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 |
|---|---|---|---|---|
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $14,451.75 | $14,451.75 | $14.50 – $21.03 | 5 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $246.39 – $672.72 | 5 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $20,251.81 – $21,104.51 | 2 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $266.72 – $266.72 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $242.65 – $242.65 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $277.81 – $277.81 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $156.42 – $156.42 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $108.03 – $108.03 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $170.75 | $170.75 | $61.12 – $61.12 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $218.96 – $218.96 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $279.25 | $279.25 | $129.84 – $129.84 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $329.88 – $329.88 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | $364.75 | $364.75 | $233.10 – $233.10 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $62.07 – $62.07 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $26.93 – $26.93 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $661.00 | $661.00 | $81.68 – $121.34 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $701.75 | $701.75 | $279.87 – $279.87 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $241.50 | $241.50 | $70.97 – $70.97 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $51.81 – $51.81 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $124.00 – $124.00 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $158.00 | $158.00 | $124.00 – $124.00 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $292.97 – $292.97 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $90.75 | $90.75 | $54.78 – $54.78 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,400.75 | $1,400.75 | $651.35 – $651.35 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $146.25 | $146.25 | $186.83 – $186.83 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $244.75 | $244.75 | $161.96 – $161.96 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $161.96 – $161.96 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $36.42 – $36.42 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $64.25 | $64.25 | $38.31 – $38.31 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $81.68 – $81.68 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $18.20 – $18.20 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,106.50 | $1,106.50 | $497.34 – $497.34 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $855.75 | $855.75 | $447.05 – $447.05 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $493.75 | $493.75 | $350.43 – $350.43 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $1,969.75 | $1,969.75 | $349.64 – $349.64 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $958.75 | $958.75 | $193.28 – $193.28 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $214.29 – $571.56 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $910.75 | $910.75 | $220.23 – $220.23 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $1,419.00 | $1,419.00 | $425.45 – $425.45 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $960.75 | $960.75 | $444.36 – $444.36 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,014.25 | $1,014.25 | $516.29 – $516.29 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $803.00 | $803.00 | $94.41 – $94.41 | 2 |
| Vaccine rabies im CPT 90675 | $2,701.25 | $2,701.25 | $359.63 – $543.21 | 5 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $1,254.75 | $1,254.75 | $631.75 – $631.75 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,796.50 | $1,796.50 | $1,178.22 – $1,178.22 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,796.50 | $1,796.50 | $1,178.22 – $1,178.22 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $606.57 – $606.57 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $308.24 – $308.24 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $203.18 – $203.18 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $44.23 – $65.49 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $312.25 | $312.25 | $38.45 – $64.30 | 3 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $274.54 – $274.54 | 2 |
| Vaccine varicella live subcutaneous CPT 90716 | $1,251.50 | $1,251.50 | $380.14 – $380.14 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $507.54 – $507.54 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.02 – $0.02 | 4 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $51.90 – $64.11 | 18 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $496.37 – $613.17 | 18 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $194.83 – $240.67 | 18 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $4,428.73 – $5,470.78 | 18 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $7,653.65 – $7,975.91 | 2 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $7,653.65 – $7,975.91 | 2 |
| Vag hyst including t/o CPT 58262 | not published | not published | $7,653.65 – $7,975.91 | 2 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $11,627.68 – $12,117.26 | 2 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $7,653.65 – $7,975.91 | 2 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $7,653.65 – $7,975.91 | 2 |
| Vaginal bx CPT 58999 | not published | not published | $306.62 – $319.53 | 2 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $4,810.71 – $5,013.27 | 2 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $7,653.65 – $7,975.91 | 2 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $4,810.71 – $5,013.27 | 2 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,447.01 – $1,787.49 | 18 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.08 – $0.08 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $1,308.50 | $1,308.50 | $8.62 – $32.90 | 21 |
| Valrubicin injection HCPCS J9357 | not published | not published | $2,044.17 – $2,268.15 | 5 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $8,795.03 – $9,165.35 | 2 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $16,928.13 – $17,640.89 | 2 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $16,928.13 – $17,640.89 | 2 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.05 – $0.05 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | not published | not published | $0.17 – $0.17 | 2 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $2.21 – $2.21 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $8.62 – $32.90 | 21 |
| Vanomycin dna amp probe CPT 87500 | $561.25 | $561.25 | $22.35 – $85.27 | 21 |
| Vantas implant HCPCS J9225 | not published | not published | $7,770.72 – $8,694.87 | 4 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.77 – $0.96 | 18 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $8.20 – $31.30 | 21 |
| Varicella-zoster immue globin im CPT 90396 | $10,872.75 | $10,872.75 | $3,641.53 – $3,899.59 | 4 |
| Varus/valgus strap padded/li HCPCS L2270 | $1,366.00 | $1,366.00 | $57.60 – $71.15 | 18 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $26,982.31 – $28,118.41 | 2 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $4,980.71 – $5,190.42 | 2 |
| Vasectomy CPT 55250 | not published | not published | $3,134.16 – $3,266.13 | 2 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $0.87 – $3.17 | 5 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $57,680.75 | $57,680.75 | $23.95 – $36.78 | 5 |
| Veeg cont 2-12 hrs CPT 95713 | $1,824.50 | $1,824.50 | $824.75 – $859.48 | 2 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $3,414.50 | $3,414.50 | $1,608.83 – $1,676.57 | 2 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $951.00 | $951.00 | $482.98 – $503.32 | 2 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,824.50 | $1,824.50 | $824.75 – $859.48 | 2 |
| Veeg unmon 2-12 hrs CPT 95711 | $951.00 | $951.00 | $482.98 – $503.32 | 2 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $129.30 – $8,854.93 | 6 |
| Vein x-ray adrenal glands CPT 75842 | $18,495.50 | $18,495.50 | $8,456.01 – $8,812.05 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $79.97 – $1,719.58 | 6 |
| Vein x-ray kidney CPT 75831 | not published | not published | $122.79 – $8,854.93 | 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.