Supplies, drugs & other prices at Essentia Health-St. Mary's Medical Center
Duluth, MN · every code in this section with a posted price and a Medicare benchmark.
40 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $5,466.78 | $8,283 | 1.3× |
| Catheterize for urine spec (P9612) | $89.10 | $135 | 9.5× |
| Colon ca scrn not hi rsk ind (G0121) | $1,873.74 | $2,839 | 1.9× |
| Colorectal scrn; hi risk ind (G0105) | $1,892.88 | $2,868 | 2.0× |
| Direct refer hospital observ (G0379) | $467.94 | $709 | 0.8× |
| Drug test def 22+ classes (G0483) | $148.50 | $225 | 0.6× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $1,397.88 | $2,118 | 0.4× |
| Fecal blood scrn immunoassay (G0328) | $69.30 | $105 | 3.8× |
| Fecal microbiota prep instil (G0455) | $860.64 | $1,304 | 0.9× |
| Home sleep test/type 3 porta (G0399) | $594 | $900 | 2.7× |
| Ig paraprotein qual bld/ur (0077U) | $172.92 | $262 | 4.0× |
| Inj for sacroiliac jt anesth (G0260) | $939.84 | $1,424 | 1.3× |
| Mra w/o fol w/cont, abd (C8902) | $1,265.88 | $1,918 | 3.5× |
| Mri w/o fol w/cont, breast, (C8908) | $2,031.48 | $3,078 | 5.6× |
| Neuro csf prion prtn qual (0035U) | $500.28 | $758 | 0.9× |
| Oth resp proc, group (G0239) | $114.84 | $174 | 3.0× |
| Oth resp proc, indiv (G0238) | $78.54 | $119 | 2.6× |
| Perc d-e cor revasc chro sin (C9607) | $22,633.38 | $34,293 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $15,492.84 | $23,474 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $25,177.68 | $38,148 | 1.3× |
| Perc drug-el cor stent sing (C9600) | $21,207.78 | $32,133 | 1.8× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$4,893.90 | $7,415 | 0.4× |
| Prostate biopsy, any mthd (G0416) | $966.24 | $1,464 | 2.6× |
| Psa screening (G0103) | $104.28 | $158 | 5.4× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,914 | $2,900 | 2.0× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $630.30 | $955 | 7.0× |
| Revasc intra lithotrip-ather (C9766) | $13,896.96 | $21,056 | 0.7× |
| Revasc intra lithotrip-stent (C9765) | $14,314.08 | $21,688 | 0.8× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$5,138.10 | $7,785 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) | $14,737.80 | $22,330 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $12,944.58 | $19,613 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $15,745.62 | $23,857 | 0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $6,042.96 | $9,156 | 1.0× |
| Therapeutic procd strg endur (G0237) | $75.24 | $114 | 2.5× |
| Tpmt nudt15 gene analysis common variants (0034U) | $348.48 | $528 | 0.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $4,999.50 | $7,575 | 0.8× |
| Transcatheter renal sympath denervation unilat (0338T) | $4,999.50 | $7,575 | 0.8× |
| Trauma respons w/hosp criti (G0390) | $2,033.46 | $3,081 | 1.5× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $10,637.22 | $16,117 | 0.9× |
| Unsched dialysis esrd pt hos (G0257) | $733.92 | $1,112 | 1.0× |