Pricing & Expense Estimates Make an Appointment Pay Your Bill Ask a Question For your convenience and in an effort to be as transparent as possible with our prices, we provide estimates for many of the most commonly requested diagnostic tests and services at National Jewish Health. Please remember the following: The dollar figures below are gross charges, meaning the full price before any insurance payments are applied. The hospital's charges are the same for all patients, but a patient's responsibility may vary, depending on contractual agreement negotiated with individual insurance plans and the patient's benefit plan. While we make every effort to ensure the accuracy of our price estimates, the costs associated with diagnostic testing and medical care vary, depending on the medical needs and circumstances of the individual patient. Since we can't anticipate all the charges associated with a course of treatment or diagnostic testing, we can't determine the exact total cost in advance. As a result, your final bill may differ from the estimates provided below. Please understand the prices listed below are estimates. National Jewish Health makes no guarantees regarding the accuracy of the pricing information posted here. Download Hospital Chargemaster In accordance with federal hospital transparency requirements, National Jewish Health is providing the hospital chargemaster. The chargemaster lists all services provided by the hospital. Download Hospital Chargemaster View National Jewish Health Shoppable Services Out-Of-Pocket Expense Estimates The portion of your bill that is your responsibility is commonly referred to as your out-of-pocket expense. These expenses can vary from person to person and depend on an individual's insurance policy. If you have any questions or concerns about your bill, we are here to help. Please visit Patient Financial Services or contact our one of our resourceful financial counselors at 303.398.1065. Below you will find estimated pricing for many commonly requested diagnostic tests and services in the following areas: X-ray and radiology Nuclear medicine Laboratory tests Physical therapy Occupational therapy Pulmonary testing Sleep studies Other procedural service and more. X-Ray and Radiological Charges The following charges reflect the hospital's 20 most common x-ray and radiological procedures and include both hospital and professional charges. Procedure CPT Code Total (Before Insurance) CT Abdomen & Pelvis with Contrast 74177 $2,049 CT Angiography Chest 71275 $2,928 CT Angiography Heart with Contrast & 3-D Imaging 75574 $2,482 CT Chest with Contrast 71260 $1,835 CT Chest without Contrast 71250 $1,538 CT Sinus Screen 70486 $1,613 Duplex Scan Of Extremity Veins 93970 $1,332 MRI Abdomen with and without Contrast 74183 $2,912 MRI Brain with and without Contrast 70553 $2,973 MRI Cardiac without and with Contrast 75561 $2,699 Ultrasound Abdomen Complete 76700 $703 Ultrasound Abdomen Single Organ 76705 $704 Ultrasound Head & Neck 76536 $647 XR Chest One View 71045 $272 XR Chest Two Views 71046 $283 XR Esophagram 74220 $763 XR Foot 3 Views 73630 $272 XR Hand 3 Views 73130 $272 XR Sacroiliac Joints < 3 Views 72200 $62 XR Swallowing Function 74230 $861 Nuclear Medicine Charges The following charges reflect the hospital's 10 most common nuclear medicine procedures and include both hospital and professional charges. Procedure CPT Total (Before Insurance) Dual-Energy X-Ray Absorptiometry (DXA) Axial 77080 $697 Gastric Emptying Imaging Study 78264 $1,483 Hepatobiliary System Imaging with Pharmacological Intervention 78227 $2,335 Myocardial Perfusion Stress Test, Multiple 78452 $4,405 Positron Emission Tomography (PET) (Chest, Head/Neck) 78815 $5,970 Positron Emission Tomography (PET) (Whole Body) 78816 $5,975 Pulmonary Ventilation And Perfusion Imaging 78582 $1,265 Quantitative Differential Pulmonary Perfusion 78598 $2,418 Laboratory Charges The following charges reflect the hospital's 20 most common laboratory tests. While we aim to provide helpful laboratory pricing information, several factors can affect your final bill. Some exceptions to the below pricing include how laboratory services often contain multiple parameters which can reflex to include additional testing based on the results of the original test outcome(s). Tests can be part of a larger panel which will be priced differently, and may also require interpretative services (not included here). Identical laboratory CPT codes can be assigned to many single tests, each with a specific variation. The charges below reflect testing for singular tests only. Procedure CPT Code Total (before insurance) Allergen Specific IgE, Quantitative, each Allergen 86003 $35 Antinuclear Antibodies (ANA) 86038 $60 Comprehensive Metabolic Panel 80053 $100 Concentration (Any Type) for Infectious Agents 87015 $49 C-Reactive Protein 86140 $82 Culture (AFB) (Any Source) 87116 $77 Culture, Final Identification by Nucleic Acid Sequencing Method 87153 $305 Culture, Fungus 87102 $111 Culture, Organism Identification 87077 $125 Culture, Respiratory 87070 $125 Fluorescent Stain (AFB) 87206 $40 Immunoglobulin IgE 82785 $74 Gram Stain 87205 $48 Hemogram, Platelet Diff/Auto 85025 $60 Lymphocyte Transformation, Mitogen Or Antigen Induced Blastogenesis 86353 $255 Nuclear Antigen 86235 $40 Sedimentation Rate, Automated 85652 $32 Susceptibility Studies, Minimum Concentration 87186 $82 Thyroid Stimulating Hormone (TSH) 84443 $75 Western Blot, Blood Or Other Body Fluid 84182 $50 Physical Therapy Charges The following charges reflect the hospital's most common services offered by the Physical Therapy department. Patients may have additional charges, depending on the services provided. The following charges reflect the hospital's most common services offered by the Physical Therapy department. Patients may have additional charges, depending on the services provided. Procedure CPT Code Total (before insurance) 6-Minute Walk With Titration 94618 $315 Aquatic Therapy per 15 Minutes 97113 $115 Manual Therapy Techniques per 15 Minutes 97140 $80 Physical Therapy Evaluation 97161 $175 Therapeutic Exercise per 15 Minutes 97110 $90 Occupational Therapy Charges The following charges reflect the hospital's most common services offered by the Occupational Therapy department. Patients may have additional charges, depending on the services provided. Procedure CPT Code Total (before insurance) Occupational Therapy Evaluation 97165 $190 Therapeutic Activities (Daily Living) per 15 Minutes 97530 $80 Pulmonary Testing Charges The following charges reflect the hospital's most common services offered by the Pulmonary Physiology department. Patients may have additional charges, depending on the services provided. Procedure CPT Code Total (before insurance) Complete Pulmonary Function Test Several $1,320 Exercise Induced Bronchospasm Several $2,455 Exercise Tolerance with A-Line Several $1,558 Methacholine Challenge Several $1,625 Airway Inhalation Treatment 94640 $95 Demonstration/Evaluation Nebulizer 94664 $95 Sleep Study Charges The following charges reflect the hospital's most common services offered by the Sleep Center and include both hospital and professional charges. Procedure CPT Code Total (before insurance) Polysomnography, Full Night without C-PAP 95810 $2,435 Polysomnography, Split Night with C-PAP 95811 $2,840 Sleep Study Unattended (Home) 95806 $815 Other Procedural Service Charges The following charges reflect the hospital's most common services offered. Patients may have additional charges, depending on the services provided. Procedure CPT Code Total (before insurance) Colonoscopy With Biopsy 45380 $3,683 Colonoscopy, Diagnostic 45378 $2,896 Esophagogastroduodenoscopy (EGD), With Biopsy 43239 $2,689 Esophagus Dilation Over Guide Wire 43453 $3,033 Gastroesophageal Relux Test (Prolonged) 91038 $1,663 Ingestion Challenge (1st Hour and Subsequent Hours) 95076 $1,090 Laryngoscopy, Diagnostic 31575 $898 Bronchoscopy Procedure(s) Call for estimate, too variable Other Service Charges The following charges reflect the hospital's most common services offered. Patients may have additional charges, depending on the services provided. Procedure CPT Code Total (before insurance) Evaluation and Management Services (New Patient Visit Level 3) 99203 $270 Evaluation and Management Services (New Patient Visit Level 4) 99204 $375 Evaluation and Management Services (New Patient Visit Level 5) 99205 $485 Evaluation and Management Services (Established Patient New Visit Level 3) 99213 $195 Evaluation and Management Services (Established Patient New Visit Level 4) 99214 $270 Evaluation and Management Services (Established Patient New Visit Level 5) 99215 $345 Immunotherapy (Allergy Shot), Single 95115 $35 Immunotherapy (Allergy Shot), Multiple 95117 $70 Percutaneous Tests (Allergy Skin Test) per Antigen 95004 $35 Patch or Application Test (Allergy Skin Test) Per Antigen 95044 $35 Prices as of 7/15/2022.