Pinnacol Workers Comp
What does Pinnacol Workers Comp actually pay hospitals? We analyzed 217 negotiated rates from 2 hospitals across 1 states.
Is Pinnacol Workers Comp Expensive or Cheap?
Based on our analysis of 217 negotiated rates, Pinnacol Workers Comp is significantly more expensive than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Pinnacol Workers Comp has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 85025 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 2 | $21 | $21 | $21 |
| 80053 | Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | 2 | $29 | $29 | $29 |
| 99202 | OP VISIT LEVEL 2 NP | 2 | $481 | $39 | $922 |
| 99203 | OP VISIT LEVEL 3 NP | 2 | $288 | $66 | $509 |
| 99214 | OP VISIT LEVEL 4 EST | 2 | $313 | $78 | $548 |
| 99281 | Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | 2 | $137 | $137 | $137 |
| 73030 | Radiologic examination, shoulder; complete, minimum of 2 views | 2 | $140 | $140 | $140 |
| 73562 | Radiologic examination, knee; 3 views | 2 | $140 | $140 | $140 |
| 71045 | Radiologic examination, chest; single view | 2 | $140 | $140 | $140 |
| 71046 | Radiologic examination, chest; 2 views | 2 | $140 | $140 | $140 |
| 73590 | Radiologic examination; tibia and fibula, 2 views | 2 | $140 | $140 | $140 |
| 73060 | Radiologic examination; humerus, minimum of 2 views | 2 | $140 | $140 | $140 |
| 70450 | Computed tomography, head or brain; without contrast material | 2 | $169 | $169 | $169 |
| 72100 | Radiologic examination, spine, lumbosacral; 2 or 3 views | 2 | $169 | $169 | $169 |
| 72131 | Computed tomography, lumbar spine; without contrast material | 2 | $169 | $169 | $169 |
| 72110 | Radiologic examination, spine, lumbosacral; minimum of 4 views | 2 | $169 | $169 | $169 |
| 71250 | Computed tomography, thorax, diagnostic; without contrast material | 2 | $169 | $169 | $169 |
| 72125 | Computed tomography, cervical spine; without contrast material | 2 | $169 | $169 | $169 |
| 99282 | Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | 2 | $252 | $252 | $252 |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material(s) | 2 | $283 | $283 | $283 |
| 72133 | Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections | 2 | $283 | $283 | $283 |
| 70460 | Computed tomography, head or brain; with contrast material(s) | 2 | $283 | $283 | $283 |
| 12004 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm | 2 | $308 | $308 | $308 |
| 12011 | Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less | 2 | $308 | $308 | $308 |
| 12002 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm | 2 | $308 | $308 | $308 |
Hospitals with Pinnacol Workers Comp Rates
Hospitals where we have negotiated rate data for Pinnacol Workers Comp
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 110 | 110 | $14,866 | $21 - $322,006 |
| HCA HEALTHONE AURORA | CO | 107 | 107 | $14,493 | $21 - $324,228 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.