Visits & medical services prices at St. Thomas More Hospital
Canon City, CO · every code in this section with a posted price and a Medicare benchmark.
172 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) | $113.68 | $284.19 | 0.5× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $424.65 | $1,061.62 | 3.0× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $394.53 | $986.31 | 2.8× |
| Analyze Neurostim Simple (95971) | $1,618.10 | $4,045.24 | 16.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $50.25 | $125.62 | 3.5× |
| Application Modality 1/> Areas Infrared (97026) | $54.61 | $136.51 | 8.2× |
| Application on-body injector (96377) | $78.66 | $196.65 | 1.6× |
| Assessment of aphasia per hr (96105) | $89.29 | $223.22 | 0.9× |
| Behavral qualit analys voice (92524) | $152.86 | $382.15 | 1.4× |
| Biofeedback training any modality (90901) | $178.80 | $446.98 | 4.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $200.01 | $500.02 | 0.5× |
| C motor evoked uppr limbs (95928) | $1,064.26 | $2,660.65 | 1.2× |
| C motor evoked upr&lwr limbs (95939) | $1,596.39 | $3,990.97 | 1.8× |
| Canalith repositioning proc (95992) | $28.30 | $70.74 | 0.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $482.60 | $1,206.48 | 2.1× |
| Cardiopulmonary resuscitation (92950) | $1,716.76 | $4,291.89 | 7.5× |
| Cardioversion (92960) | $766.80 | $1,916.98 | 1.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $20.64 | $51.58 | 0.8× |
| Cbt 1st hour (94644) | $132.28 | $330.68 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $235.84 | $589.60 | 3.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $381.74 | $954.35 | 5.0× |
| Chemo IV infusion addl hr (96415) | $272.82 | $682.03 | 3.6× |
| Chemo IV push addl drug (96411) | $509.12 | $1,272.80 | 6.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $217.91 | $544.77 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $290.41 | $726.01 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $509.12 | $1,272.80 | 1.5× |
| Chest Wall Manipulation (94668) | $58.88 | $147.20 | 0.4× |
| Color/duplex Doppler, complete (93975) | $646.63 | $1,616.56 | 2.6× |
| Color/duplex Doppler, limited (93976) | $532.74 | $1,331.83 | 4.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $71.99 | $179.96 | 2.2× |
| Continuous Pulse Ox (94762) | $411.03 | $1,027.56 | 3.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $435.47 | $1,088.67 | 1.9× |
| Cpt initial (94667) | $68.30 | $170.75 | 0.5× |
| Critical care first hour (99291) | $3,742.60 | $9,356.50 | 4.3× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,064.26 | $2,660.65 | 2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) | $333.40 | $833.50 | 1.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $870.12 | $2,175.30 | 3.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $711.26 | $1,778.15 | 6.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,050.84 | $2,627.10 | 4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $700.54 | $1,751.35 | 6.4× |
| ECG/monitoring and analysis (93271) | $430.09 | $1,075.22 | 4.3× |
| Echo Congenital Complete (93303) | $878.13 | $2,195.31 | 1.5× |
| Echo Heart Xthoracic,Limited (93308) | $362.15 | $905.36 | 1.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,430.15 | $3,575.37 | 2.5× |
| Eeg 41-60 Minutes (95812) | $355.90 | $889.73 | 1.6× |
| EEG awake and asleep (95819) | $684.80 | $1,711.98 | 3.0× |
| EEG awake drowsy (95816) | $684.80 | $1,711.98 | 3.0× |
| EEG extended monitoring 61-119 minutes (95813) | $1,310.56 | $3,276.40 | 5.8× |
| Eeg Sleep Only (95822) | $684.80 | $1,711.98 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) | $43.35 | $108.37 | 2.9× |
| Electrocardiogram Tracing (93005) | $60.32 | $150.78 | 1.0× |
| Emergency Dept Visit Level 2 (99282) | $324.17 | $810.41 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $650.92 | $1,627.30 | 2.3× |
| Emergency Dept Visit Level 4 (99284) | $1,175.73 | $2,939.32 | 2.7× |
| Emg 3 Extremities (95863) | $748.39 | $1,870.97 | 5.5× |
| Emg 4 Extremities (95864) | $997.65 | $2,494.11 | 7.3× |
| Er level 1 (99281) | $216.05 | $540.11 | 2.4× |
| Er level v (99285) | $2,267.30 | $5,668.25 | 3.6× |
| Evaluate pt use of inhaler (94664) | $296.99 | $742.46 | 1.3× |
| Evaluate Speech Production (92522) | $146.67 | $366.67 | 1.3× |
| Evaluate Swallowing Function (92610) | $114.77 | $286.92 | 1.4× |
| Exercise test for bronchospasm (94617) | $434.76 | $1,086.89 | 3.1× |
| External ECG rec>48hr<7d recording (93242) | $41.49 | $103.72 | 1.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $60.83 | $152.06 | 0.4× |
| External ECG rec>7d<15d recording (93246) | $60.83 | $152.06 | 1.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $89.01 | $222.51 | 0.6× |
| External Ecg Scanning Analysis Report (93226) | $213.76 | $534.39 | 3.4× |
| Extracranial Bilat Study (93880) | $545.75 | $1,364.37 | 2.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $450.38 | $1,125.94 | 0.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $230.13 | $575.31 | 1.2× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,596.39 | $3,990.97 | 1.8× |
| Group Therapeutic Procedures (97150) | $66.45 | $166.12 | 3.7× |
| Holter monitor recording (93225) | $175.66 | $439.15 | 1.3× |
| Immunization administration (90471) | $68.84 | $172.08 | 0.9× |
| Iontophoresis 15 min (97033) | $32.88 | $82.18 | 1.7× |
| Irrig Drug Delivery Device (96523) | $78.75 | $196.87 | 1.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$78.75–$99.23 | $196.87–$248.06 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$188.03–$236.94 | $470.06–$592.35 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$163.76–$206.36 | $409.40–$515.89 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$148.58–$187.22 | $371.44–$468.03 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$134.38–$169.33 | $335.95–$423.32 | varies |
| Low frequency non-thermal us (97610) | $250.95 | $627.37 | 1.2× |
| Mechanical chest wall oscillation per session (94669) | $310.24 | $775.60 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $26.91 | $67.26 | 0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $26.91 | $67.26 | 0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $38.69 | $96.71 | 2.3× |
| Methacholine challenge (94070) | $508.26 | $1,270.65 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) | $200.84 | $502.08 | 2.2× |
| Multiple Sleep Latency Test (95805) | $1,455.32 | $3,638.29 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $352.05 | $880.12 | 1.5× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $234.70 | $586.75 | 1.0× |
| Needle electromyography larynx (95865) | $748.39 | $1,870.97 | 5.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$319.44–$479.16 | $798.58–$1,197.88 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $370.38 | $925.95 | 0.9× |
| Nerve Conduction Studies 3-4 Studies (95908) | $967.08 | $2,417.69 | 4.2× |
| Neuromuscular Reeducation (97112) | $59.09 | $147.71 | 1.8× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) range across 2 matching MRF lines |
$419–$600.30 | $1,047.48–$1,500.74 | varies |
| Oral Function Therapy (92526) | $89.76 | $224.38 | 1.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $30.96 | $77.39 | 0.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $43.35 | $108.37 | 0.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $37.71 | $94.26 | 2.7× |
| Ot eval high complexity (97167) | $157.81 | $394.52 | 1.6× |
| Ot Eval Low Complex (97165) | $129.13 | $322.82 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $143.47 | $358.67 | 1.4× |
| Ot manual therapy 15 min (97140) | $61.38 | $153.44 | 2.2× |
| Ot paraffin bath (97018) | $26.06 | $65.13 | 4.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $43.35 | $108.37 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $118.76 | $296.89 | 1.7× |
| Ot rom hand (95852) | $54.27 | $135.67 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $174.07 | $435.16 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $113.68 | $284.19 | 0.5× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$216.45–$263.58 | $541.11–$658.94 | varies |
| Phlebotomy therapeutic (99195) | $64.69 | $161.71 | 0.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $248.29 | $620.71 | 4.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $248.29 | $620.71 | 4.0× |
| Physical Performance Test (97750) | $53.26 | $133.15 | 1.6× |
| Plethysmography (94726) | $147.22 | $368.05 | 0.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,664.32 | $6,660.78 | 2.9× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,681.56 | $4,203.88 | 1.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,182.98 | $5,457.45 | 2.4× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $2,057.08 | $5,142.68 | 2.3× |
| Pt Eval High Complex (97163) | $143.47 | $358.66 | 1.5× |
| Pt eval low complex 20 min (97161) | $129.13 | $322.82 | 1.3× |
| Pt Eval Mod Complex (97162) | $143.47 | $358.67 | 1.5× |
| Pt gait training 15 min (97116) | $47.75 | $119.37 | 1.6× |
| Pt group caregiver training (97552) | $19.27 | $48.16 | 0.9× |
| Pt mechanical traction (97012) | $53.80 | $134.50 | 3.7× |
| Pt Re-Eval Est Plan Care (97164) | $119 | $297.48 | 1.8× |
| Pulm function test by gas (94727) | $249.94 | $624.84 | 1.1× |
| Pulmonary service/procedure (94799) | $243.30 | $608.24 | 1.8× |
| Pulmonary Stress Testing (94618) | $435.34 | $1,088.34 | 3.1× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $48.75 | $121.87 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $105.17 | $262.92 | 2.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $16.96 | $42.40 | 0.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) range across 2 matching MRF lines |
$31.72–$35.73 | $79.30–$89.32 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) range across 2 matching MRF lines |
$38.98–$43.90 | $97.44–$109.75 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $90.67 | $226.67 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $104.08 | $260.18 | 0.5× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $54.27 | $135.67 | 2.1× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$41.46–$96.92 | $103.63–$242.28 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$46.30–$70.28 | $115.73–$175.69 | varies |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $156.47 | $391.16 | 0.7× |
| Sleep study unattended (95806) | $223.96 | $559.90 | 1.0× |
| Slp caregiver training 1st 30 min (97550) | $45.12 | $112.78 | 0.9× |
| Somatosensory Testing (95938) | $443.77 | $1,109.42 | 0.5× |
| Speech sound lang comprehen (92523) | $304.73 | $761.81 | 1.3× |
| Spirometry (94010) | $131.82 | $329.53 | 0.6× |
| Standardized Cognitive Performance Testing (96125) | $91.24 | $228.10 | 0.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $213.60 | $534 | 4.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $229.77 | $574.42 | 1.0× |
| Surfactant Admin Thru Tube (94610) | $103.96 | $259.89 | 0.5× |
| Temp transcutaneous pacing (92953) | $383.02 | $957.53 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$84.09–$95.84 | $210.21–$239.58 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$84.09–$90.28 | $210.21–$225.69 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $49.27 | $123.17 | 1.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $49.27 | $123.17 | 1.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $132.65 | $331.62 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$137.69–$173.50 | $344.21–$433.73 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$188.03–$236.94 | $470.06–$592.35 | varies |
| Therapeutic Activities (97530) | $57.43 | $143.56 | 1.6× |
| Tte w/doppler, complete (93306) | $1,110.10 | $2,775.25 | 1.9× |
| Tte W/O Doppler Complete (93307) | $580.90 | $1,452.23 | 2.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $112.19 | $280.47 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$134.38–$169.33 | $335.95–$423.32 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $145.04 | $362.60 | 1.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $291.40 | $728.50 | 1.3× |
| Vasopneumatic device (97016) | $96.92 | $242.28 | 8.1× |
| Vent Mgmt Inpat Init Day (94002) | $903.28 | $2,258.19 | 1.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $725.12 | $1,812.78 | 1.1× |
| Vital capacity, total (94150) | $136.68 | $341.70 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $49.92 | $124.79 | 1.6× |
| Whirlpool Therapy (97022) | $77.42 | $193.53 | 4.9× |
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.