Children's Hospital Colorado

Our Most Common Outpatient Charges

At Children's Hospital Colorado, we are committed to consumer transparency and quality. It's important to us that patients and families have the information they need about the cost of care within our system. That's why we supported state legislation in 2017 requiring health facilities in Colorado to publicly post charges for the 50 most common inpatient charges and the 25 most common outpatient charges for patients who do not have insurance (also called "self-pay"). We are including the locations for these services as required by law.

I have health insurance. Will my charges be the same?

The information below applies to patients without health insurance (also called "self-pay"). The information does not apply to patients who have health insurance coverage through Medicaid, other government programs, an employer or the private insurance market. If a patient has health insurance, the amount the patient owes will depend on their plan and can include deductibles, co-payments and co-insurances.

If you have health insurance, you should call your health insurer to determine accurate information about your financial responsibility for a particular healthcare service provided at Children's Colorado. If you have questions about your bill, please contact our Patient Financial Services team at 720-777-6422.

Do these charges represent the total cost of care?

The charges below do not include physician or certain other health care providers' services at Children's Colorado. Patients may receive a separate bill for these services because when you see a doctor or specialist at Children's Colorado, you'll receive two bills: one from us and one from your provider or providers. This is because our doctors don't work directly for the hospital. Instead, they have privileges to practice at our hospital.

For more information, please read our billing guide for families.

Who should I call if I am uninsured and have questions?

If you are uninsured, please call us at 720-777-7001 to talk to a financial counselor at Children's Colorado. Our financial counselors are available Monday through Friday, from 8 a.m. to 4:30 p.m.

What if the condition that I need information about is not listed here?

If you are looking for information about a condition that is not listed here, please call us at 720-777-0720 to speak with a patient cost estimate specialist.

Most common outpatient charges by location

The following tables show our average self-pay rates for outpatient diagnostic tests and procedures for Current Procedural Terminology (CPT) Codes.

CPT Code Brief description of service Average self-pay rate
36415 Routine venipuncture (i.e., starting an IV or drawing blood) $26
36416 Capillary blood draw $26
80053 Comprehensive metabolic panel $116
81003 Urine test (urinalysis auto without scope) $42
81025 Urine pregnancy test $100
82306 Vitamin D 25 hydroxy $142
82728 Ferritin test $169
82784 Gammaglobulin IGM Test $169
84436 Thyroxine test $107
84443 Thyroid stimulating hormone (TSH) test $66
85025 Complete blood count test with automated differential white blood cell count $127
88305 Tissue exam by pathologist $1,855
90471 Immunization administered (initial) $41
90472 Immunization administered (each additional) $34
95004 Allergy skin tests $23
97110 Therapeutic exercises - physical therapy (PT) $108
97530 Therapeutic activities $63
97802 Medical nutrition therapy, initial evaluation $75
97803 Medical nutrition therapy or reassessment $75
99201 New patient office or outpatient visit, level 1 $137
99202 New patient office or outpatient visit, level 2 $203
99204 New patient office or outpatient visit, level 4 $475
99212 Existing patient office or outpatient visit, level 2 $149
99213 Existing patient office or outpatient visit, level 3 $238
99214 Existing patient office or outpatient visit, level 4 $356
99215 Existing patient office or outpatient visit, level 5 $461
CPT Code Brief description of service Average self-pay rate
36415 Routine venipuncture (i.e. Starting an IV or drawing blood) $26
36416 Capillary blood draw $26
71046 X-ray exam chest (2 views) $364
73080 X-ray exam of elbow $201
73090 X-ray exam of forearm $172
73100 X-ray wrist (2 views) $125
73110 X-ray exam of wrist $186
73140 X-ray exam of finger(s) $185
73590 X-ray exam of lower leg $185
73610 X-ray exam of ankle $210
73630 X-ray exam of foot $222
74018 X-ray exam abdomen (1 view) $217
76705 Echo exam of abdomen $664
76770 Ultrasound, abdominal $810
92555 Speech threshold audiometry hearing test $58
92567 Ear drum movement test (tympanometry) $47
93005 Electrocardiogram tracing $256
94640 Airway inhalation treatment $307
95004 Allergy skin tests $23
96361 Additional hour intravenous hydration $243
96374 First intravenous medication, push technique $505
96375 Additional intravenous medication, push technique $238
97110 Therapeutic exercises - physical therapy (PT) $108
97140 Manual therapy, one or more body parts $74
99201 New patient office or outpatient visit, level 1 $137
99202 New patient office or outpatient visit, level 2 $203
99212 Existing patient office or outpatient visit, level 2 $149
99213 Existing patient office or outpatient visit, level 3 $238
99214 Existing patient office or outpatient visit, level 4 $356
CPT Code Brief description of service Average self-pay rate
36415 Routine venipuncture (i.e., starting an IV or drawing blood) $26
36416 Capillary blood draw $26
71046 X-ray exam chest (2 views) $364
80053 Comprehensive metabolic panel $116
82728 Ferritin test $169
82784 IGA/IGD/IGG/IGM test $169
82785 IGE test $112
84443 Thyroid stimulating hormone (TSH) test $66
85025 Complete blood count test with automated differential white blood cell count $127
85652 Red blood cell sedimentation rate, automated $54
86003 Allergen specific IgE $36
86140 C-reactive protein $90
92004 New patient eye exam $134
92012 Existing patient eye exam $103
92014 Existing patient eye exam and treatment $124
92567 Ear drum movement test (Tympanometry) $47
93005 Electrocardiogram tracing $256
94640 Airway inhalation treatment $307
95004 Allergy skin tests $23
96375 Additional intravenous medication, push technique $238
97110 Therapeutic exercises - physical therapy (PT) $108
97802 Medical nutrition initial evaluation $75
97803 Medical nutrition therapy or reassessment $75
99201 New patient office or outpatient visit, level 1 $137
99202 New patient office or outpatient visit, level 2 $203
99212 Existing patient office or outpatient visit, level 2 $149
99213 Existing patient office or outpatient visit, level 3 $238
99214 Existing patient office or outpatient visit, level 4 $356
CPT Code Brief description of service Average self-pay rate
36415 Routine venipuncture (i.e., starting an IV or drawing blood) $26
36416 Capillary blood draw $26
71046 Chest X-ray exam (2 views) $364
73100 X-ray exam of wrist $125
73521 X-ray exam of hips (2 views) $186
73564 X-ray exam knee (4 or more images) $331
73610 X-ray exam of ankle $210
73630 X-ray exam of foot $222
74018 X-ray exam of abdomen (1 view) $217
76770 Ultrasound of abdomen/back $810
76885 Ultrasound of infant hips $659
77072 X-rays for bone age $167
92555 Speech threshold audiometry hearing test $58
92567 Ear drum movement hearing test (Tympanometry) $47
92579 Visual audiometry (VRA) hearing test $89
92582 Conditioning play audiometry hearing test $75
92587 Evoked auditory test (limited hearing test) $119
93005 Electrocardiogram tracing $256
94640 Airway inhalation treatment $307
95004 Allergy skin tests $23
96040 Genetic counseling (30 minutes) $141
96361 Additional hour intravenous (IV) hydration $243
99201 New patient office or outpatient visit, level 1 $137
99202 New patient office or outpatient visit, level 2 $203
99203 New patient office or outpatient visit, level 3 $220
99212 Existing patient office or outpatient visit, level 2 $149
99213 Existing patient office or outpatient visit, level 3 $238
99214 Existing patient office or outpatient visit, level 4 $356
CPT Code Brief description of service Average self-pay rate
36415 Routine venipuncture (i.e., starting an IV or drawing blood) $26
36416 Capillary blood draw $26
70551 MRI brain stem (without dye) $2,198
76000 Fluoroscopy $755
82728 Ferritin test $79
82947 Blood sugar (glucose) test $66
85007 Blood count/smear with differential white blood cell count $39
85025 Complete blood count test with automated differential white blood cell count $101
85027 Complete blood count (CBC) $94
85046 Reticulocyte/HGB blood count $70
86140 C-reactive protein $87
86850 Red blood cell antibody screen $121
86900 Serologic ABO blood typing $55
86901 Serologic RH(D) blood typing $26
94640 Airway inhalation treatment $307
95810 Polysomnography (6 years or older) sleep staging with 4 or more parameters $4,604
95819 EEG (awake or asleep) $1,252
96361 Hydration infusion (IV) $243
96365 Initial IV infusion for therapy, prophylaxis or diagnosis $557
96366 IV infusion for therapy, prophylaxis or diagnosis (each additional hour) $331
96374 Therapeutic, prophylactic or diagnostic injection, with IV push $505
96375 Therapeutic, prophylactic or diagnostic injection, with new drug $238
96413 Chemotherapy IV infusion (1 hour) $1,195
99213 Existing patient office or outpatient visit, level 3 $238
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