Monument Health Custer Hospital — price list
← Hospital overviewVerified from Monument Health Custer Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
69 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Bronch 37f Broncho-Cath Outpatient | 2720000009_2 CDM | $330 | $264 | $82.50 – $330 | $7,073 | |
| Cath Airway Exchange 11f 100cm withRapi-Fit for Dbl Tubes Outpatient | 2720000005_2 CDM | $388 | $310 | $97.00 – $388 | $369 | |
| Computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast Outpatient | 0042T_2 CDM | $883 | $706 | $221 – $883 | $857 | |
| Coronary care unit - general classification Inpatient | 2100000100_2 CDM | $6,378 | $5,102 | $2,124 – $6,378 | $6,059 | |
| Coronary care unit - general classification Inpatient | 2100000200_2 CDM | $8,997 | $7,198 | $2,913 – $8,997 | $8,547 | |
| Glidescope S2 Spectrum Lopro Low Profile Sgl Use Blade Outpatient | 2720000004_2 CDM | $388 | $310 | $97.00 – $388 | $349 | |
| Glidescope S3 Spectrum Lopro Low Profile Sgl Use Blade Outpatient | 2720000003_2 CDM | $315 | $252 | $78.75 – $315 | $7,073 | |
| Glidescope S4 Spectrum Lopro Low Profile Sgl Use Blade Outpatient | 2720000002_2 CDM | $315 | $252 | $78.75 – $315 | $299 | |
| Infusion into a vein for hydration, 31-60 minutes Outpatient | 2609636000_2 CDM | $540 | $432 | $135 – $540 | $329 | |
| Infusion into a vein for hydration, each additional hour Outpatient | 2609636100_2 CDM | $145 | $116 | $36.25 – $145 | $121 | |
| Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion Outpatient | 2609636800_2 CDM | $214 | $171 | $53.50 – $214 | $205 | |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less Outpatient | 2609636500_2 CDM | $555 | $444 | $139 – $555 | $417 | |
| Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less Outpatient | 2609636700_2 CDM | $199 | $159 | $49.75 – $199 | $189 | |
| Infusion into a vein for therapy, prevention, or diagnosis, each additional hour Outpatient | 2609636600_2 CDM | $215 | $172 | $53.75 – $215 | $189 | |
| Infusion into tissue for therapy or prevention, 1 hour or less Outpatient | 2609636900_2 CDM | $652 | $522 | $163 – $652 | $632 | |
| Infusion into tissue for therapy or prevention, each additional hour Outpatient | 2609637000_2 CDM | $144 | $115 | $36.00 – $144 | $137 | |
| Injection of additional drug or substance into vein provided in a facility Outpatient | 2609637600_2 CDM | $245 | $196 | $61.25 – $245 | $258 | |
| Injection of additional new drug or substance into vein Outpatient | 2609637500_2 CDM | $259 | $207 | $64.75 – $259 | $228 | |
| Injection of drug or substance into artery Outpatient | 2609637300_2 CDM | $249 | $199 | $62.25 – $249 | $242 | |
| Injection of drug or substance into vein Outpatient | 2609637400_2 CDM | $437 | $350 | $109 – $437 | $387 | |
| Injection of drug or substance under skin or into muscle Outpatient | 2609637200_2 CDM | $125 | $100 | $31.25 – $125 | $31.01 | |
| Intensive care unit - intermediate ICU Inpatient | 2060000100_2 CDM | $4,901 | $3,921 | $1,632 – $4,901 | $4,754 | |
| Intensive care unit - intermediate ICU Inpatient | 2060000200_2 CDM | $5,162 | $4,130 | $1,719 – $5,162 | $5,007 | |
| Intensive care unit - intermediate ICU Inpatient | 2060000300_2 CDM | $4,901 | $3,921 | $1,632 – $4,901 | $4,754 | |
| Intensive care unit - medical Inpatient | 2020000100_2 CDM | $6,378 | $5,102 | $2,124 – $6,378 | $225 | |
| Intensive care unit - medical Inpatient | 2020000200_2 CDM | $8,997 | $7,198 | $2,913 – $8,997 | $8,547 | |
| Intensive care unit - pediatric Inpatient | 2030000100_2 CDM | $6,378 | $5,102 | $2,124 – $6,378 | $6,059 | |
| Intensive care unit - surgical Inpatient | 2010000100_2 CDM | $6,378 | $5,102 | $2,124 – $6,378 | $6,187 | |
| Intensive care unit - surgical Inpatient | 2010000200_2 CDM | $8,997 | $7,198 | $2,913 – $8,997 | $8,727 | |
| Intensive care unit - trauma Inpatient | 2080000100_2 CDM | $8,997 | $7,198 | $2,913 – $8,997 | $8,727 |