Supplies, drugs & other prices at CommonSpirit Saint Joseph Hospital - Lexington
Lexington, KY · every code in this section with a posted price and a Medicare benchmark.
82 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) | $1,411.37 | $2,996 | 1.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,002 | $2,127 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $488.99 | $1,038 | 1.4× |
| Adm tocilizu covid-19 1st (M0249) | $551.64 | $1,171 | 1.3× |
| Adm tocilizu covid-19 2nd (M0250) | $551.64 | $1,171 | 1.3× |
| Admin influenza virus vac (G0008) | $40.05 | $85 | 0.9× |
| Catheterize for urine spec (P9612) | $4.24 | $9 | 0.5× |
| Covid-19 lab test non-cdc (U0002) | $64.07 | $136 | 1.2× |
| Diab manage trn per indiv (G0108) | $63.13 | $134 | 1.1× |
| Diab manage trn ind/group (G0109) | $37.22 | $79 | 2.3× |
| Direct refer hospital observ (G0379) | $283.60 | $602 | 0.5× |
| Drug test def 1-7 classes (G0480) | $131.20 | $278.50 | 1.1× |
| Drug test def 8-14 classes (G0481) | $122.02 | $259 | 0.8× |
| Elec stim other than wound (G0283) | $143.69 | $305 | 11.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$20,070.97 | $42,606 | 0.5× |
| Hbot, full body chamber, 30m (G0277) | $402.78 | $855 | 3.0× |
| Inj for sacroiliac jt anesth (G0260) | $668.94 | $1,420 | 1.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $28,845.36 | $61,232 | 0.9× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $10,205.55 | $21,664 | 1.3× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $10,205.55 | $21,664 | 1.3× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $28,845.36 | $61,232 | 1.3× |
| Instlj fecal microbiota ssp (0780T) | $140.86 | $299 | 1.1× |
| Mra w/cont, abd (C8900) | $840.89 | $1,785 | 2.5× |
| Mra w/cont, chest (C8909) | $602.99 | $1,280 | 1.8× |
| Mra w/cont, lwr ext (C8912) | $829.82 | $1,761.50 | 2.4× |
| Mra w/cont, pelvis (C8918) | $633.14 | $1,344 | 1.9× |
| Mra w/o cont, abd (C8901) | $840.89 | $1,785 | 3.6× |
| Mra w/o cont, chest (C8910) | $602.99 | $1,280 | 2.6× |
| Mra w/o cont, lwr ext (C8913) | $829.82 | $1,761.50 | 3.6× |
| Mra w/o cont, pelvis (C8919) | $633.14 | $1,344 | 2.7× |
| Mra w/o fol w/cont, abd (C8902) | $840.89 | $1,785 | 2.5× |
| Mra w/o fol w/cont, chest (C8911) | $602.99 | $1,280 | 1.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $829.82 | $1,761.50 | 2.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $633.14 | $1,344 | 1.9× |
| Mra, w/dye, spinal canal (C8931) | $602.99 | $1,280 | 1.8× |
| Mra, w/dye, upper extremity (C8934) | $646.80 | $1,373 | 1.9× |
| Mra, w/o dye, spinal canal (C8932) | $602.99 | $1,280 | 2.6× |
| Mra, w/o dye, upper extr (C8935) | $646.80 | $1,373 | 2.8× |
| Mra, w/o&w/dye, spinal canal (C8933) | $602.99 | $1,280 | 1.8× |
| Mra, w/o&w/dye, upper extr (C8936) | $646.80 | $1,373 | 1.9× |
| Mri w/cont, breast, bi (C8906) | $903.54 | $1,918 | 2.7× |
| Mri w/cont, breast, uni (C8903) | $662.82 | $1,407 | 3.9× |
| Mri w/o fol w/cont, breast, (C8908) | $903.54 | $977.50 | 2.7× |
| Mri w/o fol w/cont, brst, un (C8905) | $723.12 | $1,535 | 2.1× |
| Pathogen test for platelets (P9100) | $61.72 | $131 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,123.14 | $12,998 | 0.3× |
| Perc d-e cor revasc t cabg s (C9604) | $6,626.73 | $14,067 | 0.6× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$7,129.85 | $15,135 | 0.4× |
| Perc drug-el cor stent sing (C9600) | $8,388.11 | $17,806 | 0.7× |
| Pin service 60m per month (G0023) | $92.34 | $196 | 0.9× |
| Psa screening (G0103) | $82.44 | $175 | 4.3× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) | $2,107.63 | $4,474 | 1.0× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) | $2,109.99 | $4,479 | 1.0× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $4,307.59 | $9,144 | 1.2× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $4,307.59 | $9,144 | 1.2× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) | $4,543.60 | $9,645 | 1.2× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $676.01 | $1,435 | 1.1× |
| Revasc intra lithotrip-ather (C9766) | $20,230.19 | $42,944 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $20,230.19 | $42,944 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $12,542.59 | $26,625 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $21,039.51 | $44,662 | 1.2× |
| Revasc lithotr-ather tib/per (C9774) | $21,039.51 | $44,662 | 1.2× |
| Revasc lithotr-stent tib/per (C9773) | $21,039.51 | $44,662 | 1.2× |
| Revasc lithotrip tibi/perone (C9772) | $13,001.90 | $27,600 | 1.2× |
| Revasc lithotrip-stent-ather (C9767) | $20,230.19 | $42,944 | 1.1× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $28,845.36 | $61,232 | 1.3× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $22,544.15 | $47,856 | 1.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $22,544.15 | $47,856 | 1.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $22,544.15 | $47,856 | 1.2× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $3,687.64 | $7,828 | 1.2× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $3,687.64 | $7,828 | 1.2× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $3,687.64 | $7,828 | 1.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $22,544.15 | $47,856 | 1.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $22,544.15 | $47,856 | 1.2× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $22,544.15 | $47,856 | 1.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $5,904.56 | $12,534 | 1.1× |
| Tee w or w/o fol w/cont,cong (C8926) | $907.31 | $1,926 | 1.2× |
| Therapeutic procd strg endur (G0237) | $109.30 | $232 | 3.9× |
| Tomosynthesis, mammo (G0279) | $38.16 | $81 | 3.0× |
| Tte w or w/o fol w/con,stres (C8928) | $1,643.14 | $3,488 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $2,001.17 | $4,248 | 2.6× |
| Unsched dialysis esrd pt hos (G0257) | $1,178.65 | $2,502 | 1.8× |