UCHealth Poudre Valley Hospital — price list
← Hospital overviewVerified from UCHealth Poudre Valley 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.
13 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| CAFFEINE 200 MG TABLET Inpatient | 0250 RC | $3.00 | $2.10 | $1.16 – $2.91 | — | |
| CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET Inpatient | 0250 RC | $3.00 | $2.10 | $1.16 – $2.91 | — | |
| DEXTROSE 50% INJECTION (COMPONENT) Inpatient | 0250 RC | $706 | $494 | $273 – $684 | — | |
| EMPAGLIFLOZIN 10 MG TABLET Inpatient | 0250 RC | $213 | $149 | $82.36 – $207 | — | |
| HYDROMORPHONE 4 MG TABLET Inpatient | 0250 RC | $3.00 | $2.10 | $1.16 – $2.91 | — | |
| LIDOCAINE 5 % TOPICAL PATCH Inpatient | 0250 RC | $18.94 | $13.26 | $7.32 – $18.37 | — | |
| LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID Inpatient | 0250 RC | $9.03 | $6.33 | $3.49 – $8.76 | — | |
| LOXAPINE SUCCINATE 10 MG CAPSULE Inpatient | 0250 RC | $9.18 | $6.43 | $3.55 – $8.90 | — | |
| MUPIROCIN 2 % TOPICAL OINTMENT Inpatient | 0250 RC | $26.74 | $18.72 | $10.33 – $25.94 | — | |
| SODIUM CHLORIDE-HYPOCHLOROUS ACID 0.033 % IRRIGATION SOLUTION Inpatient | 0250 RC | $840 | $588 | $324 – $815 | — | |
| SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION Inpatient | 0250 RC | $236 | $165 | $91.17 – $229 | — | |
| SULINDAC 200 MG TABLET Inpatient | 0250 RC | $3.91 | $2.74 | $1.51 – $3.79 | — | |
| VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE Inpatient | 0250 RC | $3.00 | $2.10 | $1.16 – $2.91 | — |