Price Transparency

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 LCH 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.

Below are our most commonly used inpatient and outpatient services and the price billed for each service. The price for each specific service is an estimate and that the actual charges for the service depend on the circumstances at the time the service is rendered.

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.

Code Description Cost
36415 Lab- Veinpuncture $20.00
85025 Lab-Complete Blood Count $43.00
80048 Lab-Basic Metabolic Panel $125.00
80053 Lab-Comprehensive Metabolic Panel $145.00
97162 Physical Therapy- PT Evaluation Moderate $150.00
71020 Radiology- Chest 2 View X-Ray $295.00
97110 Physical Therapy- Therapeutic Exercise 15 minute session $70.00
97530 Physical Therapy- Functional Evaluation 15 minute session $70.00
83880 Lab-B Type Natriuretic Peptide (BNP) $85.00
81001 Lab-Routine UA $18.00
93005 Radiology-Electrocardiogram (EKG) $225.00
85610 Lab-Protime $45.00
97116 Physical Therapy-Gait Training (Complex) 15 minute session $70.00
97165 Occupational Therapy-Evaluation Low Complexity $150.00
97166 Occupational Therapy-Evaluation Moderate Complexity $150.00
97535 Physical Therapy-Activites/ Daily Living Evaluation $70.00
84512 Lab- Troponin $155.00
83735 Lab- Magnesium Test $45.00
97161 Physical Therapy- PT Evaluation Low Complexity $150.00
87086 Lab-Urine Culture $29.70
84443 Lab-Thyroid Stimulating Hormone (THS) $65.00
87040 Lab-Aerobic/ Anaerobic Blood Culture $145.00
82270 Lab-Hemaculture $30.00
80202 Lab-Vancomycin Peak Test $0.00
36592 Lab-IV PICC Line Insertion $125.00
83605 Lab-Lactate $110.00
93307 Radiology-Echocardiogram Complete $1575.00
94762 Respiratory Therapy-Pulse Ox/O2 Saturation $21.60
85379 Lab-D-Dimer $165.00
83036 Lab-Hemoglobin A1c $125.00
Code Description Cost
99214 Clinic – Office Visit Established Patient, Level 2 $210.00
85025 Lab-Complete Blood Count $43.00
80053 Lab – Comprehensive Metabolic Panel $145.00
99213 Clinic – Office Visit Established Patient, Level 3 $135.00
99211 Clinic – Office Visit Established Patient, Level 1 $150.00
85610 Lab – Protime $45.00
80061 Lap Lipid Profile $65.00
96372 ER Injection $27.00
99283 ER Level 3 ER Visit $805.00
90471 Clinic-Immunization Administration Fee $8.00
90832 Behavioral Health- 30 minute Individual Session $70.00
93005 Radiology- Diagnostic Electrocardiogram (EKG) $225.00
36592 Lab- Blood Draw $125.00
71020 Radiology- Chest Tube View X-Ray $295.00
99284 ER- Level 4 ER Visit $1314.00
99201 Clinic-Office Visit New Patient Level 1 $100.00
90656 Pharmacy- Flu Vaccination $25.00
96365 ER-IV Infusion First Hour $343.00
97140 Physical Therapy- Manual Therapeutic Exercise 15 minute session $70.00
96374 ER-IV Push-initial $65.00
99080 Clinic-Office Visit- CDL Physical $50.00
81003 Lab-Dipstick-UA Only $8.00
99336 Office Visit – Assisted Care Established Patient Moderate Complexity $80.00
97162 Physical Therapy- Evaluation Moderate Complexity $150.00
99282 ER-Level 2 ER Visit $404.00
90853 Behavioral Health- Group Counseling Session $31.00
G0103 Lab-Prostate Specific Antigen Screening (Annually) $62.00
87430 Lab-Rapid Group A $18.00
96375 ER-IV Infuison Additional After First Hour $27.00