How many shoppable procedure prices are published for Orthocolorado Hosp at St Anthony Med Campus?

Orthocolorado Hosp at St Anthony Med Campus in Lakewood, CO currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Orthocolorado Hosp at St Anthony Med Campus's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Orthocolorado Hosp at St Anthony Med Campus's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 48 Beds · urban Updated: 2026-02-04

Orthocolorado Hosp at St Anthony Med Campus

11650 W 2Nd Pl, Lakewood, CO 80228 · 125 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.87×vs. Fair Market Price

Typical commercial prices here are 13% below the fair benchmark (0.87×) after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 37% of the Time

File Completeness66

Price Logic88

Peer Alignment77

Clean Billing87

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.87× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Orthocolorado Hosp at St Anthony Med Campus maintains disciplined commercial pricing across both elective shoppable care (1.0× Medicare) and captive emergency/ancillary departments (1.2× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.87× Fair BaseRate) without hidden ancillary cross-subsidization.

#8 of 64 in CO · 10th State Percentile#490 of 3,385 in U.S. · 14th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 13% below peer Fair BaseRate (0.87×)
Self-pay cash beats commercial insurance on 37% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 80% patient recommendation (72/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (4.0×) & laboratory (3.5×) services average 1.20× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.18×) jump +37% above the median procedure ratio (Q50 0.86×)
Unnegotiated chargemaster list prices average 17.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.20× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+37% Upper Tail

Q25 0.43× · Q50 0.86× · Q75 1.18×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

4.0× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.5× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

37% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Orthocolorado Hosp at St Anthony Med Campus

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,140	$30,775	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,582	$19,432	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,198	$19,087	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,702	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,812	$8,223	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$2,553	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,306	$2,680	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$801	$1,383	$855	1.6×
Trauma team activation HCPCS Code: `G0390`	$4,667	$1,335	$1,453	0.9×
Blood transfusion CPT Code: `36430`	$1,096	$1,096	$498	2.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,482	$984	$1,021	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$524	$2,540	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$535	$3,372	0.2×
Bunion correction surgery CPT Code: `28296`	—	$507	$3,446	0.1×
Inguinal hernia repair CPT Code: `49505`	—	$506	$3,629	0.1×
Mental health services (assessment) HCPCS Code: `H0031`	$577	$383	$140	2.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$332	$332	$64	5.2×
X-ray, pelvis CPT Code: `72170`	$340	$340	$110	3.1×
Rabies immune globulin HCPCS Code: `90375`	$2,858	$274	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,357	$221	$448	0.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,938	$216	$511	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$159	$159	$201	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$175	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$190	$1,256	0.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$120	$131	$38	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$128	$131	$38	3.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$131	$40	3.3×
Prosthetic fitting and training CPT Code: `97761`	$74	$131	$45	2.9×
Orthotic fitting and training CPT Code: `97760`	$144	$131	$51	2.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$401	$132	$151	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$191	$141	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$106	$133	$181	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$923	$152	$272	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$3,621	$143	$369	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$378	$112	$148	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,105	$116	$258	0.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,888	$130	$343	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,677	$124	$338	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$131	$987	0.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$109	$131	$35	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$195	$103	$86	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,876	$126	$583	0.2×
Physical therapy (gait training) CPT Code: `97116`	$94	$131	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$79	$131	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$97	$97	$38	2.6×
Care planning with family CPT Code: `90887`	—	$89	$107	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$93	$123	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$148	$92	$123	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$577	$83	$132	0.6×
Family therapy session CPT Code: `90847`	$186	$101	$173	0.6×
CT scan, sinuses CPT Code: `70486`	$2,056	$90	$166	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$101	$90	$166	0.5×
Speech therapy (group session) CPT Code: `92508`	$111	$111	$27	unverified
CT scan, pelvis CPT Code: `72192`	$1,953	$84	$163	0.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,302	$85	$168	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$2,099	$84	$167	0.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,307	$85	$169	0.5×
CT scan, head (with contrast) CPT Code: `70460`	$2,604	$98	$242	0.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,121	$105	$303	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$343	$343	$203	1.7×
Typhoid vaccine HCPCS Code: `90675`	$910	$307	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$217	$217	$111	2.0×
Drug screening test HCPCS Code: `G0480`	$82	$112	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$281	$131	$140	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$64	$64	$39	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$63	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	—	$78	$110	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$693	$77	$134	0.6×
Ultrasound, pelvis CPT Code: `76856`	$693	$72	$130	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$618	$59	$126	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$2,353	$68	$160	0.4×
Neurobehavioral status check CPT Code: `96116`	—	$76	$231	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$73	$73	$86	unverified
Flu vaccine injection HCPCS Code: `G0008`	$56	$47	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$56	$47	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$47	$47	$49	1.0×
Blood test, lipase CPT Code: `83690`	$140	$9	$7	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$196	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$79	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$106	$23	$19	1.2×
Blood test, vitamin D CPT Code: `82306`	$158	$37	$31	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$66	$31	$37	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$109	$43	$56	0.8×
X-ray, hip CPT Code: `73502`	$638	$37	$93	0.4×
X-ray, lower back CPT Code: `72110`	$941	$39	$112	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$80	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$93	$8	$6	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$63	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$52	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$118	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$102	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$166	$11	$9	1.2×
Blood test, calcium CPT Code: `82310`	$76	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$38	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$56	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$34	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$38	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$74	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$87	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$112	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$119	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$57	$21	$18	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$106	$23	$20	1.1×
Blood test, amylase CPT Code: `82150`	$135	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$39	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$101	$10	$9	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$456	$29	$93	0.3×
X-ray, hand CPT Code: `73130`	$428	$29	$93	0.3×
Blood test, hemoglobin CPT Code: `85018`	$51	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$69	$5	$5	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$30	$33	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$14	$25	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$16	$16	$35	0.5×
X-ray, ankle CPT Code: `73610`	$511	$28	$93	0.3×
X-ray, shoulder CPT Code: `73030`	$594	$26	$92	0.3×
X-ray, foot CPT Code: `73630`	$463	$26	$92	0.3×
Blood antibody screen CPT Code: `86850`	$305	$13	$46	0.3×
X-ray, chest (two views) CPT Code: `71046`	$393	$23	$93	0.2×
Group therapy session CPT Code: `90853`	$186	$24	$100	0.2×
X-ray, chest (single view) CPT Code: `71045`	$322	$17	$92	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$22	$128	0.2×
Psychological testing by technician CPT Code: `96138`	—	$35	$395	0.1×

Showing top 25 high-impact procedures of 125 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Orthocolorado Hosp at St Anthony Med Campus (Zero PHI Required)

CMS CCN: 060124

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,140

1. Amount on Your Bill or Quote ($) Pre-filled with Orthocolorado Hosp at St Anthony Med Campus’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Orthocolorado Hosp at St Anthony Med Campus's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$41,561 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($72,336) is $41,561 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Orthocolorado Hosp at St Anthony Med Campus as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)80%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

Source: CMS Hospital Care Compare (307 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Orthocolorado Hosp at St Anthony Med Campus.

Price Index: 0.81× regional baseline

Quality: 68/100 CMS composite

Median Household Income$107,800U.S. Census ACS

Local Uninsured Share5.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 83/100 · Corroborated CMS CCN 060124

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 060124) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-04

Validated Rate Rows4,822 (CMS v3.0.0)

File Integrity DigestVerified · CCN 060124

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy