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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ProcedureCash priceGross charge× Medicare
Abd paracentesis (49082) $1,068.80 $2,671.99 1.1×
Abd paracentesis w/imaging (49083) $1,083.24 $2,708.10 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) $164.18 $410.44 1.2×
Application of long leg splint (thigh to ankle or toes) (29505) $184.35 $460.87 1.1×
Application of short arm splint (forearm to hand); static (29125) $411.75 $1,029.36 2.9×
Application of short leg cast (below knee to toes); (29405) $235.74 $589.35 0.8×
Application of short leg cast (below knee to toes); walking or ambulatory type (29425) $275.31 $688.26 0.9×
Application of short leg splint (calf to foot) (29515) $355.54 $888.84 2.1×
Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) $257.38 $643.44 1.5×
Application rigid total contact leg cast (29445) $482.07 $1,205.17 1.6×
Apply long arm splint (29105) $535.04 $1,337.58 3.1×
Apply splint short arm dynamic (29126) $368.32 $920.78 2.6×
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) $766.48 $1,916.20 2.4×
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 of nail plate, partial or complete, simple; single (11730) $286.54 $716.35 1.4×
Biopsy liver needle percutaneous (47000) $1,492.23 $3,730.57 0.9×
Biopsy lymph node (38505) $2,075.96 $5,189.88 1.2×
Biopsy thyroid percutaneous core needle (60100) $1,492.23 $3,730.57 2.0×
Bladder irrigation (51700) $257.16 $642.88 1.0×
Bx breast 1st lesion us imag (19083) $832.42 $2,081.02 0.5×
Change of windpipe airway (31502) $174.33 $435.82 0.7×
Chest tube placement (32551) $1,751.99 $4,379.96 1.1×
Closed treatment of calcaneal fracture; without manipulation (28400) $707.22 $1,768.05 2.7×
Closed treatment of clavicular fracture; with manipulation (23505) $197.83 $494.56 0.1×
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) $724.26 $1,810.64 2.8×
Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) $267.07 $667.66 1.0×
Closed treatment of knee dislocation; without anesthesia (27550) $469.96 $1,174.90 1.8×
Closed treatment of medial malleolus fracture; without manipulation (27760) $785.80 $1,964.50 3.0×
Closed treatment of patellar fracture, without manipulation (27520) $724.26 $1,810.64 2.8×
Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) $1,051.34 $2,628.33 4.0×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $707.22 $1,768.05 2.7×
Closed treatment of radial shaft fracture; without manipulation (25500) $707.22 $1,768.05 2.7×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $577.71 $1,444.27 2.2×
Closed treatment of sternum fracture Age Under 21 (21820) $668.21 $1,670.51 2.6×
Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) $864.93 $2,162.32 3.3×
Closed treatment of ulnar shaft fracture; without manipulation (25530) $668.21 $1,670.51 2.6×
Closed tx bimalleolar ankle fracture w/o manip (27808) $336.51 $841.27 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $629.19 $1,572.97 2.4×
CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) $707.22 $1,768.05 0.4×
Collect blood from catheter venous nos (36592) $288.40 $721 2.1×
Collect blood from implant venous access device (36591) $124.12 $310.27 0.9×
Complete replacement picc rs&i (36584) $3,939.94 $9,849.84 2.4×
Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) $484.26 $1,210.63 3.5×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $420.80 $1,052 3.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $484.26 $1,210.63 3.5×
Debridement of nail(s) by any method(s); 1 to 5 (11720) $156.62 $391.53 2.5×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $286.54 $716.35 0.7×
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) $342.90 $857.24 0.4×
Declot vascular device (36593) $315.03 $787.56 0.9×
Drainage of tonsil abscess (42700) $443.27 $1,108.17 1.8×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $180.56 $451.39 1.3×
Ed proc remve fb nasal- hospital (30300) $286.54 $716.35 2.0×
Ed prof artl pnxr w/drawal bld dx (36600) $199.78 $499.44 1.4×
Ed prof burn medium - hospital (16025) $669.28 $1,673.20 3.2×
Ed prof catheterization/straight (51701) $333.27 $833.16 2.4×
Ed prof insert foley cath simple (51702) $345.73 $864.30 2.5×
Ed prof insert non tunnel cv cath >5 (36556) $1,121.50 $2,803.74 0.3×
Ed prof int lac 12.6-20cm bd - hospital (12035) $1,048.26 $2,620.64 2.4×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $859.63 $2,149.07 2.0×
Ed prof interphalangeal dislocation- hospital (26770) $177.94 $444.84 0.7×
Er inj anesthetic agent, peripheral nerve or branch (64450) $277.20 $692.99 0.4×
Evac subungual hematoma (11740) $190.37 $475.91 1.4×
Exploration penetrating wound spx extremity (20103) $1,269.74 $3,174.34 0.7×
Fetal contraction stress test (59020) $344.66 $861.63 1.6×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,418.35 $3,545.87 1.9×
Gastric lavage (43753) $486.26 $1,215.64 2.1×
Guide cathet fluid drainage (10030) $2,873.93 $7,184.82 3.8×
I&d abscess simple/single (10060) $381.39 $953.47 1.8×
I&d hematoma/seroma/fluid (10140) $330.26 $825.64 0.2×
I&d pilonidal cyst simple (10080) $565.74 $1,414.35 0.8×
Image-guide fluid collxn drainage cath visc perq (49405) $2,373.45 $5,933.62 1.4×
Incise external hemorrhoid (46083) $673.55 $1,683.86 2.6×
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 and removal of foreign body, subcutaneous tissues; simple (10120) $381.39 $953.47 0.9×
Incision of rectal abscess (46040) $443.27 $1,108.17 0.4×
Infusion of drug to dissolve blood clot in brain (37195) $887.59 $2,218.97 2.5×
Initial treatment, first degree burn, when no more than local treatment is required (16000) $275.31 $688.26 1.3×
Inj paravert f jnt l/s 1 lev (64493) $771.72 $1,929.29 0.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $253.15 $632.87 0.3×
Injection aa&/strd trigeminal nerve each branch (64400) $469.96 $1,174.90 1.5×
Injection for identification of sentinel node (38792) $497.72 $1,244.30 1.2×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $1,030.40 $2,576 3.2×
Insert cervical dilator (59200) $438.28 $1,095.70 1.4×
Insertion phrenic nerve stimulator system (33276) $27,142.46 $67,856.15 0.6×
Insertion picc w/o img gdn 5 yr/> (36569) $2,654.70 $6,636.73 1.6×
Intubation endotracheal (31500) $1,078.88 $2,697.18 4.3×
Laryngoscopy indirect diagnostic (31505) $72.75 $181.86 0.3×
Lithotripsy, extracorporeal shock wave Age Under 21 (50590) $14,680.52 $36,701.28 3.9×
Lumbar puncture (62270) $381.39 $953.47 0.5×
Meas post-voiding residual urine&/bladder cap (51798) $110.74 $276.84 1.8×
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 dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,049.89 $2,624.71 1.4×
Non stress test (59025) $361.35 $903.36 1.7×
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 of cyst of 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 impacted cerumen requiring instrumentation, unilateral (69210) $190.37 $475.91 3.1×
Removal of foreign body in muscle or tendon sheath; simple (20520) $550.61 $1,376.52 0.3×
Removal of foreign body, external eye; conjunctival superficial (65205) $286.54 $716.35 2.0×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $349.60 $873.98 0.7×
Removal of iud (58301) $399.50 $998.73 1.2×
Removal phrenic nerve stimulator system (33278) $6,041.31 $15,103.27 1.6×
Remove pharynx foreign body (42809) $866.66 $2,166.64 1.8×
Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) $1,492.23 $3,730.57 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 TechFee (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 2.6-7.5 cm (13101) $1,263.88 $3,159.69 1.6×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $856.97 $2,142.41 2.0×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $685.58 $1,713.95 1.6×
REPAIR INTERMEDIATE F/E/E/N/L and /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 2.5 CM/< TechFee (12031) $611.84 $1,529.58 1.4×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $782.15 $1,955.37 1.8×
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) $1,128.85 $2,822.12 1.4×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $520.21 $1,300.51 1.2×
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) $350.64 $876.59 0.7×
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) $1,106.10 $2,765.24 1.4×
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) $664.12 $1,660.30 0.9×
Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) $1,087.51 $2,718.77 1.4×
Repositioning phrenic nrv stimulator transvns ld (33281) $3,020.66 $7,551.64 0.8×
Reset dislocated jaw (21480) $738.07 $1,845.16 2.8×
RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) $244.32 $610.80 1.7×
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (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×
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) $392.09 $980.21 1.9×
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) $591.80 $1,479.48 2.8×
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) $594.46 $1,486.15 2.8×
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) $628.54 $1,571.35 3.0×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $792.84 $1,982.10 3.7×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (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 TechFee (12002) $592.80 $1,481.99 2.8×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (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×
Strapping elbow or wrist (29260) $56.60 $141.49 0.9×
Strapping hand/finger (29280) $123.24 $308.09 2.0×
Strapping of shoulder (29240) $107.82 $269.53 0.8×
Strapping unna boot (29580) $288.26 $720.64 1.7×
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) $1,298.90 $3,247.26 2.0×
Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) $1,805.54 $4,513.83 7.2×
Transfusion, blood or blood components (36430) $531.01 $1,327.52 1.1×
Treat toe dislocation (28630) $177.94 $444.84 0.7×
Treatment of bladder lesion (51720) $400.49 $1,001.21 0.5×
Treatment of closed elbow dislocation; without anesthesia (24600) $524 $1,309.99 2.0×
Venipuncture (36415) $25.39 $63.47 2.7×
Version cephalic external (59412) $1,017.27 $2,543.16 0.3×
Wedge excision skin nail fold (11765) $578.30 $1,445.74 1.3×