Procedures & surgery prices at St. Thomas More Hospital

Canon City, CO · every code in this section with a posted price and a Medicare benchmark.

231 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,247.22 $3,118.04 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $538 $1,345 0.6×
Amniocentesis diagnostic (59000) $443.42 $1,108.55 0.5×
Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) $792.76 $1,981.88 0.5×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $185.16 $462.88 1.1×
Application Finger Splint Dynamic (29131) $52.04 $130.08 0.8×
Application finger splint static (29130) $103.22 $258.05 0.7×
Application long arm splint shoulder hand (29105) $144.60 $361.48 0.8×
Application long leg splint thigh ankle/toes (29505) $219.38 $548.45 1.3×
Application Of Rigid Total Contact Leg Cast (29445) $233.92 $584.77 0.8×
Application short arm splint forearm-hand static (29125) $161.09 $402.71 1.1×
Apply/remove halo cranial (20661) $897.08 $2,242.70 0.5×
Arterial puncture (36600) $80.86 $202.12 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $424.71 $1,061.76 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $480.76 $1,201.89 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $606.07 $1,515.16 1.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $372.82 $932.03 1.2×
Aspir/inj thyroid cyst (60300) $380.80 $951.99 0.5×
Biopsy bone trocar/needle deep (20225) $940.14 $2,350.35 0.5×
Biopsy Bone Trocar/Needle Superficial (20220) $940.14 $2,350.35 0.5×
Biopsy muscle percutaneous needle (20206) $940.14 $2,350.35 0.5×
Biopsy of uterus lining (58100) $567.61 $1,419.02 2.7×
Biopsy Pancrea Percutaneous Needle (48102) $894.73 $2,236.82 0.5×
Biopsy pleura percutaneous needle (32400) $894.73 $2,236.82 0.5×
Biopsy Salivary Gland,Needle (42400) $894.73 $2,236.82 1.2×
Biopsy soft tissue neck/thorax (21550) $3,517.26 $8,793.13 2.0×
Biopsy Spinal Cord Percutaneous Needle (62269) $940.14 $2,350.35 0.5×
Bladder Irrigation Simple (51700) $173.74 $434.32 0.7×
Bladder Scan (51798) $98.55 $246.37 1.6×
Blepharoplasty lower eyelid (15820) $3,148.87 $7,872.16 1.4×
Blood patch (62273) $499.66 $1,249.13 0.7×
Blood transfusion service (36430) $324.15 $810.37 0.7×
Bone marrow aspiration only (38220) $823.48 $2,058.70 0.5×
Bone Marrow Biopsy (38221) $1,175.18 $2,937.94 0.7×
Brnchsc Brushing/Protected Brushings (31623) $2,290.24 $5,725.58 1.2×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $2,290.24 $5,725.58 1.2×
Brnchsc removal bronchial valve initial (31648) $4,385.03 $10,962.57 1.1×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $7,869.13 $19,672.81 1.1×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $4,385.03 $10,962.57 1.1×
Bronch ebus samplng 1/2 node (31652) $4,385.03 $10,962.57 1.1×
Bronch ebus samplng 3/> node (31653) $4,385.03 $10,962.57 1.1×
Bronch Thermoplsty 1 Lobe (31660) $7,869.13 $19,672.81 1.1×
Bronchial thermoplasty 2 or more lobes (31661) $7,869.13 $19,672.81 1.1×
Bronchial Valve Init Insert (31647) $7,869.13 $19,672.81 1.1×
Bronchosc dx w/w/o fluor&wash (31622) $2,290.24 $5,725.58 1.2×
Bronchoscopy Balloon Occlusion (31634) $7,869.13 $19,672.81 1.1×
Bronchoscopy dilate/fx repr (31630) $4,385.03 $10,962.57 1.1×
Bronchoscopy needle bx trachea main stem&/bron (31629) $4,385.03 $10,962.57 1.1×
Bronchoscopy W/Biopsy(S) (31625) $2,290.24 $5,725.58 1.2×
Bronchoscopy w/markers (31626) $7,869.13 $19,672.81 1.1×
Bronchoscopy W/Placement Tracheal Stent (31631) $7,869.13 $19,672.81 1.1×
Bronchoscopy W/Removal Foreign Body (31635) $2,290.24 $5,725.58 1.2×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $2,290.24 $5,725.58 1.2×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $653.25 $1,633.11 1.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $4,385.03 $10,962.57 1.1×
Bronchoscopy w/tumor excise (31640) $4,385.03 $10,962.57 1.1×
Bronchoscopy,Diagnostic W Lavage (31624) $2,290.24 $5,725.58 1.2×
Bronchoscopy,Rx W Place Catheter (31643) $2,290.24 $5,725.58 1.2×
Bx abdl/retroperitoneal mass prq needle (49180) $894.73 $2,236.82 0.5×
Bx breast 1st lesion strtctc (19081) $2,325.47 $5,813.67 1.3×
Bx breast 1st lesion us imag (19083) $2,572.84 $6,432.08 1.5×
Bx breast needle core w/o imaging guidance spx (19100) $940.14 $2,350.35 0.5×
Bx/exc lymph node needle superficial (38505) $940.14 $2,350.35 0.5×
Change g-tube to g-j perc (49446) $845.95 $2,114.87 0.4×
Chemical Cautery Tissue (17250) $389.18 $972.93 1.8×
Chemical peel facial epidermal (15788) $101.97 $254.92 0.2×
Chest tube placement (32551) $967.78 $2,419.43 0.6×
Chg Collect Blood From Catheter Venous Nos (36592) $214.42 $536.04 1.5×
Closed tx patellar dislocation w/o anesthesia (27560) $1,038.52 $2,596.30 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,556.78 $3,891.94 6.0×
Complete replacement picc rs&i (36584) $1,890.34 $4,725.83 1.1×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $334.47 $836.17 1.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,716.49 $4,291.22 1.0×
Debride nail 1-5 (11720) $103.17 $257.91 1.7×
Debride nail 6 or more (11721) $123.80 $309.49 2.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $298.13 $745.32 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $518.73 $1,296.82 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,756.87 $4,392.16 1.0×
Declot vascular device (36593) $254.03 $635.07 0.7×
Destroy cerv/thor facet jnt (64633) $2,142.14 $5,355.32 1.0×
Destroy lumb/sac facet jnt (64635) $2,982.68 $7,456.68 1.4×
Destruction Benign Lesions Up To 14 (17110) $149.18 $372.94 0.7×
Destruction by neurolytic agent, intercostal nerve (64620) $1,149.83 $2,874.56 1.2×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,328.24 $3,320.58 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $2,212.34 $5,530.85 1.1×
Destruction premalignant lesion 1st (17000) $149.18 $372.94 0.7×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $999.44 $2,498.60 1.3×
Drain/inj small joint/bursa w/us (20604) $901.61 $2,254.01 2.8×
Drainage of hematoma/fluid (10140) $823.48 $2,058.70 0.5×
Draw blood off venous device (36591) $214.42 $536.04 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $389.18 $972.93 1.8×
Dry Needling 3+ Muscles (20561) $22.85 $57.11 0.7×
Dx bone marrow bx & aspir (38222) $1,519.88 $3,799.69 0.5×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $2,861.42 $7,153.55 1.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,019.96 $2,549.90 0.5×
Epidural lysis on single day (62264) $1,976.67 $4,941.67 2.1×
Episiotomy or vaginal repair (59300) $240.91 $602.26 0.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $350.20 $875.48 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,177.66 $2,944.14 0.7×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $436 $1,089.99 1.0×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $521.78 $1,304.44 0.7×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $1,228.35 $3,070.86 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $677.25 $1,693.11 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,004.30 $2,510.73 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $476.96 $1,192.39 0.6×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $977.90 $2,444.73 1.3×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,478.82 $3,697.04 0.8×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,280.60 $3,201.49 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,504.94 $3,762.34 0.9×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $626.02 $1,565.04 0.8×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $901.84 $2,254.58 1.2×
External Cephalic Version (59412) $1,839.53 $4,598.81 0.5×
Fetal non-stress test (59025) $591 $1,477.50 2.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,302.02 $5,755.05 3.1×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,619.46 $4,048.63 2.2×
Fine needle aspiration without imaging guidance (10021) $624.70 $1,561.73 1.5×
Fluoro exam of g/colon tube (49465) $179.20 $447.99 0.7×
Fna bx w/fluor gdn 1st les (10007) $1,020.74 $2,551.84 1.4×
I&d abscess simple (10060) $159.26 $398.14 0.8×
Image Cath Fluid Peri/Retro (49406) $1,864 $4,660 1.1×
Implant neuroelectrodes (63650) $10,455.81 $26,139.52 1.6×
Incisional biopsy skin single lesion (11106) $465.87 $1,164.67 0.6×
Inj paravert f jnt c/t 1 lev (64490) $1,945 $4,862.50 2.1×
Inj tendon sheath/ligament (20550) $522.65 $1,306.61 1.6×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,018.90 $2,547.22 1.1×
Inj,Anes Agent,Femoral Nerve,Single (64447) $698.64 $1,746.60 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,035.82 $2,589.54 1.1×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $154.89 $387.22 0.5×
Inject Nerv Blck,Axillary Nerv (64417) $909.74 $2,274.34 1.0×
Inject Nerv Blck,Celiac Plexus (64530) $2,121.86 $5,304.66 2.3×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $770.96 $1,927.40 1.0×
Inject Nerv Blck,Intercost,Multpl (64421) $727.80 $1,819.48 0.8×
Inject Nerv Blck,Intercostal,One (64420) $727.80 $1,819.48 1.0×
Inject Nerv Blck,Paravert Sympath (64520) $1,820.74 $4,551.85 2.0×
Inject Tendon Origin/Insert (20551) $522.65 $1,306.61 1.6×
Injection aa&/strd genicular nrv branches w/img (64454) $1,009.54 $2,523.84 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,009.54 $2,523.84 1.4×
Injection aa&/strd sciatic nerve w/img gdn (64445) $698.64 $1,746.60 0.9×
Injection aa&/strd suprascapular nerve (64418) $525.78 $1,314.44 0.7×
Injection aa&/strd trigeminal nerve each branch (64400) $218.03 $545.07 0.7×
Injection anes other peripheral nerve/branch (64450) $383 $957.48 0.5×
Injection Anes Superior Hypogastric Plexus (64517) $1,099.86 $2,749.64 1.2×
Injection for identification of sentinel node (38792) $604.92 $1,512.30 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $358.60 $896.49 1.1×
Injection single/mlt trigger point 3/> muscles (20553) $383.19 $957.97 1.2×
Injection, anesthetic agent; greater occipital nerve (64405) $569.15 $1,422.86 1.8×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $289.85 $724.62 0.9×
Insert and remove bone pin (20650) $5,076.56 $12,691.38 1.5×
Insert Bladder Cath Complex (51703) $260.28 $650.70 1.9×
Insert cervical dilator (59200) $224.35 $560.87 0.7×
Insert picc cath (36569) $933.06 $2,332.63 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $844.28 $2,110.70 0.5×
Insert Temp Bladder Cath (51702) $153.74 $384.34 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $77.23 $193.07 0.6×
Insertion Phrenic Nerve Stimulator System (33276) $27,142.46 $67,856.15 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,951.46 $4,878.64 1.2×
Insertion picc w/rs&i < 5 yr (36572) $1,565.32 $3,913.30 2.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,660.02 $4,150.03 0.5×
Intubation endotracheal emergency procedure (31500) $829.73 $2,074.31 3.3×
Irrigate corpora cavernosa for priapism (54220) $897.87 $2,244.66 3.4×
Lithotripsy (50590) $6,390.94 $15,977.34 1.7×
Liver Biopsy (47000) $894.73 $2,236.82 0.5×
Myelography Lumbar Injection (62305) $1,603.62 $4,009.03 1.9×
Myelography Lumbar Injection (62304) $1,470.08 $3,675.19 1.8×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,470.08 $3,675.19 1.8×
Myelography via lumbar injection rs&i thoracic (62303) $1,470.08 $3,675.19 1.8×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $259.77 $649.41 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $15.24 $38.08 0.5×
Njx anes stellate ganglion crv sympathetic (64510) $1,918.68 $4,796.70 2.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,814.28 $4,535.68 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,943.38 $4,858.46 2.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $672.90 $1,682.24 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $757.24 $1,893.10 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $672.90 $1,682.24 0.9×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $883.93 $2,209.82 1.2×
Obstructive material removal from gi tube (49460) $443.50 $1,108.74 0.5×
Percut Drain/Inject Renal Cyst (50390) $380.80 $951.99 0.5×
Perq dev breast 1st strtctc (19283) $1,396.08 $3,490.18 1.9×
Perq dev breast 1st us imag (19285) $929.71 $2,324.27 1.2×
Perq device breast 1st imag (19281) $841.68 $2,104.20 0.5×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,183.55 $2,958.86 0.7×
Placement of needle for intraosseous infusion (36680) $215.22 $538.05 0.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $400.12 $1,000.30 0.5×
Punch biopsy skin single lesion (11104) $261.73 $654.32 0.6×
Puncture Aspiration (10160) $342.60 $856.50 0.8×
Puncture Aspiration Cyst Breast (19000) $529.75 $1,324.36 0.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,212.34 $5,530.85 1.1×
Removal biliary drg cath (47537) $610.46 $1,526.13 0.6×
Removal phrenic nerve stimulator system (33278) $6,041.31 $15,103.27 1.6×
Renal biopsy (50200) $894.73 $2,236.82 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $345.88 $864.69 0.8×
Replace duod/jej tube perc (49451) $443.50 $1,108.74 0.5×
Replace g/c tube perc (49450) $443.50 $1,108.74 0.5×
Replacement gastro-jejunostomy tube percutaneous (49452) $443.50 $1,108.74 0.5×
Repositioning phrenic nrv stimulator transvns ld (33281) $3,020.66 $7,551.64 0.8×
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×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $479.55 $1,198.87 0.7×
Skin sub graft face/nk/hf/g (15275) $1,020.43 $2,551.07 1.3×
Skin sub graft trnk/arm/leg (15271) $1,020.43 $2,551.07 1.3×
Skin Sub Grft T/Arm/Lg Child (15273) $1,682.21 $4,205.52 0.8×
Skn sub grft f/n/hf/g child (15277) $1,544.89 $3,862.22 0.7×
Spinal puncture lumbar diagnostic (62270) $620.44 $1,551.09 0.8×
Strapping ankle (29540) $83.35 $208.36 0.5×
Strapping elbow/wrist (29260) $67.44 $168.60 1.1×
Strapping hand/finger (29280) $67.44 $168.60 1.1×
Strapping knee (29530) $67.44 $168.60 0.5×
Strapping shoulder (29240) $67.44 $168.60 0.5×
Strapping toes (29550) $67.44 $168.60 1.1×
Strapping unna boot (29580) $128.66 $321.65 0.8×
Tangential biopsy skin single lesion (11102) $261.73 $654.32 0.6×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $941.46 $2,353.64 1.3×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $2,293.76 $5,734.40 3.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $698.68 $1,746.68 1.1×
Thrombolytic Therapy, Stroke (37195) $901.91 $2,254.76 2.6×
Thrombolytic Venous Therapy (37212) $7,971.70 $19,929.25 2.4×
Thyroid biopsy (60100) $894.73 $2,236.82 1.2×
Trach Tube Change (31502) $130.95 $327.37 0.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $798.32 $1,995.78 1.4×
Treatment of bone cyst (20615) $400.12 $1,000.30 0.5×
Trim skin lesion (11055) $200.19 $500.47 0.9×
Trim skin lesions 2 to 4 (11056) $297.01 $742.51 1.4×
Trim skin lesions over 4 (11057) $356.40 $890.99 1.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $106.45 $266.12 1.7×
Unlisted Procedure Lungs & Pleura (32999) $1,233.91 $3,084.77 1.9×
Unlisted Procedure Nervous System (64999) $940.14 $2,350.35 2.9×
Unlisted procedure, stomach (43999) $440.64 $1,101.60 0.5×
Venipuncture (36415) $12.21 $30.52 1.3×
Wound Prep F/N/Hf/G (15004) $747.94 $1,869.83 1.7×