Supplies, drugs & other prices at St. Mary-Corwin Hospital
Pueblo, CO · every code in this section with a posted price and a Medicare benchmark.
69 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,706.84 | $4,267.09 | 2.1× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,836.11 | $4,590.26 | 2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,006.71 | $2,516.76 | 2.7× |
| Admin hepatitis b vaccine (G0010) | $62.94 | $157.34 | 1.3× |
| Admin influenza virus vac (G0008) | $46.54 | $116.35 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $46.54 | $116.35 | 0.9× |
| Catheterize for urine spec (P9612) | $125.92 | $314.80 | 13.5× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) | $3,543.87 | $8,859.66 | 9.6× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) | $2,354.02 | $5,885.04 | 9.4× |
| Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) | $3,543.87 | $8,859.66 | 9.6× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) | $2,163.56 | $5,408.88 | 11.7× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) | $1,018.20 | $2,545.48 | 9.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) | $2,163.56 | $5,408.88 | 11.7× |
| Covid-19 lab test non-cdc (U0002) | $41.34 | $103.35 | 0.8× |
| Depression screen annual (G0444) | $18.65 | $46.61 | 0.5× |
| Direct refer hospital observ (G0379) | $307.08 | $767.70 | 0.5× |
| Drug test def 1-7 classes (G0480) | $74.94 | $187.34 | 0.7× |
| Evasc ven artlz tibl/prnl vn (0620T) unusually low — confirm this is the full procedure |
$15,672.18 | $39,180.45 | 0.3× |
| Fecal microbiota prep instil (G0455) | $939.68 | $2,349.18 | 1.0× |
| Hbot, full body chamber, 30m (G0277) | $255.80 | $639.49 | 1.8× |
| High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic… (0395T) | $728.73 | $1,821.81 | 1.0× |
| Hospital outpt clinic visit (G0463) | $208.11 | $520.26 | 1.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,088.20 | $2,720.49 | 1.5× |
| Mra w/cont, abd (C8900) | $1,744.52 | $4,361.28 | 4.7× |
| Mra w/cont, chest (C8909) | $1,911.32 | $4,778.29 | 5.2× |
| Mra w/cont, pelvis (C8918) | $2,427.94 | $6,069.84 | 6.6× |
| Mra w/o cont, abd (C8901) | $1,655.25 | $4,138.11 | 6.6× |
| Mra w/o cont, chest (C8910) | $1,453.06 | $3,632.63 | 5.8× |
| Mra w/o cont, lwr ext (C8913) | $611.92 | $1,529.79 | 2.4× |
| Mra w/o cont, pelvis (C8919) | $1,569.27 | $3,923.16 | 6.2× |
| Mra w/o fol w/cont, abd (C8902) | $2,681.28 | $6,703.19 | 7.3× |
| Mra w/o fol w/cont, chest (C8911) | $2,011.14 | $5,027.83 | 5.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $4,028.96 | $10,072.40 | 10.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,136.86 | $7,842.15 | 8.5× |
| Mra, w/dye, upper extremity (C8934) | $611.92 | $1,529.79 | 1.7× |
| Mra, w/o dye, upper extr (C8935) | $611.92 | $1,529.79 | 2.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,638 | $6,594.98 | 7.2× |
| Mri w/cont, breast, bi (C8906) | $4,088.42 | $10,221.04 | 11.1× |
| Mri w/cont, breast, uni (C8903) | $2,044.22 | $5,110.55 | 11.0× |
| Mri w/o fol w/cont, breast, (C8908) | $4,404.52 | $11,011.30 | 12.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,475.19 | $6,187.96 | 6.7× |
| Oth resp proc, group (G0239) | $365.54 | $913.84 | 9.3× |
| Oth resp proc, indiv (G0238) | $42.12 | $105.30 | 1.4× |
| Pathogen test for platelets (P9100) | $69.12 | $172.78 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) | $12,853.03 | $32,132.56 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $12,853.03 | $32,132.56 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $12,853.03 | $32,132.56 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $12,853.03 | $32,132.56 | 1.1× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) | $5,563.63 | $13,909.07 | 0.7× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) | $5,563.63 | $13,909.07 | 0.7× |
| Prolonged iv inf, req pump (C8957) | $429.50 | $1,073.75 | 1.9× |
| Psa screening (G0103) | $101.11 | $252.76 | 5.2× |
| Routine footcare pt w lops (G0247) | $96.21 | $240.51 | 0.5× |
| Screen cerv/vag thin layer (G0123) | $111.40 | $278.48 | 5.5× |
| Screen pap by tech w md supv (P3000) | $58.08 | $145.18 | 3.1× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,084.65 | $2,711.61 | 1.3× |
| Therapeutic procd strg endur (G0237) | $365.54 | $913.84 | 12.0× |
| Trauma respons w/hosp criti (G0390) | $2,992.38 | $7,480.95 | 2.1× |
| Trim nail(s) (G0127) | $135.41 | $338.51 | 2.2× |
| Trluml perip athrc abd aorta (0236T) | $8,412.52 | $21,031.30 | 0.7× |
| Trluml perip athrc brchiocph (0237T) | $8,412.52 | $21,031.30 | 0.7× |
| Trluml perip athrc iliac art (0238T) unusually low — confirm this is the full procedure |
$9,287.66 | $23,219.15 | 0.5× |
| Trluml perip athrc renal art (0234T) | $8,412.52 | $21,031.30 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) | $2,002.80 | $5,007 | 2.4× |
| Tte w or w/o fol w/con,stres (C8928) | $1,818.40 | $4,545.99 | 2.2× |
| Tte w or w/o fol w/cont, com (C8921) | $1,836.11 | $4,590.26 | 2.2× |
| Tte w or w/o fol w/cont, f/u (C8922) | $878.33 | $2,195.81 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $2,043.36 | $5,108.39 | 2.5× |
| Unsched dialysis esrd pt hos (G0257) | $997.96 | $2,494.88 | 1.4× |