Visits & medical services prices at St. Elizabeth Hospital
Fort Morgan, CO · every code in this section with a posted price and a Medicare benchmark.
130 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$120.31–$163.88 | $300.76–$409.68 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $113.13 | $282.82 | 7.9× |
| Application Modality 1/> Areas Infrared (97026) | $11.97 | $29.92 | 1.8× |
| Behavral qualit analys voice (92524) | $80.53 | $201.32 | 0.7× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $128.22 | $320.55 | 1.6× |
| Bfb training ea addl 15 min (90913) | $87.13 | $217.82 | 2.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $294.53 | $736.32 | 0.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,375.61 | $3,439.02 | 6.0× |
| Cardiopulmonary resuscitation (92950) | $2,234.08 | $5,585.19 | 9.8× |
| Cardioversion (92960) | $2,024.84 | $5,062.09 | 2.9× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $20.63 | $51.56 | 0.8× |
| Cbt 1st hour (94644) | $417.94 | $1,044.84 | 3.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $328.96 | $822.40 | 4.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $440.20 | $1,100.49 | 5.8× |
| Chemo IV infusion addl hr (96415) | $575.70 | $1,439.23 | 7.6× |
| Chemo IV push addl drug (96411) | $468.83 | $1,172.07 | 6.2× |
| Chemother Prolong Infuse W/Pump (96416) | $4,141.82 | $10,354.55 | 11.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $575.70 | $1,439.23 | 7.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,906.47 | $4,766.17 | 5.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $2,303.42 | $5,758.54 | 6.6× |
| Chest Wall Manipulation (94668) | $96.19 | $240.46 | 0.7× |
| Color/duplex Doppler, complete (93975) | $921.62 | $2,304.05 | 3.7× |
| Color/duplex Doppler, limited (93976) | $648.02 | $1,620.03 | 5.9× |
| Continuous Pulse Ox (94762) | $181.46 | $453.63 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $729.24 | $1,823.10 | 3.2× |
| Cpt initial (94667) | $142.95 | $357.37 | 1.0× |
| Critical care first hour (99291) | $2,881.90 | $7,204.73 | 3.3× |
| Debridement Open Wound 20 Sq Cm< (97597) | $337.47 | $843.66 | 1.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $921.62 | $2,304.05 | 3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $648.02 | $1,620.03 | 5.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $921.62 | $2,304.05 | 3.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $648.02 | $1,620.03 | 5.9× |
| Duplex up extrem art unilat/ltd (93931) | $648.02 | $1,620.03 | 5.9× |
| ECG/monitoring and analysis (93271) | $1,118.33 | $2,795.81 | 11.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$921.62–$922.37 | $2,304.05–$2,305.91 | varies |
| Echo transesophageal (93312) | $1,872.04 | $4,680.10 | 3.2× |
| EEG awake and asleep (95819) | $983.45 | $2,458.62 | 4.3× |
| EEG awake drowsy (95816) | $830.15 | $2,075.36 | 3.6× |
| Electrical Stimulation Ea 15 Min (97032) | $171.60 | $428.98 | 11.7× |
| Electrocardiogram Tracing (93005) | $331.21 | $828.02 | 5.3× |
| Emergency Dept Visit Level 2 (99282) | $331.48 | $828.70 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $676.58 | $1,691.43 | 2.3× |
| Emergency Dept Visit Level 4 (99284) | $897.12 | $2,242.78 | 2.0× |
| Er level 1 (99281) | $205.56 | $513.90 | 2.3× |
| Er level v (99285) | $2,292.46 | $5,731.13 | 3.6× |
| Evaluate pt use of inhaler (94664) | $311.93 | $779.81 | 1.4× |
| Evaluate Speech Production (92522) | $79.62 | $199.03 | 0.7× |
| Evaluate Swallowing Function (92610) | $336.47 | $841.16 | 4.0× |
| Evaluation of speech fluency (92521) | $98.12 | $245.30 | 0.7× |
| External ECG rec>48hr<7d recording (93242) | $782.07 | $1,955.16 | 19.8× |
| External ECG rec>7d<15d recording (93246) | $1,446.20 | $3,615.49 | 36.7× |
| External Ecg Scanning Analysis Report (93226) | $207.60 | $518.99 | 3.3× |
| Extracranial Bilat Study (93880) | $921.62 | $2,304.05 | 3.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $227.32 | $568.29 | 1.1× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$50.80–$74.08 | $127–$185.18 | varies |
| Holter monitor recording (93225) | $782.07 | $1,955.16 | 5.6× |
| Immunization administration (90471) | $314.30 | $785.73 | 4.1× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$76.05–$145.64 | $190.11–$364.08 | varies |
| Irrig Drug Delivery Device (96523) | $234.73 | $586.82 | 3.8× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$181.49–$287.89 | $453.72–$719.72 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$268.58–$356.08 | $671.45–$890.19 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$196.18–$423.48 | $490.44–$1,058.69 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$338.65–$342.65 | $846.61–$856.61 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$138.68–$445.76 | $346.70–$1,114.40 | varies |
| Low frequency non-thermal us (97610) | $304.72 | $761.79 | 1.4× |
| Mechanical chest wall oscillation per session (94669) | $292.88 | $732.19 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $18.60 | $46.50 | 0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $26.06 | $65.13 | 0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $28.80 | $72 | 1.7× |
| Methacholine challenge (94070) | $1,033.07 | $2,582.67 | 2.6× |
| Motion Fluoroscopy/Swallow (92611) | $403.76 | $1,009.40 | 4.4× |
| Multiple Sleep Latency Test (95805) | $3,223.94 | $8,059.84 | 3.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$190.37–$501.10 | $475.91–$1,252.74 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$294.56–$623.17 | $736.40–$1,557.92 | varies |
| Neuromuscular Reeducation (97112) | $119.95 | $299.86 | 3.7× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $185.20 | $463 | 0.5× |
| Oral Function Therapy (92526) | $235.02 | $587.55 | 2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $47.92 | $119.80 | 1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$91.30–$195.62 | $228.24–$489.03 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $21.97 | $54.92 | 1.6× |
| Ot eval high complexity (97167) | $371.54 | $928.85 | 3.7× |
| Ot Eval Low Complex (97165) | $303.99 | $759.97 | 3.0× |
| Ot Eval Moderate Complexity (97166) | $337.76 | $844.39 | 3.4× |
| Ot manual therapy 15 min (97140) | $115.40 | $288.50 | 4.2× |
| Ot paraffin bath (97018) | $85.89 | $214.72 | 14.3× |
| Ot Re-Eval Est Plan Care (97168) | $228.52 | $571.29 | 3.3× |
| Ot rom hand (95852) | $19.26 | $48.15 | 0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $229.01 | $572.52 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $238.55 | $596.37 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $220.48 | $551.18 | 1.0× |
| Phlebotomy therapeutic (99195) | $94.18 | $235.44 | 0.7× |
| Plethysmography (94726) | $414.12 | $1,035.30 | 1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,229.50 | $5,573.73 | 2.5× |
| Psychiatric diagnostic evaluation (90791) | $236 | $590 | 1.3× |
| Pt Eval High Complex (97163) | $371.54 | $928.85 | 3.8× |
| Pt eval low complex 20 min (97161) | $303.99 | $759.97 | 3.1× |
| Pt Eval Mod Complex (97162) | $337.76 | $844.39 | 3.5× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$39.86–$113.84 | $99.64–$284.60 | varies |
| Pt group caregiver training (97552) | $19.26 | $48.15 | 0.9× |
| Pt mechanical traction (97012) | $67.23 | $168.06 | 4.7× |
| Pt Re-Eval Est Plan Care (97164) | $228.52 | $571.29 | 3.4× |
| Pulmonary Stress Testing (94618) | $726.46 | $1,816.14 | 5.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $223.94 | $559.84 | 5.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $45.61 | $114.02 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$90.17–$176.95 | $225.41–$442.37 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $172.79 | $431.96 | 6.6× |
| Self Care Mngment Training (97535) | $127.95 | $319.86 | 3.9× |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$88.59–$183.96 | $221.47–$459.88 | varies |
| Sleep study unattended (95806) | $217.03 | $542.56 | 1.0× |
| Slp caregiver training 1st 30 min (97550) | $45.10 | $112.74 | 0.9× |
| Speech sound lang comprehen (92523) | $135.46 | $338.63 | 0.6× |
| Spirometry (94010) | $209.29 | $523.21 | 0.9× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$152.74–$275.49 | $381.85–$688.72 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $153.43 | $383.57 | 6.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $153.43 | $383.57 | 7.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$71.52–$81.15 | $178.78–$202.86 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $130.01 | $325.01 | 4.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$148.54–$350.67 | $371.34–$876.67 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$514.98–$568.42 | $1,287.44–$1,421.03 | varies |
| Therapeutic Activities (97530) | $102.04 | $255.09 | 2.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $93.51 | $233.77 | 2.4× |
| Tte w/doppler, complete (93306) | $1,872.04 | $4,680.10 | 3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $194.68 | $486.69 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$208.88–$374.72 | $522.18–$936.78 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $263.89 | $659.71 | 1.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,399.31 | $3,498.26 | 6.1× |
| Vent Mgmt Inpat Init Day (94002) | $1,620.22 | $4,050.53 | 2.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $708.01 | $1,770.01 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $118.95 | $297.36 | 3.8× |
| Whirlpool Therapy (97022) | $143.20 | $358 | 9.1× |
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.