Supplies, drugs & other prices at St. Johns Hospital
Springfield, IL · every code in this section with a posted price and a Medicare benchmark.
100 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,693.60 | $5,130 | 4.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,332 | $1,850 | 3.6× |
| Admin hepatitis b vaccine (G0010) | $110.88 | $154 | 2.2× |
| Admin influenza virus vac (G0008) | $116.64 | $162 | 2.3× |
| Admin pneumococcal vaccine (G0009) | $116.64 | $162 | 2.3× |
| Ca screen;flexi sigmoidscope (G0104) | $1,992.24 | $2,767 | 2.0× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$114.48–$170.64 | $159–$237 | varies |
| Chemo extend iv infus w/pump (G0498) | $745.92 | $1,036 | 2.1× |
| Direct refer hospital observ (G0379) | $1,151.28 | $1,599 | 1.8× |
| Drug test def 1-7 classes (G0480) range across 6 matching MRF lines |
$144–$256.32 | $200–$356 | varies |
| Drug test def 22+ classes (G0483) | $581.76 | $808 | 2.4× |
| Elec stim other than wound (G0283) | $310.32 | $431 | 24.5× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $3,559.68 | $4,944 | 2.7× |
| Elisa hiv-1/hiv-2 screen (G0433) | $121.68 | $169 | 6.7× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $6,798.24 | $9,442 | 2.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) range across 2 matching MRF lines |
$24,495.84–$25,292.88 | $34,022–$35,129 | varies |
| Extrnl counterpulse, per tx (G0166) | $583.92 | $811 | 4.1× |
| Hbot, full body chamber, 30m (G0277) | $826.56 | $1,148 | 5.6× |
| Hospital outpt clinic visit (G0463) | $278.64 | $387 | 2.0× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $243.36 | $338 | 5.6× |
| Inj for sacroiliac jt anesth (G0260) | $3,245.76 | $4,508 | 4.3× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $17,876.16 | $24,828 | 2.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $49,808.16 | $69,178 | 2.1× |
| Insj Wcs Lv Eltrd Only (0516T) | $22,605.12 | $31,396 | 2.0× |
| Insj Wcs Lv Pg Compnt (0517T) | $22,605.12 | $31,396 | 2.0× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $69,253.20 | $96,185 | 2.1× |
| Intens cardiac rehab no exer (G0423) | $275.04 | $382 | 2.0× |
| Intens cardiac rehab w/exerc (G0422) | $275.04 | $382 | 2.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $548.64 | $762 | 4.5× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,056.24 | $1,467 | 2.1× |
| Mra w/cont, abd (C8900) | $4,043.52 | $5,616 | 10.8× |
| Mra w/cont, chest (C8909) | $3,594.24 | $4,992 | 9.6× |
| Mra w/cont, lwr ext (C8912) | $3,700.80 | $5,140 | 9.9× |
| Mra w/cont, pelvis (C8918) | $3,264.48 | $4,534 | 8.7× |
| Mra w/o cont, abd (C8901) | $2,955.60 | $4,105 | 11.6× |
| Mra w/o cont, chest (C8910) | $2,880.72 | $4,001 | 11.3× |
| Mra w/o cont, lwr ext (C8913) | $3,251.52 | $4,516 | 12.7× |
| Mra w/o cont, pelvis (C8919) | $3,231.36 | $4,488 | 12.6× |
| Mra w/o fol w/cont, abd (C8902) | $5,086.80 | $7,065 | 13.6× |
| Mra w/o fol w/cont, chest (C8911) | $3,680.64 | $5,112 | 9.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,858.48 | $5,359 | 10.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,296.88 | $4,579 | 8.8× |
| Mra, w/dye, upper extremity (C8934) | $3,801.60 | $5,280 | 10.2× |
| Mra, w/o dye, upper extr (C8935) | $3,085.92 | $4,286 | 12.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $3,270.24 | $4,542 | 8.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,932.64 | $5,462 | 10.5× |
| Mri w/cont, breast, uni (C8903) | $3,501.36 | $4,863 | 18.6× |
| Mri w/o fol w/cont, breast, (C8908) | $5,131.44 | $7,127 | 13.7× |
| Mri w/o fol w/cont, brst, un (C8905) | $4,052.88 | $5,629 | 10.8× |
| Neuro csf prion prtn qual (0035U) | $1,044.72 | $1,451 | 1.9× |
| Oth resp proc, group (G0239) | $108 | $150 | 2.7× |
| Oth resp proc, indiv (G0238) | $75.60 | $105 | 2.4× |
| Perc d-e cor revasc chro sin (C9607) | $38,786.40 | $53,870 | 2.0× |
| Perc d-e cor revasc t cabg s (C9604) | $24,515.28 | $34,049 | 2.0× |
| Perc d-e cor stent ather s (C9602) | $38,786.40 | $53,870 | 2.0× |
| Perc drug-el cor stent sing (C9600) | $24,515.28 | $34,049 | 2.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $12,316.32 | $17,106 | 1.0× |
| Place endorectal app (C9725) | $1,896.48 | $2,634 | 1.9× |
| Prolonged iv inf, req pump (C8957) | $3,536.64 | $4,912 | 15.5× |
| Psa screening (G0103) | $185.76 | $258 | 9.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $1,365.84 | $1,897 | 1.9× |
| Removal Ss Dfb Electrode (0573T) | $7,877.52 | $10,941 | 2.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $7,860.96 | $10,918 | 2.0× |
| Revasc intra lithotrip-ather (C9766) | $38,786.40 | $53,870 | 2.0× |
| Revasc intra lithotrip-stent (C9765) | $38,786.40 | $53,870 | 2.0× |
| Revasc intravasc lithotripsy (C9764) | $24,495.84 | $34,022 | 2.0× |
| Revasc lith-sten-ath tib/per (C9775) | $38,786.40 | $53,870 | 2.0× |
| Revasc lithotr-ather tib/per (C9774) | $38,786.40 | $53,870 | 2.0× |
| Revasc lithotr-stent tib/per (C9773) | $38,786.40 | $53,870 | 2.0× |
| Revasc lithotrip tibi/perone (C9772) | $24,495.84 | $34,022 | 2.0× |
| Revasc lithotrip-stent-ather (C9767) | $38,786.40 | $53,870 | 2.0× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $22,605.12 | $31,396 | 2.0× |
| Rmvl Pg Compnt Wcs (0518T) | $7,860.96 | $10,918 | 2.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $7,877.52 | $10,941 | 2.0× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $49,808.16 | $69,178 | 4.4× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $48,484.08 | $67,339 | 2.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $219.60 | $305 | 8.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $41,193.36 | $57,213 | 2.0× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $41,193.36 | $57,213 | 2.0× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $41,193.36 | $57,213 | 2.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $41,193.36 | $57,213 | 2.0× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $6,798.24 | $9,442 | 2.0× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $6,798.24 | $9,442 | 2.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $6,798.24 | $9,442 | 2.0× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $6,798.24 | $9,442 | 2.0× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $41,193.36 | $57,213 | 2.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $41,193.36 | $57,213 | 2.0× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $41,193.36 | $57,213 | 2.0× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $41,193.36 | $57,213 | 2.0× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $12,315.60 | $17,105 | 2.0× |
| Therapeutic procd strg endur (G0237) | $75.60 | $105 | 2.4× |
| Tomosynthesis, mammo (G0279) | $95.76 | $133 | 7.5× |
| Tpmt and Nudt15 Genotype (0034U) | $843.84 | $1,172 | 1.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $18,010.80 | $25,015 | 3.0× |
| Transcatheter renal sympath denervation unilat (0338T) | $12,315.60 | $17,105 | 2.0× |
| Trauma respons w/hosp criti (G0390) range across 5 matching MRF lines |
$7,218.72–$7,277.76 | $10,026–$10,108 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $38,786.40 | $53,870 | 2.0× |
| Tte w or w/o fol w/con,stres (C8928) | $2,036.16 | $2,828 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $3,414.24 | $4,742 | 4.1× |
| Unsched dialysis esrd pt hos (G0257) | $4,767.12 | $6,621 | 6.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.