How many shoppable procedure prices are published for Uchealth Pikes Peak Regional Hospital?

Uchealth Pikes Peak Regional Hospital in Woodland Park, CO currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Uchealth Pikes Peak Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Uchealth Pikes Peak Regional Hospital's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 13 Beds · rural Updated: 2025-11-01

Uchealth Pikes Peak Regional Hospital

16420 W Us Highway 24, Woodland Park, CO 80863 · 118 Priced Procedures · 94% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.68×vs. Fair Market Price

Typical commercial prices here are +68% above the fair benchmark (1.68×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness66

Price Logic53

Peer Alignment79

Clean Billing87

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +52% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Uchealth Pikes Peak Regional Hospital prices routine shoppable procedures at 2.6× Medicare (median 1.67× Fair BaseRate) while upper-quartile commercial rates jump +52% to 2.54× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#53 of 64 in CO · 81st State Percentile#2,857 of 3,385 in U.S. · 84th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.24× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (76/100 safety score) with 94% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.68× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.67× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.54×) jump +52% above the median procedure ratio (Q50 1.67×)
Consolidated metro market (HHI 3,286) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.6× Medicare

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

Back-Door Captive & ER0.58× Divergence

1.5× Medicare

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

Quantile Tail Spread+52% Upper Tail

Q25 1.24× · Q50 1.67× · Q75 2.54×

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

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.4× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.0× MedicareElevated

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

1.1× MedicareGood

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

29% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 76/100Fair

Procedure Prices at Uchealth Pikes Peak Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 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`	—	$37,001	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,249	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,094	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,193	$17,936	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$12,951	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$11,716	$2,680	unverified
Total knee replacement CPT Code: `27447`	—	$11,314	$13,523	0.8×
Total hip replacement CPT Code: `27130`	—	$10,385	$13,413	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,930	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,363	$6,109	unverified
Bunion correction surgery CPT Code: `28296`	—	$4,726	$3,446	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,636	$3,372	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$4,517	$3,629	1.2×
Breast lump removal CPT Code: `19120`	—	$4,030	$3,875	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,513	$2,540	1.4×
Trauma team activation HCPCS Code: `G0390`	$3,364	$3,364	$1,453	2.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,628	$2,897	$1,021	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,880	$1,690	$855	2.0×
Colonoscopy with biopsy CPT Code: `45380`	$1,601	$1,601	$1,256	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$1,540	$1,540	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,472	$1,174	$981	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,553	$931	$343	2.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,553	$936	$369	2.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,432	$936	$511	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,957	$909	$338	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,513	$900	$272	unverified
Blood transfusion CPT Code: `36430`	$1,656	$854	$498	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,283	$809	$583	1.4×
CT scan, pelvis CPT Code: `72192`	$1,082	$698	$163	4.3×
CT scan, chest (no contrast) CPT Code: `71250`	$2,173	$698	$167	4.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,496	$678	$168	4.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,951	$681	$169	4.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,214	$705	$303	2.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,713	$705	$448	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,215	$628	$258	2.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$623	$123	unverified
CT scan, sinuses CPT Code: `70486`	$1,570	$550	$166	3.3×
CT scan, head (with contrast) CPT Code: `70460`	$2,110	$550	$242	2.3×
Rabies immune globulin HCPCS Code: `90375`	$1,331	$538	$322	1.7×
New patient office visit (30-44 min) CPT Code: `99203`	—	$532	$110	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,911	$502	$160	3.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$494	$166	3.0×
Family therapy session CPT Code: `90847`	—	$495	$173	2.9×
Neurobehavioral status check CPT Code: `96116`	—	$484	$231	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$423	$504	$201	unverified
Care planning with family CPT Code: `90887`	—	$417	$107	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$429	$87	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$632	$304	$126	2.4×
Ultrasound, pelvis CPT Code: `76856`	$790	$304	$130	2.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$628	$304	$132	2.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$873	$304	$134	2.3×
Speech therapy (language evaluation) CPT Code: `92507`	$253	$253	$86	2.9×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$264	$151	1.7×
Psychological testing by technician CPT Code: `96138`	—	$222	$395	0.6×
X-ray, hip CPT Code: `73502`	$357	$169	$93	1.8×
X-ray, lower back CPT Code: `72110`	$344	$180	$112	1.6×
Psychological testing evaluation CPT Code: `96136`	—	$176	$128	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$399	$182	$148	1.2×
Physical therapy (gait training) CPT Code: `97116`	$131	$131	$33	4.0×
Physical therapy (manual therapy) CPT Code: `97140`	$131	$131	$34	3.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$139	$38	3.7×
Orthotic fitting and training CPT Code: `97760`	$146	$146	$51	2.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$114	$114	$35	3.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$122	$122	$38	3.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$310	$132	$93	1.4×
X-ray, hand CPT Code: `73130`	$360	$132	$93	1.4×
X-ray, ankle CPT Code: `73610`	$343	$128	$93	1.4×
Group therapy session CPT Code: `90853`	—	$132	$100	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$348	$150	$123	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$125	$125	$86	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$89	$25	3.6×
Occupational therapy (self-care training) CPT Code: `97535`	$114	$114	$38	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$102	$102	$40	2.5×
X-ray, foot CPT Code: `73630`	$360	$119	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$344	$117	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$348	$106	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$310	$90	$110	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$88	$88	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$808	$630	$347	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$307	$203	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$270	$270	$140	1.9×
Blood test, vitamin D CPT Code: `82306`	$209	$209	$31	6.7×
Drug screening test HCPCS Code: `G0480`	$217	$217	$116	unverified
Blood test, liver function panel CPT Code: `80076`	$162	$162	$9	18.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$171	$171	$11	15.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$170	$170	$14	12.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$152	$152	$19	8.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$152	$152	$20	7.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$160	$111	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$121	$121	$10	12.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$94	$94	$8	11.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$107	$107	$18	5.9×
Flu vaccine injection HCPCS Code: `G0008`	$116	$116	$48	2.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$116	$116	$49	2.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$90	$90	$3	30.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$88	$88	$14	6.3×
Blood test, calcium CPT Code: `82310`	$58	$58	$5	11.6×
Blood test, amylase CPT Code: `82150`	$58	$58	$7	8.3×
Blood test, basic metabolic panel CPT Code: `80048`	$69	$69	$9	7.7×
Blood test, vitamin B12 CPT Code: `82607`	$90	$90	$16	5.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$55	$55	$4	13.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$64	$37	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$92	$80	$56	1.4×
X-ray, chest (single view) CPT Code: `71045`	$304	$79	$92	0.9×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	6.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$27	$4	6.8×
Blood test, sodium CPT Code: `84295`	$33	$33	$5	6.6×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$38	$6	6.3×
Blood test, lipase CPT Code: `83690`	$44	$44	$7	6.3×
Blood test, magnesium CPT Code: `83735`	$44	$44	$7	6.3×
Blood test, potassium CPT Code: `84132`	$30	$30	$5	6.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$61	$44	$35	1.3×
Blood test, hemoglobin CPT Code: `85018`	$18	$18	$3	6.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$27	$27	$5	5.4×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$55	$50	$39	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$28	$28	$25	1.1×
Blood antibody screen CPT Code: `86850`	$158	$41	$46	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$402	$40	$64	0.6×

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.5%

Audit a Bill or Quote at Uchealth Pikes Peak Regional Hospital (Zero PHI Required)

CMS CCN: 061326

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $37,001

1. Amount on Your Bill or Quote ($) Pre-filled with Uchealth Pikes Peak Regional Hospital’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 501(r) AGB Cap: $44,845 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $44,845

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.5% of gross = $44,845).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Uchealth Pikes Peak Regional Hospital'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 +$58,027 Above Fair BaseRate

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

Your bill ($88,802) is $58,027 above the denoised Fair BaseRate ($30,775) and 3.8× 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (50.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

Safety Composite76/100

Would Recommend94%

Rated 9 or 10 (HCAHPS)92%

Median ER Wait117 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (59 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Uchealth Pikes Peak Regional Hospital.

Price Index: 1.04× regional baseline

Quality: 62/100 CMS composite

Median Household Income$80,666U.S. Census ACS

Local Uninsured Share7.0%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 75/100 · Corroborated CMS CCN 061326

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 061326) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-11-01

Validated Rate Rows2,432 (CMS v3.0.0)

File Integrity DigestVerified · CCN 061326

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