Supplies, drugs & other prices at St. Francis Hospital Interquest
Colorado Springs, CO · every code in this section with a posted price and a Medicare benchmark.
134 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,962.25 | $4,905.62 | 2.4× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,962.25 | $4,905.62 | 2.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,731.40 | $4,328.48 | 4.7× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $7,645.41 | $19,113.52 | 0.8× |
| Adm tocilizu covid-19 1st (M0249) | $733.83 | $1,834.56 | 1.6× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$22.58–$71.40 | $56.44–$178.49 | varies |
| Admin influenza virus vac (G0008) | $56.30 | $140.74 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $55.76 | $139.38 | 1.1× |
| Annual alcohol screen 15 min (G0442) | $47.89 | $119.71 | 1.2× |
| Blind interatrial shunt ide (C9758) | $12,318.96 | $30,797.39 | 0.7× |
| Bone Strength & Fracture Risk Assessment (0556T) | $659.22 | $1,648.03 | 2.6× |
| Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) | $659.22 | $1,648.03 | 21.6× |
| Brief alcohol misuse counsel (G0443) | $43.71 | $109.27 | 0.4× |
| Catheterize for urine spec (P9612) | $156.17 | $390.41 | 16.7× |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) | $428.95 | $1,072.37 | 4.7× |
| Covid-19 lab test non-cdc (U0002) | $41.46 | $103.64 | 0.8× |
| CT breast w/3d rendering bi with contrast (0637T) | $5,064.58 | $12,661.43 | 13.8× |
| CT breast w/3d rendering bi without contrast (0636T) | $2,361.63 | $5,904.06 | 9.4× |
| CT breast w/3d rendering uni with contrast (0634T) | $3,216.30 | $8,040.74 | 17.4× |
| CT breast w/3d rendering uni without contrast (0633T) | $1,502.39 | $3,755.97 | 13.6× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $5,064.58 | $12,661.43 | 13.8× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $3,216.30 | $8,040.74 | 17.4× |
| Depression screen annual (G0444) | $19.90 | $49.74 | 0.5× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$25.07–$40.40 | $62.66–$100.99 | varies |
| Diab manage trn ind/group (G0109) | $28.86 | $72.14 | 1.8× |
| Direct refer hospital observ (G0379) | $325.50 | $813.75 | 0.5× |
| Drug test def 1-7 classes (G0480) | $82.17 | $205.41 | 0.7× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $79.20 | $198 | 1.3× |
| Ekg tracing for initial prev (G0404) | $22.81 | $57.02 | 0.7× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$15,702.79 | $39,256.96 | 0.3× |
| Esd endoscopy or colonoscopy (C9779) | $4,282.23 | $10,705.56 | 1.1× |
| Extrnl counterpulse, per tx (G0166) | $417.84 | $1,044.60 | 3.0× |
| Fecal microbiota prep instil (G0455) | $919.44 | $2,298.60 | 0.9× |
| Followup eval of foot pt lop (G0246) | $67.55 | $168.86 | 0.5× |
| Hbot, full body chamber, 30m (G0277) | $403.30 | $1,008.23 | 2.8× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $707.72 | $1,769.29 | 1.0× |
| Home sleep test/type 3 porta (G0399) | $270.14 | $675.33 | 1.2× |
| Hospital outpt clinic visit (G0463) range across 24 matching MRF lines |
$71.98–$702.82 | $179.95–$1,757.03 | varies |
| Initial foot exam pt lops (G0245) | $64.85 | $162.11 | 0.5× |
| Initial preventive exam (G0402) | $100.34 | $250.83 | 0.7× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$800.94–$1,963.72 | $2,002.33–$4,909.30 | varies |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) | $11,012.21 | $27,530.52 | 0.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $22,584.54 | $56,461.35 | 0.7× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $7,990.49 | $19,976.22 | 0.9× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $7,990.49 | $19,976.22 | 0.9× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $22,584.54 | $56,461.35 | 1.0× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $36.48 | $91.18 | 0.9× |
| Lev 1 hosp type b ed visit (G0380) | $213.58 | $533.93 | 2.7× |
| Lev 2 hosp type b ed visit (G0381) | $505.12 | $1,262.78 | 5.2× |
| Lev 3 hosp type b ed visit (G0382) | $988.76 | $2,471.89 | 5.5× |
| Lev 4 hosp type b ed visit (G0383) | $1,754.90 | $4,387.23 | 6.3× |
| Lev 5 hosp type b ed visit (G0384) | $3,107.54 | $7,768.83 | 7.2× |
| Mra w/cont, abd (C8900) | $2,030.29 | $5,075.71 | 5.5× |
| Mra w/cont, chest (C8909) | $2,099.76 | $5,249.38 | 5.7× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$3,200.63–$6,401.25 | $8,001.57–$16,003.12 | varies |
| Mra w/cont, pelvis (C8918) | $2,513 | $6,282.49 | 6.8× |
| Mra w/o cont, abd (C8901) | $1,368.97 | $3,422.41 | 5.4× |
| Mra w/o cont, chest (C8910) | $1,758.88 | $4,397.19 | 7.0× |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$2,600.09–$5,200.17 | $6,500.21–$13,000.41 | varies |
| Mra w/o cont, pelvis (C8919) | $2,154.96 | $5,387.40 | 8.6× |
| Mra w/o fol w/cont, abd (C8902) | $2,691.60 | $6,728.99 | 7.3× |
| Mra w/o fol w/cont, chest (C8911) | $2,743.40 | $6,858.50 | 7.5× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$3,840.75–$7,681.51 | $9,601.86–$19,203.76 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $3,155.74 | $7,889.34 | 8.6× |
| Mra, w/dye, upper extremity (C8934) range across 2 matching MRF lines |
$3,200.63–$6,401.27 | $8,001.57–$16,003.16 | varies |
| Mra, w/o dye, upper extr (C8935) range across 2 matching MRF lines |
$2,600.09–$5,200.17 | $6,500.21–$13,000.41 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$2,957.86–$5,915.73 | $7,394.65–$14,789.31 | varies |
| Mri w/cont, breast, bi (C8906) | $3,022.28 | $7,555.69 | 8.2× |
| Mri w/cont, breast, uni (C8903) | $2,251.35 | $5,628.37 | 12.2× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$3,777.84–$3,918.66 | $9,444.60–$9,796.65 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 2 matching MRF lines |
$2,906.55–$3,064.17 | $7,266.36–$7,660.42 | varies |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $295.80 | $739.50 | 0.9× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $601.60 | $1,504 | 2.6× |
| Obtaining screen pap smear (Q0091) | $36.37 | $90.91 | 1.2× |
| Oth resp proc, group (G0239) | $42.19 | $105.46 | 1.1× |
| Oth resp proc, indiv (G0238) | $42.19 | $105.46 | 1.4× |
| Pathogen test for platelets (P9100) | $69.31 | $173.26 | 1.1× |
| Pemivibart infusion (M0224) | $270.30 | $675.75 | 0.6× |
| Perc d-e cor revasc chro sin (C9607) | $17,646.29 | $44,115.71 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) range across 3 matching MRF lines |
$9,832.28–$17,646.29 | $24,580.69–$44,115.71 | varies |
| Perc d-e cor stent ather s (C9602) | $17,646.29 | $44,115.71 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $13,287.53 | $33,218.82 | 1.1× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $7,828.85 | $19,572.12 | 0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $3,880.31 | $9,700.77 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $3,880.31 | $9,700.77 | 0.5× |
| Place device/marker, non pro (C9728) | $1,520.25 | $3,800.61 | 1.0× |
| Ppps, initial visit (G0438) | $104.33 | $260.82 | 0.6× |
| Ppps, subseq visit (G0439) | $70.12 | $175.30 | 0.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $172.47 | $431.16 | 4.4× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $36.48 | $91.18 | 0.9× |
| Prolonged iv inf, req pump (C8957) | $263.73 | $659.32 | 1.2× |
| Psa screening (G0103) | $106.07 | $265.16 | 5.5× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $79.20 | $198 | 0.6× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $1,677.49 | $4,193.71 | 0.8× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $529.40 | $1,323.48 | 0.8× |
| Revasc intra lithotrip-ather (C9766) | $15,111.47 | $37,778.66 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $13,287.53 | $33,218.82 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $10,337.02 | $25,842.53 | 0.8× |
| Revasc lith-sten-ath tib/per (C9775) | $17,646.29 | $44,115.71 | 0.9× |
| Revasc lithotr-ather tib/per (C9774) | $15,111.47 | $37,778.66 | 0.8× |
| Revasc lithotr-stent tib/per (C9773) | $13,287.53 | $33,218.82 | 0.7× |
| Revasc lithotrip tibi/perone (C9772) | $10,337.02 | $25,842.53 | 0.8× |
| Revasc lithotrip-stent-ather (C9767) | $17,646.29 | $44,115.71 | 0.9× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) | $9,028.70 | $22,571.73 | 2.4× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $22,584.54 | $56,461.35 | 1.0× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $3,372.53 | $8,431.31 | 0.9× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $3,372.53 | $8,431.31 | 0.9× |
| Routine footcare pt w lops (G0247) | $97.43 | $243.57 | 0.5× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$19.42–$117.72 | $48.53–$294.30 | varies |
| Screen pap by tech w md supv (P3000) | $57.64 | $144.09 | 3.1× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $11,831.76 | $29,579.39 | 0.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $11,139.22 | $27,848.03 | 0.5× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $11,139.22 | $27,848.03 | 0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $11,139.22 | $27,848.03 | 0.5× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $4,859.22 | $12,148.04 | 1.5× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $11,139.22 | $27,848.03 | 0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $8,630.73 | $21,576.81 | 1.4× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,962.25 | $4,905.62 | 2.4× |
| Therapeutic procd strg endur (G0237) | $329.84 | $824.59 | 10.8× |
| Tomosynthesis, mammo (G0279) | $16 | $40 | 1.3× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $7,578.70 | $18,946.74 | 1.3× |
| Transcatheter renal sympath denervation unilat (0338T) | $5,052.46 | $12,631.15 | 0.8× |
| Trauma respons w/hosp criti (G0390) range across 25 matching MRF lines |
$712.47–$12,211.29 | $1,781.17–$30,528.22 | varies |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$67.12–$135.62 | $167.79–$339.05 | varies |
| Trluml perip athrc abd aorta (0236T) | $8,072.23 | $20,180.56 | 0.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $8,558.56 | $21,396.38 | 0.7× |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$9,477.82–$14,216.73 | $23,694.54–$35,541.82 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $8,072.23 | $20,180.56 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) | $1,962.25 | $4,905.62 | 2.4× |
| Tte w or w/o fol w/con,stres (C8928) | $2,019.96 | $5,049.88 | 2.4× |
| Tte w or w/o fol w/cont, com (C8921) | $2,181.56 | $5,453.88 | 2.6× |
| Tte w or w/o fol w/cont, f/u (C8922) | $2,019.96 | $5,049.88 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,962.25 | $4,905.62 | 2.4× |
| Unsched dialysis esrd pt hos (G0257) | $1,785.53 | $4,463.81 | 2.5× |
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.