Supplies, drugs & other prices at St. Francis Regional Medical Center

Shakopee, MN · every code in this section with a posted price and a Medicare benchmark.

59 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) $2,886.86 $5,155.10 3.5×
2d tte w or w/o fol w/con,fu (C8924) $591.75 $1,056.70 1.6×
Adm tocilizu covid-19 1st (M0249) $304.81 $544.30 0.7×
Adm tocilizu covid-19 2nd (M0250) $304.81 $544.30 0.7×
Admin hepatitis b vaccine (G0010) $11.87 $21.20 0.2×
Admin influenza virus vac (G0008) $14.78 $26.40 0.3×
Admin pneumococcal vaccine (G0009) $14.50 $25.90 0.3×
Behavior counsel obesity 15m (G0447) $45.36 $81 0.4×
Catheterize for urine spec (P9612) $115.78 $206.75 12.4×
Cbc without platelet (G0307) $35.78 $63.90 5.5×
Cbc/diffwbc w/o platelet (G0306) $103.43 $184.70 13.3×
Chemo extend iv infus w/pump (G0498) $748.55 $1,336.70 2.2×
Covid-19 lab test non-cdc (U0002) $138.21 $246.80 2.7×
Diab manage trn per indiv (G0108) $72.24 $129 1.3×
Diab manage trn ind/group (G0109) $40.43 $72.20 2.5×
Direct refer hospital observ (G0379) $171.36 $306 0.3×
Drug test def 1-7 classes (G0480) $64.51 $115.20 0.6×
Elec stim other than wound (G0283) $81.48 $145.50 6.4×
Fecal blood scrn immunoassay (G0328) $42.67 $76.20 2.4×
Fern test (Q0114) $69.72 $124.50 7.2×
Group mnt 2 or more 30 mins (G0271) $21.62 $38.60 1.3×
Home sleep test/type 2 porta (G0398) $1,289.96 $2,303.50 5.7×
Home sleep test/type 3 porta (G0399) $783.60 $1,399.30 3.5×
Inj for sacroiliac jt anesth (G0260) $1,469.33 $2,623.80 2.0×
Mnt subs tx for change dx (G0270) $30.24 $54 1.0×
Mra w/cont, abd (C8900) $2,079 $3,712.50 5.7×
Mra w/cont, chest (C8909) $1,923.10 $3,434.10 5.3×
Mra w/cont, lwr ext (C8912) $2,310.06 $4,125.10 6.3×
Mra w/cont, pelvis (C8918) $1,930.49 $3,447.30 5.3×
Mra w/o cont, abd (C8901) $1,648.42 $2,943.60 6.6×
Mra w/o cont, chest (C8910) $1,820 $3,250 7.3×
Mra w/o cont, lwr ext (C8913) $1,648.42 $2,943.60 6.6×
Mra w/o cont, pelvis (C8919) $1,654.63 $2,954.70 6.6×
Mra w/o fol w/cont, abd (C8902) $3,234.06 $5,775.10 8.9×
Mra w/o fol w/cont, chest (C8911) $3,465.11 $6,187.70 9.5×
Mra w/o fol w/cont, lwr ext (C8914) $4,158.28 $7,425.50 11.4×
Mra w/o fol w/cont, pelvis (C8920) $2,206.29 $3,939.80 6.0×
Mra, w/o&w/dye, upper extr (C8936) $2,481.08 $4,430.50 6.8×
Mri w/cont, breast, bi (C8906) $791.11 $1,412.70 2.2×
Mri w/cont, breast, uni (C8903) $791.11 $1,412.70 4.3×
Mri w/o fol w/cont, breast, (C8908) $1,386 $2,475 3.8×
Mri w/o fol w/cont, brst, un (C8905) $1,265.54 $2,259.90 3.5×
Njx pltlt plasma w/img harvest/preparation (0232T) $503.94 $899.90 1.1×
Obtaining screen pap smear (Q0091) $23.91 $42.70 0.8×
Oth resp proc, group (G0239) $48.16 $86 1.2×
Oth resp proc, indiv (G0238) $58.91 $105.20 1.9×
Prostate biopsy, any mthd (G0416) $205.07 $366.20 0.5×
Psa screening (G0103) $29.01 $51.80 1.5×
Scr c/v cyto,thinlayer,rescr (G0145) $89.82 $160.40 3.4×
Screen cerv/vag thin layer (G0123) $128.52 $229.50 6.3×
Tee w or w/o fol w/cont,cong (C8926) $4,853.86 $8,667.60 5.9×
Therapeutic procd strg endur (G0237) $58.91 $105.20 1.9×
Tomosynthesis, mammo (G0279) $29.06 $51.90 2.3×
Trauma respons w/hosp criti (G0390) $1,823.47 $3,256.20 1.3×
Trim nail(s) (G0127) $82.94 $148.10 1.3×
Tte w or w/o contr, cont ecg (C8930) $1,833.22 $3,273.60 2.2×
Tte w or w/o fol w/con,stres (C8928) $2,742.54 $4,897.40 3.3×
Tte w or wo fol wcon,doppler (C8929) $1,347.14 $2,405.60 1.6×
Unsched dialysis esrd pt hos (G0257) $1,854.89 $3,312.30 2.6×