Physician
Physician Assistant, Medical
Physician Assistant, Medical
LEADVILLE, CO
ST ANTHONY SUMMIT MEDICAL CENTER
mountain.commonspirit.org/location/st-anthony-summit-hospital
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $1,050 | $272 | $272 | 29 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $666 | $117 | $67 | 53 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $484 | $35 | $35 | 71 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $473 | $86 | $47 | 146 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $336 | $69 | $41 | 94 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $194 | $73 | $73 | 25 |
G0009 Administration of pneumococcal vaccine | $63 | $30 | $30 | 36 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $53 | $12 | $9 | 23 |
G0008 Administration of influenza virus vaccine | $49 | $30 | $30 | 26 |
36415 Insertion of needle into vein for collection of blood sample | $12 | $8 | $8 | 193 |
81003 Automated urinalysis test | $9 | $2 | $2 | 37 |
Search published hospital rates side by side to find lower cash prices and stronger negotiating leverage.
Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.