NOTICE REGARDING HEALTH CARE PLAN COVERAGE
This freestanding emergency department (Southwest Emergency Department ) accepts patients enrolled in the following programs: Colorado Medicaid (Articles 4, 5 and 6 of Title 25.5); Medicare (Title XVIII of the Federal Social Security Act, as amended); the CHIP program (Article 8 of Title 25.5) and a military health plan (10 U.S.C. Section 1071).
The prices listed on this facility’s chargemaster or fee schedule for any given health care service is the maximum charge that any patient will be billed for the service. The actual price for the health care service may be lower depending on your health insurance benefits and the availability of discounts or financial assistance.
This Facility will charge a facility fee with prices ranging approximately and, on average, from $911.53 to $14,157.24. In addition to these fees you will be charged for any testing, supplies, or other services you receive. All physicians providing health care services will bill separately from the Facility for services they provided to you.
The health care provider networks and carriers that this Facility participates with are listed here.
This Facility and/or a physician providing health care services may not be a participating provider in your health insurance provider network.
If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this Facility. If you are not covered by health insurance, you are strongly encouraged to contact (866) 475-1385 to discuss payment options and the availability of financial assistance prior to receiving a health care service from this Facility.
The average fee schedule price for the twenty-five most common health care services provided by this Facility are listed below. The prices listed for each health care service is the average charge that you may be billed for the particular service. The actual price for the health care service may be lower depending on your insurance coverage and the availability of discounts or financial assistance.
Southwest Emergency Department
Updated August 3, 2022
| Charge description | Average charge per account |
|---|---|
| 1000 ML bag of saline IV fluid | $4,990 |
| Normal saline 50ml | $839 |
| Chest XRAY 1 view | $812 |
| Antihistamine injection | $5,694 |
| 15mg injection of Ketorolac, a non-steroid anti-inflammatory medication | $661 |
| Acetamin 500mg | $390 |
| ED PROC CAT 2 | $249 |
| Low osmolar contrast material used in diagnostic radiology | $559 |
| Each additional hour of IV fluid hydration | $374 |
| Injection in the muscle or under the skin | $12,130 |
| Single or first dose of medication IV | $254 |
| Second or each additional dose of medication delivered via IV | $939 |
| 4mg vial of Ondansetron, used to prevent nausea and vomiting | $1,311 |
| Blood drawn from vein or artery for lab tests | $3,006 |
| External recording of electrical activity of heart | $859 |
| Blood test for pregnancy | $66 |
| Blood test for pancreatic enzymes | $15 |
| Basic panel of 7 or 8 blood tests including CA | $972 |
| Complete panel of 14 blood tests | $8,261 |
| Blood test for heart muscle | $620 |
| Test to rule out blood clot | $94 |
| Urine test conducted via machine with micro | $28 |
| Urine test without microscope | $270 |
| Computerized tomography "Cat Scan" of the head without contrast | $2,180 |
| Computerized tomography "Cat Scan" of the abdomen and pelvis with contrast | $712 |