St. Thomas More Hospital

Canon City, CO · Critical Access Hospital

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-28.

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ProcedureCash priceGross charge× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $757.24 $1,893.10 0.8×
Transforaminal epidural injection, lumbar/sacral (64483) $1,736.03 $4,340.07 1.9×
CT head/brain without contrast (70450) $972.20 $2,430.48 8.8×
MRI brain without contrast (70551) $1,068.64 $2,671.59 4.2×
MRI brain with contrast (70552) $2,143.69 $5,359.22 5.8×
MRI brain without and with contrast (70553) $2,803.86 $7,009.65 7.6×
X-ray lower spine, 4+ views (72110) $401.10 $1,002.73 3.6×
MRI lumbar spine without contrast (72148) $1,415.66 $3,539.14 5.6×
CT pelvis with contrast (72193) $1,209.43 $3,023.56 6.5×
MRI lower-extremity joint without contrast (73721) $1,919.89 $4,799.72 7.6×
CT abdomen and pelvis with contrast (74177) $1,747.56 $4,368.88 4.7×
Ultrasound, abdomen complete (76700) $686.46 $1,716.14 6.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $531.79 $1,329.47 4.8×
Ultrasound, transvaginal (76830) $348.48 $871.18 3.2×
Mammography, one breast (diagnostic) (77065) $269.47 $673.66 3.1×
Mammography, both breasts (diagnostic) (77066) $351.44 $878.60 3.2×
Mammography, screening (bilateral) (77067) $285.05 $712.62 3.1×
Basic metabolic panel (80048) $76.15 $190.37 9.0×
Comprehensive metabolic panel (80053) $69.11 $172.77 6.5×
Lipid panel (80061) $87.68 $219.18 6.5×
Renal function panel (80069) $70.15 $175.36 8.1×
Hepatic function panel (80076) $77.96 $194.88 9.5×
Urinalysis, non-automated, without microscopy (81002) $14.36 $35.88 4.1×
PSA, total (84153) $111.24 $278.10 6.0×
Thyroid stimulating hormone (TSH) (84443) $92.38 $230.95 5.5×
CBC with automated differential (85025) $40.96 $102.39 5.3×
CBC, automated (85027) $35.20 $87.98 5.4×
Prothrombin time (PT) (85610) $30.72 $76.79 7.2×
Partial thromboplastin time (PTT) (85730) $37.75 $94.37 6.3×
Sleep study (attended polysomnography) (95810) $2,415.80 $6,039.50 2.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $54.18 $135.45 1.9×
Preventive visit, new patient (age 18–39) (99385) $17.55 $43.87
Preventive visit, new patient (age 40–64) (99386) $17.72 $44.29

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs — the × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.