Vail Health · Vail, CO
38
In-network payers
171
Disclosed rate categories
56
Beds
5
Care quality
Vail Health Hospital is a 56-bed voluntary non-profit - other hospital in Vail, CO, affiliated with Vail Health. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 171 disclosed rate categories.
CCN (Medicare provider number)
060096
NPI
1992812333
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
56
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Vail Health Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 460
$91,945 - $125,574
from 4 insurers · median $124,401
16 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$3,510 - $21,319
from 4 insurers · median $12,517
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,125 - $37,602
from 4 insurers · median $24,161
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$61,843 - $78,435
from 4 insurers · median $73,479
11 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$530 - $2,521
from 4 insurers · median $779
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$324 - $3,345
from 4 insurers · median $2,602
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$563 - $3,228
from 4 insurers · median $2,654
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$181 - $1,070
from 4 insurers · median $450
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,638 - $6,362
from 4 insurers · median $4,133
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$312 - $2,239
from 4 insurers · median $740
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$511 - $2,251
from 4 insurers · median $1,885
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$190 - $503
from 4 insurers · median $252
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$53 - $277
from 4 insurers · median $228
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$399 - $1,927
from 4 insurers · median $507
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$197 - $1,157
from 4 insurers · median $913
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,510 - $21,319
from 4 insurers · median $12,517
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
X-ray and bone density
CPT 73562
$518 - $657
from 4 insurers · median $616
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$65,496 - $83,069
from 4 insurers · median $77,820
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 47562
$1,562 - $1,959
from 3 insurers · median $1,752
72 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$418 - $1,163
from 4 insurers · median $983
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$566 - $1,187
from 4 insurers · median $817
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$145 - $531
from 4 insurers · median $414
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95811
$1,028 - $4,432
from 4 insurers · median $3,748
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 85025
$12 - $155
from 4 insurers · median $131
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 505% | 13 | 5 |
| Insurer B* | 24 | 309% | 8 | 10 |
| Insurer C* | 24 | 267% | 9 | 11 |
| Insurer D* | 23 | 149% | 8 | 11 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Vail Health Hospital.
181 West Meadow Drive, Vail, CO 81657
(970) 476-2451
The nearest hospitals of similar type and size. Their rates are compared with Vail Health Hospital for the same insurers and services above.
St Anthony Summit Medical Center
▲ Rates typically 120% higher than Vail Health Hospital (20 services)
Valley View Hospital
▲ Rates typically 249% higher than Vail Health Hospital (17 services)
Uchealth Yampa Valley Medical Center
▲ Rates typically 32% higher than Vail Health Hospital (18 services)
Orthocolorado Hospital
▼ Rates typically 24% lower than Vail Health Hospital (17 services)
Uchealth Broomfield Hospital
▼ Rates typically 8% lower than Vail Health Hospital (21 services)
Uchealth Highlands Ranch Hospital
▲ Rates typically 9% higher than Vail Health Hospital (21 services)
Mercy Regional Medical Center
Intermountain Health Good Samaritan Hospital
Uchealth University Of Colorado Hospital
About Vail Health Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Vail Health Hospital range from $566 to $1,187 across 4 insurers. Aetna's rate is $566. The median at nearby comparable hospitals is $1,185. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Vail Health Hospital range from $530 to $2,521 across 4 insurers. Aetna's rate is $530. The median at nearby comparable hospitals is $995. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Vail Health Hospital range from $563 to $3,228 across 4 insurers. UnitedHealthcare's rate is $2,601. The median at nearby comparable hospitals is $3,194. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Vail Health Hospital range from $3,510 to $21,319 across 4 insurers. Cigna's rate is $13,542. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Vail Health Hospital range from $190 to $503 across 4 insurers. UnitedHealthcare's rate is $190. The median at nearby comparable hospitals is $290. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Vail Health Hospital range from $61,843 to $78,435 across 4 insurers. Anthem Blue Cross Blue Shield's rate is $77,573. The median at nearby comparable hospitals is $36,938. What a patient pays depends on their plan's deductible, coinsurance and network status.
Vail Health Hospital has 56 beds. Facility type: Short Term Acute Care Hospital.
Vail Health Hospital is located at 181 West Meadow Drive, Vail, CO 81657. Its main phone number is (970) 476-2451.
Vail Health Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 060096.
The National Provider Identifier (NPI) on file for Vail Health Hospital is 1992812333.
Vail Health Hospital is affiliated with Vail Health.
Vail Health Hospital lists 38 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
171 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers