Children's Hospital Colorado

Understanding the Facility Fee Charges for Our Emergency Departments

If you believe you are having a medical or psychiatric emergency, please call 911 or go to your nearest hospital emergency department.

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. As part of this effort, we want to help you understand the charges that you may see when you visit one of our emergency departments (ED).  

What is a facility fee?

When patients need emergency care, hospitals charge a facility fee to pay for the patient’s care. Facility fees are based on how much care the patient needs on a scale from one to five.

How do you determine the facility fee?

Patients who need a higher level of care will be charged a higher facility fee. The facility fee is based on how involved the illness or injury is and the patient’s specific needs and resources required such as time with nurses and technical staff, special equipment, and other services, only some of which occur at the bedside. A facility fee is necessary to maintain emergency preparedness and provide life-saving care for critically ill patients.  

A level 1 facility fee may be charged for a medical condition that can be diagnosed and addressed with very few steps, while a level 5 facility fee may be charged for a condition that requires multiple types of tests to diagnose and multiple complex clinical interventions to address. It is important to note that the facility fee level is not determined solely based on a patient’s diagnosis. The services rendered at the bedside and the coordination of care required by the specific patient’s condition could result in a different facility fee charge than another patient with the same diagnosis.

Average facility fee charges

The information below does not apply to patients who have health insurance 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 find out what you would need to pay for services at Children’s Colorado.

A typical emergency department visit will incur other charges that are not included in the facility fee. You may see separate charges on your bill for services such as imaging, labs, procedures, pharmacy, and supplies. If you have questions about your bill, please contact Children’s Colorado’s Patient Financial Services team at 720-777-6422. Please note that the facility fee charges below do not include physician or advanced practice providers’ services. Patients may receive a separate bill for these services.

The following table shows our average facility fee charges including self-pay discounts for Current Procedural Terminology (CPT) Codes.

CPT Code Description Facility fee including self-pay discount
99281 ED visit: level 1 $252
99282 ED visit: level 2 $633
99283 ED visit: level 3 $1,070
99284 ED visit: level 4 $1,604
99285 ED visit: level 5 $3,388

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.

Learn more about your bill.

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