Hospital Price Engine

Mt San Rafael Hospital

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

184%
median commercial rate vs. Medicare here
73rd
highest of 75 Colorado hospitals, by median rate vs. Medicare
58
procedures with published commercial rates
ProcedureCommercial medianMedicare% of MedicareEst. cost*Plan rates
Basic metabolic panelCPT 80048$38$8452%—55
CT abdomen and pelvis with contrastCPT 74177$1,206$356338%—55
CT head without contrastCPT 70450$618$107579%—55
CT pelvis with contrastCPT 72193$877$179489%—55
Cardiac stress testCPT 93017$256$221116%—55
Cataract surgery with IOL insertionCPT 66984$1,637$2,35869%—55
Colonoscopy with biopsyCPT 45380$807$1,22366%—55
Colonoscopy with endoscopic ultrasoundCPT 45391$614$1,22350%—55
Colonoscopy with polyp removalCPT 45385$614$1,22350%—55
Colonoscopy, diagnosticCPT 45378$614$95065%—55
Complete blood count with differentialCPT 85025$25$8324%—55
Complete blood count, automatedCPT 85027$12$6185%—55
Comprehensive metabolic panelCPT 80053$13$11120%—55
Diagnostic mammography, both breastsCPT 77066$159———55
Diagnostic mammography, one breastCPT 77065$126———55
ED visit, level 3CPT 99283$172$27962%—55
ED visit, level 4CPT 99284$223$42652%—55
ED visit, level 5CPT 99285$330$60854%—55
Echocardiogram, completeCPT 93306$668$558120%—55
Epidural injection, lumbar/sacral, no imagingCPT 62322$507$90456%—55
Excision of breast lesionCPT 19120$1,303$4,00033%—55
Inguinal hernia repair, age 5+CPT 49505$2,155$3,65859%—55
Kidney function panelCPT 80069$50$9573%—55
Knee arthroscopy with meniscectomyCPT 29881$2,017$3,34360%—55
Laparoscopic cholecystectomyCPT 47562$3,157$6,17651%—55
Lipid panelCPT 80061$22$13166%—55
Liver function panelCPT 80076$19$8230%—55
Lumbar epidural steroid injectionCPT 62323$507$72170%—55
MRI brain with and without contrastCPT 70553$1,234$356346%—55
MRI lower extremity joint (knee)CPT 73721$789$244324%—55
MRI lumbar spine without contrastCPT 72148$661$244271%—55
Office consultation, comprehensiveCPT 99244$83———53
Office consultation, moderateCPT 99243$76———53
Office visit, established patient, level 3CPT 99213$41———53
Office visit, established patient, level 4CPT 99214$61———53
Office visit, new patient, level 3CPT 99203$63———53
Office visit, new patient, level 4CPT 99204$100———53
Office visit, new patient, level 5CPT 99205$135———53
PSA (prostate specific antigen), totalCPT 84153$22$18120%—55
Partial thromboplastin timeCPT 85730$36$6605%—55
Physical therapy, therapeutic exerciseCPT 97110$41———55
Preventive visit, new patient, 18-39CPT 99385$113———55
Preventive visit, new patient, 40-64CPT 99386$89———53
Prothrombin timeCPT 85610$15$4359%—55
Screening mammography, bilateralCPT 77067$130———55
Shoulder arthroscopy, subacromial decompressionCPT 29826$511———55
Sleep study (polysomnography)CPT 95810$1,146$877131%—55
Thyroid stimulating hormone (TSH)CPT 84443$20$17117%—55
Transforaminal epidural, lumbar/sacralCPT 64483$306$90434%—55
Ultrasound, abdomen, completeCPT 76700$337$107315%—55
Ultrasound, transvaginalCPT 76830$196$107183%—55
Upper GI endoscopy with biopsyCPT 43239$611$92766%—55
Upper GI endoscopy, diagnosticCPT 43235$391$92742%—55
Urinalysis, automated, with microscopyCPT 81001$20$3637%—55
Urinalysis, automated, without microscopyCPT 81003$10$2449%—55
Urinalysis, manual, with microscopyCPT 81000$17$4425%—55
Urinalysis, manual, without microscopyCPT 81002$6$3164%—55
X-ray, lower back, 4+ viewsCPT 72110$192$107180%—55

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 →