Does RIO GRANDE HOSPITAL publish its standard charges and chargemaster?

Yes. RIO GRANDE HOSPITAL publishes a machine-readable file with 66,470 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does RIO GRANDE HOSPITAL charge for procedures?

RIO GRANDE HOSPITAL (Del Norte, CO) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · CO · CCN 061301

RIO GRANDE HOSPITAL

Del Norte, CO, 81132

17 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

66,470

last crawl 2026-05-23

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All CO hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://driscollchildrens.org/wp-content/uploads/742577746-1124796081_Driscoll-Childrens-Hospital_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	5	$553.3	$110.66	$149.12	$149.12	0.84×	$1,000
Psychiatric eval with medical services	CPT	90792	4	$614.9	$122.98	$169.43	$169.43	0.98×	$1,000
Psychotherapy 30 minutes	CPT	90832	5	$534.6	$106.92	$65.72	$65.72	0.44×	$1,000
Psychotherapy 45 minutes	CPT	90834	5	$665.5	$133.1	$87.11	$87.11	0.54×	$1,000
Psychotherapy 60 minutes	CPT	90837	5	$760.1	$152.02	$128.07	$128.07	0.67×	$1,000
Crisis psychotherapy 60 minutes	CPT	90839	2	$994.4	$198.88	$165.82	$582.91	3.7×	$1,000
emergency
ED visit level 1	CPT	99281	27	$479.4	$95.88	$51.36	$51.36	0.37×	$1,000
ED visit level 2	CPT	99282	27	$1,070.15	$214.03	$51.36	$51.36	0.22×	$1,500
ED visit level 3	CPT	99283	27	$2,052.75	$410.55	$51.36	$51.36	0.13×	$2,499
ED visit level 4	CPT	99284	3	$2,487.1	$497.42	$165.82	$3,900	5.8×	$3,900
ED visit level 5	CPT	99285	3	$3,371.1	$674.22	$165.82	$7,800	7.5×	$7,800
Critical care, first hour	CPT	99291	3	$6,106.4	$1,221.28	$165.82	$7,800	7.3×	$7,800
imaging
CT head without contrast	CPT	70450	26	$9,210.88	$1,842.18	$108.97	$108.97	0.53×	$1,000
CT head with contrast	CPT	70460	26	$8,663.2	$1,732.64	$156.38	$156.38	0.67×	$1,000
CT head with and without contrast	CPT	70470	26	$13,551	$2,710.18	$165.82	$178.55	0.67×	$1,000
CT neck with contrast	CPT	70491	26	$9,676.8	$1,935.36	$165.82	$178.55	0.65×	$1,000
MRI brain without contrast	CPT	70551	26	$6,942.88	$1,388.58	$165.82	$211.18	0.52×	$1,000
MRI brain with contrast	CPT	70552	26	$7,732.48	$1,546.5	$165.82	$294.04	0.62×	$1,000
MRI brain with and without contrast	CPT	70553	26	$16,281	$3,256.29	$165.82	$347.16	0.59×	$1,000
Chest X-ray single view	CPT	71045	26	$806.4	$161.28	$25.06	$25.06	0.27×	$1,000
Chest X-ray 2 views	CPT	71046	26	$1,095.36	$219.07	$32.75	$32.75	0.33×	$1,000
Chest X-ray 3 views	CPT	71047	26	$1,122.24	$224.45	$41.44	$41.44	0.43×	$1,000
CT chest without contrast	CPT	71250	26	$10,119	$2,023.84	$108.97	$108.97	0.51×	$1,000
CT chest with contrast	CPT	71260	26	$11,017	$2,203.49	$165.82	$178.55	0.63×	$1,000
CT chest with and without contrast	CPT	71270	26	$13,691	$2,738.18	$165.82	$178.55	0.61×	$1,000
MRI chest without contrast	CPT	71550	26	$6,102.88	$1,220.58	$165.82	$230.13	0.53×	$1,000
MRI chest with contrast	CPT	71551	26	$6,277.6	$1,255.52	$165.82	$417.66	0.51×	$1,000
MRI chest with and without contrast	CPT	71552	26	$16,577	$3,315.42	$165.82	$368.12	0.61×	$1,000
Lumbosacral spine X-ray	CPT	72100	26	$1,393.28	$278.66	$38.76	$38.76	0.37×	$1,000
CT cervical spine without contrast	CPT	72125	26	$10,212	$2,042.43	$108.97	$108.97	0.54×	$1,000
CT thoracic spine without contrast	CPT	72128	26	$10,212	$2,042.43	$108.97	$108.97	0.55×	$1,000
CT lumbar spine without contrast	CPT	72131	26	$10,212	$2,042.43	$108.97	$108.97	0.54×	$1,000
MRI cervical spine without contrast	CPT	72141	26	$8,223.04	$1,644.61	$165.82	$206.49	0.52×	$1,000
MRI thoracic spine without contrast	CPT	72146	26	$9,124.64	$1,824.93	$165.82	$206.49	0.55×	$1,000
MRI lumbar spine without contrast	CPT	72148	26	$9,124.64	$1,824.93	$165.82	$206.83	0.55×	$1,000
MRI lumbar spine with and without contrast	CPT	72149	26	$6,419.84	$1,283.97	$165.82	$296.38	0.65×	$1,000
MRI cervical spine with and without contrast	CPT	72156	26	$16,187	$3,237.47	$165.82	$350.5	0.65×	$1,000
MRI lumbar spine with contrast	CPT	72158	26	$16,187	$3,237.47	$165.82	$349.84	0.64×	$1,000
CT pelvis without contrast	CPT	72192	26	$9,826.88	$1,965.38	$108.97	$108.97	0.54×	$1,000
CT pelvis with contrast	CPT	72193	26	$12,357	$2,471.39	$165.82	$178.55	0.63×	$1,000
Shoulder X-ray	CPT	73030	26	$1,118.88	$223.78	$33.41	$33.41	0.36×	$1,000
Humerus X-ray	CPT	73060	26	$885.92	$177.18	$31.41	$31.41	0.35×	$1,000
Hand X-ray 3 views	CPT	73130	26	$1,014.72	$202.94	$35.41	$35.41	0.38×	$1,000
MRI upper extremity joint without contrast	CPT	73221	26	$8,100.96	$1,620.19	$165.82	$219.19	0.53×	$1,000
MRI upper extremity joint with and without contrast	CPT	73223	26	$16,668	$3,333.57	$165.82	$368.12	0.60×	$1,000
Knee X-ray 1-2 views	CPT	73560	26	$921.76	$184.35	$33.41	$33.41	0.36×	$1,000
Ankle X-ray 3 views	CPT	73610	26	$1,047.2	$209.44	$35.75	$35.75	0.39×	$1,000
MRI lower extremity joint without contrast	CPT	73721	26	$8,100.96	$1,620.19	$165.82	$218.53	0.47×	$1,000
MRI lower extremity joint with and without contrast	CPT	73723	26	$15,782	$3,156.38	$165.82	$368.12	0.58×	$1,000
CT abdomen without contrast	CPT	74150	26	$10,377	$2,075.36	$108.97	$108.97	0.58×	$1,000
CT abdomen with contrast	CPT	74160	26	$11,701	$2,340.13	$165.82	$178.55	0.62×	$1,000
CT abdomen with and without contrast	CPT	74170	26	$15,381	$3,076.19	$165.82	$178.55	0.53×	$1,000
CT abdomen and pelvis without contrast	CPT	74176	26	$20,536	$4,107.26	$165.82	$192.13	0.53×	$1,000
CT abdomen and pelvis with contrast	CPT	74177	26	$19,712	$3,942.4	$165.82	$324.78	0.59×	$1,000
CT abdomen and pelvis with and without contrast	CPT	74178	26	$30,272	$6,054.5	$165.82	$364.2	0.63×	$1,000
MRI abdomen without contrast	CPT	74181	26	$7,291.2	$1,458.24	$165.82	$213.51	0.55×	$1,000
MRI abdomen with and without contrast	CPT	74183	26	$16,704	$3,340.74	$165.82	$368.12	0.65×	$1,000
Abdominal ultrasound complete	CPT	76700	26	$2,786.56	$557.31	$108.97	$108.97	0.73×	$1,000
Abdominal ultrasound limited	CPT	76705	26	$3,017.28	$603.46	$89.21	$89.21	0.61×	$1,000
Retroperitoneal ultrasound complete	CPT	76770	26	$2,766.4	$553.28	$108.97	$108.97	0.76×	$1,000
Pelvic ultrasound complete	CPT	76856	2	$3,424.96	$684.99	$165.82	$582.91	4.1×	$1,000
Scrotal ultrasound	CPT	76870	26	$2,625.28	$525.06	$102.91	$102.91	0.78×	$1,000
EKG tracing only	CPT	93005	2	$938.3	$187.66	$165.82	$582.91	4.9×	$1,000
Transthoracic echocardiogram complete	CPT	93306	2	$5,309.7	$1,061.94	$165.82	$582.91	0.97×	$1,000
Transthoracic echocardiogram	CPT	93307	26	$3,099.8	$619.96	$132.65	$132.65	0.54×	$1,000
lab
Basic metabolic panel (BMP)	CPT	80048	29	$1,175.3	$235.06	$7.11	$7.11	0.22×	$1,000
Electrolyte panel	CPT	80051	29	$1,131.6	$226.32	$5.89	$5.89	0.25×	$1,000
Comprehensive metabolic panel	CPT	80053	29	$1,606.55	$321.31	$8.87	$8.87	0.20×	$1,000
Lipid panel	CPT	80061	29	$1,199.45	$239.89	$11.25	$11.25	0.29×	$1,000
Renal function panel	CPT	80069	29	$354.2	$70.84	$7.29	$7.29	0.27×	$1,000
Hepatic function panel	CPT	80076	29	$1,428.3	$285.66	$6.86	$6.86	0.26×	$1,000
Urinalysis non-automated	CPT	81002	29	$203.55	$40.71	$2.92	$2.92	0.42×	$1,000
Urinalysis automated	CPT	81003	6	$198.38	$39.68	$1.89	$2.44	0.18×	$1,000
Glucose quantitative	CPT	82947	29	$618.7	$123.74	$3.3	$3.3	0.19×	$1,000
Hemoglobin A1c	CPT	83036	29	$424.35	$84.87	$8.16	$8.16	0.30×	$1,000
Thyroid stimulating hormone (TSH)	CPT	84443	29	$813.05	$162.61	$14.11	$14.11	0.30×	$1,000
Complete blood count with automated differential	CPT	85025	29	$286.35	$57.27	$6.53	$6.53	0.25×	$1,000
Complete blood count without differential	CPT	85027	29	$307.05	$61.41	$5.43	$5.43	0.25×	$1,000
Urine culture bacterial	CPT	87086	29	$707.25	$141.45	$6.78	$6.78	0.29×	$1,000
Tissue exam by pathologist level IV	CPT	88305	2	$2,768.05	$553.61	$165.82	$582.91	5.7×	$1,000
office
Office visit, new patient, 15-29 min	CPT	99202	2	$892.1	$178.42	$165.82	$582.91	6.8×	$1,000
Office visit, new patient, 30-44 minutes	CPT	99203	2	$1,113.2	$222.64	$165.82	$582.91	4.8×	$1,000
Office visit, new patient, 45-59 min	CPT	99204	2	$1,415.7	$283.14	$165.82	$582.91	3.3×	$1,000
Office visit, new patient, 60-74 min	CPT	99205	2	$1,658.8	$331.76	$165.82	$582.91	2.6×	$1,000
Office visit, established patient, 5 min	CPT	99211	2	$444.4	$88.88	$165.82	$582.91	9.1×	$1,000
Office visit, established patient, 10-19 min	CPT	99212	2	$669.19	$133.84	$165.82	$582.91	7.3×	$1,000
Office visit, established patient, 20-29 minutes	CPT	99213	2	$892.1	$178.42	$165.82	$582.91	5.1×	$1,000
Office visit, established patient, 30-39 minutes	CPT	99214	2	$1,188	$237.6	$165.82	$582.91	3.8×	$1,000
Office visit, established patient, 40-54 min	CPT	99215	2	$1,417.9	$283.58	$165.82	$582.91	3.1×	$1,000
preventive
Sigmoidoscopy with biopsy	CPT	45331	2	$3,867	$773.4	$165.82	$582.91	0.65×	$1,000
surgery
Intravitreal injection	CPT	67028	2	$3,374.8	$674.96	$165.82	$582.91	1.7×	$1,000
Left heart catheterization	CPT	93452	3	$14,286	$2,857.14	$165.82	$7,166	2.3×	$7,166
Coronary angiography with cath	CPT	93455	3	$15,089	$3,017.74	$165.82	$7,166	2.3×	$7,166
Coronary angiography with bypass cath	CPT	93458	3	$14,716	$2,943.16	$165.82	$7,166	2.3×	$7,166

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 30)

Payer	Codes covered	Median rate
police departments [50065]	94	$1,000
texas rehabilitation comm [50038]	93	$165.82
Blue Cross Blue Shield	72	$213.51
point comfort underwrite inc [50215]	67	$108.97
cook childrens health plan [50177]	66	$108.97
dell childrens health plan [50227]	66	$108.97
driscoll health plan non-verified [2000000002]	66	$108.97
evercare of texas [50171]	66	$108.97
firstcare lubbock [50191]	66	$108.97
generic coverage mcd mgd care [50244]	66	$108.97
Medicaid	66	$108.97
Molina	66	$108.97
parkland community health plan [50190]	66	$108.97
pending tx mgd mdcd # [50242]	66	$108.97
wellpoint amerigroup [50170]	66	$108.97
community first plan [50184]	66	$108.97
community health choice [50185]	66	$108.97
community health choice [50192]	66	$108.97
tmhp-pccm [50208]	66	$108.97
unicare health plans of texas [50173]	66	$108.97
UnitedHealthcare	66	$108.97
Aetna	66	$108.97
rightcare - scott & white health plan [50212]	66	$108.97
texas children's health plan [50198]	66	$108.97
texas health network [50189]	66	$108.97
tmhp [50160]	66	$108.97
champ va [50319]	19	$9.39
TRICARE	19	$9.39
triwest hc alliance [50269]	19	$9.39
driscoll health plan [2000000001]	3	$51.36

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