Supplies, drugs & other prices at Saint John Hospital
Leavenworth, KS · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $738 | $3,274.51 | 1.0× |
| 2d tte w or w/o fol w/con,co (C8923) | $738 | $3,370.28 | 1.0× |
| Admin influenza virus vac (G0008) | $44 | $23.33 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $44 | $193.99 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $876 | $4,808.85 | 1.0× |
| Catheterize for urine spec (P9612) | $9 | $45.43 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $876 | $4,558.55 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $876 | $4,830.57 | 1.0× |
| Devlopment test interpt&rep (G0451) | $95 | $1,552.06 | 1.0× |
| Direct refer hospital observ (G0379) | $561 | $500.95 | 1.0× |
| Drug test def 1-7 classes (G0480) | $114 | $278.70 | 1.0× |
| Drug test def 15-21 classes (G0482) | $198 | $449.38 | 1.0× |
| Drug test def 22+ classes (G0483) | $246 | $574.60 | 1.0× |
| Drug test def 8-14 classes (G0481) | $156 | $332.73 | 1.0× |
| Elec stim other than wound (G0283) | $11 | $268.89 | 0.9× |
| Hep c screen high risk/other (G0472) | $46 | $117.87 | 1.0× |
| Home sleep test/type 3 porta (G0399) | $203 | $3,663.72 | 1.0× |
| Hospital outpt clinic visit (G0463) | $125 | $827.53 | 1.0× |
| Inj for sacroiliac jt anesth (G0260) | $665 | $3,788.96 | 1.0× |
| Mra w/cont, chest (C8909) | $328 | $5,825.86 | 1.0× |
| Mra w/cont, lwr ext (C8912) | $328 | $4,157.30 | 1.0× |
| Mra w/cont, pelvis (C8918) | $328 | $5,825.86 | 1.0× |
| Mra w/o fol w/cont, abd (C8902) | $328 | $5,825.86 | 1.0× |
| Mra, w/dye, upper extremity (C8934) | $328 | $4,658.22 | 1.0× |
| Oth resp proc, indiv (G0238) | $27 | $158.40 | 1.0× |
| Perc d-e cor revasc chro sin (C9607) | $17,270 | $27,460.70 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $10,875 | $58,070.70 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $17,270 | $27,460.70 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $10,875 | $14,066.80 | 1.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,836 | $15,832.30 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,836 | $10,651.05 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $337 | $1,645.25 | 1.0× |
| Psa screening (G0103) | $19 | $333.95 | 1.0× |
| Therapeutic procd strg endur (G0237) | $27 | $103.14 | 1.0× |
| Tomosynthesis, mammo (G0279) | $11 | $83.49 | 0.9× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $10,875 | $37,246.20 | 1.0× |
| Trluml Perip Athrc Renal Art (0234T) | $10,875 | $37,246.20 | 1.0× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $10,875 | $45,805.10 | 1.0× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $17,270 | $43,593.80 | 1.0× |
| Tte w or w/o fol w/cont, com (C8921) | $738 | $4,102.04 | 1.0× |
| Tte w or w/o fol w/cont, f/u (C8922) | $738 | $1,139.39 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $738 | $2,911.39 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $646 | $2,467.85 | 1.0× |