Southeast Colorado Hospital

Springfield, CO · Critical Access Hospital

Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-28.

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ProcedureCash priceGross charge× Medicare
Breast lesion removal (open) (19120) $532 $665 0.1×
Upper GI endoscopy (EGD), diagnostic (43235) $1,096.50 $1,370.50 1.1×
Upper GI endoscopy (EGD) with biopsy (43239) $1,127.50 $1,409.50 1.2×
Diagnostic colonoscopy (45378) $992 $1,240 1.0×
Colonoscopy with biopsy (45380) $1,117 $1,396.50 0.9×
Colonoscopy with lesion removal (45385) $1,098 $1,372.50 0.9×
Inguinal hernia repair (age 5+) (49505) $721 $901 0.2×
Transforaminal epidural injection, lumbar/sacral (64483) $992 $1,240 1.1×
CT head/brain without contrast (70450) $1,058 $1,323 9.6×
MRI brain without contrast (70551) $1,614 $2,017 6.4×
MRI brain with contrast (70552) $1,664 $2,080 4.5×
MRI brain without and with contrast (70553) $1,714 $2,143 4.7×
X-ray lower spine, 4+ views (72110) $400 $500 3.6×
MRI lumbar spine without contrast (72148) $2,345 $2,931 9.3×
CT pelvis with contrast (72193) $1,310 $1,638 7.1×
MRI lower-extremity joint without contrast (73721) $2,289 $2,861 9.1×
CT abdomen and pelvis with contrast (74177) $1,746 $2,183 4.7×
Ultrasound, abdomen complete (76700) $1,224 $1,530 11.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $334 $417 3.0×
Ultrasound, transvaginal (76830) $658 $822 6.0×
Basic metabolic panel (80048) $134 $168 15.8×
Comprehensive metabolic panel (80053) $210 $263 19.9×
Lipid panel (80061) $171 $214 12.8×
Renal function panel (80069) $146 $183 16.8×
Hepatic function panel (80076) $206 $257 25.2×
PSA, total (84153) $70 $87 3.8×
Thyroid stimulating hormone (TSH) (84443) $55 $69 3.3×
CBC with automated differential (85025) $101 $126 13.0×
Prothrombin time (PT) (85610) $64 $80 14.9×
Partial thromboplastin time (PTT) (85730) $78 $98 13.0×
Sleep study (attended polysomnography) (95810) $2,125 $2,656 2.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $119 $149 4.1×
Office visit, new patient (low complexity, ~30 min) (99203) $164 $205 1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $222 $278 1.6×

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs — the × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.