Procedures & surgery prices at St. Elizabeth Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$496.30–$1,670.19 $1,240.75–$4,175.46 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,068.80 $2,671.99 1.1×
Amniocentesis diagnostic (59000) $807.06 $2,017.63 0.8×
Application Finger Splint Dynamic (29131) $108.54 $271.35 1.7×
Application finger splint static (29130)
range across 2 matching MRF lines
$98.59–$229.78 $246.46–$574.43 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$73.81–$535.04 $184.51–$1,337.58 varies
Application Long Leg Splint (29505) $184.35 $460.87 1.1×
Application of rigid total contact leg cast (29445) $482.07 $1,205.17 1.6×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines
$250.25–$486.39 $625.61–$1,215.96 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$161.22–$467.86 $403.05–$1,169.65 varies
Application short leg splint calf foot (29515) $355.54 $888.84 2.1×
Apply Multlay Comprs Lwr Leg (29581) $257.38 $643.44 1.5×
Apply Short Leg Cast (29405) $235.74 $589.35 0.8×
Apply short leg cast (29425) $275.31 $688.26 0.9×
Arterial puncture (36600)
range across 2 matching MRF lines
$131.58–$267.98 $328.95–$669.94 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $577.76 $1,444.40 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$669.94–$863.02 $1,674.85–$2,157.54 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$1,039.13–$1,558.68 $2,597.81–$3,896.70 varies
Aspiration and/or injection thyroid cyst (60300) $1,319.94 $3,299.83 1.8×
Aspiration bladder insert suprapubic catheter (51102) $3,282.82 $8,207.05 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $286.54 $716.35 1.4×
Biopsy of liver, needle; percutaneous (47000) $1,492.23 $3,730.57 0.9×
Bladder instillation anticarcinogenic agent (51720) $400.49 $1,001.21 0.5×
Bladder Irrigation (51700) $257.16 $642.88 1.0×
Bladder Scan (51798) $110.74 $276.84 1.8×
Blood Transfusion Service (36430) $531.01 $1,327.52 1.1×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines
$665.93–$998.90 $1,664.82–$2,497.23 varies
Change of Windpipe Airway (31502) $174.33 $435.82 0.7×
Chest tube placement (32551) $1,751.99 $4,379.96 1.1×
Clear outer ear canal (69200) $244.32 $610.80 1.7×
Closed Treatment Sternum Fracture (21820) $668.21 $1,670.51 2.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $336.51 $841.27 1.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $707.22 $1,768.05 2.7×
Closed tx knee dislocation w/o anesthesia (27550) $469.96 $1,174.90 1.8×
Closed tx metatarsal fracture w/o manipulation (28470) $629.19 $1,572.97 2.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $724.26 $1,810.64 2.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $707.22 $1,768.05 2.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $707.22 $1,768.05 2.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $738.07 $1,845.16 2.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $668.21 $1,670.51 2.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $197.83 $494.56 0.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $577.71 $1,444.27 2.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $724.26 $1,810.64 2.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $267.07 $667.66 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $177.94 $444.84 0.7×
Cltx Medial Ankle Fx (27760) $785.80 $1,964.50 3.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,051.34 $2,628.33 4.0×
Cltx tibial fx proximal w/o manipulation (27530) $864.93 $2,162.32 3.3×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines
$211.80–$365.01 $529.49–$912.51 varies
Collection of venous blood by venipuncture (36415) $25.39 $63.47 2.7×
Control Nasal Hemorrhage Anterior Complex (30903) $484.26 $1,210.63 3.5×
Control Nasal Hemorrhage Anterior Simple (30901) $420.80 $1,052 3.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $484.26 $1,210.63 3.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $342.90 $857.24 0.4×
Debride nail 1-5 (11720) $156.62 $391.53 2.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $286.54 $716.35 0.7×
Declot vascular device (36593) $315.03 $787.56 0.9×
Drainage of hematoma/fluid (10140) $330.26 $825.64 0.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$50.10–$198.13 $125.23–$495.31 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $669.28 $1,673.20 3.2×
Evacuation of subungual hematoma (11740) $190.37 $475.91 1.4×
Exploration penetrating wound spx extremity (20103) $1,269.74 $3,174.34 0.7×
External cephalic version (59412) $1,017.27 $2,543.16 0.3×
Fetal Contraction Stress Test (59020) $344.66 $861.63 1.6×
Fetal non-stress test (59025) $361.35 $903.36 1.7×
Fna bx w/us gdn 1st les (10005) $1,418.35 $3,545.87 1.9×
Guide Cathet Fluid Drainage (10030) $2,873.93 $7,184.82 3.8×
I&d abscess peritonsillar (42700) $443.27 $1,108.17 1.8×
I&d abscess simple (10060) $381.39 $953.47 1.8×
I&d pilonidal cyst simple (10080) $565.74 $1,414.35 0.8×
Image Cath Fluid Colxn Visc (49405) $2,373.45 $5,933.62 1.4×
Incise external hemorrhoid (46083) $673.55 $1,683.86 2.6×
Incision & removal foreign body subq tiss simple (10120) $381.39 $953.47 0.9×
Incision and drainage of bartholin's gland abscess (56420) $565.74 $1,414.35 2.7×
Incision and drainage of vulva or perineal abscess (56405) $443.27 $1,108.17 1.4×
Incision of rectal abscess (46040) $443.27 $1,108.17 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $275.31 $688.26 1.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $253.15 $632.87 0.3×
Injection for identification of sentinel node (38792) $497.72 $1,244.30 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $1,030.40 $2,576 3.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $277.20 $692.99 0.4×
Insert Bladder Cath Complex (51703) $180.56 $451.39 1.3×
Insert cervical dilator (59200) $438.28 $1,095.70 1.4×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$957.14–$1,285.86 $2,392.85–$3,214.64 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$257.16–$434.30 $642.88–$1,085.73 varies
Insert,Non-Indwelling Bladder Catheter (51701) $333.27 $833.16 2.4×
Insertion phrenic nerve stimulator system (33276) $27,142.46 $67,856.15 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$749.96–$2,998.86 $1,874.88–$7,497.13 varies
Intubation endotracheal emergency procedure (31500) $1,078.88 $2,697.18 4.3×
Laryngoscopy diagnostic (31505) $72.75 $181.86 0.3×
Lithotripsy, extracorporeal shock wave (50590) $14,680.52 $36,701.28 3.9×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$1,660.76–$2,491.15 $4,151.90–$6,227.86 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $15.26 $38.13 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $22.89 $57.21 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $469.96 $1,174.90 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $771.72 $1,929.29 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,049.89 $2,624.71 1.4×
Perq dev breast 1st us imag (19285) $3,122.90 $7,807.25 4.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,547.98 $6,369.94 1.2×
Puncture Aspiration Cyst Breast (19000) $403.10 $1,007.73 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,082.06 $2,705.13 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $550.61 $1,376.52 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $190.37 $475.91 3.1×
Removal of foreign body from pharynx (42809) $866.66 $2,166.64 1.8×
Removal phrenic nerve stimulator system (33278) $6,041.31 $15,103.27 1.6×
Remove foreign body from eye (65205) $286.54 $716.35 2.0×
Remove Intrauterine Device (58301) $399.50 $998.73 1.2×
Remove Nasal Foreign Body (30300) $286.54 $716.35 2.0×
Renal Biopsy Perq (50200) $1,492.23 $3,730.57 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,106.10 $2,765.24 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $664.12 $1,660.30 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,296.47 $3,241.16 3.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,387.97 $3,469.91 3.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,387.97 $3,469.91 3.2×
Repair complex trunk 1.1-2.5 cm (13100) $1,087.51 $2,718.77 1.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,263.88 $3,159.69 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $856.97 $2,142.41 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $685.58 $1,713.95 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $520.21 $1,300.51 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $671.45 $1,678.62 1.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,034.13 $2,585.31 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $718.70 $1,796.73 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $752.76 $1,881.90 1.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $673.55 $1,683.86 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,048.26 $2,620.64 2.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $611.84 $1,529.58 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $782.15 $1,955.37 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,128.85 $2,822.12 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $859.63 $2,149.07 2.0×
Repair tongue laceration (41250) $350.64 $876.59 0.7×
Repositioning phrenic nrv stimulator transvns ld (33281) $3,020.66 $7,551.64 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $349.60 $873.98 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $446.18 $1,115.44 3.2×
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×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $3,939.94 $9,849.84 2.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $628.54 $1,571.35 3.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $392.09 $980.21 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $591.80 $1,479.48 2.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $594.46 $1,486.15 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $792.84 $1,982.10 3.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $418.68 $1,046.69 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $802.19 $2,005.47 3.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $592.80 $1,481.99 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $647.35 $1,618.36 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $646.33 $1,615.82 1.5×
Spinal puncture lumbar diagnostic (62270) $381.39 $953.47 0.5×
Strapping elbow or wrist (29260) $56.60 $141.49 0.9×
Strapping hand/finger (29280) $123.24 $308.09 2.0×
Strapping shoulder (29240) $107.82 $269.53 0.8×
Strapping Unna Boot (29580) $288.26 $720.64 1.7×
Thrombolytic Therapy Stroke (37195) $887.59 $2,218.97 2.5×
Thyroid biopsy (60100) $1,492.23 $3,730.57 2.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,805.54 $4,513.83 7.2×
Treat Humerus Fracture (24505) $707.22 $1,768.05 0.4×
Treat toe dislocation (28630) $177.94 $444.84 0.7×
Treatment closed elbow dislocation w/o anes (24600) $524 $1,309.99 2.0×
Tx Gastro Intub W/Asp (43753) $486.26 $1,215.64 2.1×
Wedge excision skin nail fold (11765) $578.30 $1,445.74 1.3×

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.