Supplies, drugs & other prices at HSHS St. Elizabeth's Hospital
O Fallon, IL · every code in this section with a posted price and a Medicare benchmark.
73 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $4,189.68 | $5,819 | 5.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,990.88 | $4,154 | 8.0× |
| Admin hepatitis b vaccine (G0010) | $58.32 | $81 | 1.2× |
| Admin influenza virus vac (G0008) | $61.20 | $85 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $58.32 | $81 | 1.2× |
| Ca screen;flexi sigmoidscope (G0104) | $1,587.60 | $2,205 | 1.6× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$128.88–$161.28 | $179–$224 | varies |
| Direct refer hospital observ (G0379) | $671.76 | $933 | 1.1× |
| Drug test def 1-7 classes (G0480) | $144 | $200 | 1.3× |
| Drug test def 22+ classes (G0483) | $270.72 | $376 | 1.1× |
| Elec stim other than wound (G0283) | $290.88 | $404 | 22.9× |
| Extrnl counterpulse, per tx (G0166) | $482.40 | $670 | 3.4× |
| Fecal blood scrn immunoassay (G0328) | $56.16 | $78 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $1,341.36 | $1,863 | 9.1× |
| Home sleep test/type 3 porta (G0399) | $890.64 | $1,237 | 3.8× |
| Home sleep test/type 4 porta (G0400) | $890.64 | $1,237 | 3.8× |
| Hospital outpt clinic visit (G0463) | $257.76 | $358 | 1.8× |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$4,061.52–$6,180.48 | $5,641–$8,584 | varies |
| Intens cardiac rehab no exer (G0423) | $274.32 | $381 | 2.0× |
| Intens cardiac rehab w/exerc (G0422) | $274.32 | $381 | 2.0× |
| Lev 1 hosp type b ed visit (G0380) | $309.60 | $430 | 3.9× |
| Lev 2 hosp type b ed visit (G0381) | $372.24 | $517 | 3.7× |
| Lev 3 hosp type b ed visit (G0382) | $450 | $625 | 2.4× |
| Lev 4 hosp type b ed visit (G0383) | $648.72 | $901 | 2.3× |
| Lev 5 hosp type b ed visit (G0384) | $797.04 | $1,107 | 1.8× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,056.24 | $1,467 | 2.1× |
| Mra w/cont, abd (C8900) | $1,879.92 | $2,611 | 5.0× |
| Mra w/cont, chest (C8909) | $1,778.40 | $2,470 | 4.8× |
| Mra w/cont, lwr ext (C8912) | $2,525.04 | $3,507 | 6.8× |
| Mra w/cont, pelvis (C8918) | $2,633.04 | $3,657 | 7.0× |
| Mra w/o cont, abd (C8901) | $1,505.52 | $2,091 | 5.9× |
| Mra w/o cont, chest (C8910) | $1,423.44 | $1,977 | 5.6× |
| Mra w/o cont, lwr ext (C8913) | $2,405.52 | $3,341 | 9.4× |
| Mra w/o cont, pelvis (C8919) | $2,194.56 | $3,048 | 8.6× |
| Mra w/o fol w/cont, abd (C8902) | $3,242.88 | $4,504 | 8.7× |
| Mra w/o fol w/cont, chest (C8911) | $2,512.08 | $3,489 | 6.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,438.72 | $4,776 | 9.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,214.08 | $4,464 | 8.6× |
| Mra, w/dye, upper extremity (C8934) | $739.44 | $1,027 | 2.0× |
| Mri w/cont, breast, bi (C8906) | $2,915.28 | $4,049 | 7.8× |
| Mri w/cont, breast, uni (C8903) | $1,941.84 | $2,697 | 10.3× |
| Mri w/o fol w/cont, breast, (C8908) | $3,648.24 | $5,067 | 9.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,316.96 | $3,218 | 6.2× |
| Neuro csf prion prtn qual (0035U) | $1,050.48 | $1,459 | 1.9× |
| Oth resp proc, group (G0239) | $120.96 | $168 | 3.0× |
| Oth resp proc, indiv (G0238) | $120.96 | $168 | 3.9× |
| Pathogen test for platelets (P9100) | $79.92 | $111 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) | $39,679.20 | $55,110 | 2.0× |
| Perc d-e cor revasc t cabg s (C9604) | $26,032.32 | $36,156 | 2.1× |
| Perc d-e cor stent ather s (C9602) | $39,679.20 | $55,110 | 2.0× |
| Perc drug-el cor stent sing (C9600) | $26,032.32 | $36,156 | 2.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $12,316.32 | $17,106 | 1.0× |
| Place device/marker, non pro (C9728) | $3,841.92 | $5,336 | 2.6× |
| Prostate biopsy, any mthd (G0416) | $647.28 | $899 | 1.7× |
| Psa screening (G0103) | $149.04 | $207 | 7.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $1,059.84 | $1,472 | 1.5× |
| Revasc intra lithotrip-ather (C9766) | $36,471.60 | $50,655 | 1.9× |
| Revasc intra lithotrip-stent (C9765) | $22,625.28 | $31,424 | 1.2× |
| Revasc intravasc lithotripsy (C9764) | $20,133.36 | $27,963 | 1.6× |
| Revasc lith-sten-ath tib/per (C9775) | $40,041.36 | $55,613 | 2.0× |
| Revasc lithotr-ather tib/per (C9774) | $40,041.36 | $55,613 | 2.0× |
| Revasc lithotr-stent tib/per (C9773) | $40,041.36 | $55,613 | 2.0× |
| Revasc lithotrip tibi/perone (C9772) | $25,032.96 | $34,768 | 2.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $241.20 | $335 | 9.1× |
| Therapeutic procd strg endur (G0237) | $83.52 | $116 | 2.7× |
| Tomosynthesis, mammo (G0279) | $53.28 | $74 | 4.2× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $6,733.44 | $9,352 | 1.9× |
| Tte w or w/o contr, cont ecg (C8930) | $5,131.44 | $7,127 | 6.1× |
| Tte w or w/o fol w/con,stres (C8928) | $4,820.40 | $6,695 | 5.7× |
| Tte w or w/o fol w/cont, com (C8921) | $4,506.48 | $6,259 | 5.4× |
| Tte w or w/o fol w/cont, f/u (C8922) | $3,204 | $4,450 | 3.8× |
| Tte w or wo fol wcon,doppler (C8929) | $5,491.44 | $7,627 | 6.5× |
| Unsched dialysis esrd pt hos (G0257) | $3,658.32 | $5,081 | 5.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.