Hospital Price Engine

Mt San Rafael Hospital

Trinidad, Colorado · Critical Access · Voluntary non-profit - Private · CCN 061321

749%
median commercial rate vs. Medicare here
31st
highest of 73 Colorado hospitals, by median rate vs. Medicare
58
procedures with published commercial rates
ProcedureCommercial medianMedicare% of MedicareEst. cost*Plan rates
Basic metabolic panelCPT 80048$189$82237%—111
CT abdomen and pelvis with contrastCPT 74177$4,977$3561396%—111
CT head without contrastCPT 70450$2,550$1072387%—111
CT pelvis with contrastCPT 72193$3,618$1792019%—111
Cardiac stress testCPT 93017$1,057$221479%—111
Cataract surgery with IOL insertionCPT 66984$3,631$2,358154%—111
Colonoscopy with biopsyCPT 45380$3,954$1,223323%—111
Colonoscopy with endoscopic ultrasoundCPT 45391$1,121$1,22392%—111
Colonoscopy with polyp removalCPT 45385$3,289$1,223269%—111
Colonoscopy, diagnosticCPT 45378$1,588$950167%—111
Complete blood count with differentialCPT 85025$125$81605%—111
Complete blood count, automatedCPT 85027$59$6918%—111
Comprehensive metabolic panelCPT 80053$144$111359%—111
Diagnostic mammography, both breastsCPT 77066$250———111
Diagnostic mammography, one breastCPT 77065$443———111
ED visit, level 3CPT 99283$807$279289%—111
ED visit, level 4CPT 99284$1,196$426281%—111
ED visit, level 5CPT 99285$1,780$608293%—111
Echocardiogram, completeCPT 93306$2,748$558492%—111
Epidural injection, lumbar/sacral, no imagingCPT 62322$1,015$904112%—111
Excision of breast lesionCPT 19120$1,842$4,00046%—111
Inguinal hernia repair, age 5+CPT 49505$4,056$3,658111%—111
Kidney function panelCPT 80069$246$92834%—111
Knee arthroscopy with meniscectomyCPT 29881$3,579$3,343107%—111
Laparoscopic cholecystectomyCPT 47562$7,599$6,176123%—111
Lipid panelCPT 80061$154$131150%—111
Liver function panelCPT 80076$104$81267%—111
Lumbar epidural steroid injectionCPT 62323$823$721114%—111
MRI brain with and without contrastCPT 70553$5,092$3561429%—111
MRI lower extremity joint (knee)CPT 73721$3,257$2441336%—111
MRI lumbar spine without contrastCPT 72148$2,727$2441119%—111
Office consultation, comprehensiveCPT 99244$338———109
Office consultation, moderateCPT 99243$306———109
Office visit, established patient, level 3CPT 99213$152———109
Office visit, established patient, level 4CPT 99214$277———109
Office visit, new patient, level 3CPT 99203$262———109
Office visit, new patient, level 4CPT 99204$405———109
Office visit, new patient, level 5CPT 99205$620———109
PSA (prostate specific antigen), totalCPT 84153$66$18358%—111
Partial thromboplastin timeCPT 85730$521$68672%—111
Physical therapy, therapeutic exerciseCPT 97110$138———111
Preventive visit, new patient, 18-39CPT 99385$311———111
Preventive visit, new patient, 40-64CPT 99386$362———109
Prothrombin timeCPT 85610$75$41759%—111
Screening mammography, bilateralCPT 77067$453———111
Shoulder arthroscopy, subacromial decompressionCPT 29826$730———111
Sleep study (polysomnography)CPT 95810$4,726$877539%—111
Thyroid stimulating hormone (TSH)CPT 84443$28$17165%—111
Transforaminal epidural, lumbar/sacralCPT 64483$437$90448%—111
Ultrasound, abdomen, completeCPT 76700$1,388$1071300%—111
Ultrasound, transvaginalCPT 76830$808$107756%—111
Upper GI endoscopy with biopsyCPT 43239$3,026$927327%—111
Upper GI endoscopy, diagnosticCPT 43235$558$92760%—111
Urinalysis, automated, with microscopyCPT 81001$100$33154%—111
Urinalysis, automated, without microscopyCPT 81003$50$22222%—111
Urinalysis, manual, with microscopyCPT 81000$85$42106%—111
Urinalysis, manual, without microscopyCPT 81002$28$3811%—111
X-ray, lower back, 4+ viewsCPT 72110$792$107742%—111

Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved August 21–22, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →