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 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

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