Supplies, drugs & other prices at Saint Luke's Hospital of Kansas City

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

110 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) $3,566.40 $5,944 4.5×
2d tte w or w/o fol w/con,co (C8923) $1,881.60 $3,136 2.4×
2d tte w or w/o fol w/con,fu (C8924) $880.20 $1,467 2.5×
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) $1,798.80 $2,998 5.4×
Direct refer hospital observ (G0379) $1,369.80 $2,283 2.3×
Elec stim other than wound (G0283) $139.20 $232 11.0×
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×
Heart symp image plnr (0331T) $4,017.60 $6,696 3.1×
Heart symp image plnr spect (0332T) $4,017.60 $6,696 3.1×
Home sleep test/type 3 porta (G0399) $783.60 $1,306 3.6×
Inj for sacroiliac jt anesth (G0260) $1,917.48 $3,195.80 2.7×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $2,751.90 $4,586.50 3.1×
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×
Instill pharm renal pelvis (C9789) $5,081.40 $8,469 4.1×
Mra w/cont, abd (C8900) $1,840.80 $3,068 5.3×
Mra w/cont, chest (C8909) $2,606.40 $4,344 7.5×
Mra w/cont, lwr ext (C8912) $1,890.60 $3,151 5.4×
Mra w/cont, pelvis (C8918) $798.60 $1,331 2.3×
Mra w/o cont, abd (C8901) $1,753.20 $2,922 7.3×
Mra w/o cont, chest (C8910) $2,369.40 $3,949 9.9×
Mra w/o cont, lwr ext (C8913) $2,316.90 $3,861.50 9.7×
Mra w/o cont, pelvis (C8919) $2,132.40 $3,554 8.9×
Mra w/o fol w/cont, abd (C8902) $3,158.40 $5,264 9.0×
Mra w/o fol w/cont, chest (C8911) $3,055.20 $5,092 8.7×
Mra w/o fol w/cont, lwr ext (C8914) $2,734.20 $4,557 7.8×
Mra w/o fol w/cont, pelvis (C8920) $3,308.40 $5,514 9.5×
Mra, w/o&w/dye, spinal canal (C8933) $3,308.40 $5,514 9.5×
Mra, w/o&w/dye, upper extr (C8936) $2,734.20 $4,557 7.8×
Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia, by signal acquisition using minimum… (0541T) $1,141.80 $1,903 3.1×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $2,751.90 $4,586.50 3.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $38,846.25 $64,743.75 86.8×
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) $11,691 $19,485 1.6×
Perq Sacral Augmt Unilat Inj (0200T) $11,461.80 $19,103 1.6×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $8,643 $14,405 0.7×
Place device/marker, non pro (C9728) $3,752.40 $6,254 2.7×
Potassium hydroxide preps (Q0112) $61.80 $103 10.6×
Ppps, initial visit (G0438) $174.60 $291 1.0×
Ppps, subseq visit (G0439) $138.60 $231 1.0×
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) $43,861.85 $73,103.08 3.8×
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) $2,062.80 $3,438 2.6×
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) $130.80 $218 2.2×
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) $3,061.20 $5,102 3.9×
Tte w or w/o fol w/cont, com (C8921) $1,883.40 $3,139 2.4×
Tte w or w/o fol w/cont, f/u (C8922) $888.60 $1,481 1.1×
Tte w or wo fol wcon,doppler (C8929) $4,520.40 $7,534 5.8×
Unsched dialysis esrd pt hos (G0257) $1,947.60 $3,246 2.8×
Wet mounts/ w preparations (Q0111) $168 $280 9.1×