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HCA HealthONE Northeast ER top charges

In compliance with federal law, please view pricing information for certain procedures and services at HCA HealthONE Northeast ER, A part of Mountain Ridge Hospital.

NOTICE REGARDING HEALTH CARE PLAN COVERAGE

This freestanding emergency department (Northeast 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. In addition to facility 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) 475-2403 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.

Northeast Emergency Department

25 Most Common Health Services Provided at the Freestanding Emergency Room
CPT Code Charge Description Charge Price
99283 LVL 3 FREE STD EMER DEPT $8,452
99284 LVL 4 FREE STD EMER DEPT $14,162
85027 COMPLETE CBC AUTOMATED $823
80053 COMPREHEN METABOLIC PANEL $2,137
96374 THER/PROPH/DIAG INJ IV PUSH $763
87426 SARSCOV CORONAVIRUS AG IA $74
81003 URINALYSIS AUTO W/O SCOPE $487
87400 INFLUENZA A/B EACH AG IA $40
71045 X-RAY EXAM CHEST 1 VIEW $1,154
93005 ELECTROCARDIOGRAM TRACING $2,532
96361 HYDRATE IV INFUSION ADD-ON $391
96375 TX/PRO/DX INJ NEW DRUG ADDON $763
99282 LVL 2 FREE STD EMER DEPT $3,721
84484 ASSAY OF TROPONIN QUANT $1,320
87880 STREP A ASSAY W/OPTIC $196
84703 CHORIONIC GONADOTROPIN ASSAY $963
74177 CT ABD & PELV W/CONTRAST $25,497
87081 CULTURE SCREEN ONLY $567
81025 URINE PREGNANCY TEST $963
80047 METABOLIC PANEL IONIZED CA $1,302
96372 THER/PROPH/DIAG INJ SC/IM $800
99281 LVL 1 FREE STD EMER DEPT $1,530
85014 HEMATOCRIT $287
83605 ASSAY OF LACTIC ACID $911
85379 FIBRIN DEGRADATION QUANT $1,260
Freestanding Emergency Facility Fees
CPT Code Charge Description Charge Price
99281 LVL 1 FREE STD EMER DEPT $1,530
99282 LVL 2 FREE STD EMER DEPT $3,721
99283 LVL 3 FREE STD EMER DEPT $8,452
99284 LVL 4 FREE STD EMER DEPT $14,162
99285 LVL 5 FREE STD EMER DEPT $16,933

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