $396.32 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $482.98 – $503.32 | 2 |
| Ear and throat examination CPT 92502 | not published | not published | $846.63 – $882.28 | 2 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $2,346.68 – $2,445.49 | 2 |
| Ear cartilage graft CPT 21235 | not published | not published | $9,011.23 – $9,390.65 | 2 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $94.13 – $98.09 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $61.71 – $64.31 | 2 |
| Ecallantide injection HCPCS J1290 | $35,351.75 | $35,351.75 | $639.22 – $956.59 | 5 |
| Ecg 12 lead tracing only CPT 93005 | not published | not published | $94.13 – $98.09 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $602.75 | $602.75 | $94.13 – $98.09 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $148.95 – $155.22 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $465.50 | $465.50 | $196.56 – $204.84 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $465.50 | $465.50 | $94.13 – $98.09 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $61.71 – $64.31 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $61.71 – $64.31 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $5,914.25 | $5,914.25 | $848.89 – $884.63 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | not published | not published | $1,232.06 – $1,283.93 | 2 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $2,603.25 | $2,603.25 | $377.05 – $392.93 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $6,412.50 | $6,412.50 | $591.76 – $616.68 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $55.99 – $317.72 | 6 |
| Echo exam of eye CPT 76519 | not published | not published | $75.26 – $317.72 | 6 |
| Echo exam of eye CPT 76529 | not published | not published | $80.09 – $258.24 | 6 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $10.13 – $74.19 | 6 |
| Echo exam of fetal heart CPT 76825 | $1,318.50 | $1,318.50 | $195.54 – $1,495.56 | 6 |
| Echo exam of fetal heart CPT 76826 | $957.00 | $957.00 | $97.81 – $694.14 | 6 |
| Echo exam of fetal heart CPT 76827 | $1,318.50 | $1,318.50 | $67.94 – $317.72 | 6 |
| Echo exam of fetal heart CPT 76828 | $453.75 | $453.75 | $58.49 – $317.72 | 6 |
| Echo exam uterus 76831- CPT 76831 | $3,459.00 | $3,459.00 | $85.95 – $694.14 | 6 |
| Echograp trans r pros study CPT 76873 | $2,677.25 | $2,677.25 | $169.18 – $317.72 | 6 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.