Emergency Department Visit with High Level of Medical Decision Making Cost in Colorado
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 80 Colorado hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $2,869
📉 Low $170
📈 High $27,096
🏥 80 hospitals
🏛️ 76 with insurance contracts
🇺🇸 Medicare $171
Hospital comparison — Colorado
Sorted by cash price (lowest first). Showing top 60 of 80 hospitals.
Billed more than $2,869 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | Kaiser | MultiPlan | Humana | Devoted | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| BOULDER COMMUNITY HEALTH FOOTHILLS HOSPITAL BOULDER |
$170 | $169 | $169 | $250 | $204 | $236 | $169 | $136 | $130 |
| COMMUNITY HOSPITAL GRAND JUNCTION |
$214 | $75.00 | $75.00 | $688 | $75.00 | $90.00 | $625 | — | — |
| FAMILY HEALTH WEST HOSPITAL FRUITA |
$239 | $36.00 | $36.00 | $36.72 | $36.00 | — | $36.36 | — | — |
| PROWERS MEDICAL CENTER KENDALL DR. LAMAR |
$382 | — | — | — | — | — | — | — | — |
| WRAY COMMUNITY DISTRICT HOSPITAL WRAY |
$392 | — | — | — | — | — | — | — | — |
| GRAND RIVER MEDICAL CENTER RIFLE |
$415 | $42.00 | $89.40 | $62.90 | — | — | — | — | $58.32 |
| KEEFE MEMORIAL HOSPITAL CHEYENNE WELLS |
$435 | $76.00 | $76.00 | $95.00 | $76.00 | $90.00 | — | — | — |
| SOUTHWEST MEMORIAL HOSPITAL CORTEZ |
$440 | — | — | — | — | — | — | — | — |
| KIT CARSON COUNTY MEMORIAL HOSPITAL BURLINGTON |
$446 | $215 | $2,049 | — | — | — | — | — | $165 |
| ST VINCENT GENERAL HOSPITAL DISTRICT LEADVILLE |
$447 | $177 | $486 | $639 | — | $575 | $639 | — | — |
| VAIL HEALTH HOSPITAL VAIL |
$457 | $554 | $408 | $432 | — | — | — | — | $167 |
| MIDDLE PARK MEDICAL CENTER KREMMLING |
$555 | $659 | $580 | $625 | $659 | — | $625 | — | $1,289 |
| MIDDLE PARK HEALTH FRASER FRASER |
$555 | $659 | $580 | $625 | $659 | — | $625 | — | $1,289 |
| MIDDLE PARK MEDICAL CENTER - GRANBY GRANBY |
$555 | $659 | $580 | $625 | $659 | — | $625 | — | $1,289 |
| UCHEALTH ESTES VALLEY MEDICAL CENTER ESTES PARK |
$601 | $189 | $191 | $189 | $392 | $276 | $189 | — | — |
| SEDGWICK COUNTY HEALTH CENTER JULESBURG |
$640 | $576 | — | $832 | — | — | — | — | — |
| VALLEY VIEW HOSPITAL GLENWOOD SPRINGS |
$644 | $94.00 | $50.00 | $96.00 | — | $96.00 | $95.00 | — | — |
| ARKANSAS VALLEY REGIONAL MEDICAL CENTER LA JUNTA |
$825 | $1,238 | $413 | $1,306 | $426 | — | $1,238 | — | — |
| CHILDREN'S HOSPITAL COLORADO AURORA |
$844 | $616 | $523 | $609 | $287 | $726 | $515 | — | — |
| CHILDREN'S HOSPITAL COLORADO, COLORADO SPRINGS BRIARGATE PKWY COLORADO SPRINGS |
$844 | $160 | $6,276 | $4,650 | $2,516 | $8,855 | $6,281 | — | — |
| DELTA COUNTY MEMORIAL HOSPITAL DELTA |
$869 | $628 | $628 | $660 | — | — | $628 | — | — |
| HAXTUN HOSPITAL DISTRICT HAXTUN |
$947 | $95.20 | — | $82.50 | — | — | — | — | $66.00 |
| MT SAN RAFAEL HOSPITAL TRINIDAD |
$1,007 | $101 | $141 | $101 | — | — | $101 | $169 | $101 |
| UCHEALTH PARKVIEW MEDICAL CENTER PUEBLO |
$1,156 | $616 | $616 | $678 | $616 | $1,763 | $616 | — | — |
| UCHEALTH PARKVIEW PUEBLO WEST HOSPITAL PUEBLO WEST |
$1,156 | $616 | $616 | $678 | $616 | $1,763 | $616 | — | — |
| SOUTHEAST COLORADO HOSPITAL SPRINGFIELD |
$1,411 | $1,729 | $1,654 | $1,676 | — | — | — | — | — |
| ASPEN VALLEY HOSPITAL ASPEN |
$1,824 | — | — | — | — | — | — | — | — |
| UCHEALTH GREELEY HOSPITAL GREELEY |
$2,132 | $613 | $613 | $613 | $613 | $2,878 | $613 | $613 | — |
| ANIMAS SURGICAL HOSPITAL DURANGO |
$2,208 | $70.00 | $625 | $86.77 | $75.00 | $74.00 | $625 | — | $625 |
| COMMONSPIRIT ST. THOMAS MORE HOSPITAL CANON CITY |
$2,267 | $850 | $907 | $850 | $850 | $4,818 | $850 | $850 | $850 |
| COMMONSPIRIT ST. ELIZABETH HOSPITAL FORT MORGAN |
$2,292 | $165 | $165 | $165 | $165 | $5,387 | $165 | $165 | $165 |
| LINCOLN HEALTH MAIN HOSPITAL HUGO |
$2,329 | $61.00 | $663 | $75.10 | $663 | — | $663 | $663 | $663 |
| UC HEALTH PIKES PEAK REGIONAL HOSPITAL WOODLAND PARK |
$2,346 | $733 | $733 | $733 | $733 | $2,316 | $733 | $733 | — |
| PAM HEALTH REHABILITATION HOSPITAL OF GREELEY GREELEY |
$2,453 | $156 | $622 | — | $158 | $1,962 | $560 | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF WESTMINSTER WESTMINSTER |
$2,453 | $156 | $600 | — | — | $1,962 | $540 | — | — |
| UCHEALTH MEDICAL CENTER OF THE ROCKIES LOVELAND |
$2,487 | $616 | $616 | $616 | $616 | $3,233 | $616 | $616 | — |
| UCHEALTH POUDRE VALLEY HOSPITAL FORT COLLINS |
$2,487 | $616 | $616 | $616 | $616 | $3,233 | $616 | $616 | — |
| UCHEALTH HIGHLANDS RANCH HOSPITAL HIGHLANDS RANCH |
$2,616 | $616 | $616 | $616 | $616 | $6,017 | $616 | $616 | — |
| UCHEALTH UNIVERSITY OF COLORADO HOSPITAL AURORA |
$2,762 | $616 | $598 | $616 | $616 | $4,735 | $616 | $616 | — |
| DENVER HEALTH MAIN CAMPUS DENVER |
$2,869 | $628 | $6,107 | $6,147 | — | — | — | — | — |
| UCHEALTH BROOMFIELD HOSPITAL BROOMFIELD |
$3,052 | $616 | $616 | $616 | $616 | $6,017 | $616 | $616 | — |
| UCHEALTH LONGS PEAK HOSPITAL LONGMONT |
$3,052 | $616 | $616 | $616 | $616 | $6,017 | $616 | $616 | — |
| UCHEALTH GRANDVIEW HOSPITAL COLORADO SPRINGS |
$3,052 | $616 | $616 | $616 | $616 | $6,017 | $616 | $616 | — |
| COMMONSPIRIT ST. MARY-CORWIN HOSPITAL PUEBLO |
$3,092 | $165 | $162 | $165 | $165 | $4,638 | $165 | $165 | $165 |
| UCHEALTH YAMPA VALLEY MEDICAL CENTER STEAMBOAT SPRINGS |
$3,158 | $616 | $616 | $616 | $616 | $3,193 | $616 | $616 | — |
| COMMONSPIRIT MERCY HOSPITAL DURANGO |
$3,364 | $165 | $165 | $165 | $165 | $7,570 | $165 | — | $165 |
| ST MARY'S MEDICAL CENTER GRAND JUNCTION |
$3,430 | — | $616 | — | — | — | — | — | — |
| UCHEALTH MEMORIAL HOSPITAL CENTRAL COLORADO SPRINGS |
$3,630 | $616 | $616 | $616 | $616 | $5,728 | $616 | $616 | — |
| UCHEALTH MEMORIAL HOSPITAL NORTH COLORADO SPRINGS |
$3,630 | $616 | $616 | $616 | $616 | $5,728 | $616 | $616 | — |
| HCA HEALTHONE PRESBYTERIAN ST. LUKE'S SPALDING REHABILITATION DENVER |
$5,118 | $1,536 | $1,060 | $1,377 | $3,500 | $1,030 | — | — | — |
| SPALDING REHABILITATION HOSPITAL AURORA |
$5,118 | $2,129 | $1,060 | $1,377 | $1,704 | $1,030 | — | — | — |
| COMMONSPIRIT ST. ANTHONY SUMMIT HOSPITAL FRISCO |
$6,684 | $165 | $165 | $165 | $165 | $15,374 | $165 | $165 | $165 |
| COMMONSPIRIT ORTHOCOLORADO HOSPITAL LAKEWOOD |
$7,026 | $165 | $164 | $165 | $165 | $10,539 | $165 | $165 | $165 |
| COMMONSPIRIT ST. ANTHONY NORTH HOSPITAL WESTMINSTER |
$7,026 | $165 | $164 | $165 | $165 | $10,539 | $165 | $165 | $165 |
| COMMONSPIRIT ST. FRANCIS HOSPITAL COLORADO SPRINGS |
$7,026 | $165 | $164 | $165 | $165 | $10,539 | $165 | $165 | $165 |
| COMMONSPIRIT ST. ANTHONY HOSPITAL LAKEWOOD |
$7,026 | $165 | $164 | $17,564 | $165 | $10,539 | $165 | — | $165 |
| COMMONSPIRIT LONGMONT UNITED HOSPITAL LONGMONT |
$7,026 | $169 | $171 | $169 | $169 | $12,998 | $169 | $169 | $169 |
| COMMONSPIRIT ST. FRANCIS HOSPITAL - INTERQUEST COLORADO SPRINGS |
$7,026 | $165 | $6,303 | $165 | $165 | $10,539 | $165 | $165 | $165 |
| COMMONSPIRIT PENROSE HOSPITAL COLORADO SPRINGS |
$7,026 | $165 | $164 | $165 | $165 | $10,539 | $165 | $165 | $165 |
| PLATTE VALLEY MEDICAL CENTER BRIGHTON |
$9,742 | $79.70 | $616 | — | $2,111 | — | $3,087 | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $2,869 for this?
That is the median of what the 80 Colorado hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Colorado, Medicare reimburses about $171 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Colorado range from $170 to $27,096 — that means hospital cash prices are typically 16.8x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Colorado?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Colorado range from $170 to $27,096, with a median of $2,869. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Colorado?
- The cheapest Colorado hospital published cash price for this procedure is $170. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Colorado
Methodology. Cash prices and insurance-negotiated rates published by each Colorado facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.