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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $113.68 $284.19 0.5×
Ambulatory Bp Analysis (93788) $394.53 $986.31 2.8×
Ambulatory Bp Recording (93786) $424.65 $1,061.62 3.0×
Appl on-body injector for timed subq injection (96377) $78.66 $196.65 1.6×
Assessment of aphasia (96105) $89.29 $223.22 0.9×
Behavioral and qualitative analysis of voice and resonance (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 (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 1st 30 min (97550) $45.12 $112.78 0.9×
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 Hormon Antineopl Sq/Im (96402) $381.74 $954.35 5.0×
Chemo IV push addl drug (96411) $509.12 $1,272.80 6.7×
Chemo Iv Push Sngl Drug (96409) $509.12 $1,272.80 1.5×
Chemother, IV infusion, 1 hr (96413) $290.41 $726.01 0.8×
Chemother, IV infusion, ea add hr (96415) $272.82 $682.03 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $235.84 $589.60 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $217.91 $544.77 2.9×
Color/duplex Doppler, complete (93975) $646.63 $1,616.56 2.6×
Color/duplex Doppler, limited (93976) $532.74 $1,331.83 4.8×
Cortical mapping 1st hr (95961) $1,596.39 $3,990.97 1.8×
Cpap initiation and management (94660) $435.47 $1,088.67 1.9×
Cpt initial (94667) $68.30 $170.75 0.5×
Critical care (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×
Demo &/or eval,pt use,aerosol device (94664) $296.99 $742.46 1.3×
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 unilateral/limited study (93971) $700.54 $1,751.35 6.4×
Duplex scan extracranial art compl bi study (93880) $545.75 $1,364.37 2.2×
Echo Heart Xthoracic,Limited (93308) $362.15 $905.36 1.4×
Echo Transthoracic - Congenital Tte Complete (93303) $878.13 $2,195.31 1.5×
Echo Transthoracic - Congenital Tte Limited (93304) $450.38 $1,125.94 0.8×
EEG awake asleep (95819) $684.80 $1,711.98 3.0×
EEG awake drowsy (95816) $684.80 $1,711.98 3.0×
EEG coma or sleep only (95822) $684.80 $1,711.98 3.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,310.56 $3,276.40 5.8×
EKG (93005) $60.32 $150.78 1.0×
EKG rhythm strip (93041) $90.67 $226.67 1.5×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $1,618.10 $4,045.24 16.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $355.90 $889.73 1.6×
EMG cranial nerve bilat (95868) $352.05 $880.12 1.5×
EMG cranial nerve unilat (95867) $234.70 $586.75 1.0×
EMG four extremities (95864) $997.65 $2,494.11 7.3×
EMG three extremities (95863) $748.39 $1,870.97 5.5×
Er level 1 (99281) $216.05 $540.11 2.4×
Er level ii (99282) $324.17 $810.41 2.0×
Er level iii (99283) $650.92 $1,627.30 2.3×
Er level IV (99284) $1,175.73 $2,939.32 2.7×
Er level v (99285) $2,267.30 $5,668.25 3.6×
Evaluation of speech sound production (92522) $146.67 $366.67 1.3×
Evaluation of swallowing function (92610) $114.77 $286.92 1.4×
Exercise tst brncspsm (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×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $230.13 $575.31 1.2×
Group Therapeutic Procedures (97150) $66.45 $166.12 3.7×
Holter Monitor Recording (93225) $175.66 $439.15 1.3×
Immunization Admin (90471) $68.84 $172.08 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $78.75 $196.87 1.3×
IV infusion hydration each additional hour (96361) $88.99 $222.46 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $212.48 $531.20 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $185.06 $462.64 2.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $212.48 $531.20 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $167.90 $419.74 3.4×
IV push initial (96374) $151.86 $379.64 0.7×
Low frequency non-thermal us (97610) $250.95 $627.37 1.2×
Manual therapy 15 min (97140) $61.38 $153.44 2.2×
Massage 15 min (97124) $49.27 $123.17 1.7×
Mechanical chest wall oscillation (94669) $310.24 $775.60 1.3×
Mechanical traction (97012) $53.80 $134.50 3.7×
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×
Methacholine challenge (94070) $508.26 $1,270.65 1.3×
Mnt Group Ea 30 Min (97804) $38.69 $96.71 2.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $200.84 $502.08 2.2×
Multiple sleep latency test (95805) $1,455.32 $3,638.29 1.6×
Needle electromyography larynx (95865) $748.39 $1,870.97 5.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $399.30 $998.23 1.9×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $145.04 $362.60 1.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $291.40 $728.50 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $411.03 $1,027.56 3.0×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $509.65 $1,274.11 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $43.35 $108.37 0.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $71.99 $179.96 2.2×
Ot Contrast Bath Ea 15 Min (97034) $37.71 $94.26 2.7×
Ot eval high complex 60 min (97167) $157.81 $394.52 1.6×
Ot eval low complex 30 min (97165) $129.13 $322.82 1.3×
Ot eval mod complex 45 min (97166) $143.47 $358.67 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $30.96 $77.39 0.6×
Ot Prosthetic Training, Each 15 Min (97761) $43.35 $108.37 1.1×
Ot Range Motion Measure,Each Extrem (95851) $54.27 $135.67 2.1×
Ot re-eval est plan care (97168) $118.76 $296.89 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $174.07 $435.16 1.3×
Paraffin bath (97018) $26.06 $65.13 4.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $113.68 $284.19 0.5×
Peripheral arterial disease rehab per session (93668) $240.02 $600.02 3.9×
Phy/qhp op pulm rhb w/mntr (94626) $248.29 $620.71 4.0×
Phy/qhp op pulm rhb w/o mntr (94625) $248.29 $620.71 4.0×
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 Aquatic Therapy/Exercises (97113) $49.27 $123.17 1.3×
Pt Electric Current Therapy (97033) $32.88 $82.18 1.7×
Pt Electrical Stimulation (97032) $43.35 $108.37 2.9×
Pt eval high complex 45 min (97163) $143.47 $358.66 1.5×
Pt eval low complex 20 min (97161) $129.13 $322.82 1.3×
Pt Gait Training Therapy (97116) $47.75 $119.37 1.6×
Pt group caregiver training (97552) $19.27 $48.16 0.9×
Pt Infrared Therapy (97026) $54.61 $136.51 8.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $59.09 $147.71 1.8×
Pt Physical Performance Test (97750) $53.26 $133.15 1.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $143.47 $358.67 1.5×
Pt re-evaluation (97164) $119 $297.48 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $69.19 $172.96 2.1×
Pt Ultrasound Therapy (97035) $50.25 $125.62 3.5×
Pt Whirlpool Therapy (97022) $77.42 $193.53 4.9×
Pulm function test by gas (94727) $249.94 $624.84 1.1×
Pulmonary stress testing (94618) $435.34 $1,088.34 3.1×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $48.75 $121.87 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $105.17 $262.92 2.7×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $41.44 $103.60 0.8×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $33.72 $84.31 0.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $16.96 $42.40 0.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $104.08 $260.18 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $54.27 $135.67 2.5×
Rt Chest Wall Manipulation,Subsequent (94668) $58.88 $147.20 0.4×
Sensory Integration Ea 15 Min (97533) $58.29 $145.71 1.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $156.47 $391.16 0.7×
Sleep study unattended (95806) $223.96 $559.90 1.0×
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×
Stress Tte Complete (93351) $1,430.15 $3,575.37 2.5×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $213.60 $534 4.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (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) $89.96 $224.90 4.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $87.18 $217.95 4.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $132.65 $331.62 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $155.60 $388.97 2.0×
Therapeutic Activities (97530) $57.43 $143.56 1.6×
Therapeutic phlebotomy (99195) $64.69 $161.71 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,110.10 $2,775.25 1.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $580.90 $1,452.23 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112.19 $280.47 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $89.76 $224.38 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $151.86 $379.64 3.1×
Unlisted pulmonary service/procedure (94799) $243.30 $608.24 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,050.84 $2,627.10 4.2×
Vasopneumatic device (97016) $96.92 $242.28 8.1×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $430.09 $1,075.22 4.3×