AdventHealth Littleton
7700 S Broadway, Littleton, CO · AdventHealth · · NPI 1689688988
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 |
|---|---|---|---|---|
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,274.23 | $1,274.23 | $201.80 – $1,296.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $2,433.73 | $2,433.73 | $265.75 – $1,296.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,019.23 | $1,019.23 | $128.48 – $1,083.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $983.92 | $983.92 | $127.23 – $1,083.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,030.82 | $1,030.82 | $162.36 – $1,083.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,472.62 | $1,472.62 | $207.41 – $1,296.00 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $2,669.73 | $2,669.73 | $207.41 – $1,296.00 | 9 |
| Ghs sleep study unattended CPT 95800 | $781.36 | $781.36 | $165.83 – $421.38 | 5 |
| Ghs somatosensory testing lower extremit CPT 95926 | $4,793.62 | $4,793.62 | $210.60 – $421.38 | 5 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,252.59 | $1,252.59 | $604.78 – $1,675.86 | 5 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $48.61 – $91.76 | 5 |
| Ghs sphenopalatine ganglion block CPT 64505 | $3,119.74 | $3,119.74 | $188.73 – $1,083.00 | 9 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $7.86 – $259.65 | 5 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $445.82 | $445.82 | $104.27 – $196.84 | 5 |
| Ghs st - eval for alt comm CPT 92567 | $354.97 | $354.97 | $19.04 – $72.89 | 5 |
| Ghs strapping shoulder - 29240 CPT 29240 | $315.27 | $315.27 | $31.44 – $3,281.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $245.06 | $245.06 | $71.90 – $135.73 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $29.53 – $91.38 | 5 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $219.89 – $415.10 | 5 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $3,602.71 | $3,602.71 | $339.17 – $1,442.33 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,087.35 | $1,087.35 | $252.50 – $1,083.00 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,700.53 | $1,700.53 | $555.36 – $3,027.97 | 9 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.15 – $13.50 | 8 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $2,030.33 | $2,030.33 | $197.00 – $3,281.00 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $5,693.96 | $5,693.96 | $197.00 – $1,296.00 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.81 – $44.96 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $228.11 | $228.11 | $14.42 – $27.21 | 8 |
| Ghs vaginal delivery only CPT 59409 | $11,509.31 | $11,509.31 | $618.00 – $6,317.36 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,476.45 | $2,476.45 | $385.77 – $728.23 | 5 |
| Ghs windowing of cast CPT 29730 | not published | not published | $78.74 – $3,281.00 | 9 |
| Giardia ag if CPT 87269 | not published | not published | $13.34 – $25.18 | 8 |
| Giardia lamblia antibody CPT 86674 | $227.23 | $227.23 | $14.43 – $27.23 | 8 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $71.28 – $465.64 | 5 |
| Gi inhouse confirmation CPT 87045 | $479.87 | $479.87 | $9.25 – $17.46 | 8 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $559.37 – $6,470.23 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $26.55 – $780.17 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $937.63 – $1,770.01 | 5 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $961.38 – $1,814.84 | 5 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $937.63 – $1,770.01 | 5 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $937.63 – $1,770.01 | 5 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $99.10 – $187.07 | 8 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $60.29 – $113.81 | 8 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $34.30 – $64.75 | 8 |
| Glassia injection HCPCS J0257 | not published | not published | $1.02 – $10.43 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $29.90 – $56.45 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $38.61 – $72.89 | 5 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,064.00 – $8,066.52 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,064.00 – $8,066.52 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $777.00 – $4,503.80 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,064.00 – $4,503.80 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | $161.94 | $161.94 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $178.80 – $337.53 | 8 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $146.01 – $275.63 | 8 |
| Glucagon plasma - sendout CPT 82943 | $267.47 | $267.47 | $14.00 – $26.44 | 8 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $45.15 – $85.23 | 8 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $49.49 – $93.43 | 8 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.41 – $32.87 | 8 |
| Glucose 1 hr post dose CPT 82950 | $115.38 | $115.38 | $4.66 – $8.79 | 8 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.93 – $11.19 | 8 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.21 – $6.07 | 8 |
| Glucose blood quantitative CPT 82947 | $174.38 | $174.38 | $3.85 – $7.27 | 8 |
| Glucose body fluid CPT 82945 | $155.38 | $155.38 | $3.85 – $7.27 | 8 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $60.99 – $115.13 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $137.30 | $137.30 | $12.61 – $23.81 | 8 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $137.30 | $137.30 | $3.84 – $7.25 | 8 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $183.81 | $183.81 | $0.54 – $0.95 | 7 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $0.02 – $0.02 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $2,060.72 | $2,060.72 | $10.82 – $20.42 | 8 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $297.70 | $297.70 | $18.21 – $34.37 | 8 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $145.44 – $274.56 | 8 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $296.59 | $296.59 | $18.15 – $34.26 | 8 |
| Gonioscopy CPT 92020 | not published | not published | $35.79 – $259.65 | 5 |
| Goniotomy CPT 65820 | not published | not published | $618.00 – $8,066.52 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $718.99 – $1,357.28 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $189.67 | $189.67 | $32.08 – $242.86 | 8 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $128.65 – $2,165.25 | 8 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $989.87 | $989.87 | $67.22 – $242.86 | 8 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $905.00 – $6,385.42 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $125.10 | $125.10 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $7,318.08 | $7,318.08 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $205.29 | $205.29 | $69.10 – $242.86 | 8 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,057.31 | $1,057.31 | $111.43 – $242.86 | 8 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,843.00 – $7,367.00 | 8 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $438.83 | $438.83 | $128.65 – $242.86 | 8 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $188.50 | $188.50 | $54.72 – $242.86 | 8 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $254.18 | $254.18 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $821.11 | $821.11 | $39.63 – $242.86 | 8 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $4.82 – $5.61 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.32 – $0.49 | 6 |
| Granulocyte pheresis ea unit HCPCS P9050 | $16,112.99 | $16,112.99 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $1,064.00 – $14,160.76 | 9 |
| Great toe with reduction 28495 CPT 28495 | $1,241.93 | $1,241.93 | $197.00 – $1,083.00 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $777.00 – $4,026.56 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $926.04 – $6,915.70 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $262.05 – $4,012.00 | 8 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $863.56 – $6,915.70 | 9 |
| Ground mileage HCPCS A0425 | $65.66 | $65.66 | not published | 0 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $20.17 – $73.12 | 5 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.37 – $23.35 | 5 |
| Group train without patient HCPCS G0543 | not published | not published | $18.94 – $56.45 | 5 |
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.