Visits & medical services prices at St. Anthony Summit Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $171.29 $428.21 2.8×
Airway inhalation treatment (94640) $113.85 $284.62 0.5×
Anlys gast neur w/o reprog (95981) $167.23 $418.07 2.7×
Appl on-body injector for timed subq injection (96377) $95.83 $239.57 1.9×
Assessment of aphasia (96105) $182.87 $457.16 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $309.71 $774.26 0.8×
C motor evoked uppr limbs (95928) $1,007.20 $2,517.99 1.1×
C motor evoked upr&lwr limbs (95939) $1,140.70 $2,851.72 1.3×
Cardiac Stress Tst,Tracing Only (93017) $629.60 $1,573.99 2.8×
Cardiopulmonary exercise testing (94621) $568.74 $1,421.84 1.4×
Cardiopulmonary resuscitation (92950) $414.80 $1,036.98 1.8×
Cardioversion (92960) $1,209.38 $3,023.44 1.7×
Caregiver training 1st 30 min (97550) $45.12 $112.80 0.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $20.64 $51.59 0.8×
Cbt 1st hour (94644) $328.91 $822.26 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $178.90 $447.25 2.4×
Chemo IV push addl drug (96411) $329.05 $822.62 4.3×
Chemo Iv Push Sngl Drug (96409) $445.63 $1,114.06 1.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $516.92 $1,292.28 1.5×
Chemother, IV infusion, 1 hr (96413) $771.37 $1,928.42 2.2×
Chemother, IV infusion, ea add hr (96415) $165.36 $413.38 2.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $166.18 $415.44 2.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,233.59 $3,083.96 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $175.72 $439.28 2.3×
Color/duplex Doppler, complete (93975) $786.69 $1,966.72 3.1×
Color/duplex Doppler, limited (93976) $691.59 $1,728.97 6.3×
Computerized Ophthalmic Imaging Optic Nerve (92133) $84.64 $211.59 1.4×
Cortical mapping 1st hr (95961) $1,510.80 $3,776.99 1.7×
Cpap initiation and management (94660) $229.28 $573.20 1.0×
Cpt initial (94667) $110.76 $276.90 0.8×
Cptrized oph dx img pst segment uni/bi retina (92134) $84.64 $211.59 1.4×
Critical care (99291) $6,769.70 $16,924.24 7.8×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $851.15 $2,127.87 2.2×
Demo &/or eval,pt use,aerosol device (94664) $112.29 $280.72 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $691.59 $1,728.97 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $691.59 $1,728.97 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $691.59 $1,728.97 2.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $691.59 $1,728.97 6.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $461.42 $1,153.54 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $642.69 $1,606.72 5.8×
Duplex scan extracranial art compl bi study (93880) $866.48 $2,166.20 3.4×
Echo Heart Xthoracic,Limited (93308) $332.36 $830.90 1.3×
Echo r-t 2d w/probe placement only (93313) $1,300.84 $3,252.10 2.3×
Echo transesophageal (93312) $1,135.95 $2,839.87 2.0×
Echo Transthoracic - Congenital Tte Complete (93303) $647.02 $1,617.55 1.1×
Echo Transthoracic - Congenital Tte Limited (93304) $489.79 $1,224.47 0.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $641.12 $1,602.79 2.8×
EKG (93005) $93.62 $234.04 1.5×
EKG rhythm strip (93041) $66.80 $167 1.1×
EMG cranial nerve bilat (95868) $333.18 $832.94 1.5×
EMG cranial nerve unilat (95867) $198.73 $496.81 0.9×
EMG four extremities (95864) $944.15 $2,360.37 7.0×
EMG three extremities (95863) $708.26 $1,770.65 5.2×
EMG two extremities (95861) $304.85 $762.12 2.2×
Er level 1 (99281) $344.45 $861.12 3.9×
Er level ii (99282) $663.31 $1,658.26 4.1×
Er level iii (99283) $1,482.06 $3,705.14 5.1×
Er level IV (99284) $3,180.27 $7,950.67 7.2×
Er level v (99285) $6,684.22 $16,710.55 10.6×
Evaluation of speech fluency (92521) $69.14 $172.84 0.5×
Evaluation of speech sound production (92522) $56.12 $140.30 0.5×
Evaluation of swallowing function (92610) $133.68 $334.19 1.6×
Exercise tst brncspsm (94617) $270.18 $675.43 1.9×
Exhaled Air Analysis (94690) $51.60 $128.99 0.8×
External ECG rec>48hr<7d recording (93242) $82.35 $205.86 2.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $93.62 $234.04 0.7×
External ECG rec>7d<15d recording (93246) $93.62 $234.04 2.4×
External ECG rec>7d<15d scanning alys w/report (93247) $90.75 $226.86 0.6×
Eye exam, new patient,comprehesv (92004) $165.44 $413.60 1.2×
Immunization Admin (90471) $50.11 $125.27 0.7×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $290.68 $726.69 0.7×
Io ga n-stim subsq w/reprog (95982) $100.87 $252.16 2.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $99.23 $248.06 1.6×
IV infusion hydration each additional hour (96361) $116.78 $291.94 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $528.08 $1,320.21 2.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $116.78 $291.94 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $528.08 $1,320.21 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $116.78 $291.94 2.4×
IV push initial (96374) $231.44 $578.58 1.0×
Manual therapy 15 min (97140) $72.28 $180.70 2.6×
Massage 15 min (97124) $70.72 $176.80 2.4×
Mechanical chest wall oscillation (94669) $309.71 $774.27 1.3×
Methacholine challenge (94070) $917.31 $2,293.27 2.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $123.81 $309.52 1.4×
Multiple sleep latency test (95805) $1,161.99 $2,904.96 1.3×
Needle electromyography larynx (95865) $708.26 $1,770.65 5.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $425.92 $1,064.78 3.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $178.04 $445.08 0.8×
Nerve Conduction Studies 3-4 Studies (95908) $915.22 $2,288.05 4.0×
Neuromuscular junction test (95937) $210.94 $527.35 1.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $390.24 $975.60 2.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $334.16 $835.38 2.5×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $340.44 $851.10 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $165.42 $413.54 1.2×
Ophth medical xm&eval intermediate estab pt (92012) $165.42 $413.54 1.2×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $103.38 $258.44 1.7×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $103.38 $258.44 1.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $69.66 $174.13 1.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $49.94 $124.86 1.6×
Ot eval high complex 60 min (97167) $205.25 $513.12 2.0×
Ot eval low complex 30 min (97165) $125.06 $312.63 1.2×
Ot eval mod complex 45 min (97166) $137.61 $344.02 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $58.69 $146.72 1.2×
Ot re-eval est plan care (97168) $96.06 $240.14 1.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $375.82 $939.55 1.6×
Plethysmography (94726) $309.71 $774.26 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,249.10 $8,122.73 3.6×
Polysom <6 yrs 4/> paramtrs (95782) $2,629.71 $6,574.26 2.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,298.50 $5,746.24 2.5×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $848.19 $2,120.46 0.9×
Pt eval high complex 45 min (97163) $205.25 $513.12 2.1×
Pt eval low complex 20 min (97161) $125.06 $312.63 1.3×
Pt Gait Training Therapy (97116) $65.95 $164.87 2.3×
Pt group caregiver training (97552) $19.27 $48.17 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $81.82 $204.54 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $137.61 $344.02 1.4×
Pt re-evaluation (97164) $96.06 $240.14 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $69.86 $174.64 2.2×
Pt Ultrasound Therapy (97035) $79.02 $197.55 5.5×
Pulm function test by gas (94727) $263.06 $657.63 1.2×
Pulmonary stress testing (94618) $270.18 $675.43 1.9×
Refill/maint, portable pump (96521) $423.42 $1,058.54 1.9×
Rt Chest Wall Manipulation,Subsequent (94668) $110.76 $276.90 0.8×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $148.08 $370.19 0.7×
Sleep study unattended (95806) $263.36 $658.39 1.2×
Somatosensory testing (95938) $435.54 $1,088.85 0.5×
Speech sound lang comprehen (92523) $116.59 $291.47 0.5×
Spirometry (94010) $309.71 $774.26 1.4×
Standardized Cognitive Performance Testing (96125) $123.45 $308.62 1.2×
Stress echo (93350) $1,603.35 $4,008.36 2.8×
Stress Tte Complete (93351) $1,307.62 $3,269.05 2.3×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $213.74 $534.33 4.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $229.92 $574.78 1.0×
Surfactant Admin Thru Tube (94610) $113.56 $283.90 0.5×
Temp transcutaneous pacing (92953) $587.78 $1,469.45 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $84.05 $210.12 3.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $84 $210 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $142.41 $356.01 1.9×
Therapeutic Activities (97530) $91.77 $229.42 2.6×
Therapeutic phlebotomy (99195) $184.09 $460.22 1.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $579.09 $1,447.72 2.3×
Transcranial Doppler Limited (93888) $402.98 $1,007.43 3.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,166 $2,915 2.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $647.02 $1,617.55 2.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112.14 $280.34 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $93.37 $233.41 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $231.44 $578.58 4.7×
Vasc Duplex Extrem Venous,Bilat (93970) $603.41 $1,508.51 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $438.91 $1,097.26 4.0×
Ventilation assist & mgmt inpatient 1st day (94002) $424.55 $1,061.37 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $424.55 $1,061.37 0.7×
Vital capacity total (94150) $190.17 $475.41 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $104.83 $262.06 3.4×