Supplies, drugs & other prices at Penrose Hospital

Colorado Springs, CO · every code in this section with a posted price and a Medicare benchmark.

134 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,962.25 $4,905.62 2.4×
2d tte w or w/o fol w/con,co (C8923) $1,962.25 $4,905.62 2.4×
2d tte w or w/o fol w/con,fu (C8924) $1,731.40 $4,328.48 4.7×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $7,645.41 $19,113.52 0.8×
Adm tocilizu covid-19 1st (M0249) $733.83 $1,834.56 1.6×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$22.58–$71.40 $56.44–$178.49 varies
Admin influenza virus vac (G0008) $56.30 $140.74 1.1×
Admin pneumococcal vaccine (G0009) $55.76 $139.38 1.1×
Annual alcohol screen 15 min (G0442) $47.89 $119.71 1.2×
Blind interatrial shunt ide (C9758) $12,318.96 $30,797.39 0.7×
Bone Strength & Fracture Risk Assessment (0556T) $659.22 $1,648.03 2.6×
Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) $659.22 $1,648.03 21.6×
Brief alcohol misuse counsel (G0443) $43.71 $109.27 0.4×
Catheterize for urine spec (P9612) $156.17 $390.41 16.7×
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) $428.95 $1,072.37 4.7×
Covid-19 lab test non-cdc (U0002) $41.46 $103.64 0.8×
CT breast w/3d rendering bi with contrast (0637T) $5,064.58 $12,661.43 13.8×
CT breast w/3d rendering bi without contrast (0636T) $2,361.63 $5,904.06 9.4×
CT breast w/3d rendering uni with contrast (0634T) $3,216.30 $8,040.74 17.4×
CT breast w/3d rendering uni without contrast (0633T) $1,502.39 $3,755.97 13.6×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $5,064.58 $12,661.43 13.8×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $3,216.30 $8,040.74 17.4×
Depression screen annual (G0444) $19.90 $49.74 0.5×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$25.07–$40.40 $62.66–$100.99 varies
Diab manage trn ind/group (G0109) $28.86 $72.14 1.8×
Direct refer hospital observ (G0379) $325.50 $813.75 0.5×
Drug test def 1-7 classes (G0480) $82.17 $205.41 0.7×
ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) $79.20 $198 1.3×
Ekg tracing for initial prev (G0404) $22.81 $57.02 0.7×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$15,702.79 $39,256.96 0.3×
Esd endoscopy or colonoscopy (C9779) $4,282.23 $10,705.56 1.1×
Extrnl counterpulse, per tx (G0166) $417.84 $1,044.60 3.0×
Fecal microbiota prep instil (G0455) $919.44 $2,298.60 0.9×
Followup eval of foot pt lop (G0246) $67.55 $168.86 0.5×
Hbot, full body chamber, 30m (G0277) $403.30 $1,008.23 2.8×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $707.72 $1,769.29 1.0×
Home sleep test/type 3 porta (G0399) $270.14 $675.33 1.2×
Hospital outpt clinic visit (G0463)
range across 24 matching MRF lines
$71.98–$702.82 $179.95–$1,757.03 varies
Initial foot exam pt lops (G0245) $64.85 $162.11 0.5×
Initial preventive exam (G0402) $100.34 $250.83 0.7×
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$800.94–$1,963.72 $2,002.33–$4,909.30 varies
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $11,012.21 $27,530.52 0.9×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $22,584.54 $56,461.35 0.7×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $7,990.49 $19,976.22 0.9×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $7,990.49 $19,976.22 0.9×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $22,584.54 $56,461.35 1.0×
Interro Device Evaluation Cardiac Modulj System (0418T) $36.48 $91.18 0.9×
Lev 1 hosp type b ed visit (G0380) $213.58 $533.93 2.7×
Lev 2 hosp type b ed visit (G0381) $505.12 $1,262.78 5.2×
Lev 3 hosp type b ed visit (G0382) $988.76 $2,471.89 5.5×
Lev 4 hosp type b ed visit (G0383) $1,754.90 $4,387.23 6.3×
Lev 5 hosp type b ed visit (G0384) $3,107.54 $7,768.83 7.2×
Mra w/cont, abd (C8900) $2,030.29 $5,075.71 5.5×
Mra w/cont, chest (C8909) $2,099.76 $5,249.38 5.7×
Mra w/cont, lwr ext (C8912)
range across 2 matching MRF lines
$3,200.63–$6,401.25 $8,001.57–$16,003.12 varies
Mra w/cont, pelvis (C8918) $2,513 $6,282.49 6.8×
Mra w/o cont, abd (C8901) $1,368.97 $3,422.41 5.4×
Mra w/o cont, chest (C8910) $1,758.88 $4,397.19 7.0×
Mra w/o cont, lwr ext (C8913)
range across 2 matching MRF lines
$2,600.09–$5,200.17 $6,500.21–$13,000.41 varies
Mra w/o cont, pelvis (C8919) $2,154.96 $5,387.40 8.6×
Mra w/o fol w/cont, abd (C8902) $2,691.60 $6,728.99 7.3×
Mra w/o fol w/cont, chest (C8911) $2,743.40 $6,858.50 7.5×
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$3,840.75–$7,681.51 $9,601.86–$19,203.76 varies
Mra w/o fol w/cont, pelvis (C8920) $3,155.74 $7,889.34 8.6×
Mra, w/dye, upper extremity (C8934)
range across 2 matching MRF lines
$3,200.63–$6,401.27 $8,001.57–$16,003.16 varies
Mra, w/o dye, upper extr (C8935)
range across 2 matching MRF lines
$2,600.09–$5,200.17 $6,500.21–$13,000.41 varies
Mra, w/o&w/dye, upper extr (C8936)
range across 2 matching MRF lines
$2,957.86–$5,915.73 $7,394.65–$14,789.31 varies
Mri w/cont, breast, bi (C8906) $3,022.28 $7,555.69 8.2×
Mri w/cont, breast, uni (C8903) $2,251.35 $5,628.37 12.2×
Mri w/o fol w/cont, breast, (C8908)
range across 2 matching MRF lines
$3,777.84–$3,918.66 $9,444.60–$9,796.65 varies
Mri w/o fol w/cont, brst, un (C8905)
range across 2 matching MRF lines
$2,906.55–$3,064.17 $7,266.36–$7,660.42 varies
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $295.80 $739.50 0.9×
Ncntc R-T Fluor Wnd Img 1st (0598T) $601.60 $1,504 2.6×
Obtaining screen pap smear (Q0091) $36.37 $90.91 1.2×
Oth resp proc, group (G0239) $42.19 $105.46 1.1×
Oth resp proc, indiv (G0238) $42.19 $105.46 1.4×
Pathogen test for platelets (P9100) $69.31 $173.26 1.1×
Pemivibart infusion (M0224) $270.30 $675.75 0.6×
Perc d-e cor revasc chro sin (C9607) $17,646.29 $44,115.71 0.9×
Perc d-e cor revasc t cabg s (C9604)
range across 3 matching MRF lines
$9,832.28–$17,646.29 $24,580.69–$44,115.71 varies
Perc d-e cor stent ather s (C9602) $17,646.29 $44,115.71 0.9×
Perc drug-el cor stent sing (C9600) $13,287.53 $33,218.82 1.1×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $7,828.85 $19,572.12 0.6×
Perq Sacral Augmt Bilat Inj (0201T) $3,880.31 $9,700.77 0.5×
Perq Sacral Augmt Unilat Inj (0200T) $3,880.31 $9,700.77 0.5×
Place device/marker, non pro (C9728) $1,520.25 $3,800.61 1.0×
Ppps, initial visit (G0438) $104.33 $260.82 0.6×
Ppps, subseq visit (G0439) $70.12 $175.30 0.5×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $172.47 $431.16 4.4×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $36.48 $91.18 0.9×
Prolonged iv inf, req pump (C8957) $263.73 $659.32 1.2×
Psa screening (G0103) $106.07 $265.16 5.5×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $79.20 $198 0.6×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $1,677.49 $4,193.71 0.8×
Repos Cardiac Modulj Transvenous Electrode (0415T) $529.40 $1,323.48 0.8×
Revasc intra lithotrip-ather (C9766) $15,111.47 $37,778.66 0.8×
Revasc intra lithotrip-stent (C9765) $13,287.53 $33,218.82 0.7×
Revasc intravasc lithotripsy (C9764) $10,337.02 $25,842.53 0.8×
Revasc lith-sten-ath tib/per (C9775) $17,646.29 $44,115.71 0.9×
Revasc lithotr-ather tib/per (C9774) $15,111.47 $37,778.66 0.8×
Revasc lithotr-stent tib/per (C9773) $13,287.53 $33,218.82 0.7×
Revasc lithotrip tibi/perone (C9772) $10,337.02 $25,842.53 0.8×
Revasc lithotrip-stent-ather (C9767) $17,646.29 $44,115.71 0.9×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $9,028.70 $22,571.73 2.4×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $22,584.54 $56,461.35 1.0×
Rmvl Car Modulj Tranvns Elt (0413T) $3,372.53 $8,431.31 0.9×
Rmvl Cardiac Modulj Pls Gen (0412T) $3,372.53 $8,431.31 0.9×
Routine footcare pt w lops (G0247) $97.43 $243.57 0.5×
Screen cerv/vag thin layer (G0123)
range across 2 matching MRF lines
$19.42–$117.72 $48.53–$294.30 varies
Screen pap by tech w md supv (P3000) $57.64 $144.09 3.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $11,831.76 $29,579.39 0.6×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $11,139.22 $27,848.03 0.5×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $11,139.22 $27,848.03 0.5×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $11,139.22 $27,848.03 0.5×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $4,859.22 $12,148.04 1.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $11,139.22 $27,848.03 0.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $8,630.73 $21,576.81 1.4×
Tee w or w/o fol w/cont,cong (C8926) $1,962.25 $4,905.62 2.4×
Therapeutic procd strg endur (G0237) $329.84 $824.59 10.8×
Tomosynthesis, mammo (G0279) $16 $40 1.3×
Transcatheter Renal Sympath Denervation Bilat (0339T) $7,578.70 $18,946.74 1.3×
Transcatheter renal sympath denervation unilat (0338T) $5,052.46 $12,631.15 0.8×
Trauma respons w/hosp criti (G0390)
range across 25 matching MRF lines
$712.47–$12,211.29 $1,781.17–$30,528.22 varies
Trim nail(s) (G0127)
range across 2 matching MRF lines
$67.12–$135.62 $167.79–$339.05 varies
Trluml perip athrc abd aorta (0236T) $8,072.23 $20,180.56 0.7×
Trluml Perip Athrc Brchiocph (0237T) $8,558.56 $21,396.38 0.7×
Trluml Perip Athrc Iliac Art (0238T)
range across 2 matching MRF lines
$9,477.82–$14,216.73 $23,694.54–$35,541.82 varies
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $8,072.23 $20,180.56 0.7×
Tte w or w/o contr, cont ecg (C8930) $1,962.25 $4,905.62 2.4×
Tte w or w/o fol w/con,stres (C8928) $2,019.96 $5,049.88 2.4×
Tte w or w/o fol w/cont, com (C8921) $2,181.56 $5,453.88 2.6×
Tte w or w/o fol w/cont, f/u (C8922) $2,019.96 $5,049.88 2.4×
Tte w or wo fol wcon,doppler (C8929) $1,962.25 $4,905.62 2.4×
Unsched dialysis esrd pt hos (G0257) $1,785.53 $4,463.81 2.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.