POUDRE VALLEY HOSPITAL
Acute Care Hospitals
Procedure Prices at POUDRE VALLEY HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$2.22
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$6.76
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$9.05
Mechanical Traction
CPT 97012
$12.1
Therapeutic Exercises
CPT 97110
$25.63
Therapeutic Activities
CPT 97530
$35.26
EKG Tracing
CPT 93005
$56.82
Chest X-Ray (2 views)
CPT 71046
$81.21
Chest X-Ray (1 view)
CPT 71045
$81.47
Diagnostic Mammogram (unilateral)
CPT 77065
$87.39
Screening Mammogram (bilateral)
CPT 77067
$100.11
Abdominal Ultrasound — Limited
CPT 76705
$101.83
Abdominal Ultrasound
CPT 76700
$103.57
OB Ultrasound
CPT 76805
$105.13
Retroperitoneal Ultrasound
CPT 76770
$109.14
CT Chest
CPT 71250
$109.3
Thoracic Spine X-Ray
CPT 72072
$109.31
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$109.98
Diagnostic Mammogram (bilateral)
CPT 77066
$124.43
ER Visit — Low-Moderate Complexity
CPT 99283
$234.99
MRI Joint of Lower Extremity
CPT 73721
$255.57
MRI Brain w/o Contrast
CPT 70551
$285.75
CT Abdomen & Pelvis
CPT 74177
$393.15
MRI Brain w/ Contrast
CPT 70553
$440.4
ER Visit — Moderate Complexity
CPT 99284
$473.52
Echocardiogram w/ Doppler
CPT 93306
$483.67
Colonoscopy
CPT 45378
$611.63
Upper GI Endoscopy w/ Biopsy
CPT 43239
$644.19
ER Visit — High Complexity
CPT 99285
$669.04
Colonoscopy w/ Biopsy
CPT 45380
$832.32
Inguinal Hernia Repair
CPT 49505
$3,217.66
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$4,103.71
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$4,875.98
Laparoscopic Cholecystectomy
CPT 47562
$5,089.79
Laparoscopic Hernia Repair
CPT 49650
$5,095.62
Knee Arthroscopy
CPT 29881
$5,276.09
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$7,264.44
Knee Replacement
CPT 27447
$9,258.4
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$9,617.37
Appendectomy
CPT 44950
$10,591.3
Hip Replacement
CPT 27130
$12,503.04
Recurrent Inguinal Hernia Repair
CPT 49520
$17,322.41
Compare Prices Nearby
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.