St. Elizabeth Hospital
Fort Morgan, CO
Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-27.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,874.05 | $4,685.11 | 2.0× |
| CT head/brain without contrast (70450) | $2,348.12 | $5,870.29 | 21.3× |
| MRI brain without contrast (70551) | $2,882.52 | $7,206.29 | 11.5× |
| MRI brain with contrast (70552) | $2,975.60 | $7,438.98 | 8.1× |
| MRI brain without and with contrast (70553) | $3,930.40 | $9,826 | 10.7× |
| X-ray lower spine, 4+ views (72110) | $939.32 | $2,348.29 | 8.5× |
| MRI lumbar spine without contrast (72148) | $2,671.58 | $6,678.94 | 10.6× |
| CT pelvis with contrast (72193) | $2,522.81 | $6,307.02 | 13.6× |
| MRI lower-extremity joint without contrast (73721) | $2,409.02 | $6,022.54 | 9.6× |
| CT abdomen and pelvis with contrast (74177) | $5,346.22 | $13,365.55 | 14.5× |
| Ultrasound, abdomen complete (76700) | $691.22 | $1,728.05 | 6.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $691.22 | $1,728.05 | 6.3× |
| Ultrasound, transvaginal (76830) | $662.42 | $1,656.03 | 6.0× |
| Mammography, one breast (diagnostic) (77065) | $152.24 | $380.59 | 1.8× |
| Mammography, both breasts (diagnostic) (77066) | $377.70 | $944.25 | 3.4× |
| Mammography, screening (bilateral) (77067) | $147.84 | $369.58 | 1.6× |
| Basic metabolic panel (80048) | $120.90 | $302.24 | 14.3× |
| Comprehensive metabolic panel (80053) | $142.95 | $357.37 | 13.5× |
| Obstetric panel (80055) | $470.23 | $1,175.57 | 9.8× |
| Lipid panel (80061) | $81.50 | $203.74 | 6.1× |
| Renal function panel (80069) | $144.28 | $360.69 | 16.6× |
| Hepatic function panel (80076) | $130.92 | $327.28 | 16.0× |
| Urinalysis, non-automated, without microscopy (81002) | $41.35 | $103.36 | 11.9× |
| PSA, total (84153) | $92.85 | $232.12 | 5.0× |
| Thyroid stimulating hormone (TSH) (84443) | $88.84 | $222.08 | 5.3× |
| CBC with automated differential (85025) | $80.80 | $201.98 | 10.4× |
| CBC, automated (85027) | $43.89 | $109.71 | 6.8× |
| Prothrombin time (PT) (85610) | $40.72 | $101.78 | 9.5× |
| Partial thromboplastin time (PTT) (85730) | $79.52 | $198.78 | 13.2× |
| Psychotherapy, 30 minutes (90832) | $64.89 | $162.21 | 0.3× |
| Family psychotherapy, without patient (50 min) (90846) | $87.50 | $218.74 | 0.5× |
| Family psychotherapy, with patient (50 min) (90847) | $88.45 | $221.12 | 0.5× |
| Sleep study (attended polysomnography) (95810) | $4,473.42 | $11,183.55 | 4.9× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $108.59 | $271.46 | 3.7× |