UCHealth Pikes Peak Regional Hospital — price list

← Hospital overviewVerified from UCHealth Pikes Peak Regional Hospital’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.

521 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ACETAZOLAMIDE 125 MG TABLET Inpatient	0250 RC	$1.00	$0.80	$0.45 – $0.87	—
ACETYLCYSTEINE 100 MG/ML (10 %) SOLUTION Inpatient	0250 RC	$5.78	$4.63	$2.63 – $5.01	—
ACTIVATED CHARCOAL 25 GRAM ORAL SUSPENSION Inpatient	0250 RC	$14.45	$11.56	$6.57 – $12.52	—
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Inpatient	285 MS-DRG	—	—	$6,220 – $11,080	—
ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION Inpatient	P9047 HCPCS	$253	$203	$115 – $220	—
ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION Inpatient	P9045 HCPCS	$253	$203	$115 – $220	—
ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION\|DISCARDED DRUG NOT ADMINISTE Inpatient	J7613 HCPCS	$0.22	$0.18	$0.10 – $0.19	—
ALLOPURINOL 100 MG TABLET Inpatient	0250 RC	$1.00	$0.80	$0.45 – $0.87	—
ALTEPLASE 100 MG INTRAVENOUS SOLUTION Inpatient	J2997 HCPCS	$38,326	$30,661	$17,434 – $33,194	—
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION Inpatient	0250 RC	$445	$356	$203 – $386	—
AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION Inpatient	0250 RC	$300	$240	$136 – $259	—
AMPICILLIN 1 GRAM VIAL FOR INJECTION Inpatient	J0290 HCPCS	$34.04	$27.24	$15.48 – $29.48	—
AMPICILLIN-SULBACTAM 1.5 G INJECTION (MG DISPLAY) Inpatient	J0295 HCPCS	$10.44	$8.36	$4.75 – $9.04	—
AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION Inpatient	J0295 HCPCS	$10.44	$8.36	$4.75 – $9.04	—
ANASTROZOLE 1 MG TABLET Inpatient	J3490 HCPCS	$1.00	$0.80	$0.45 – $0.87	—
ASPIRIN 300 MG RECTAL SUPPOSITORY Inpatient	0250 RC	$1.29	$1.04	$0.59 – $1.12	—
ATROPINE 1 % EYE DROPS Inpatient	0250 RC	$0.05	$0.04	$0.02 – $0.04	—
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION Inpatient	Q0144 HCPCS	$26.51	$21.21	$12.06 – $22.96	—
BARICITINIB 2 MG TABLET Inpatient	0250 RC	$92.08	$73.67	$41.89 – $79.75	—
BARICITINIB 2 MG TABLET (EUA) Inpatient	0250 RC	$92.08	$73.67	$41.89 – $79.75	—
BARIUM SULFATE 96 % (W/W) ORAL POWDER FOR SUSPENSION Inpatient	0255 RC	$8.11	$6.49	$3.69 – $7.02	—
BENDAMUSTINE 25 MG/ML INTRAVENOUS SOLUTION Inpatient	J9034 HCPCS	$9,481	$7,585	$4,313 – $8,211	—
BENZOCAINE 15 MG-MENTHOL 3.6 MG LOZENGES Inpatient	0250 RC	$1.00	$0.80	$0.45 – $0.87	—
BIOGLUE SURGICAL ADHESIVE 2 ML (85114) Inpatient	0272 RC	$614	$491	$279 – $532	—
BORTEZOMIB 3.5 MG INJECTION POWDER FOR SOLUTION Inpatient	J9041 HCPCS	$4,833	$3,866	$2,198 – $4,186	—
BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER Inpatient	J3535 HCPCS	$0.05	$0.04	$0.02 – $0.04	—
BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION Inpatient	J0665 HCPCS	$10.06	$8.05	$4.58 – $8.71	—
BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION Inpatient	J0665 HCPCS	$15.22	$12.18	$6.92 – $13.18	—
BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION Inpatient	J0666 HCPCS	$2,889	$2,311	$1,314 – $2,502	—
BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50 MG-325 MG-40 MG TABLET Inpatient	0250 RC	$1.21	$0.97	$0.55 – $1.05	—