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 |
|---|---|---|---|---|
| Lower jaw bone graft CPT 21215 | not published | not published | $9,011.23 – $9,390.65 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $308.07 – $443.25 | 20 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $26.24 – $26.24 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $15,839.53 – $16,506.46 | 2 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $15,839.53 – $16,506.46 | 2 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $15,839.53 – $16,506.46 | 2 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $15,839.53 – $16,506.46 | 2 |
| Lso corset front HCPCS L0972 | not published | not published | $108.12 – $133.56 | 18 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $36.36 – $44.92 | 18 |
| Lso full corset HCPCS L0976 | not published | not published | $198.16 – $244.79 | 18 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $171.35 – $211.67 | 18 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,392.89 – $1,720.62 | 18 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $514.86 – $636.01 | 18 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $70.19 – $86.71 | 18 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $934.94 – $1,154.93 | 18 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,626.98 – $2,009.79 | 18 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $303.43 – $374.83 | 18 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $124.30 – $153.54 | 18 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,105.05 – $1,365.06 | 18 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,095.31 – $1,353.03 | 18 |
| L/s ratio fetal lung CPT 83661 | $5,708.50 | $5,708.50 | $14.00 – $53.44 | 21 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.93 – $2.38 | 18 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $62.13 – $76.75 | 18 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $75.84 – $93.68 | 18 |
| Lumbar diskogram s&i CPT 72295 | $4,814.75 | $4,814.75 | $100.16 – $5,343.10 | 6 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $76.20 – $94.13 | 18 |
| Lumbar sling HCPCS L1090 | not published | not published | $96.70 – $119.46 | 18 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $28,676.40 – $29,883.82 | 2 |
| Lumizyme injection HCPCS J0221 | not published | not published | $228.19 – $342.19 | 5 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $94.13 – $98.09 | 2 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $240.36 – $250.48 | 2 |
| Lung perfusion imaging CPT 78580 | $4,185.25 | $4,185.25 | $83.28 – $1,155.34 | 6 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $290.15 – $347.79 | 5 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $63,477.25 | $63,477.25 | $58.37 – $70.57 | 5 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $1,428.50 | $1,428.50 | $469.06 – $529.27 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $371.05 – $427.88 | 4 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $541.48 – $668.88 | 18 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $45.82 – $47.75 | 2 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $297.83 – $367.91 | 18 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $12.77 – $48.72 | 21 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $13,812.70 – $14,394.28 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $10,684.25 | $10,684.25 | $131.85 – $1,499.63 | 6 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $23.28 – $88.84 | 21 |
| Lymphocyte transformation mitogen CPT 86353 | $454.75 | $454.75 | $31.23 – $119.14 | 21 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $120.72 – $460.51 | 21 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $30.31 – $115.64 | 21 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $107.04 – $1,719.58 | 6 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $133.48 – $4,422.61 | 6 |
| Lymph vessel x-ray trunk CPT 75805 | $4,561.75 | $4,561.75 | $93.09 – $8,854.93 | 6 |
| Lymph vessel x-ray trunk CPT 75807 | $4,345.00 | $4,345.00 | $125.49 – $8,854.93 | 6 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $846.63 – $882.28 | 2 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $4,810.71 – $5,013.27 | 2 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $3,134.16 – $3,266.13 | 2 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $17.35 – $26.38 | 5 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $4.97 – $19.51 | 4 |
| Macroscopic exam arthropod CPT 87168 | $599.50 | $599.50 | $2.72 – $10.38 | 21 |
| Macroscopic exam parasite CPT 87169 | $619.50 | $619.50 | $2.74 – $10.47 | 21 |
| Magnesium CPT 83735 | not published | not published | $4.27 – $16.28 | 21 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.56 – $0.68 | 3 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $181.57 – $517.79 | 5 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $19.51 – $20.33 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $8.40 – $32.05 | 21 |
| Male sling procedure CPT 53440 | not published | not published | $19,752.79 – $20,584.49 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $2,473.10 – $2,577.23 | 2 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $2,473.10 – $2,577.23 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $749.50 | $749.50 | $196.56 – $204.84 | 2 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $3,145.50 | $3,145.50 | $196.56 – $204.84 | 2 |
| Manipulation of hip joint CPT 27275 | not published | not published | $2,473.10 – $2,577.23 | 2 |
| Manipulation of spine CPT 22505 | not published | not published | $2,473.10 – $2,577.23 | 2 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $362.87 – $378.15 | 2 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $312.25 | $312.25 | $2.56 – $2.56 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.95 – $1.95 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $79.70 – $98.46 | 18 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.23 – $12.32 | 21 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $68.67 – $88.69 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $2,069.10 – $2,069.10 | 2 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $96.02 – $118.62 | 18 |
| Mastectomy form HCPCS L8020 | not published | not published | $208.76 – $257.88 | 18 |
| Mastectomy partial CPT 19301 | not published | not published | $5,865.34 – $6,112.30 | 2 |
| Mast mod rad CPT 19307 | not published | not published | $10,034.38 – $10,456.88 | 2 |
| Mastoidectomy CPT 69501 | not published | not published | $9,011.23 – $9,390.65 | 2 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $9,011.23 – $9,390.65 | 2 |
| Mastoids complete CPT 70130 | $1,449.75 | $1,449.75 | $39.61 – $317.72 | 6 |
| Mastoid surgery revision CPT 69603 | not published | not published | $9,011.23 – $9,390.65 | 2 |
| Mastopexy CPT 19316 | not published | not published | $10,034.38 – $10,456.88 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $10,034.38 – $10,456.88 | 2 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $209.78 – $209.78 | 2 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $4,235.01 – $4,235.01 | 2 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $209.78 – $209.78 | 2 |
| M.avium-intra dna amp prob CPT 87561 | $798.50 | $798.50 | $22.35 – $85.27 | 21 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $17.39 – $66.31 | 21 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $27.29 – $104.10 | 21 |
| Maxillofacial fixation CPT 21100 | not published | not published | $9,011.23 – $9,390.65 | 2 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $1,957.25 | $1,957.25 | $9.21 – $35.14 | 21 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $9.76 – $37.23 | 21 |
| Mayo activated protein c resistance assay CPT 85307 | $1,326.75 | $1,326.75 | $9.76 – $37.23 | 21 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $2,424.25 | $2,424.25 | $24.57 – $93.73 | 21 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1,207.00 | $1,207.00 | $9.42 – $35.92 | 21 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $8.57 – $32.66 | 21 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $9.60 – $36.64 | 21 |
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.