Supplies, drugs & other prices at Saint Luke's East Hospital

Lee's Summit, MO · every code in this section with a posted price and a Medicare benchmark.

107 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) $2,652 $4,420 3.4×
2d tte w or w/o fol w/con,co (C8923) $1,243.20 $2,072 1.6×
2d tte w or w/o fol w/con,fu (C8924) $769.80 $1,283 2.2×
Adm tocilizu covid-19 1st (M0249) $376.80 $628 0.9×
Adm tocilizu covid-19 2nd (M0250) $376.80 $628 0.9×
Admin hepatitis b vaccine (G0010) $45 $75 1.0×
Admin influenza virus vac (G0008) $45 $75 1.0×
Admin pneumococcal vaccine (G0009) $45 $75 1.0×
Chemo extend iv infus w/pump (G0498) $1,196.40 $1,994 3.6×
Cysto impl 4 or more (C9740) $22,966.35 $38,277.25 2.4×
Direct refer hospital observ (G0379) $1,369.80 $2,283 2.3×
Elec stim other than wound (G0283) $133.80 $223 10.5×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $51,310.80 $85,518 1.2×
Ephys eval ccm-d ld 1st impl (0930T) $2,426.40 $4,044 2.0×
Ephys eval ccm-d ld separate (0931T) $2,426.40 $4,044 2.0×
Hbot, full body chamber, 30m (G0277) $392.40 $654 2.8×
Heart symp image plnr spect (0332T) $4,022.40 $6,704 3.1×
Home sleep test/type 3 porta (G0399) $784.80 $1,308 3.6×
Inj for sacroiliac jt anesth (G0260) $1,485.54 $2,475.90 2.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $11,137.20 $18,562 1.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $9,633 $16,055 0.9×
Insertion perm ccm-d system pulse generator only (0916T) $15,453.60 $25,756 0.7×
Insertion wrls car stimulator lv pacg compl sys (0515T) $20,593.80 $34,323 0.9×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $5,812.80 $9,688 0.7×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $6,036.60 $10,061 0.7×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $20,158.80 $33,598 0.6×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $69,173.40 $115,289 2.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $21,426 $35,710 0.7×
Mra w/cont, abd (C8900) $3,475.80 $5,793 9.9×
Mra w/cont, chest (C8909) $3,452.40 $5,754 9.9×
Mra w/cont, lwr ext (C8912) $3,246 $5,410 9.3×
Mra w/cont, pelvis (C8918) $4,603.20 $7,672 13.2×
Mra w/o cont, abd (C8901) $3,310.20 $5,517 13.9×
Mra w/o cont, chest (C8910) $3,178.80 $5,298 13.3×
Mra w/o cont, lwr ext (C8913) $3,220.20 $5,367 13.5×
Mra w/o cont, pelvis (C8919) $3,935.40 $6,559 16.5×
Mra w/o fol w/cont, abd (C8902) $4,917 $8,195 14.1×
Mra w/o fol w/cont, chest (C8911) $4,828.80 $8,048 13.8×
Mra w/o fol w/cont, lwr ext (C8914) $4,099.80 $6,833 11.7×
Mra w/o fol w/cont, pelvis (C8920) $5,132.40 $8,554 14.7×
Mra, w/dye, upper extremity (C8934) $4,194 $6,990 12.0×
Mra, w/o dye, upper extr (C8935) $3,935.40 $6,559 16.5×
Mra, w/o&w/dye, upper extr (C8936) $4,727.40 $7,879 13.5×
Mri w/cont, breast, bi (C8906) $1,948.80 $3,248 5.6×
Mri w/cont, breast, uni (C8903) $796.80 $1,328 4.5×
Mri w/o fol w/cont, breast, (C8908) $2,007 $3,345 5.7×
Mri w/o fol w/cont, brst, un (C8905) $1,411.20 $2,352 4.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $30,074.82 $50,124.70 67.2×
No pt prsnt train initial 30 (G0541) $66 $110 2.3×
Perc d-e cor revasc chro sin (C9607) $22,844.40 $38,074 1.2×
Perc d-e cor revasc t cabg s (C9604) $20,632.80 $34,388 1.8×
Perc d-e cor stent ather s (C9602) $22,821 $38,035 1.2×
Perc drug-el cor stent sing (C9600) $21,068.40 $35,114 1.8×
Perq Sacral Augmt Bilat Inj (0201T) $10,785 $17,975 1.5×
Perq Sacral Augmt Unilat Inj (0200T) $10,271.40 $17,119 1.4×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $8,643 $14,405 0.7×
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) $21,038.61 $35,064.35 3.5×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $4,129.80 $6,883 2.0×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $4,129.80 $6,883 2.0×
Relocation skin pocket implanted ccm-d pg (0925T) $3,875.40 $6,459 1.9×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $25,958.40 $43,264 2.5×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $22,713.60 $37,856 2.2×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $7,077.60 $11,796 1.9×
Removal perm ccm-d system pulse generator only (0919T) $6,501 $10,835 1.7×
Removal Pg Wcs Lv Pacing Both Components (0861T) $8,216.40 $13,694 2.2×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $6,501 $10,835 1.7×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $1,298.40 $2,164 2.1×
Revasc intra lithotrip-ather (C9766) $24,994.80 $41,658 1.4×
Revasc intra lithotrip-stent (C9765) $25,663.20 $42,772 1.4×
Revasc intravasc lithotripsy (C9764) $14,920.80 $24,868 1.3×
Revasc lith-sten-ath tib/per (C9775) $41,048.40 $68,414 2.2×
Revasc lithotr-ather tib/per (C9774) $41,048.40 $68,414 2.2×
Revasc lithotr-stent tib/per (C9773) $41,048.40 $68,414 2.2×
Revasc lithotrip tibi/perone (C9772) $46,568.31 $77,613.85 4.0×
Revasc lithotrip-stent-ather (C9767) $41,048.40 $68,414 2.2×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $6,501 $10,835 1.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $6,501 $10,835 1.7×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $6,760.80 $11,268 1.8×
Rmvl substernal implantable defibrillator eltrd (0573T) $6,473.40 $10,789 1.7×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $6,473.40 $10,789 1.7×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $15,453.60 $25,756 0.7×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $6,096.60 $10,161 1.9×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $41,457.60 $69,096 2.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $44,633.40 $74,389 2.3×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $44,633.40 $74,389 2.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $45,079.80 $75,133 2.3×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $7,296.60 $12,161 2.3×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $7,296.60 $12,161 2.3×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $7,296.60 $12,161 2.3×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $7,296.60 $12,161 2.3×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $44,633.40 $74,389 2.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $44,633.40 $74,389 2.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $44,633.40 $74,389 2.3×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $44,633.40 $74,389 2.3×
Tee w or w/o fol w/cont,cong (C8926) $2,145 $3,575 2.7×
Tomosynthesis, mammo (G0279) $18 $30 1.4×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $39,589.20 $65,982 2.2×
Transcatheter Renal Sympath Denervation Bilat (0339T) $13,173 $21,955 2.3×
Transcatheter renal sympath denervation unilat (0338T) $13,173 $21,955 2.3×
Trim nail(s) (G0127) $109.20 $182 1.8×
Trluml Perip Athrc Renal Art (0234T) $26,560.80 $44,268 2.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $26,332.20 $43,887 2.3×
Trluml peripheral atherectomy iliac artery ea (0238T) $25,935.60 $43,226 1.4×
Tte w or w/o fol w/con,stres (C8928) $2,652 $4,420 3.4×
Tte w or w/o fol w/cont, com (C8921) $2,448.60 $4,081 3.1×
Tte w or wo fol wcon,doppler (C8929) $3,813.60 $6,356 4.9×
Unsched dialysis esrd pt hos (G0257) $1,947.60 $3,246 2.8×