Supplies, drugs & other prices at Saint Francis Medical Center

Cape Girardeau, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $410 $410 11.4×
2d tee w or w/o fol w/con,in (C8925) $3,490 $3,490 4.4×
2d tte w or w/o fol w/con,fu (C8924) $1,224 $1,224 3.5×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $6,623 $6,623 3.4×
Brief alcohol misuse counsel (G0443) $257 $257 2.5×
Ca screen;pelvic/breast exam (G0101) $175 $175 1.7×
Catheterize for urine spec (P9612) $28 $28 3.0×
Chemo extend iv infus w/pump (G0498) $693 $693 2.1×
Covid-19 lab test non-cdc (U0002) $410 $410 8.0×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $11,702 $11,702 2.8×
Direct refer hospital observ (G0379) $1,492 $1,492 2.5×
Drug test def 1-7 classes (G0480) $382.50 $382.50 3.3×
Drug test def 15-21 classes (G0482) $726 $726 3.7×
Drug test def 22+ classes (G0483) $899 $899 3.6×
Drug test def 8-14 classes (G0481) $381 $381 2.4×
Ekg tracing for initial prev (G0404) $53 $53 1.8×
Extraction erupted tooth/exr (D7140) $4,988 $4,988 7.7×
Fecal blood scrn immunoassay (G0328) $62 $62 3.4×
Group mnt 2 or more 30 mins (G0271) $47 $47 2.8×
Hbot, full body chamber, 30m (G0277) $1,463 $1,463 10.6×
Home sleep test/type 3 porta (G0399) $1,111 $1,111 5.1×
Hospital outpt clinic visit (G0463) $325 $325 2.4×
Ig paraprotein qual bld/ur (0077U) $140 $140 3.2×
Initial preventive exam (G0402) $276 $276 2.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $17,672 $17,672 1.7×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $17,672 $17,672 1.7×
Insertion wrls car stimulator lv pacg compl sys (0515T) $52,499 $52,499 2.4×
Instlj fecal microbiota ssp (0780T) $419 $419 3.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $345.50 $345.50 2.8×
Mnt subs tx for change dx (G0270) $94 $94 3.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,314 $1,314 2.9×
Obtaining screen pap smear (Q0091) $110 $110 3.8×
Oth resp proc, group (G0239) $393 $393 10.5×
Oth resp proc, indiv (G0238) $225 $225 7.8×
Perc d-e cor revasc chro sin (C9607) $42,306 $42,306 2.3×
Perc d-e cor revasc t cabg s (C9604) $28,885 $28,885 2.5×
Perc d-e cor stent ather s (C9602) $44,545 $44,545 2.4×
Perc drug-el cor stent sing (C9600) $28,885 $28,885 2.5×
Perq Sacral Augmt Bilat Inj (0201T) $22,307 $22,307 3.1×
Ppps, initial visit (G0438) $631 $631 3.6×
Ppps, subseq visit (G0439) $417 $417 3.0×
Prolonged iv inf, req pump (C8957) $1,190 $1,190 5.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $52,499 $52,499 5.0×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $7,472 $7,472 0.7×
Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) $11,702 $11,702 2.8×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $7,472 $7,472 2.0×
Revasc intra lithotrip-ather (C9766) $50,623 $50,623 2.8×
Revasc intra lithotrip-stent (C9765) $50,623 $50,623 2.8×
Revasc intravasc lithotripsy (C9764) $30,993 $30,993 2.7×
Revasc lithotrip-stent-ather (C9767) $50,623 $50,623 2.8×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $56,253 $56,253 2.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $56,254 $56,254 2.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $56,253 $56,253 2.9×
Tee w or w/o fol w/cont,cong (C8926) $3,018 $3,018 3.8×
Therapeutic procd strg endur (G0237) $225 $225 7.8×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $41,010 $41,010 3.5×
Trauma respons w/hosp criti (G0390) $7,206 $7,206 5.4×
Trluml Perip Athrc Renal Art (0234T) $41,010 $41,010 3.5×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $41,010 $41,010 3.5×
Trluml peripheral atherectomy iliac artery ea (0238T) $63,243 $63,243 3.4×
Tte w or w/o contr, cont ecg (C8930) $3,894 $3,894 5.0×
Tte w or w/o fol w/con,stres (C8928) $2,945 $2,945 3.8×
Tte w or w/o fol w/cont, com (C8921) $3,018 $3,018 3.8×
Tte w or w/o fol w/cont, f/u (C8922) $2,474 $2,474 3.2×
Tte w or wo fol wcon,doppler (C8929) $4,042 $4,042 5.1×
Visit to determ ldct elig (G0296) $205 $205 2.0×