Supplies, drugs & other prices at Christian Hospital
St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.
78 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,175.80 | $5,293 | 4.0× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,631.40 | $2,719 | 2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $466.20 | $777 | 1.3× |
| Admin hepatitis b vaccine (G0010) | $82.20 | $137 | 1.8× |
| Admin influenza virus vac (G0008) | $82.20 | $137 | 1.8× |
| Admin pneumococcal vaccine (G0009) | $82.20 | $137 | 1.8× |
| Adrnl Cortcl Tum Bchm Asy 25 (0015M) | $1,958.40 | $3,264 | 1.5× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) | $61.20 | $102 | 2.0× |
| Chemo extend iv infus w/pump (G0498) | $793.80 | $1,323 | 2.4× |
| Direct refer hospital observ (G0379) | $570 | $950 | 1.0× |
| Drug test def 1-7 classes (G0480) | $127.50 | $212.50 | 1.1× |
| Drug test def 15-21 classes (G0482) | $298.80 | $498 | 1.5× |
| Drug test def 22+ classes (G0483) | $370.80 | $618 | 1.5× |
| Drug test def 8-14 classes (G0481) | $235.20 | $392 | 1.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $69.60 | $116 | 3.6× |
| Elec stim other than wound (G0283) | $136.20 | $227 | 10.7× |
| Ephys eval ccm-d ld 1st impl (0930T) | $1,157.40 | $1,929 | 0.9× |
| Ephys eval ccm-d ld separate (0931T) | $1,338.60 | $2,231 | 1.1× |
| Fecal blood scrn immunoassay (G0328) | $56.40 | $94 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $880.80 | $1,468 | 6.4× |
| Hep c screen high risk/other (G0472) | $79.80 | $133 | 1.7× |
| Hepb screen high risk indiv (G0499) | $94.80 | $158 | 3.4× |
| Hiv combination assay (G0475) | $101.40 | $169 | 4.2× |
| Hospital outpt clinic visit (G0463) | $550.80 | $918 | 4.1× |
| Hpv combo assay ca screen (G0476) | $58.20 | $97 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $6,840.87 | $11,401.45 | 9.7× |
| Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure |
$11,089.20 | $18,482 | 0.5× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $6,502.80 | $10,838 | 0.8× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) unusually low: confirm this is the full procedure |
$10,901.40 | $18,169 | 0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $75,777.97 | $126,296.62 | 2.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $498.60 | $831 | 4.1× |
| Liver dis 10 assays w/nash (0003M) | $756 | $1,260 | 1.5× |
| Mra w/cont, abd (C8900) | $1,897.80 | $3,163 | 5.4× |
| Mra w/o cont, abd (C8901) | $1,586.40 | $2,644 | 6.6× |
| Mra w/o cont, lwr ext (C8913) | $1,287 | $2,145 | 5.4× |
| Mra w/o fol w/cont, abd (C8902) | $2,157 | $3,595 | 6.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,618.20 | $2,697 | 4.6× |
| Mri w/o fol w/cont, breast, (C8908) | $3,357 | $5,595 | 9.6× |
| Oth resp proc, indiv (G0238) | $69.60 | $116 | 2.4× |
| Pathogen test for platelets (P9100) | $1,287.60 | $2,146 | 21.8× |
| Perc d-e cor revasc chro sin (C9607) | $36,191.36 | $60,318.92 | 2.0× |
| Perc d-e cor revasc t cabg s (C9604) | $31,722.95 | $52,871.59 | 2.7× |
| Perc d-e cor stent ather s (C9602) | $57,547.36 | $95,912.27 | 3.1× |
| Perc drug-el cor stent sing (C9600) | $31,514.65 | $52,524.41 | 2.7× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $7,480.20 | $12,467 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $742.80 | $1,238 | 2.1× |
| Psa screening (G0103) | $166.80 | $278 | 8.6× |
| Qmrcp w/dx MRI same anatomy (0724T) | $1,095.60 | $1,826 | 1.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $789.60 | $1,316 | 1.1× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $2,097 | $3,495 | 1.0× |
| Removal perm ccm-d system pulse generator only (0919T) | $7,263 | $12,105 | 1.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $2,875.80 | $4,793 | 4.6× |
| Revasc intra lithotrip-ather (C9766) | $51,946.60 | $86,577.67 | 2.8× |
| Revasc intra lithotrip-stent (C9765) | $49,920.13 | $83,200.22 | 2.7× |
| Revasc intravasc lithotripsy (C9764) | $42,215.62 | $70,359.37 | 3.7× |
| Revasc lith-sten-ath tib/per (C9775) | $15,614.40 | $26,024 | 0.9× |
| Revasc lithotr-ather tib/per (C9774) | $15,614.40 | $26,024 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) | $102,525.24 | $170,875.40 | 5.6× |
| Revasc lithotrip tibi/perone (C9772) | $57,054.62 | $95,091.02 | 4.9× |
| Revasc lithotrip-stent-ather (C9767) | $60,657.89 | $101,096.49 | 3.3× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) | $3,313.20 | $5,522 | 0.9× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $3,313.20 | $5,522 | 0.9× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) | $3,313.20 | $5,522 | 0.9× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) unusually low: confirm this is the full procedure |
$10,018.80 | $16,698 | 0.4× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $1,137 | $1,895 | 1.5× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $127.20 | $212 | 4.8× |
| Screen cerv/vag thin layer (G0123) | $72.60 | $121 | 3.6× |
| Screen pap by tech w md supv (P3000) | $32.40 | $54 | 1.7× |
| Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) | $34.80 | $58 | 1.9× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) | $10,288.20 | $17,147 | 3.2× |
| Therapeutic procd strg endur (G0237) | $72 | $120 | 2.5× |
| Tomosynthesis, mammo (G0279) | $30 | $50 | 2.4× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $640.80 | $1,068 | 1.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $35,484.25 | $59,140.41 | 3.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $18,081.62 | $30,136.04 | 1.0× |
| Tte w or w/o fol w/con,stres (C8928) | $4,407 | $7,345 | 5.6× |
| Tte w or wo fol wcon,doppler (C8929) | $5,880.60 | $9,801 | 7.5× |
| Unsched dialysis esrd pt hos (G0257) | $875.40 | $1,459 | 1.3× |