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CMS Price Transparency

January 1, 2019

The prices in the file are based off of gross standard prices and do not reflect any discounts that may be applied. If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by Craig Hospital. Posted health care prices may not reflect the actual amount of your financial responsibility. If you are not covered by health insurance you are strongly encouraged to contact the Admissions Department at 303-789-8344 for Inpatient payment options, or 303-789-8601 for Outpatient payment options prior to receiving a health care services from Craig Hospital. Contact our Business Office at 303-789-8976 if you have any questions about the information in the file.

CMS Price Transparency Data File

CRAIG HOSPITAL CDM2019 FOR CMS PRICE TRANSPARENCY
CRAIG HOSPITAL PRICES 1-1-2019
CHARGE CODE DESCRIPTION/BILLING DESC. STANDARD PRICE
99030010 ROOM AND BOARD - 3W 2145
99030011 ROOM AND BOARD - 3W 2145
99030012 ROOM AND BOARD - 3W 2145
99030013 ROOM AND BOARD - 3W 2145
99030014 ROOM AND BOARD - 3W 2145
99030015 ROOM AND BOARD - 3W 2145
99030019 ROOM AND BOARD - 3W 2145
99030020 ROOM AND BOARD - 3W 2145
99030022 ROOM AND BOARD - 3W 2145
99030024 ROOM AND BOARD - 3W 2145
99040010 ROOM AND BOARD - 4W 2145
99040011 ROOM AND BOARD - 4W 2145
99040012 ROOM AND BOARD - 4W 2145
99040013 ROOM AND BOARD - 4W 2145
99040014 ROOM AND BOARD - 4W 2145
99040015 ROOM AND BOARD - 4W 2145
99040019 ROOM AND BOARD - 4W 2145
99040020 ROOM AND BOARD - 4W 2145
99040022 ROOM AND BOARD - 4W 2145
99040024 ROOM AND BOARD - 4W 2145
99050010 ROOM AND BOARD - 3E 2145
99050011 ROOM AND BOARD - 3E 2145
99050012 ROOM AND BOARD - 3E 2145
99050013 ROOM AND BOARD - 3E 2145
99050014 ROOM AND BOARD - 3E 2145
99050015 ROOM AND BOARD - 3E 2145
99050019 ROOM AND BOARD - 3E 2145
99050020 ROOM AND BOARD - 3E 2145
99050022 ROOM AND BOARD - 3E 2145
99050024 ROOM AND BOARD - 3E 2145
99060010 ROOM AND BOARD - 2E 2145
99060011 ROOM AND BOARD - 2E 2145
99060012 ROOM AND BOARD - 2E 2145
99060013 ROOM AND BOARD - 2E 2145
99060014 ROOM AND BOARD - 2E 2145
99060015 ROOM AND BOARD - 2E 2145
99060019 ROOM AND BOARD - 2E 2145
99060020 ROOM AND BOARD - 2E 2145
99060022 ROOM AND BOARD - 2E 2145
99060024 ROOM AND BOARD - 2E 2145
46100050 EDUCATE/TRAIN PT/FAM SELF MGMT 118.75
46100051 PATIENT AND FAMILY CONF/MEET 118.75
46100052 ROUNDS/TEAM MEETINGS 51.25
46100101 EXERCISE 118.75
46100120 PT EVAL COMPLEX 921.5
46100121 PT EVALUATION SIMPLE 309.75
46100122 PT RE-EVALUATION 461
46100123 PT EVAL MODERATE 615.75
46100140 MANUAL THERAPY TECHNIQUES 118.75
46100150 GAIT STANDING 118.75
46100155 LOCOMOTOR TRAINING 187.75
46100160 NEUROMUSCULAR REEDUCATON 118.75
46100170 SELF CARE/HOME MANAGEMENT 118.75
46100180 WHEELCHAIR MGMT/TRAINING 118.75
46100200 THERAPEUTIC ACTIVITIES 118.75
46100202 THERAPY ASSIST 0
46100203 CO-TREAT THERAPY 0
46100210 MASSAGE 118.75
46100259 AQUATIC THERAPY 118.75
46200108 GROUP THERAPY 348.75
46200109 GROUP THER 30 MIN 175.75
46200110 GROUP THER 60 MIN 290
46200113 FES BIKE THERAPY 0
46300101 ASSISTIVE TECH ASSESSMENT 118.75
46400105 ORTHOTICS CASTING/FIT TRAIN 118.75
46400204 PHYSICAL FUNCTIONAL PERF TEST 176.5
46400253 GONIOMETRY 176.5
46400303 MANUAL MUSCLE TEST 176.5
46400402 SENSORY EVAL 118.75
46700116 ELECRICAL STIMULATION 127.25
46700117 ELECTRICAL STIM UNATTENDED 27
46700131 APPLICATION HOT/COLD PACKS 42.25
46700150 ULTRASOUND 118.75
46800100 ELECTRODES ESTIM 1 PK 31.5
46800110 ELECTRODES ESTIM 2 PKS 61.75
46800120 ELECTRODES ESTIM 3 PKS 92
46800130 ELECTRODES ESTIM 4 PKS 122.5
46800140 BIONESS L300 ESTIM FULL SET UP 49.25
46800150 BIONESS L300 ADDL ELECTRODES 31.25
46800160 BIONESS L300 THIGH SET UP KIT 31.25
49000600 DRESSING APPLICATION - SIMPLE 28.25
49000601 DRESSING APPLICATION MODERATE 41
49000602 DRESSING APPLICATION COMPLEX 55.5
55000902 NURSING INTERVENTION - LEVEL 1 123.5
55000903 NURSING INTERVENTION - LEVEL 2 245
55000904 TEAM CONFERENCE W/PATIENT 272
55000908 NP TEAM CONFERENCE 272
49011040 DEBRIDE SKIN PARTIAL THICKNESS 182.25
49000505 SPECIMEN COLLECTION 41
49099204 O/P NEW-MOD-HIGH 321.75
49099205 O/P-NEW-HIGH 367
49099213 O/P EST-LOW/MOD 166.25
49099214 O/P EST-MOD/HIGH 184.25
49099215 O/P EST-HIGH 277
49180011 NP TEAM CONFERENCE W/O PATIENT 279.75
53000055 CONSULTATION, UROLOGY 235
53000213 CYSTO W/FULGURATION - MIN LESI 3182.5
53000501 INSERT URETHRAL CATHETER - SIM 135.75
53000811 CHEMODENERVATION BLADDER MUSCL 3667.25
53130014 CRYOSURGERY OF PENIAL WARTS 203.75
53200011 PELVIC EXAM WITHOUT PAP 235
53200069 CONSULTATION, GYN 235
55099211 NP ESTAB PT MINIMAL 116.5
55160021 BURN TX/DEBRIDEMENT/DRESSING 249.5
49017250 CHEM CAUTERIZATION OF TISSUE 182.25
49062367 BACLOFEN PUMP ANALYSIS W/O REP 264.25
49062368 BACLOFEN PUMP ANALYSIS W/REPRO 301.5
49096530 BACLOFEN PUMP REFILL 226.5
49097601 RMVL DEVITALIZED TISSUE <20CM 116.5
49099203 O/P NEW-LOW/MOD 277
49099211 O/P EST-MIN 117.75
49099212 O/P EST-MINOR 137.75
53000105 CYSTOLITHOPAXY - SMALL 3182.5
53000106 CYSTOLITHOPAXY - LARGE 3182.5
53000107 CYSTO W/FOREIGN BODY REMOVAL 2123.75
53000154 CYSTOSCOPY 1430.5
53000205 EMG W/PATCH 622
53000220 ENDOSCOPIC INJ W/IMPLNT MTRL 3667.25
53000301 DEPO PROVERA INJECTION 135.75
53000302 ENDOMETRIAL BIOPSY 385
53000304 CMG W/VOIDING PRESSURE STUDY 622
53000307 UROFLOW COMPLEX 622
53000502 INS URETHRAL CATH COMPLICATED 438.75
53000503 INSERT SP CATH - SIMPLE 385
53000504 INSERT SP CATH - COMPLICATED 766.5
53000758 SUPRAPUBIC CYSTOTOMY 3182.5
53000760 REVISION SUPRAPUBIC OSTOMY 2427.5
53000808 CYSTO W/DILATION, URETHRAL 2123.75
53000810 UNLISTED PROCEDURE URINARY SYS 1111.75
53001053 CYSTOMETROGRAM 914.75
53001111 INTRA ABDOMINAL VOIDING PRESS 622
53001400 ELECTROHYDRAULIC LITHO 5263.5
53200010 PELVIC EXAM WITH PAP 235
55000200 BACLOFEN PUMP ANALY W/O REPROG 272
55000201 BACLOFEN PUMP ANALY W/ REPROG 272
55000202 BACLOFEN PUMP REFILL/MAINT 272
55000300 DEBRIDEMENT -PARTIAL THICKNESS 77
55000301 DEBRIDEMENT - FULL THICKNESS 77
55000302 DEBRIDE - SKIN, SUBCUTANEOUS 77
55000303 DEBRIDE - SKIN, SUBCUT, MUSCLE 77
55000305 DEBRIDEMENT NAIL - ONE TO FIVE 28.25
55000306 DEBRIDEMENT NAIL - SIX - TEN 28.25
55000307 EXCISION OF NAIL 28.25
55000309 INCISION/DRAIN SIMPLE/SINGLE 28.25
55000403 INJECTION - MAJOR JOINT 69.5
55000501 IV MEDICATION ADMINISTRATION 213
55000502 INJECTION - INTRAMUSCULAR 135.75
55000503 CATH CHANGE/INSERT SUPRA PUBIC 385
55000505 SPECIMEN HANDLING 41
55000507 CATH CHANGE/INSERT URETHRAL 135.75
55000906 CLINIC VISIT - H & P 524.25
55000997 INFLNZ VAC ADMIN NO OTHER SERV 24.25
55300001 CLINIC NURSING OBS - 1-2 HOURS 177
55300002 NURSING OBS - 2-4 HOURS 350.5
55400900 CLINIC VISIT LVL 1 CNS DOCTOR 179.75
55400902 CLINIC VISIT LVL 1 CONSULTANT 179.75
55400905 CLINIC VISIT LVL 1 NP 123.5
55400920 CLINIC VISIT LVL 2 CNS DOCTOR 245
55400922 CLINIC VISIT LVL 2 CONSULTANT 245
55400940 NURSING ASSESSMENT LEVEL 1 394
55400941 NURSING ASSESSMENT LEVEL 2 528.25
49097602 RMVL DEVITALIZED TISSUE >20CM 116.5
49160010 PENILE INJECTION 327.75
53000162 CYSTO W/BLADDER BIOPSY CLD CUP 3182.5
53130010 CYSTO W/IRRIG OR EVAC CLOTS 2249.5
53130019 BLADDER ULTRASOUND PVR 107.25
53170010 CYSTOURETHROSCOPY W/URETERSCOP 3595.75
55000304 TRIM ND NAILS 26.5
55000308 REMOVAL OF INGROWN TOENAIL 28.25
55000500 IV PLACEMENT 69.5
55000504 EAR WASH 123.5
55000510 BLADDER SCAN/POST VOID RESIDUA 339
55000907 NP H&P 524.25
55001001 PNEUMOCCAL VAC ADMN NO OTH SER 12.25
55001205 BLOOD DRAW OFF VENOUS DEVICE 47.5
55099298 NP ESTAB PT DETAILED 182.25
55200002 PULSE OX 186.25
55400901 CLINIC VISIT LVL 1 OP NURSING 123.5
55400921 CLINIC VISIT LVL 2 NP 245
58900083 HALO RING 323
49000603 DRESSING APPLICATION COMPLEX 2 135.75
49011719 TRIM ND NAILS 26.5
49060000 BACLOFEN BUNDLE I 0
49060001 BACLOFEN BUNDLE II 0
49060002 BACLOFEN BUNDLE III 0
49062369 BACLOFEN PUMP ANA W/REPRO & RF 339.25
49097605 WOUND CARE NON-SELECTIVE 116.5
49099354 PROLONGED E&M SRVC 1ST 60MIN 322.75
49099355 PROLONGED E&M SRVC ADDL 30MIN 202.25
49160020 BURN TX/1ST DEGREE INITIAL TX 249.5
49160021 BURN TX/DEBRIDEMENT/DRESSING 249.5
49180010 NP TEAM CONFERENCE W/PATIENT 279.75
53000113 CYSCTO W/RESECTION BLDR TUM SM 3182.5
53000114 CYSTO W/RESECTION BLDR TMR MED 3182.5
53000170 BIOPSY/PROSTATE 1574.75
53000204 CYSTOMETROGRAM & EMG W/NEEDLE 1171
53000261 CYSTOSCOPY W/URETHRAL BIOPSY 3182.5
53000352 CYSTO W/DILATION SP OSTMY 3182.5
53000402 FULGURATION PROUD FLESH 203.75
53000907 FULGURATION WARTS 385
53130011 CMG COMPLEX ELEC EQUIP 622
53130012 CMG WITH UPP 622
53130013 CMG W/VPS AND UPP 622
53130015 INSERTION OF URETHRAL STENT 3182.5
53130016 CHEMICAL CAUTERY TISSUE 182.25
53130017 CATH-TEMP FOR PVR 107.25
53130018 INJECTION CORPORA CAVERNOSUM 327.25
53130020 BLADDER INSTILL/IRRIGATION 327.25
53130021 HORMONE PELLET IMPLANT SUBQ 107.25
53160010 PENILE INJECTION 327.75
53170012 CYSTO W/FOREIGN BODY REM COMPL 2461
53170020 COLPOSCOPY BIOPSY CRVX & ENDO 385
53200036 IUD, INSERTION OF 385
53200044 IUD REMOVAL 342.25
53200060 COLPOSCOPY 297.25
53200061 COLPOSCOPY BIOPSY CERVIX 385
55000402 INJECTION - INTERMEDIATE JOINT 54.75
55000506 SPECIMEN COLL W/ CATH KIT 55.5
55000512 VITAL CAPACITY 170.25
55000513 EKG 379
55000600 DRESSING APPLICATION - SIMPLE 28.25
55000601 DRESSING APPLICATION -MODERATE 41
55000602 DRESSING APPLICATION - COMPLEX 55.5
55000603 DRESSING - COMPLEX 2 135.75
55000905 TEAM CONFERENCE W/O PATIENT 272
55000998 PNEUMOCCAL VAC ADMN NO OTH SER 12.25
55001000 PNEUMOCCAL VACCINE ADMIN 12.25
55001005 VACCINE ADMIN 24.25
55001010 PNEUMOCCAL VACCINE ADMIN 12.25
55001204 VENIPUNCTURE 47.5
55099203 NP NEW PT EXPANDED 274.5
55099204 NP NEW PT DETAILED 318.5
55099205 NP NEW PT COMPREHENSIVE 363.5
55099212 NP ESTAB PT LIMITED 135.75
55099213 NP ESTAB PT EXPANDED 165
55099214 NP TEAM CONF DETAILED 274.5
55099215 NP TEAM CONF COMPREHENSIVE 363.5
55099299 NP ESTAB PT COMPREHENSIVE 274.5
55160017 CATH-TEMP FOR PVR 107.25
55160020 BURN TX/1ST DEGREE INITIAL TX 249.5
55170010 MIST THERAPY/LOW FREQ ULTRASOU 337.25
55170015 EDUCATION/TRAIN PT SELF MGMT 56.25
55180010 NP TEAM CONFERENCE W/PATIENT 274.5
55180011 NP TEAM CONFERENCE W/O PATIENT 274.5
58900026 HALO VEST 379
58900030 HALO VEST/HARDWARE 1279
58900034 HALO VEST LINER 289
58900059 HALO COMPLETE 1502
58900060 HALO COMPLETE VEST/HARDWARE 2070
58900084 HALO RING KIT - SMALL 534
58900085 HALO RING KIT - MEDIUM 613
58900086 HALO RING KIT - LARGE 526
58900091 HALO PIN (ONE) 17
58900109 HALO HARDWARE 865
68100053 SCI EDUCATION CURRICULUM 40.75
68160053 ADOLESCENT EDUCATION GROUP 40.75
44160010 EVAL SP LANG COMP/EXPR 1-2 HR 968.25
44160011 EVAL SP LANG COMP/EXPR 2-4 HR 1908.75
44160015 INDEPENDENT TREATMENT 51.25
44160017 SELF CARE/HOME MANAGEMENT 118.75
44160019 CO-TREAT 0
44160020 MULTIDISC GROUP THERAPY 1 HR 229
44160021 MULTIDISC GROUP THERAPY 2 HRS 455.5
44160022 MULTIDISC GROUP THERAPY 3 HRS 681.5
44160023 MULTIDISC GROUP THERAPY 4 HRS 906.75
44160024 MULTIDISC GROUP THERAPY 5 HRS 1132.5
44160030 HOME PROGRAM 51.25
44160035 HEARING SCREEN WITH REPORT 165.5
44160036 PURETONE AUDIOMETRY 280
44160040 TEAM CONFERENCE W/PATIENT 118.75
44160041 TEAM CONFERENCE W/O PATIENT 51.25
44160050 TREATMENT OF SPEECH/30 MIN 235.75
44160051 TREATMENT OF SPEECH/45 MIN 349.25
44160052 TREATMENT OF SPEECH/60 MIN 463
44160053 TREATMENT OF SPEECH/75 MIN 579.75
44160054 TREATMENT OF SPEECH/90 MIN 692.75
44160055 TREATMENT OF SPEECH/120 MIN 925.5
44160056 TREATMENT OF SPEECH/150 MIN 1156.5
44160057 TREATMENT OF SPEECH/180 MIN 1388
44160070 GROUP TREATMENT/15 MINUTES 58.75
44160071 GROUP TREATMENT/30 MINUTES 114
44160072 GROUP TREATMENT/45 MINUTES 169.5
44160073 GROUP TREATMENT/60 MINUTES 224.25
44160074 GROUP TREATMENT/75 MINUTES 279.5
44160075 GROUP TREATMENT/90 MINUTES 335.25
44170010 APHASIA INTENSIVE PRGRM 3 HRS 1321.75
46100102 SUPERVISED EXERCISE 51.25
46700118 FES GROUP 321.5
48000051 PHYSICAL FUNCTIONAL PERFORMANC 176.5
48000150 NEUROMUSCULAR REEDUCATON 118.75
48000200 RANGE OF MOTION/GONIOMETRY 176.5
48000309 MANUAL MUSCLE TEST 176.5
48100050 EDUCATE/TRAIN PT/FAM SELF MGMT 118.75
48100102 SUPERVISED EXERCISE 51.25
48100120 OT EVAL COMPLEX 921.5
48100121 OT EVAL SIMPLE 309.75
48100122 OT RE-EVAL 461