Procedures & surgery prices at St. Anthony Summit Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Amniocentesis diagnostic (59000) $461.06 $1,152.65 0.5×
Anesthesia inj anesthetic agent dig nrv (64455) $154.98 $387.45 0.5×
Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) (20660) $793.24 $1,983.10 0.5×
Application of halo, including removal; cranial (20661) $897.63 $2,244.07 0.5×
Application of long leg splint (thigh to ankle or toes) (29505) $137.05 $342.62 0.8×
Application of short arm splint (forearm to hand); static (29125) $419.98 $1,049.95 3.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,026.46 $2,566.14 3.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,026.46 $2,566.14 3.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,607.24 $4,018.09 5.0×
Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) $667.94 $1,669.83 2.1×
Aspiration and injection for treatment of bone cyst Age Under 21 (20615) $4,448.92 $11,122.30 6.0×
Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) $4,138.96 $10,347.38 5.5×
Aspiration and/or injection thyroid cyst (60300) $4,138.96 $10,347.38 5.5×
Biopsy bone trocar/needle deep (20225) $2,071.44 $5,178.60 1.2×
Biopsy liver needle percutaneous (47000) $1,927.13 $4,817.82 1.1×
Biopsy lymph node (38505) $2,071.44 $5,178.60 1.2×
Biopsy muscle percutaneous needle (20206) $2,071.44 $5,178.60 1.2×
Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) $4,266.40 $10,665.98 2.4×
Biopsy of salivary gland; needle (42400) $3,969.14 $9,922.85 5.3×
Biopsy of spinal cord, percutaneous needle Age Under 21 (62269) $4,266.40 $10,665.98 2.4×
Biopsy of uterus lining (58100) $567.96 $1,419.88 2.7×
Biopsy pleura percutaneous needle (32400) $1,927.13 $4,817.82 1.1×
Biopsy thyroid percutaneous core needle (60100) $899.40 $2,248.49 1.2×
Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) $1,927.13 $4,817.82 1.1×
Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) $4,266.40 $10,665.98 2.4×
Bladder irrigation (51700) $183.28 $458.18 0.7×
Brain canal shunt procedure (61070) $603.86 $1,509.64 0.8×
Brnchsc ebus guided sampl 1/2 node station/strux (31652) $3,717.26 $9,293.15 0.9×
Brnchsc ebus guided sampl 3/> node station/strux (31653) $3,717.26 $9,293.15 0.9×
Brnchsc occlusion&insert bronch valve init lobe (31647) $5,722.59 $14,306.46 0.8×
Brnchsc removal bronchial valve initial (31648) $3,717.26 $9,293.15 0.9×
Bronch foreign body removal (31635) $1,936.15 $4,840.37 1.0×
Bronch thermoplsty 1 lobe (31660) $5,722.59 $14,306.46 0.8×
Bronchoscopy dilate/fx repr (31630) $3,717.26 $9,293.15 0.9×
Bronchoscopy needle bx trachea main stem&/bron (31629) $3,717.26 $9,293.15 0.9×
Bronchoscopy w biopsy (31625) $1,936.15 $4,840.37 1.0×
Bronchoscopy w/markers (31626) $5,722.59 $14,306.46 0.8×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,936.15 $4,840.37 1.0×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $700.07 $1,750.16 1.7×
Bronchoscopy w/tumor excise (31640) $3,717.26 $9,293.15 0.9×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) $1,936.15 $4,840.37 1.0×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634) $5,722.59 $14,306.46 0.8×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661) $5,722.59 $14,306.46 0.8×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) $3,717.26 $9,293.15 0.9×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for… (31643) $1,936.15 $4,840.37 1.0×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) $5,722.59 $14,306.46 0.8×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638) $5,722.59 $14,306.46 0.8×
Bronchoscopy/lung bx each (31628) $3,717.26 $9,293.15 0.9×
Bx breast 1st lesion us imag (19083) $6,110.26 $15,275.63 3.5×
Bx pancreas ndl perc (48102) $3,969.14 $9,922.85 2.3×
Change of windpipe airway (31502) $402.42 $1,006.03 1.6×
Chest tube placement (32551) $3,227.32 $8,068.28 1.9×
Closed tx patellar dislocation w/o anesthesia (27560) $1,038.69 $2,596.72 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,557.73 $3,894.31 6.0×
CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) $1,430.91 $3,577.26 0.8×
Collect blood from catheter venous nos (36592) $329.06 $822.64 2.3×
Collect blood from implant venous access device (36591) $272.61 $681.52 1.9×
Complete replacement picc rs&i (36584) $1,243.60 $3,108.99 0.7×
Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) $110.95 $277.36 0.5×
Core needle bx lung/mediastinum perq w/img (32408) $4,328.15 $10,820.37 2.5×
Declot vascular device (36593) $170.93 $427.31 0.5×
Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to… (62287) $2,924.98 $7,312.43 1.4×
Diagnostic bone marrow aspirations (38220) $5,561.14 $13,902.86 3.2×
Diagnostic bone marrow biopsies (38221) $5,333 $13,332.48 3.1×
Diagnostic bone marrow biopsies & aspirations (38222) $10,417.22 $26,043.04 3.4×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,390.47 $3,476.16 1.9×
Dx bronchoscope/brush (31623) $1,936.15 $4,840.37 1.0×
Dx bronchoscope/lavage (31624) $1,936.15 $4,840.37 1.0×
Ed proc insert intraosseous IV (36680) $745.48 $1,863.69 1.6×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $379.96 $949.89 2.8×
Ed prof artl pnxr w/drawal bld dx (36600) $84.16 $210.40 0.6×
Ed prof catheterization/straight (51701) $313.90 $784.74 2.2×
Ed prof insert foley cath simple (51702) $451.89 $1,129.72 3.2×
Er inj anesthetic agent, peripheral nerve or branch (64450) $1,901.43 $4,753.57 2.6×
Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) $1,286.96 $3,217.40 2.3×
Fetal contraction stress test (59020) $185.97 $464.92 0.9×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,044.50 $5,111.24 2.7×
Fine needle aspiration bx w/fluor gdn 1st lesion (10007) $1,004.34 $2,510.85 1.3×
Fine needle aspiration bx w/o img gdn 1st lesion (10021) $413.39 $1,033.46 1.0×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,243.02 $3,107.55 1.7×
Ganglion impar nerve block (64999) $1,382.86 $3,457.14 4.3×
Incision of lingual frenum (frenotomy) (41010) $2,370.05 $5,925.12 1.4×
Infusion of drug to dissolve blood clot in brain (37195) $569.98 $1,424.95 1.6×
Inj epidural blood or clot patch (62273) $1,202.45 $3,006.12 1.6×
Inj paravert f jnt c/t 1 lev (64490) $1,688 $4,219.98 1.8×
Inj paravert f jnt l/s 1 lev (64493) $1,688 $4,219.98 1.8×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,901.43 $4,753.56 2.6×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,521.14 $3,802.84 1.6×
Injection aa&/strd brachial plexus w/img gdn (64415) $1,521.14 $3,802.84 1.6×
Injection aa&/strd genicular nrv branches w/img (64454) $1,045.82 $2,614.53 1.4×
Injection aa&/strd greater occipital nerve (64405) $1,901.70 $4,754.24 5.9×
Injection aa&/strd ilioinguinal ih nerves (64425) $1,901.43 $4,753.56 2.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,855.98 $4,639.96 2.0×
Injection aa&/strd intercostal nrv single lvl (64420) $1,521.14 $3,802.84 2.0×
Injection aa&/strd pudendal nerve (64430) $1,901.43 $4,753.57 2.0×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,902.10 $4,755.23 2.6×
Injection aa&/strd suprascapular nerve (64418) $1,901.43 $4,753.57 2.6×
Injection aa&/strd trigeminal nerve each branch (64400) $1,521.14 $3,802.84 4.7×
Injection aa&/strd vagus nerve (64408) $1,521.14 $3,802.84 4.7×
Injection anes lmbr/thrc paravertbrl sympathetic (64520) $2,852.16 $7,130.38 3.1×
Injection anes superior hypogastric plexus (64517) $2,281.72 $5,704.30 2.4×
Injection eye drug (67028) $591.29 $1,478.22 1.7×
Injection for identification of sentinel node (38792) $1,355.84 $3,389.58 3.2×
Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) $804.48 $2,011.20 0.9×
Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) $1,521.14 $3,802.84 2.0×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $615.06 $1,537.63 1.9×
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) $245.10 $612.75 0.8×
Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) $2,281.72 $5,704.30 2.4×
Ins cath ren art 1st bilat (36252) $5,363.77 $13,409.42 1.6×
Ins cath ren art 1st unilat (36251) $2,778.36 $6,945.88 0.8×
Ins cath ren art 2nd+ bilat (36254) $4,784.94 $11,962.35 1.4×
Ins cath ren art 2nd+ unilat (36253)
unusually low — confirm this is the full procedure
$2,898.26 $7,245.65 0.5×
Insert and remove bone pin (20650) $4,612.10 $11,530.23 1.3×
Insert cervical dilator (59200) $285.84 $714.59 0.9×
Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) $1,241.89 $3,104.71 0.7×
Insertion phrenic nerve stimulator system (33276) $27,142.46 $67,856.15 0.6×
Insertion picc w/o img gdn 5 yr/> (36569) $1,584.51 $3,961.26 1.0×
Insertion picc w/rs&i 5 yr/> (36573) $2,421.21 $6,053.02 1.5×
Insertion picc w/rs&i < 5 yr (36572) $1,999.09 $4,997.72 3.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,445.86 $8,614.64 1.0×
Intubation endotracheal (31500) $1,034.67 $2,586.66 4.1×
Irrigation of corpora cavernosa for priapism (54220) $813.80 $2,034.50 3.1×
Ligation of a-v fistula (37607) $3,445.86 $8,614.64 1.0×
Lithotripsy, extracorporeal shock wave Age Under 21 (50590) $12,912.76 $32,281.90 3.5×
Long gi tube placement (44500) $479.43 $1,198.56 0.5×
Lumbar puncture (62270) $1,301.02 $3,252.53 1.7×
Meas post-voiding residual urine&/bladder cap (51798) $162.08 $405.20 2.6×
Mechanical removal obstructive material from nonvascular catheter/device (32999) $901.05 $2,252.61 1.4×
Myelography via lumbar inject rs&i lumbosacral (62304) $882.82 $2,207.03 1.1×
Myelography via lumbar injection rs&i 2+ regions (62305) $969.25 $2,423.12 1.2×
Myelography via lumbar injection rs&i cervical (62302) $2,629.03 $6,572.57 3.2×
Myelography via lumbar injection rs&i thoracic (62303) $882.82 $2,207.03 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $15.24 $38.08 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $22.85 $57.12 0.7×
Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) $265.14 $662.85 1.0×
Njx aa&/strd tfrm epi c/t 1 (64479) $1,901.43 $4,753.56 2.0×
Njx anes stellate ganglion crv sympathetic (64510) $2,281.72 $5,704.30 2.4×
Njx cholangio prq w/img gid rs&i existing access (47531) $1,763.36 $4,408.40 0.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,271.42 $3,178.54 1.7×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $1,171.74 $2,929.32 1.6×
Non stress test (59025) $599.27 $1,498.16 2.8×
Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) $1,256.10 $3,140.23 1.7×
Perq dev breast 1st strtctc (19283) $1,382.90 $3,457.25 1.9×
Perq dev breast 1st us imag (19285) $511.93 $1,279.82 0.7×
Perq device breast 1st imag (19281) $922.89 $2,307.21 0.5×
Plmt sft tiss loclzj dev perq 1st lesion (10035) $1,008.55 $2,521.36 1.4×
Pr brnchsc removal bronchial valve ea addl (31649) $1,606.15 $4,015.37 0.9×
Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) $716.10 $1,790.24 1.7×
Puncture aspiration of cyst of breast (19000) $437.43 $1,093.57 0.6×
Removal biliary drg catheter req fluor gid rs&i (47537) $742 $1,854.98 0.8×
Removal phrenic nerve stimulator system (33278) $6,041.31 $15,103.27 1.6×
Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) $899.40 $2,248.49 0.5×
Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) $451.14 $1,127.85 0.7×
Reposition venous catheter (36597) $966.77 $2,416.91 0.6×
Repositioning phrenic nrv stimulator transvns ld (33281) $3,020.66 $7,551.64 0.8×
Rmvl phrenic nrv stimulator pulse generator only (33280) $3,020.66 $7,551.64 0.8×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $3,020.66 $7,551.64 0.8×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) $27,142.46 $67,856.15 0.8×
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) $10,367.64 $25,919.09 0.9×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $1,357.06 $3,392.65 1.8×
Transfusion, blood or blood components (36430) $727.74 $1,819.32 1.6×
Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) $782.16 $1,955.39 0.4×
Treat knee fracture (27532) $2,633.52 $6,583.79 0.8×
Treatment of bladder lesion (51720) $400.49 $1,001.21 0.5×
Unlisted fetal invasive procedure, including ultrasound guidance, when performed (59897) $1,164.83 $2,912.06 5.5×
Venipuncture (36415) $16.54 $41.35 1.8×
Version cephalic external (59412) $1,444.01 $3,610.02 0.4×