Pricing & Expense Estimates

Billing & InsuranceFor 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.

 

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 and Pelvis with Contrast

74177

$1,845

CT Angiography Chest

71275

$2,625

CT Angiography Heart with Contrast and 3-D Imaging

75574

$2,245

CT Chest with Contrast

71260

$1,586

CT Chest without Contrast

71250

$1,482

CT Sinus Screen

70486

$1,380

Duplex Scan Of Extremity Veins

93970

$850

MRI Abdomen with and without Contrast

74183

$2,835

MRI Brain with and without Contrast

70553

$2,895

MRI Cardiac with and without Contrast

75561

$2,565

Ultrasound Abdomen Complete

76700

$685

Ultrasound Abdomen Single Organ

76705

$560

Ultrasound Head and Neck

76536

$630

X-ray Chest One View

71010

$265

X-ray Chest PA and Lateral

71020

$275

X-ray Esophagram

74220

$467

X-ray Foot 3 Views

73630

$265

X-ray Hand 3 Views

73130

$265

X-ray Sacroiliac Joints < 3 Views

72200

$420

X-ray Swallowing Function

74230

$581

 

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 Code
Total (before insurance)

Dual-Energy X-Ray Absorptiometry (DXA) Appendicular

77081

$274

Dual-Energy X-Ray Absorptiometry (DXA) Axial

77080

$432

Gastric Emptying Imaging Study

78264

$1,418

Hepatobiliary System Imaging with Pharmacological Intervention

78227

$1,635

Myocardial Perfusion Stress Test, Multiple

78452

$3,482

Positron Emission Tomography (PET) (Chest, Head/Neck)

78815

$4,805

Positron Emission Tomography (PET) (Chest, Head/Neck)

78816

$4,810

Positron Emission Tomography (PET) (Myocardial/Metabolic)

78459

$5,950

Pulmonary Ventilation and Perfusion Imaging

78582

$1,215

Quantitative Differential Pulmonary Perfusion

78598

$1,865

 

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

94620

$315

Aquatic Therapy per 15 Minutes

97713

$80

Manual Therapy Techniques per 15 Minutes

97140

$70

Physical Therapy Evaluation

97001

$255

Therapeutic Exercise per 15 Minutes

97110

$80

 

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

97003

$255

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

$1,115

Exercise Induced Bronchospasm

Several

$2,152

Exercise Tolerance with A-Line

Several

$1,473

Methacholine Challenge

Several

$1,010

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

$2,225

Polysomnography, Split Night with C-PAP

95811

$2,590

Sleep Study Unattended (Home)

95806

$700

 

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

$2,590

Colonoscopy, Diagnostic

45378

$2,450

Esophagogastroduodenoscopy (EGD), With Biopsy

43239

$2,425

Esophagus Dilation Over Guide Wire

43453

$2,890

Gastroesophageal Relux Test (Prolonged)

91038

$900

Ingestion Challenge (1st Hour and Subsequent Hours)

95076

$1,210

Laryngoscopy, Diagnostic

31575

$625

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

$260

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

$180

Evaluation and Management Services (Established Patient New Visit Level 4)

99214

$260

Evaluation and Management Services (Established Patient New Visit Level 5)

99215

$345

Immunotherapy (Allergy Shot), Single

95115

$30

Immunotherapy (Allergy Shot), Multiple

95117

$70

Percutaneous Tests (Allergy Skin Test) per Antigen

95004

$35

Prices as of 7/1/2016.