UCHealth Memorial Hospital Central — price list

← Hospital overviewVerified from UCHealth Memorial Hospital Central’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

638 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY Inpatient	0250 RC	$1.00	$0.45	$0.32 – $0.71	—
ACYCLOVIR 800 MG TABLET Inpatient	0250 RC	$1.00	$0.45	$0.32 – $0.71	—
ALBUTEROL SULFATE 2 MG/5 ML ORAL SYRUP Inpatient	0250 RC	$23.65	$10.65	$7.59 – $16.79	—
ALEMTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION Inpatient	J0202 HCPCS	$0.05	$0.03	$0.02 – $0.04	—
AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET Inpatient	0250 RC	$1.00	$0.45	$0.32 – $0.71	—
AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION Inpatient	J0289 HCPCS	$1,431	$644	$459 – $1,016	—
ANTI-INHIBITOR COAGULANT COMPLEX 350 UNIT-650 UNIT INTRAVENOUS SOLN Inpatient	J7198 HCPCS	$130	$58.44	$41.68 – $92.19	—
ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION (FOR ESRD) Inpatient	J0884 HCPCS	$1,441	$649	$463 – $1,023	—
ARIPIPRAZOLE 15 MG TABLET Inpatient	0250 RC	$1.00	$0.45	$0.32 – $0.71	—
BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION Inpatient	J0475 HCPCS	$701	$315	$225 – $498	—
BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION Inpatient	J0702 HCPCS	$656	$295	$211 – $466	—
BLINATUMOMAB 35 MCG INTRAVENOUS KIT Inpatient	J9039 HCPCS	$27,863	$12,538	$8,944 – $19,783	—
BRIVARACETAM 25 MG TABLET Inpatient	0250 RC	$24.90	$11.21	$7.99 – $17.68	—
BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION Inpatient	0250 RC	$3.65	$1.65	$1.17 – $2.59	—
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION Inpatient	J0665 HCPCS	$103	$46.40	$33.10 – $73.20	—
BUPROPION HCL 75 MG TABLET Inpatient	J3490 HCPCS	$1.05	$0.48	$0.34 – $0.75	—
CAFFEINE-SODIUM BENZOATE 250 MG/ML(125 MG/ML CAFFEINE) INJECTION SOLN Inpatient	0250 RC	$569	$256	$183 – $404	—
CALCIUM GLUCONATE 1 GRAM/50 ML IN SODIUM CHLORIDE, ISO-OSM IV SOLUTION Inpatient	J0613 HCPCS	$349	$157	$112 – $248	—
CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR Inpatient	0250 RC	$1.70	$0.77	$0.55 – $1.21	—
CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION Inpatient	J0690 HCPCS	$35.10	$15.80	$11.27 – $24.92	—
CEFDINIR 300 MG CAPSULE Inpatient	0250 RC	$1.00	$0.45	$0.32 – $0.71	—
CEFTRIAXONE 1 G POWDER VIAL FOR RECONSTITUTION Inpatient	J0696 HCPCS	$57.50	$25.88	$18.46 – $40.83	—
CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION Inpatient	J9119 HCPCS	$54,787	$24,654	$17,586 – $38,898	—
CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION Inpatient	J2401 HCPCS	$376	$169	$121 – $267	—
CHLOROQUINE 250 MG TABLET Inpatient	0250 RC	$3.15	$1.42	$1.01 – $2.24	—
CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET Inpatient	0250 RC	$1.00	$0.45	$0.32 – $0.71	—
CLONIDINE HCL (BULK) POWDER Inpatient	0250 RC	$1,352	$608	$434 – $960	—
CLORAZEPATE DIPOTASSIUM 15 MG TABLET Inpatient	0250 RC	$2.15	$0.97	$0.69 – $1.53	—
CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM Inpatient	0250 RC	$17.10	$7.70	$5.49 – $12.14	—
D10W BOLUS Inpatient	0250 RC	$192	$86.45	$61.66 – $136	—