How many shoppable procedure prices are published for St Thomas More Hospital?

St Thomas More Hospital in Canon City, CO currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Thomas More Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Thomas More Hospital's median negotiated commercial rate is 2.8× the regionally adjusted fair BaseRate benchmark.

What is St Thomas More Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St Thomas More Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2026-02-04

St Thomas More Hospital

1338 Phay Ave, Canon City, CO 81212 · 124 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

2.75×vs. Fair Market Price

Typical commercial prices here are +175% above the fair benchmark (2.75×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 90% of the Time

File Completeness100

Price Logic55

Peer Alignment69

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 2.75× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

St Thomas More Hospital prices routine shoppable procedures near 4.8× Medicare (p50 2.39×) while skewing captive emergency, lab, and upper-quartile codes to 9.6× Medicare (p75 3.79×, +59% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#62 of 64 in CO · 95th State Percentile#3,305 of 3,385 in U.S. · 97th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.71× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 90% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 62% patient recommendation (71/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.5× markup over Medicare rates
Captive ER (3.2×) & laboratory (3.7×) services average 2.00× higher multiples than routine shoppable care (4.8×)
Upper-quartile procedures (Q75 3.79×) jump +59% above the median procedure ratio (Q50 2.39×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER2.00× Divergence

9.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+59% Upper Tail

Q25 1.71× · Q50 2.39× · Q75 3.79×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

4.8× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

3.5× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.5× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

90% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 71/100Fair

Procedure Prices at St Thomas More Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	—	$21,928	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$19,802	$2,680	unverified
Total hip replacement CPT Code: `27130`	—	$10,674	$13,413	0.8×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$7,389	$30,775	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,461	$6,109	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,500	$2,540	1.8×
Bunion correction surgery CPT Code: `28296`	—	$4,354	$3,446	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$4,349	$3,629	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,416	$3,786	$1,021	3.7×
Breast lump removal CPT Code: `19120`	—	$3,495	$3,875	0.9×
Rabies immune globulin HCPCS Code: `90375`	$2,858	$3,458	$322	10.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,804	$3,077	$511	6.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,002	$2,871	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,459	$2,286	$242	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,079	$2,136	$855	2.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,416	$1,792	$338	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,571	$1,724	$303	5.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,636	$1,256	1.3×
Trauma team activation HCPCS Code: `G0390`	$1,282	$1,603	$1,453	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,473	$1,617	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,120	$1,606	$163	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,560	$1,620	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,748	$1,551	$448	3.5×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,540	$981	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,424	$1,494	$169	8.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,051	$1,507	$272	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,159	$1,272	$167	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,110	$1,218	$583	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,069	$1,173	$343	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$1,143	$181	6.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,128	$987	1.1×
CT scan, sinuses CPT Code: `70486`	$936	$1,028	$166	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$686	$984	$134	unverified
Family therapy session CPT Code: `90847`	—	$871	$173	5.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$799	$123	6.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$772	$166	4.7×
New patient office visit (30-44 min) CPT Code: `99203`	—	$673	$110	6.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$400	$681	$151	unverified
Ultrasound, pelvis CPT Code: `76856`	$543	$651	$130	5.0×
Neurobehavioral status check CPT Code: `96116`	—	$649	$231	2.8×
Blood transfusion CPT Code: `36430`	$324	$642	$498	1.3×
X-ray, lower back CPT Code: `72110`	$401	$575	$112	5.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$543	$87	6.2×
CT scan, head (no contrast) CPT Code: `70450`	$972	$545	$160	3.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$396	$567	$132	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$351	$504	$148	3.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$522	$522	$17,936	0.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$440	$483	$126	3.8×
X-ray, pelvis CPT Code: `72170`	$239	$407	$110	3.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$343	$376	$93	4.0×
X-ray, shoulder CPT Code: `73030`	$326	$360	$92	3.9×
X-ray, foot CPT Code: `73630`	$299	$350	$92	3.8×
Mental health services (assessment) HCPCS Code: `H0031`	$208	$363	$140	2.6×
X-ray, ankle CPT Code: `73610`	$314	$305	$93	3.3×
Screening mammogram (both breasts) CPT Code: `77067`	$285	$313	$123	2.5×
Psychological testing by technician CPT Code: `96138`	—	$298	$395	0.8×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$254	$33	7.7×
X-ray, hip CPT Code: `73502`	$301	$260	$93	2.8×
Speech therapy (group session) CPT Code: `92508`	—	$205	$27	7.6×
Speech therapy (language evaluation) CPT Code: `92507`	$112	$216	$86	2.5×
X-ray, hand CPT Code: `73130`	$240	$229	$93	2.5×
X-ray, chest (single view) CPT Code: `71045`	$173	$190	$92	2.1×
Group therapy session CPT Code: `90853`	—	$206	$100	2.1×
Psychological testing evaluation CPT Code: `96136`	—	$192	$128	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$106	$14	7.6×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$120	$25	4.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$114	$142	$201	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$53	$103	$38	2.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$114	$19,432	0.0×
X-ray, chest (two views) CPT Code: `71046`	$184	$119	$93	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$61	$88	$34	2.6×
Physical therapy (gait training) CPT Code: `97116`	$48	$81	$33	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$69	$88	$38	2.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$59	$85	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$57	$82	$40	2.0×
Prosthetic fitting and training CPT Code: `97761`	$43	$84	$45	1.9×
Orthotic fitting and training CPT Code: `97760`	$43	$84	$51	1.6×
Typhoid vaccine HCPCS Code: `90675`	$910	$1,335	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$417	$572	$203	2.8×
Pneumococcal vaccine HCPCS Code: `90732`	$281	$478	$140	3.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$217	$368	$111	unverified
Blood test, vitamin D CPT Code: `82306`	$147	$271	$31	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$111	$189	$19	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$109	$202	$56	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$111	$189	$20	unverified
Blood test, liver function panel CPT Code: `80076`	$78	$133	$9	14.8×
Blood antibody screen CPT Code: `86850`	$282	$135	$46	2.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$88	$149	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$85	$150	$16	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$92	$157	$18	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$63	$116	$49	2.4×
Drug screening test HCPCS Code: `G0480`	$75	$139	$116	1.2×
Blood test, amylase CPT Code: `82150`	$74	$123	$7	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$82	$129	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$78	$140	$15	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$76	$84	$9	9.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$64	$108	$39	2.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$54	$107	$49	2.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$59	$100	$10	unverified
Blood test, lipase CPT Code: `83690`	$60	$102	$7	unverified
Culture, blood CPT Code: `87040`	$92	$119	$11	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$66	$127	$37	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$76	$27	2.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$54	$78	$35	2.2×
Flu vaccine injection HCPCS Code: `G0008`	$54	$91	$48	1.9×
Culture, bacterial CPT Code: `87070`	$58	$98	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$45	$50	$3	16.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$69	$62	$11	5.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$60	$66	$64	1.0×
Blood test, magnesium CPT Code: `83735`	$45	$77	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$41	$32	$8	4.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$45	$25	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$16	$32	$35	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$23	$48	$86	0.6×
Blood test, calcium CPT Code: `82310`	$29	$45	$5	unverified
Blood test, potassium CPT Code: `84132`	$26	$45	$5	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$19	$8,223	0.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$44	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$45	$4	unverified
Blood test, sodium CPT Code: `84295`	$28	$49	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$48	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$31	$52	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$64	$6	unverified
Blood test, hemoglobin CPT Code: `85018`	$13	$23	$3	unverified

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.0%

Audit a Bill or Quote at St Thomas More Hospital (Zero PHI Required)

CMS CCN: 061344

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash Request Quote

Insurer Median $21,928

1. Amount on Your Bill or Quote ($) Pre-filled with St Thomas More Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $15,278 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,278

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.0% of gross = $15,278).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Thomas More Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$49,652 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($52,627) is $49,652 above the denoised Fair BaseRate ($2,975) and 21.3× the $2,473 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 840405257

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (29.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite71/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait131 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (182 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Thomas More Hospital.

Price Index: 1.00× regional baseline

Quality: 67/100 CMS composite

Median Household Income$61,027U.S. Census ACS

Local Uninsured Share5.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 061344 EIN 840405257

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 061344) ↗ Verify IRS Form 990 (EIN 840405257) ↗ CMS HCRIS Cost Reports ↗

Published MRF File840405257-1164430567_catholic-health-initiatives-colorado_standardcharges.csv

Publication / Vintage2026-02-04 · 672.24 MB

Validated Rate Rows2,893 (CMS v3.0.0)

File Integrity Digestd70cbbc2d8bdfcffe807…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy