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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ProcedurePosted cashPosted gross× Medicare
Actigraphy Testing Recording Analysis I&R (95803) $171.29 $428.21 2.8×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$112.42–$115.28 $281.04–$288.19 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $79.02 $197.55 5.5×
Application on-body injector (96377) $95.83 $239.57 1.9×
Assessment of aphasia per hr (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)
range across 2 matching MRF lines
$770.59–$1,510.80 $1,926.46–$3,776.99 varies
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 Strategies&Tq Ea Addl 15 Min (97551) $20.64 $51.59 0.8×
Cbt 1st hour (94644) $328.91 $822.26 2.3×
Chemo Anti-Neopl Sq/Im (96401) $166.18 $415.44 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $178.90 $447.25 2.4×
Chemo IV infusion addl hr (96415) $165.36 $413.38 2.2×
Chemo IV push addl drug (96411) $329.05 $822.62 4.3×
Chemother Prolong Infuse W/Pump (96416) $516.92 $1,292.28 1.5×
Chemotherapy Into Cns (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×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $771.37 $1,928.42 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $445.63 $1,114.06 1.3×
Chest Wall Manipulation (94668) $110.76 $276.90 0.8×
Color/duplex Doppler, complete (93975) $786.69 $1,966.72 3.1×
Color/duplex Doppler, limited (93976) $691.59 $1,728.97 6.3×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$37.71–$62.18 $94.27–$155.45 varies
Computerized Ophthalmic Imaging Optic Nerve (92133) $84.64 $211.59 1.4×
Computerized Ophthalmic Imaging Retina (92134) $84.64 $211.59 1.4×
Continuous Pulse Ox (94762) $334.16 $835.38 2.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $229.28 $573.20 1.0×
Cpt initial (94667) $110.76 $276.90 0.8×
Critical care first hour (99291) $6,769.70 $16,924.24 7.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929)
range across 2 matching MRF lines
$695.10–$1,007.20 $1,737.75–$2,517.99 varies
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 Xtr Veins Complete Bilateral Study (93970) $603.41 $1,508.51 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $642.69 $1,606.72 5.8×
Duplex up extrem art unilat/ltd (93931) $461.42 $1,153.54 4.2×
Echo Congenital Complete (93303) $647.02 $1,617.55 1.1×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$258.92–$405.80 $647.30–$1,014.50 varies
Echo r-t 2d w/probe placement only (93313) $1,300.84 $3,252.10 2.3×
Echo transesophageal (93312)
range across 2 matching MRF lines
$971.06–$1,300.84 $2,427.64–$3,252.10 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,307.62 $3,269.05 2.3×
EEG extended monitoring 61-119 minutes (95813) $641.12 $1,602.79 2.8×
Electrocardiogram Tracing (93005) $93.62 $234.04 1.5×
Emergency Dept Visit Level 2 (99282) $663.31 $1,658.26 4.1×
Emergency Dept Visit Level 3 (99283) $1,482.06 $3,705.14 5.1×
Emergency Dept Visit Level 4 (99284) $3,180.27 $7,950.67 7.2×
Emg 3 Extremities (95863) $708.26 $1,770.65 5.2×
Emg 4 Extremities (95864) $944.15 $2,360.37 7.0×
Er level 1 (99281) $344.45 $861.12 3.9×
Er level v (99285) $6,684.22 $16,710.55 10.6×
Evaluate pt use of inhaler (94664) $112.29 $280.72 0.5×
Evaluate Speech Production (92522) $56.12 $140.30 0.5×
Evaluate Swallowing Function (92610) $133.68 $334.19 1.6×
Evaluation of speech fluency (92521) $69.14 $172.84 0.5×
Exercise test for bronchospasm (94617) $270.18 $675.43 1.9×
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×
Extracranial Bilat Study (93880) $866.48 $2,166.20 3.4×
Extracranial Uni/Ltd Study (93882) $438.91 $1,097.26 4.0×
F-up/limited tthrc echo congenital car anomaly (93304) $489.79 $1,224.47 0.8×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,510.80 $3,776.99 1.7×
Immunization administration (90471) $50.11 $125.27 0.7×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $290.68 $726.69 0.7×
Intracranial Complete Study (93886) $579.09 $1,447.72 2.3×
Io anal gast n-stim subsq (95981) $167.23 $418.07 2.7×
Io ga n-stim subsq w/reprog (95982) $100.87 $252.16 2.6×
Irrig Drug Delivery Device (96523) $99.23 $248.06 1.6×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$91.15–$142.41 $227.86–$356.01 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$412.17–$644 $1,030.42–$1,610 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$91.15–$142.41 $227.86–$356.01 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$91.15–$142.41 $227.86–$356.01 varies
IV push initial (96374)
range across 2 matching MRF lines
$180.64–$282.23 $451.58–$705.57 varies
Mechanical chest wall oscillation per session (94669) $309.71 $774.27 1.3×
Methacholine challenge (94070) $917.31 $2,293.27 2.3×
Motion Fluoroscopy/Swallow (92611) $123.81 $309.52 1.4×
Multiple Sleep Latency Test (95805) $1,161.99 $2,904.96 1.3×
Muscle Test 2 Limbs (95861) $304.85 $762.12 2.2×
Muscle Test Nonparaspinal (95870) $425.92 $1,064.78 3.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $333.18 $832.94 1.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $198.73 $496.81 0.9×
Needle electromyography larynx (95865) $708.26 $1,770.65 5.0×
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 Junct Tstg Ea Nrv Any 1 Meth (95937) $210.94 $527.35 1.6×
Neuromuscular Reeducation (97112) $81.82 $204.54 2.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681)
range across 2 matching MRF lines
$138.75–$542.14 $346.87–$1,355.34 varies
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $165.44 $413.60 1.2×
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)
range across 2 matching MRF lines
$82.71–$124.06 $206.76–$310.13 varies
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201)
range across 2 matching MRF lines
$82.71–$124.06 $206.76–$310.13 varies
Oral Function Therapy (92526) $93.37 $233.41 1.1×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$33.33–$84.05 $83.32–$210.12 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $69.66 $174.13 1.5×
Ot eval high complexity (97167) $205.25 $513.12 2.0×
Ot Eval Low Complex (97165) $125.06 $312.63 1.2×
Ot Eval Moderate Complexity (97166) $137.61 $344.02 1.4×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$61.53–$83.04 $153.82–$207.59 varies
Ot Re-Eval Est Plan Care (97168) $96.06 $240.14 1.4×
Oxygen Uptake Rest Indirect (94690) $51.60 $128.99 0.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $375.82 $939.55 1.6×
Phlebotomy therapeutic (99195) $184.09 $460.22 1.3×
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 (97163) $205.25 $513.12 2.1×
Pt eval low complex 20 min (97161) $125.06 $312.63 1.3×
Pt Eval Mod Complex (97162) $137.61 $344.02 1.4×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$58.45–$73.45 $146.12–$183.62 varies
Pt group caregiver training (97552) $19.27 $48.17 0.9×
Pt Re-Eval Est Plan Care (97164) $96.06 $240.14 1.4×
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×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $66.80 $167 1.1×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$66.14–$73.58 $165.35–$183.93 varies
Short-Latency Somatosens Ep Std Trnk/Head (95927) $148.08 $370.19 0.7×
Sleep study unattended (95806) $263.36 $658.39 1.2×
Slp caregiver training 1st 30 min (97550) $45.12 $112.80 0.9×
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)
range across 2 matching MRF lines
$118.81–$128.09 $297.02–$320.21 varies
Stress Tte Only (93350) $1,603.35 $4,008.36 2.8×
Subcutaneous Infusion Each Additional Hour (96370) $213.74 $534.33 4.3×
Subcutaneous infusion initial 1 hr w/pump set-up (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 Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$34.18–$84.05 $85.43–$210.12 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $70.72 $176.80 2.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$91.15–$174.06 $227.86–$435.14 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$412.17–$644 $1,030.42–$1,610 varies
Therapeutic Activities (97530) $91.77 $229.42 2.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $402.98 $1,007.43 3.7×
Tte w/doppler, complete (93306) $1,166 $2,915 2.0×
Tte W/O Doppler Complete (93307) $647.02 $1,617.55 2.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112.14 $280.34 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$180.64–$282.23 $451.58–$705.57 varies
Upr/L Xtremity Art 2 Levels (93922) $390.24 $975.60 2.8×
Vent Mgmt Inpat Init 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×

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.