Supplies, drugs & other prices at St. Anthony Summit Medical Center

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

41 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) $1,300.43 $3,251.06 1.6×
2d tte w or w/o fol w/con,co (C8923) $1,384.50 $3,461.25 1.7×
2d tte w or w/o fol w/con,fu (C8924) $384.06 $960.13 1.0×
Admin hepatitis b vaccine (G0010) $20.78 $51.94 0.4×
Admin influenza virus vac (G0008) $44.74 $111.85 0.9×
Admin pneumococcal vaccine (G0009) $44.74 $111.85 0.9×
Catheterize for urine spec (P9612) $195.50 $488.74 20.9×
CT breast w/3d rendering bi with contrast (0637T) $3,085.22 $7,713.05 8.4×
CT breast w/3d rendering bi without contrast (0636T) $1,583.74 $3,959.34 6.3×
CT breast w/3d rendering uni with contrast (0634T) $2,143.88 $5,359.68 11.6×
CT breast w/3d rendering uni without contrast (0633T) $1,015.51 $2,538.77 9.2×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $3,085.22 $7,713.05 8.4×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $2,143.88 $5,359.68 11.6×
Direct refer hospital observ (G0379) $296.83 $742.06 0.5×
Drug test def 1-7 classes (G0480) $98.40 $246 0.9×
Hospital outpt clinic visit (G0463)
range across 12 matching MRF lines
$83.76–$401.78 $209.39–$1,004.44 varies
Mra w/cont, abd (C8900) $2,607.72 $6,519.29 7.1×
Mra w/cont, chest (C8909) $2,078.85 $5,197.12 5.6×
Mra w/cont, pelvis (C8918) $2,607.72 $6,519.29 7.1×
Mra w/o cont, abd (C8901) $2,078.85 $5,197.12 8.3×
Mra w/o cont, chest (C8910) $2,078.85 $5,197.12 8.3×
Mra w/o cont, lwr ext (C8913)
range across 2 matching MRF lines
$2,066.95–$4,133.90 $5,167.36–$10,334.75 varies
Mra w/o cont, pelvis (C8919) $2,607.72 $6,519.29 10.4×
Mra w/o fol w/cont, abd (C8902) $2,607.72 $6,519.29 7.1×
Mra w/o fol w/cont, chest (C8911) $2,607.72 $6,519.29 7.1×
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$2,607.72–$5,215.43 $6,519.29–$13,038.57 varies
Mra w/o fol w/cont, pelvis (C8920) $2,078.85 $5,197.12 5.6×
Mri w/cont, breast, bi (C8906) $1,455.62 $3,639.03 4.0×
Mri w/o fol w/cont, breast, (C8908)
range across 2 matching MRF lines
$2,597.58–$3,872.79 $6,493.93–$9,681.96 varies
Mri w/o fol w/cont, brst, un (C8905)
range across 2 matching MRF lines
$1,758.08–$2,904.72 $4,395.20–$7,261.78 varies
Pathogen test for platelets (P9100) $68.92 $172.28 1.1×
Prolonged iv inf, req pump (C8957) $256.94 $642.33 1.1×
Psa screening (G0103) $107.53 $268.81 5.6×
Screen pap by tech w md supv (P3000) $58.12 $145.29 3.1×
Tomosynthesis, mammo (G0279) $16 $40 1.3×
Trauma respons w/hosp criti (G0390)
range across 6 matching MRF lines
$1,068.71–$6,198.51 $2,671.77–$15,496.26 varies
Tte w or w/o contr, cont ecg (C8930) $1,237.59 $3,093.96 1.5×
Tte w or w/o fol w/con,stres (C8928) $1,226.62 $3,066.54 1.5×
Tte w or w/o fol w/cont, com (C8921) $1,088.96 $2,722.39 1.3×
Tte w or w/o fol w/cont, f/u (C8922) $683.02 $1,707.54 0.8×
Tte w or wo fol wcon,doppler (C8929) $1,464.22 $3,660.54 1.8×

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.