Supplies, drugs & other prices at CommonSpirit Saint Joseph Hospital - London

London, KY · every code in this section with a posted price and a Medicare benchmark.

55 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,112.97 $3,119 1.5×
2d tte w or w/o fol w/con,fu (C8924) $389.67 $1,092 1.2×
Adm tocilizu covid-19 1st (M0249) $203.76 $571 0.5×
Adm tocilizu covid-19 2nd (M0250) $413.58 $1,159 1.0×
Admin influenza virus vac (G0008) $39.61 $111 0.9×
Catheterize for urine spec (P9612) $3.22 $9 0.3×
Covid-19 lab test non-cdc (U0002) $49.96 $140 1.0×
Diab manage trn per indiv (G0108) $64.95 $182 1.2×
Diab manage trn ind/group (G0109) $38.54 $108 2.4×
Direct refer hospital observ (G0379) $208.75 $585 0.4×
Drug test def 1-7 classes (G0480) $78.15 $219 0.7×
Drug test def 8-14 classes (G0481) $95.28 $267 0.6×
Elec stim other than wound (G0283) $99.56 $279 7.8×
Hbot, full body chamber, 30m (G0277) $299.03 $838 2.3×
Instlj fecal microbiota ssp (0780T) $109.91 $308 0.9×
Mra w/cont, abd (C8900) $630.53 $1,767 1.9×
Mra w/cont, chest (C8909) $842.85 $2,362 2.6×
Mra w/cont, pelvis (C8918) $474.95 $1,331 1.5×
Mra w/o cont, abd (C8901) $612.33 $1,716 2.7×
Mra w/o cont, lwr ext (C8913) $426.07 $1,194 1.9×
Mra w/o fol w/cont, abd (C8902) $630.53 $1,767 1.9×
Mri w/o fol w/cont, breast, (C8908) $532.05 $1,491 1.6×
Pathogen test for platelets (P9100) $43.90 $123 0.8×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$8,266.45 $23,166 0.5×
Perc d-e cor revasc t cabg s (C9604) $5,438.53 $15,241 0.5×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$8,266.45 $23,166 0.5×
Perc drug-el cor stent sing (C9600) $5,438.53 $15,241 0.5×
Pin service 60m per month (G0023) $69.94 $196 0.7×
Psa screening (G0103) $100.63 $282 5.2×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $1,642.87 $4,604 0.8×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $1,644.66 $4,609 0.8×
Removal Pg Wcs Lv Pacing Both Components (0861T) $3,541.95 $9,926 1.0×
Revasc intra lithotrip-ather (C9766) $15,783.54 $44,232 0.9×
Revasc intra lithotrip-stent (C9765) $15,783.54 $44,232 0.9×
Revasc intravasc lithotripsy (C9764) $9,753.74 $27,334 0.9×
Revasc lith-sten-ath tib/per (C9775) $15,783.54 $44,232 0.9×
Revasc lithotr-ather tib/per (C9774) $15,783.54 $44,232 0.9×
Revasc lithotr-stent tib/per (C9773) $15,783.54 $44,232 0.9×
Revasc lithotrip tibi/perone (C9772) $9,753.74 $27,334 0.9×
Revasc lithotrip-stent-ather (C9767) $15,783.54 $44,232 0.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $17,574.14 $49,250 1.0×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $17,574.14 $49,250 1.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $17,574.14 $49,250 1.0×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $2,874.67 $8,056 1.0×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $2,874.67 $8,056 1.0×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $2,874.67 $8,056 1.0×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $17,574.14 $49,250 1.0×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $17,574.14 $49,250 1.0×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $17,574.14 $49,250 1.0×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $4,602.82 $12,899 0.9×
Therapeutic procd strg endur (G0237) $81.36 $228 3.0×
Tomosynthesis, mammo (G0279) $33.19 $93 2.6×
Tte w or w/o fol w/con,stres (C8928) $1,120.47 $3,140 1.5×
Tte w or wo fol wcon,doppler (C8929) $1,334.93 $3,741 1.8×
Unsched dialysis esrd pt hos (G0257) $437.13 $1,225 0.7×