In 2017 the Senate spent a lot of time discussing ways to increase transparency in healthcare. Senate Bill (SB) 17-065 passed, which ensures that “self-pay” prices of common health care services are accessible to the public. We at Lincoln Health actively supported this bill because it aligns with our principle of providing the highest level of quality healthcare to our community at the lowest price possible.

 

 

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 LINCOLN COMMUNITY HOSPITAL, CLINICS OR CARE CENTER. IF YOU ARE NOT COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONTACT OUR BUSINESS OFFICE AT 719-743-2421 ext 3222 TO DISCUSS PAYMENT OPTIONS PRIOR TO RECEIVING A HEALTH CARE SERVICE FROM THIS HEALTH CARE FACILITY SINCE POSTED HEALTH CARE PRICES MAY NOT REFLECT THE ACTUAL AMOUNT OF YOUR FINANCIAL RESPONSIBILITY.

In-Patient Charges

36415Lab- Veinpuncture$20.00
85025Lab-Complete Blood Count$43.00
80048Lab-Basic Metabolic Panel$125.00
80053
Lab-Comprehensive Metabolic Panel
$145.00
97162Physical Therapy- PT Evaluation Moderate$150.00
71020Radiology- Chest 2 View X-Ray$295.00
97110Physical Therapy- Therapeutic Exercise 15 minute session$70.00
97530Physical Therapy- Functional Evaluation 15 minute session$70.00
83880
Lab-B Type Natriuretic Peptide (BNP)$85.00
81001Lab-Routine UA$18.00
93005Radiology-Electrocardiogram (EKG)$225.00
85610Lab-Protime$45.00
97116Physical Therapy-Gait Training (Complex) 15 minute session$70.00
97165Occupational Therapy-Evaluation Low Complexity$150.00
97166Occupational Therapy-Evaluation Moderate Complexity$150.00
97535Physical Therapy-Activites/ Daily Living Evaluation$70.00
84512Lab- Troponin$155.00
83735Lab- Magnesium Test$45.00
97161Physical Therapy- PT Evaluation Low Complexity$150.00
87086Lab-Urine Culture$29.70
84443Lab-Thyroid Stimulating Hormone (THS)$65.00
87040Lab-Aerobic/ Anaerobic Blood Culture$145.00
82270Lab-Hemoculture$30.00
80202Lab-Vancomycin Peak Test$0.00
36592Lab-IV PICC Line Insertion$125.00
83605Lab-Lactate$110.00
93307Radiology-Echocardiogram Complete$1575.00
94762Respiratory Therapy-Pulse Ox/O2 Saturation$21.60
85379Lab-D-Dimer$165.00
83036Lab-Hemoglobin A1c$125.00

Out-Patient Charges

99214Clinic – Office Visit Established Patient, Level 2$210.00
85025Lab-Complete Blood Count$43.00
80053Lab – Comprehensive Metabolic Panel$145.00
99213Clinic – Office Visit Established Patient, Level 3$135.00
99211Clinic – Office Visit Established Patient, Level 1$150.00
85610Lab – Protime$45.00
80061Lap Lipid Profile$65.00
96372ER Injection$27.00
99283ER Level 3 ER Visit$805.00
90471Clinic-Immunization Administration Fee$8.00
90832Behavioral Health- 30 minute Individual Session$70.00
93005Radiology- Diagnostic Electrocardiogram (EKG)$225.00
36592Lab- Blood Draw$125.00
71020Radiology- Chest Tube View X-Ray$295.00
99284ER- Level 4 ER Visit$1314.00
99201Clinic-Office Visit New Patient Level 1$100.00
90656Pharmacy- Flu Vaccination$25.00
96365ER-IV Infusion First Hour$343.00
97140Physical Therapy- Manual Therapeutic Exercise 15 minute session$70.00
96374ER-IV Push-initial$65.00
99080Clinic-Office Visit- CDL Physical$50.00
81003Lab-Dipstick-UA Only$8.00
99336Office Visit – Assisted Care Established Patient Moderate Complexity$80.00
97162Physical Therapy- Evaluation Moderate Complexity$150.00
99282ER-Level 2 ER Visit$404.00
90853Behavioral Health- Group Counseling Session$31.00
G0103Lab-Prostate Specific Antigen Screening (Annually)$62.00
87430Lab-Rapid Group A$18.00
96375ER-IV Infuison Additional After First Hour$27.00

Our goal is to provide meaningful and reliable information to help you understand prices in advance of your procedure. We have put together the top inpatient and outpatient procedure costs for self-pay individuals to give you an estimate of the expected pricing for commonly provided health care services at Lincoln Health.

Actual prices on your final bill may vary from this information based on the patient’s medical condition, unknown circumstances or complications, final diagnosis, and recommended treatment ordered by the attending physician(s). Please be advised that while the hospital/clinic attempts to estimate the prices of care as accurately as possible, there may be significant variations between the prices listed and the actual price reflected on your final bill.

 

Use the tool below to create an estimate

Chargemaster

 ABCDEFGHIJKLMNOPQRSTUV
1
CDM Item Number
Revenue CodeService ID
Service Description
Gross Charge
Discounted Cash Price
Minimum Negotiated Charge
Maximum Negotiated Charge
Payer Negotiated Charge: Aetna (Plan: Default)
Payer Negotiated Charge: Blue Cross Blue Shield of CO (Plan: Default)
Payer Negotiated Charge: Bright Health Plan (Plan: Default)
Payer Negotiated Charge: Cigna (Plan: Default)
Payer Negotiated Charge: Friday Health Plans of Colorado Inc (Plan: Default)
Payer Negotiated Charge: Great West Healthcare (Plan: Default)
Payer Negotiated Charge: Humana (Plan: Default)
Payer Negotiated Charge: Humana (Plan: Medicare Advantage)
Payer Negotiated Charge: Rocky Mountain Health Plan (Plan: Default)
Payer Negotiated Charge: Rocky Mountain Health Plan (Plan: Medicare Advantage)
Payer Negotiated Charge: United Healthcare (Plan: Default)
Payer Negotiated Charge: United Healthcare (Plan: Medicare Advantage)
2
3010007270TOURNIQUET00055.2021.4855.223.5915.6127.3915.39
3
3010008276
INTRAOCULAR LENS (IOL)
289289
4
3010009270
CHEST TUBE INSERTION TRAY
00055.2021.4855.223.5915.6127.3915.39
5
3010010270
BATH SPONGE W/HANDLE
00055.2021.4855.223.5915.6127.3915.39
6
3010011270
COMPRESSION DEVICE
00055.2021.4855.223.5915.6127.3915.39
7
3010012270SEALEASY KIT9191055.2021.4855.223.5915.6127.3915.39
8
3010013270
YANKAUER VENTED
00055.2021.4855.223.5915.6127.3915.39
9
3010014270
MEDSYSTEM TUBING
00055.2021.4855.223.5915.6127.3915.39
10
3010018270PROTIME STRIP4848055.2021.4855.223.5915.6127.3915.39
11
3010019270A6456UNNA BOOT6969
12
3010020270PROBE DISP00055.2021.4855.223.5915.6127.3915.39
13
3010021270
HYBRESIS PATCH
9090055.2021.4855.223.5915.6127.3915.39
14
3010025270L4350AIR STIRRUP237237
15
3010029270A4565ARM SLING MD383823.5623.5623.56
16
3010030270
MECONIUM ASPIRATOR
00055.2021.4855.223.5915.6127.3915.39
17
3010031270
MASK C-PAP MD 1/2
492492055.2021.4855.223.5915.6127.3915.39
18
3010033270
THUMB SPICA RIGHT
6969055.2021.4855.223.5915.6127.3915.39
19
3010034270
DUPEL ELECTRODES
00055.2021.4855.223.5915.6127.3915.39
20
3010035270
PEAK FLOW METER
100100055.2021.4855.223.5915.6127.3915.39
21
3010036278C1751POWER PICC12791279
22
3010038270ENDO SPATULA00055.2021.4855.223.5915.6127.3915.39
23
3010039270ENDO PISTOL00055.2021.4855.223.5915.6127.3915.39
24
3010040270THERACANE126126055.2021.4855.223.5915.6127.3915.39
25
3010041270THERABAND99055.2021.4855.223.5915.6127.3915.39
26
3010042270MAX CORE00055.2021.4855.223.5915.6127.3915.39
27
3010043270WAFFLE BOOT182182055.2021.4855.223.5915.6127.3915.39
28
3010044270
DECLOGGER 18-24FR
5050055.2021.4855.223.5915.6127.3915.39
29
3010045270
DECLOGGER 20-22FR
6363055.2021.4855.223.5915.6127.3915.39
30
3010046270DINAMAP00055.2021.4855.223.5915.6127.3915.39
31
3010047270BITE STICK00055.2021.4855.223.5915.6127.3915.39
32
3010048270
TOURNIQUET/ 15 MINUTES
00055.2021.4855.223.5915.6127.3915.39
33
3010049270OSTOMY WAFER00055.2021.4855.223.5915.6127.3915.39
34
3010050279
REACHER/ GRABBER
7474000
35
3010051270
STOMAHESIVE PASTE [20 OZ]
5151055.2021.4855.223.5915.6127.3915.39
36
3010052270POLYDERM00055.2021.4855.223.5915.6127.3915.39
37
3010053270EPISTAXIS KIT00055.2021.4855.223.5915.6127.3915.39
38
3010054270
CERVICAL TRACTION UNIT
226226055.2021.4855.223.5915.6127.3915.39
39
3010055271
KNUCKLE BENDER
22322338.8638.8638.86
40
3010056270ACAPELLA00055.2021.4855.223.5915.6127.3915.39
41
3010057270
MEPILEX/BORDER 4X4
4848055.2021.4855.223.5915.6127.3915.39
42
3010058270MEPILEX 4X44444055.2021.4855.223.5915.6127.3915.39
43
3010059270PLEURX DRAIN447447055.2021.4855.223.5915.6127.3915.39
44
3010060270
ENDO FAN 10MM
00055.2021.4855.223.5915.6127.3915.39
45
3010061270
PNEUMOTHORAX 14G
8888055.2021.4855.223.5915.6127.3915.39
46
3010062270AED PED PAD466466055.2021.4855.223.5915.6127.3915.39
47
3010063270
CPAP AMBULANCE
265265055.2021.4855.223.5915.6127.3915.39
48
3010064270A4629
TRACHEOSTOMY CARE KIT
3131
49
3010065270
DRAPE MINOR PROCEDURE
00055.2021.4855.223.5915.6127.3915.39
50
3010066270A4649
SUTURE CHROM 5-0 687G
70700135.0400135.04
51
3010067270A4649
SUTURE VICRYL O J978
19190135.0400135.04
52
3010068270A4649
SUTURE VICRYL 2-0 J269-87
18180135.0400135.04
53
3010070270A4649
SUTURE VICRYL 5-0 J495
39390135.0400135.04
54
3010071270A4649
SUTURE ETHILON 3-0 669
19190135.0400135.04
55
3010072270A4649
SUTURE ETHILON 3-0 663
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3010073270A4649
SUTURE PROLENE 0 8434
23230135.0400135.04
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3010074270A4649
SUTURE PROLENE 5-0 8605
37370135.0400135.04
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3010075270A4649
SUTURE ETHILON 3-0 669H
18180135.0400135.04
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3010076270A4649
SUTURE ETHILON 3-0 663H
69690135.0400135.04
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3010077270A4649
SUTURE PROLENE 0 8434H
24240135.0400135.04
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3010078270A4649
SUTURE VICRYL 0 J978H
18180135.0400135.04
62
3010079270A4649
SUTURE VICRYL 2-0 J269H
17170135.0400135.04
63
3010081270A4649
SUTURE CHROMIC 687G
63630135.0400135.04
64
3010082270
TOE CAP/ VISCO (GEL)
2929055.2021.4855.223.5915.6127.3915.39
65
3010083270
INSOLE/ FULL LENGTH GEL
182182055.2021.4855.223.5915.6127.3915.39
66
3010084270
EXTENSION SET (MICRO)
00055.2021.4855.223.5915.6127.3915.39
67
3010085270
ELECTRODE/ STANDRD NEEDLE
3737055.2021.4855.223.5915.6127.3915.39
68
3010086270
DRAPE/ FENESTRATION
00055.2021.4855.223.5915.6127.3915.39
69
3010087270CATH CLEAN2525055.2021.4855.223.5915.6127.3915.39
70
3010088270TENDER GRIP1414055.2021.4855.223.5915.6127.3915.39
71
3010089270
DEPENDS SLIP-ON MEDIUM
00055.2021.4855.223.5915.6127.3915.39
72
3010090270
CANNULA- ENDOBIOPSY
00055.2021.4855.223.5915.6127.3915.39
73
3010091270EAKIN SEAL 4"4040055.2021.4855.223.5915.6127.3915.39
74
3010092270L3480
TULLI HEEL CUP REG
130130
75
3010093270
STOMACH TUBE SUMP 10FR
4848055.2021.4855.223.5915.6127.3915.39
76
3010094270ALLEVYN 4X45959055.2021.4855.223.5915.6127.3915.39
77
3010095270A4649
SUTURE ETHILON 5.0 1666
69690135.0400135.04
78
3010096270
SAM PELVIC SLING
486486055.2021.4855.223.5915.6127.3915.39
79
3010097270Q4051SAM SPLINT 36"191191
80
3010098270SAM SPLINT 18"158158055.2021.4855.223.5915.6127.3915.39
81
3010099270
MAXORB DRESSING 2X2
2727055.2021.4855.223.5915.6127.3915.39
82
3010100270A4649
SUTURE PROLENE 4.0 8634
69690135.0400135.04
83
3010102270
KATZ EXTRACTOR
552552055.2021.4855.223.5915.6127.3915.39
84
3010103270
COTTON TIP APPLICATOR
00055.2021.4855.223.5915.6127.3915.39
85
3010104270
DEPENDS - INDIVIDUAL
00055.2021.4855.223.5915.6127.3915.39
86
3010107270MEDIFIX (BOX)00055.2021.4855.223.5915.6127.3915.39
87
3010116270
CATH KIT UNIVERSAL
00055.2021.4855.223.5915.6127.3915.39
88
3010117270
ALLEVYN HEEL 9X9
132132055.2021.4855.223.5915.6127.3915.39
89
3010118270A6212
MEPILEX - SACRUM
9090
90
3010119270
MEPILEX/BORDER 3X3
4848055.2021.4855.223.5915.6127.3915.39
91
3010120270
ANTI REFLUX VALVE
121121055.2021.4855.223.5915.6127.3915.39
92
3010121270URINAL/FEMALE44055.2021.4855.223.5915.6127.3915.39
93
3010122270A4649
SUTURE VICRYL 4-0 J392H
69690135.0400135.04
94
3010123270
MEPILEX/BORDER 1.6X2
4848055.2021.4855.223.5915.6127.3915.39
95
3010125270
GLIDE SCOPE SZ 3
00055.2021.4855.223.5915.6127.3915.39
96
3010126270HEEL LIFT4545055.2021.4855.223.5915.6127.3915.39
97
3010127270ESMARK 3"00055.2021.4855.223.5915.6127.3915.39
98
3010128270
OB INSTRUMENT TRAY
00055.2021.4855.223.5915.6127.3915.39
99
3010131270
INFANT WARMER
3030055.2021.4855.223.5915.6127.3915.39
100
3010132270
MINOR CLINIC SET
2727055.2021.4855.223.5915.6127.3915.39