Supplies, drugs & other prices at St. Anthony North Health Campus

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

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

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ProcedureCash priceGross charge× 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) $46.99 $117.46 1.0×
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 and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) $659.22 $1,648.03 21.6×
Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0556T) $659.22 $1,648.03 2.6×
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 (0558T) $428.95 $1,072.37 4.7×
Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) $5,064.58 $12,661.43 13.8×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) $2,361.63 $5,904.06 9.4×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) $5,064.58 $12,661.43 13.8×
Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) $3,216.30 $8,040.74 17.4×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) $1,502.39 $3,755.97 13.6×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) $3,216.30 $8,040.74 17.4×
Covid-19 lab test non-cdc (U0002) $41.46 $103.64 0.8×
Depression screen annual (G0444) $19.90 $49.74 0.5×
Direct refer hospital observ (G0379) $325.50 $813.75 0.5×
Drug test def 1-7 classes (G0480) $82.17 $205.41 0.7×
Ekg tracing for initial prev (G0404) $22.81 $57.02 0.7×
Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only (0904T) $79.20 $198 1.3×
Esd endoscopy or colonoscopy (C9779) $4,282.23 $10,705.56 1.1×
Evasc ven artlz tibl/prnl vn (0620T)
unusually low — confirm this is the full procedure
$15,702.79 $39,256.96 0.3×
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×
High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic… (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) $273.42 $683.54 1.9×
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) $1,382.33 $3,455.82 1.9×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $11,012.21 $27,530.52 0.9×
Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when… (0410T) $7,990.49 $19,976.22 0.9×
Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when… (0409T) $22,584.54 $56,461.35 1.0×
Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when… (0411T) $7,990.49 $19,976.22 0.9×
Insj/rplc car modulj sys pls gen transvns eltrd (0408T) $22,584.54 $56,461.35 0.7×
Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and… (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) $4,800.94 $12,002.34 13.0×
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) $3,900.13 $9,750.31 15.5×
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) $5,761.13 $14,402.81 15.7×
Mra w/o fol w/cont, pelvis (C8920) $3,155.74 $7,889.34 8.6×
Mra, w/dye, upper extremity (C8934) $4,800.95 $12,002.36 13.0×
Mra, w/o dye, upper extr (C8935) $3,900.13 $9,750.31 15.5×
Mra, w/o&w/dye, upper extr (C8936) $4,436.80 $11,091.98 12.1×
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) $3,848.25 $9,620.62 10.5×
Mri w/o fol w/cont, brst, un (C8905) $2,985.36 $7,463.39 8.1×
Noninvasive detection of heart failure derived from augmentative analysis of an echocardiogram that demonstrated… (0932T) $295.80 $739.50 0.9×
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) $10,286.46 $25,716.14 0.8×
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×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $7,828.85 $19,572.12 0.6×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $3,880.31 $9,700.77 0.5×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) $3,880.31 $9,700.77 0.5×
Place device/marker, non pro (C9728) $1,520.25 $3,800.61 1.0×
Prgrmg device evaluation cardiac modulj system (0417T) $36.48 $91.18 0.9×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (0826T) $172.47 $431.16 4.4×
Prolonged iv inf, req pump (C8957) $263.73 $659.32 1.2×
Psa screening (G0103) $106.07 $265.16 5.5×
QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device (0902T) $79.20 $198 0.6×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $601.60 $1,504 2.6×
Reloc skin pocket pls gen (0416T) $1,677.49 $4,193.71 0.8×
Removal and replacement of permanent cardiac contractility modulation system pulse generator only (0414T) $22,584.54 $56,461.35 1.0×
Removal of permanent cardiac contractility modulation system; pulse generator only (0412T) $3,372.53 $8,431.31 0.9×
Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) (0413T) $3,372.53 $8,431.31 0.9×
Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular… (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×
Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) $9,028.70 $22,571.73 2.4×
Routine footcare pt w lops (G0247) $97.43 $243.57 0.5×
Screen cerv/vag thin layer (G0123) $68.57 $171.42 3.4×
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/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×
Transcatheter removal and replacement of permanent single-chamber leadless pacemaker, right atrial, including imaging… (0825T) $11,139.22 $27,848.03 0.5×
Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg,… (0824T) $4,859.22 $12,148.04 1.5×
Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter… (0339T) $7,578.70 $18,946.74 1.3×
Trauma respons w/hosp criti (G0390) $3,989.84 $9,974.60 2.8×
Trim nail(s) (G0127) $101.37 $253.42 1.6×
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) $11,847.28 $29,618.18 0.6×
Trluml perip athrc renal art (0234T) $8,072.23 $20,180.56 0.7×
Trnscth renal symp denrv unl (0338T) $5,052.46 $12,631.15 0.8×
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×