Pueblo & Canon City County Physician / Clinic Costs

Location Service Description Plain English Description Procedure Description Procedure Code Self Pay Rate Payment Method
Pueblo-Canon CitySurgeryDebridement subcutaneous (under the skin) tissue - first 20 sq cmDebridement, Subsequesnt Tissue 20 Sq Cm/11042$96.10 Per Service
Pueblo-Canon CitySurgeryInsertion of drug implant deviceInsertion of Drug Implant Device11981$185.00 Per Service
Pueblo-Canon CitySurgeryTissue Transfer - additional 30 square cmTissue Transfer Additional 30 Square Cm14302$290.00 Per Service
Pueblo-Canon CitySurgeryDescuction of up to 14 benign lesionsDestruction of benign Lesion 1-1417110$145.50 Per Service
Pueblo-Canon CitySurgeryBreast biopsy with placement of clip/metallic pellet - with ultrasound guidanceBiopsy Breast 1st Lesion Ultrasound Imaging19083$274.07 Per Service
Pueblo-Canon CitySurgeryLarge oint aspiration or injection (shoulder, knee, hip) without ultraoundDrain/Inj Joint/Bursa W/O Ultrasound20610$78.50 Per Service
Pueblo-Canon CitySurgeryLarge joint aspiration or injection (shoulder, knee, hip) with ultrasound Drain/Inj Joint/Bursa W/Ultrasound20611$117.50 Per Service
Pueblo-Canon CitySurgeryInsertion of mechanical disk spacer during spine surgeryInsertion of Biomechanical Device22853$332.00 Per Service
Pueblo-Canon CitySurgeryReduction of shoulder dislocationTreat Shoulder Dislocation23650$411.00 Per Service
Pueblo-Canon CitySurgeryNonsurgical treatment of radius fracture at the wrist including ulnaTreat Fracture Radius/Ulna25600$430.00 Per Service
Pueblo-Canon CitySurgeryTotal Hip Arthroplasty (THA)Total Hip Arthroplasty27130$1,781.50 Per Service
Pueblo-Canon CitySurgeryTotal Knee Arthroplasty (TKA) Total Knee Arthroplasty27447$1,780.00 Per Service
Pueblo-Canon CitySurgeryArthroscopic shoulder surgery - decompression/repair of acromion/ligament releaseShoulder Arthroscopy/Surgery29826$231.50 Per Service
Pueblo-Canon CitySurgeryArthroscopic Cartilage RemovalKnee Arthroscopy/Surgery29881$710.50 Per Service
Pueblo-Canon CitySurgeryArthroscopic ACL RepairKnee Arthroscopy/Surgery29888$1,291.50 Per Service
Pueblo-Canon CitySurgeryRemoval of inferior nasal turbinateResect Inferior Turbinate30140$356.00 Per Service
Pueblo-Canon CitySurgeryRepair Of Nasal SeptumRepair Of Nasal Septum30520$794.00 Per Service
Pueblo-Canon CitySurgeryDiagnostic scope of the nose - unilateral or bilateralNasal Endoscopy Dx31231$272.50 Per Service
Pueblo-Canon CitySurgerySinus or Nasal surgery with biopsy or removal of polypsNasal/Sinus Endoscopy Surg31237$339.00 Per Service
Pueblo-Canon CitySurgeryScope of Larynx (voice box)Diagnostic Laryngoscopy31575$146.00 Per Service
Pueblo-Canon CitySurgeryRoutine VenipunctureRoutine Venipuncture36415$4.00 Per Service
Pueblo-Canon CitySurgeryEsophagus/Stomach/Intestine (EDG) with biopsy single/multipleEsophagus Biopsy Single/Multiple43239$254.01 Per Service
Pueblo-Canon CitySurgeryDiagnostic ColonoscopyDiagnostic Colonoscopy45378$342.43 Per Service
Pueblo-Canon CitySurgeryColonoscopy with biopsyColonoscopy And Biopsy45380$406.76 Per Service
Pueblo-Canon CitySurgeryColonoscopy with lesion/polyp removalColonoscopy W/Lesion Removal45385$484.78 Per Service
Pueblo-Canon CitySurgeryDiagnostic exam of the anus using an endoscopeDiagnostic Anoscopy Specimen46600$116.50 Per Service
Pueblo-Canon CitySurgeryCircumcision - ClampCircumcision W/Regional Block54150$156.50 Per Service
Pueblo-Canon CitySurgeryCervical biopsy with scopeBx/Curett Of Cervix W/Scope57454$196.00 Per Service
Pueblo-Canon CitySurgeryBiopsy of Uterine LiningBiopsy Of Uterus Lining58100$140.50 Per Service
Pueblo-Canon CitySurgeryInsertion of an Intrauterine Device (IUD)Insert Intrauterine Device58300$95.50 Per Service
Pueblo-Canon CitySurgeryRemoval of an Intrauterine Device (IUD)Remove Intrauterine Device58301$123.00 Per Service
Pueblo-Canon CitySurgeryLaparoscopic total hysterectomy for a uterus of 250g or lessTlh W/T/O 250 G Or Less58571$1,161.50 Per Service
Pueblo-Canon CitySurgeryFetal Non Stress TestFetal Non-Stress Test59025$63.00 Per Service
Pueblo-Canon CitySurgery Routine Vaginal Delivery Package - includes:
  • Up to 13 prenatal visits (after initial visit)
  • Routine prenatal urinalysis tests
  • Labor, delivery
  • Uncomplicated postpartum care
Obstetrical Care59400$2,727.50 Per Service
Pueblo-Canon CitySurgeryPhysician charges of antepartum care onlyAntepartum Care Only59426$1,060.00 Per Service
Pueblo-Canon CitySurgery C-Section Delivery Package - includes:
  • Up to 13 prenatal visits (after initial visit)
  • Routine prenatal urinalysis tests
  • Labor, delivery
  • Uncomplicated postpartum care
Cesarean Delivery59510$3,025.50 Per Service
Pueblo-Canon CitySurgeryC-Section - Delivery OnlyCesarean Delivery Only59514$1,200.50 Per Service
Pueblo-Canon CitySurgerySpinal injection - epidural with imaging - Lumbar/Sacrum single levelInjection transforminal Epidural Lumbar/Sacral64483$179.01 Per Service
Pueblo-Canon CitySurgerySpinal Facet Injection with imaging - Lumbar/Sacrum single levelInjection Paravertebral Facet Joint L/S 1 Lev64493$147.08 Per Service
Pueblo-Canon CitySurgeryBilateral Chemodenervation of Muscle(s) (eg: Botox for Migraines)Chemodenervation of Muscle(s) for Migraine64615$192.50 Per Service
Pueblo-Canon CityRadiologyChest X-Ray - 2 view Chest X-Ray 2 view Frontal&Lateral71020$36.00 Per Service
Pueblo-Canon CityRadiologyX-Ray of Shoulder - completeX-Ray Exam Of Shoulder73030$38.00 Per Service
Pueblo-Canon CityRadiologyX-Ray of Wrist - complete X-Ray Exam Of Wrist73110$45.50 Per Service
Pueblo-Canon CityRadiologyX-Ray of Knee - 3 viewsX-Ray Exam Of Knee 373562$46.50 Per Service
Pueblo-Canon CityRadiologyX-Ray of Ankle - completeX-Ray Exam Of Ankle73610$41.00 Per Service
Pueblo-Canon CityRadiologyX-Ray of foot - completeX-Ray Exam Of Foot73630$38.00 Per Service
Pueblo-Canon CityRadiologyUltrasound Breast Limited - UnilateralUltrasound Breast Limited76642$114.50 Per Service
Pueblo-Canon CityRadiologyOB Ultrasound first trimester - Single FetusOB Ultrasound 76801$161.00 Per Service
Pueblo-Canon CityRadiologyOB Ultrasound after first trimester - Single FetusOb Ultrasound >/= 14 Wks Single Fetus76805$185.50 Per Service
Pueblo-Canon CityRadiologyOB Ultrasound Follow-Up Per FetusOB Ultrasound Follow-Up Per Fetus76816$151.00 Per Service
Pueblo-Canon CityRadiologyTransvaginal ultrasound - obstetricTransvaginal Ultrasound Obstetric76817$126.50 Per Service
Pueblo-Canon CityRadiologyTransvaginal ultrasound - not obstetricTransvaginal Ultrasound Non-Ob76830$159.00 Per Service
Pueblo-Canon CityRadiology3D screening breast mammography - bilateralBreast Tomosynthesis Biopsy77063$71.50 Per Service
Pueblo-Canon CityRadiologyScreening Mammogram - Bilateral Screening Mamm Bilat Incl Cad When Perf77067$175.00 Per Service
Pueblo-Canon CityLab PathAutomated Urinalysis without microscopyUrinalysis Auto W/O Scope81003$3.50 Per Service
Pueblo-Canon CityLab PathInfluenze A or B TestInfluenza Assay W/Optic87804$21.00 Per Service
Pueblo-Canon CityLab PathStrep A TestStrep A Assay W/Optic87880$21.00 Per Service
Pueblo-Canon CityMedicineImmunization admistration with counseling - ages of 0-18Im Admin 1St/Only Component90460$26.50 Per Service
Pueblo-Canon CityMedicineImmunization administration with counseling - additional vaccines - ages of 0-18Im Admin Each Addl Component90461$16.50 Per Service
Pueblo-Canon CityMedicineImmunization administration - initial vaccineImmunization Admin90471$26.50 Per Service
Pueblo-Canon CityMedicineImmunization administration - additional administrationImmunization Admin Each Add90472$16.50 Per Service
Pueblo-Canon CityMedicineHPV VaccineVaccine 2/3 Dose Im90651$172.00 Per Service
Pueblo-Canon CityMedicinePneumonia 13 VaccinePcv13 Vaccine Im90670$234.24 Per Service
Pueblo-Canon CityMedicineFlu Vaccine - preservative freeFlu Vacinne 0.5 Ml Intramuscular90686$24.00 Per Service
Pueblo-Canon CityMedicineFlu VaccineFlu Vaccine Split 0.5 Ml Intramuscular90688$22.50 Per Service
Pueblo-Canon CityMedicineTetanus Diptheria Vaccine administered to individuals 7 years or olderTetanus Diptheria Vaccine 7 Yrs/> Intramuscular90715$38.00 Per Service
Pueblo-Canon CityMedicinePsychotherapy Evalutation - 30 MinutesPsychotherapy Evalutation with E/M 30 Min90833$87.00 Per Service
Pueblo-Canon CityMedicinePsychotherapy Evaluation - 45 MinutesPsychotherapy Evaluation with E/M 45 Minutes90834$111.50 Per Service
Pueblo-Canon CityMedicineElectroconvulsive TherapyElectroconvulsive Therapy90870$171.70 Per Service
Pueblo-Canon CityMedicineComprehensive Hearing TestComprehensive Hearing Test92557$49.00 Per Service
Pueblo-Canon CityMedicineElectrocardiogram (EKG) CompleteElectrocardiogram Complete93000$22.00 Per Service
Pueblo-Canon CityMedicineElectrocardiogram (EKG) ReportElectrocardiogram Report93010$11.00 Per Service
Pueblo-Canon CityMedicineEchocardiogram with Doppler StudyTransthoracic Echo w/Doppler Complete93306$271.00 Per Service
Pueblo-Canon CityMedicineHeart Stress Test CompleteStress Test Complete93351$303.00 Per Service
Pueblo-Canon CityMedicineHeart Angiogram including Left Heart Catherization L Hrt Artery/Ventricle Angio93458$1,315.50 Per Service
Pueblo-Canon CityMedicineAbdominal/Pelvic ultrasound study -arteries/veins - LimitedVascular Study93976$197.00 Per Service
Pueblo-Canon CityMedicineTherapeutic Exercises, each 15 minutesTherapeutic Exercises97110$40.00 Per Service
Pueblo-Canon CityMedicineManual therapy for 1 or more regions, each 15 minutesManual Therapy 1/> Regions97140$36.00 Per Service
Pueblo-Canon CityMedicinePhysical therapy evaluation - low complexity (about 20 Minutes)Physical therapy Evaluation Low Complex 20 Min97161$108.50 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 2 office visit for a new patient Office/Outpatient Visit New Patient99202$96.50 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 3 office visit for a new patient Office/Outpatient Visit New Patient99203$139.00 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 4 office visit for a new patient Office/Outpatient Visit New Patient99204$211.50 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 5 office visit for a new patient Office/Outpatient Visit New Patient99205$266.00 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 2 office visit for an established patientOffice/Outpatient Visit Established Patient99212$56.50 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 3 office visit for an established patientOffice/Outpatient Visit Established Patient99213$94.00 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 4 office visit for an established patientOffice/Outpatient Visit Established Patient99214$138.50 Per Service
Pueblo-Canon CityEvaluation and MgmtLevel 5 office visit for an established patientOffice/Outpatient Visit Established Patient99215$186.50 Per Service
Pueblo-Canon CityEvaluation and MgmtInitial preventative visit for a newpatient less than one year oldInit Preventative E/M New Patient Infant99381$142.50 Per Service
Pueblo-Canon CityEvaluation and MgmtInitial preventative visit for a new patient between the ages 1-4Init Preventative E/M New Patient 1-4 Yrs99382$149.00 Per Service
Pueblo-Canon CityEvaluation and MgmtInitial preventative visit for a new patient between the ages 5-11Previous Visit New Age 5-1199383$154.50 Per Service
Pueblo-Canon CityEvaluation and MgmtInitial preventative visit for a new patient between the ages 12-17Previous Visit New Age 12-1799384$174.50 Per Service
Pueblo-Canon CityEvaluation and MgmtInitial preventative visit for a new patient between the ages 18-39Prev Visit New Patient Age 18-3999385$169.00 Per Service
Pueblo-Canon CityEvaluation and MgmtInitial preventative visit for a new patient between the ages 40-64Prev Visit New Patient Age 40-6499386$196.50 Per Service
Pueblo-Canon CityEvaluation and MgmtPreventive visit for an established infant patient less than one year oldPreventive Visit Reevaluation Established Pat Infant99391$128.00 Per Service
Pueblo-Canon CityEvaluation and MgmtPreventive visit for an established patient between the ages of 1-4Preventive Visit Established Patient Age 1-499392$136.50 Per Service
Pueblo-Canon CityEvaluation and MgmtPreventive visit for an established patient between the ages of 5-11Preventive Med Visit Established Pateint Age 5-1199393$136.00 Per Service
Pueblo-Canon CityEvaluation and MgmtPreventive visit for an established patient between the ages of 12-17Preventive Visit Established Patient Age 12-1799394$149.00 Per Service
Pueblo-Canon CityEvaluation and MgmtPreventive visit for an established patient between the ages of 18-39Prev Visit Established Patient Age 18-3999395$152.50 Per Service
Pueblo-Canon CityEvaluation and MgmtPreventive visit for an established patient between the ages of 40-64Prev Visit Est Age 40-6499396$162.50 Per Service
Pueblo-Canon CityEvaluation and MgmtPreventive visit for an established patients ages 65 and overEstablished Patient Reevaluation65+ Yr99397$175.00 Per Service

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Our goal is to provide meaningful and reliable information to help you understand prices in advance of your visit. We have put together the top outpatient visits and procedure costs by region for self-pay individuals to give you an estimate of the expected pricing for commonly provided health care services at a Centura Health practice or clinic.

Actual prices on the final bill may vary from this information based on the provider providing the services, the patient’s medical condition, unknown circumstances or complications, final diagnosis, and recommended treatment ordered.  Please be advised that while Centura Health attempts to estimate the prices of care as accurately as possible, there may be significant variations between the prices listed and the actual price reflected on your final bill.

These are physician fees only. You may incur other charges from the entity where services were rendered. 

If you do not see the procedure or service you are looking for, or wish to receive a customized estimate on a specific procedure, please request a custom estimate.