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Children’s Hospital Colorado
Anschutz Medical Campus
13123 East 16th Avenue
Aurora, CO 80045
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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 is 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. 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 | Blood draw (routine venipuncture) | $23 |
| 71020 | Chest x-ray 2 views, front and side | $395 |
| 73110 | X-ray exam of wrist | $196 |
| 74000 | X-ray exam of abdomen | $239 |
| 80053 | Comprehensive metabolic panel | $142 |
| 81003 | Urine test (urinalysis auto w/o scope) | $38 |
| 82306 | Vitamin D; 25 hydroxy | $127 |
| 84443 | TSH (assay thyroid stimulating hormone) | $93 |
| 85025 | Complete blood count with automated differential white blood cell count | $113 |
| 86003 | Allergy blood test (allergen-specific immunoglobulin (IgE) | $21 |
| 87081 | Culture screen only | $70 |
| 88305 | Tissue exam by pathologist | $92 |
| 90471 | Immunization administered, first | $35 |
| 90472 | Immunization administered, each additional | $33 |
| 93005 | EKG (electrocardiogram tracing) | $211 |
| 95004 | Allergy skin tests (percutaneous) | $20 |
| 96118 | Neuropsychological test by psychiatrist/physician | $432 |
| 97110 | Therapeutic exercises (physical therapy) | $60 |
| 97530 | Therapeutic activities (Physical Therapy) | $60 |
| 97802 | Medical nutrition initial evaluation | $52 |
| 97803 | Medical nutrition therapy or reassessment | $52 |
| 99212 | Office/outpatient visit established level 1 | $59 |
| 99213 | Office/outpatient visit established level 2 | $78 |
| 99214 | Office/outpatient visit established level 3 | $91 |
| 99215 | Office/outpatient visit established level 5 | $138 |
| CPT Code | Brief description of service | Average self-pay rate |
| 36415 | Blood draw (routine venipuncture) | $23 |
| 71020 | Chest x-ray 2 views, front and side | $395 |
| 73080 | X-ray exam of elbow | $260 |
| 73090 | X-ray exam of forearm | $270 |
| 73110 | X-ray exam of wrist | $196 |
| 73140 | X-ray exam of finger(s) | $248 |
| 73590 | X-ray exam of lower leg | $271 |
| 73610 | X-ray exam of ankle | $260 |
| 73630 | X-ray exam of foot | $259 |
| 74000 | X-ray exam of abdomen | $239 |
| 76770 | Ultrasound exam abdomen | $728 |
| 92567 | Tympanometry | $44 |
| 93005 | EKG (electrocardiogram tracing) | $211 |
| 94640 | Airway inhalation treatment | $113 |
| 95004 | Allergy skin tests (percutaneous) | $20 |
| 95816 | EEG awake and drowsy | $1,855 |
| 96361 | Additional hour intravenous hydration | $166 |
| 96374 | First intravenous medication, push technique | $208 |
| 96375 | Additional intravenous medication, push technique | $189 |
| 97001 | Patient evaluation | $255 |
| 97110 | Therapeutic exercises (physical therapy) | $60 |
| 97530 | Therapeutic activities | $60 |
| 99212 | Office/outpatient visit established level 1 | $59 |
| 99213 | Office/outpatient visit established level 2 | $78 |
| 99214 | Office/outpatient visit established level 3 | $91 |
| CPT Code | Brief description of service | Average self-pay rate |
| 36415 | Blood draw (routine venipuncture) | $23 |
| 36416 | Capillary blood draw | $22 |
| 71020 | Chest x-ray 2 views, front and side | $395 |
| 73010 | X-ray exam of shoulder | $260 |
| 73060 | X-ray exam of elbow | $420 |
| 80053 | Comprehensive metabolic panel | $142 |
| 84443 | TSH (assay thyroid stimulating hormone) | $93 |
| 85025 | Complete Blood Count with automated differential white blood cell count | $113 |
| 85652 | Red blood cell sedimentation rate, automated | $48 |
| 86140 | C-reactive protein | $49 |
| 92567 | Tympanometry | $44 |
| 93005 | EKG (electrocardiogram tracing) | $211 |
| 94640 | Airway inhalation treatment | $113 |
| 95004 | Allergy skin tests (percutaneous) | $20 |
| 96118 | Neuropsychological test by psychiatrist/physician | $432 |
| 96152 | Health and behavior intervention | $99 |
| 96361 | Additional hour of intravenous hydration | $166 |
| 96375 | Additional intravenous medication, push technique | $189 |
| 97110 | Therapeutic exercises | $60 |
| 97112 | Neuromuscular reeducation | $60 |
| 97802 | Medical nutrition initial evaluation | $52 |
| 97803 | Medical nutrition therapy or reassessment | $52 |
| 99212 | Office/outpatient visit established level 1 | $59 |
| 99213 | Office/outpatient visit established level 2 | $78 |
| 99214 | Office/outpatient visit established level 3 | $91 |
| 99215 | Office/outpatient visit established level 4 | $138 |
| CPT Code | Brief description of service | Average self-pay rate |
| 36415 | Blood draw (routine venipuncture) | $23 |
| 71020 | Chest x-ray 2 views (front and side) | $395 |
| 73080 | X-ray exam of elbow | $260 |
| 73090 | X-ray exam of forearm | $270 |
| 73110 | X-ray exam of wrist | $196 |
| 73140 | X-ray exam of finger(s) | $248 |
| 73590 | X-ray exam of lower leg | $271 |
| 73610 | X-ray exam of ankle | $260 |
| 73630 | X-ray exam of foot | $259 |
| 73650 | X-ray exam of heel | $270 |
| 74000 | X-ray exam of abdomen | $239 |
| 76885 | Ultrasound exam of infant hips, dynamic | $592 |
| 92567 | Tympanometry | $44 |
| 92579 | Hearing test (visual audiometry, VRA) | $85 |
| 92587 | Hearing test (evoked auditory test limited) | $114 |
| 93005 | EKG (electrocardiogram tracing) | $211 |
| 94640 | Airway inhalation treatment | $113 |
| 95004 | Allergy skin tests (percutaneous) | $20 |
| 95782 | Sleep study for child younger than 6 years (polysomnography) | $4,044 |
| 96361 | Additional hour intravenous hydration | $166 |
| 98960 | Self-management, education & training | $98 |
| 99212 | Office/outpatient visit established level 1 | $59 |
| 99213 | Office/outpatient visit established level 2 | $78 |
| 99214 | Office/outpatient visit established level 3 | $91 |
| 99215 | Office/outpatient visit established level 4 | $138 |
| CPT Code | Brief description of service | Average self-pay rate |
| 97110 | Therapeutic exercises (physical therapy) | $60 |
| 36415 | Blood draw (routine venipuncture) | $23 |
| 71020 | Chest x-ray 2 views, front and side | $395 |
| 73010 | X-ray exam of shoulder | $240 |
| 73610 | X-ray exam of ankle | $260 |
| 73650 | X-ray exam of heel | $270 |
| 80053 | Comprehensive metabolic panel | $142 |
| 85025 | Complete blood count with automated white blood cell count | $113 |
| 92507 | Speech Therapy, Individual | $120 |
| 92508 | Speech Therapy, Group | $135 |
| 92526 | Swallow Therapy | $163 |
| 93005 | EKG (electrocardiogram tracing) | $211 |
| 94640 | Airway inhalation treatment | $113 |
| 96361 | Additional hour intravenous hydration | $166 |
| 96374 | First intravenous medication, push technique | $208 |
| 96375 | Additional intravenous medication, push technique | $189 |
| 97110 | Therapeutic exercises (physical therapy) | $60 |
| 97112 | Neuromuscular reeducation | $60 |
| 97140 | Occupational Therapy | $57 |
| 97150 | Physical Therapy Group | $111 |
| 97161 | Physical Therapy Evaluation Level 1 | $183 |
| 97162 | Physical Therapy Evaluation Level 2 | $237 |
| 97530 | Therapeutic activities (Physical Therapy) | $60 |
| 97535 | Occupational Therapy – Self/home care training | $41 |
| 97760 | Orthotic Management | $66 |