Supplies, drugs & other prices at St. John's Medical Center
Jackson, WY · every code in this section with a posted price and a Medicare benchmark.
71 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$1,490–$1,696 | $1,490–$1,696 | varies |
| Admin hepatitis b vaccine (G0010) | $65 | $65 | 1.4× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$35–$55 | $35–$55 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$40–$65 | $40–$65 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $92 | $92 | 2.4× |
| Alcohol/subs interv >30 min (G0397) | $174 | $174 | 1.0× |
| Annual alcohol screen 15 min (G0442) | $46 | $46 | 1.2× |
| Arthro/shoul surg; w/spacer (C9781) | $17,600 | $17,600 | 1.3× |
| Behavior counsel obesity 15m (G0447) | $64 | $64 | 0.6× |
| Brief alcohol misuse counsel (G0443) | $64 | $64 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $366 | $366 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$96–$150 | $96–$150 | varies |
| Cardiokymography (Q0035) | $54 | $54 | 1.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$645–$1,038 | $645–$1,038 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$645–$1,038 | $645–$1,038 | varies |
| Demonstrate use home inr mon (G0248) | $285 | $285 | 2.1× |
| Depression screen annual (G0444) | $46 | $46 | 1.2× |
| Dermal filler injection(s) (G0429) | $256 | $256 | 0.1× |
| Devlopment test interpt&rep (G0451) | $23 | $23 | 0.2× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$125–$140 | $125–$140 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$48–$85 | $48–$85 | varies |
| Ed svc ckd grp per session (G0421) | $63 | $63 | 2.3× |
| Ed svc ckd ind per session (G0420) | $268 | $268 | 2.4× |
| Ekg tracing for initial prev (G0404) | $26 | $26 | 0.9× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$34–$97 | $34–$97 | varies |
| Elec stim unattend for press (G0281) | $34 | $34 | 2.9× |
| Electromagntic tx for ulcers (G0329) | $26 | $26 | 2.4× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $4,500 | $4,500 | 0.7× |
| Extrnl counterpulse, per tx (G0166) | $360 | $360 | 2.6× |
| Fecal microbiota prep instil (G0455) | $350 | $350 | 0.4× |
| Followup eval of foot pt lop (G0246) | $96 | $96 | 0.7× |
| Glaucoma scrn hgh risk direc (G0118) | $99 | $99 | 2.6× |
| Glaucoma scrn hgh risk direc (G0117) | $139 | $139 | 4.7× |
| Group mnt 2 or more 30 mins (G0271) | $39 | $39 | 2.3× |
| Hep c screen high risk/other (G0472) | $25 | $25 | 0.5× |
| Hepb screen high risk indiv (G0499) | $322 | $322 | 11.4× |
| High inten beh couns std 30m (G0445) | $66 | $66 | 0.6× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$252–$668 | $252–$668 | varies |
| Hospital outpt clinic visit (G0463) | $170 | $170 | 1.2× |
| Initial foot exam pt lops (G0245) | $163 | $163 | 1.2× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$412–$640 | $412–$640 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,411 | $1,411 | 2.0× |
| Intens behave ther cardio dx (G0446) | $64 | $64 | 1.7× |
| Intens cardiac rehab no exer (G0423) | $211 | $211 | 1.6× |
| Intens cardiac rehab w/exerc (G0422) | $201 | $201 | 1.5× |
| Mnt subs tx for change dx (G0270) | $77 | $77 | 2.4× |
| Non-ophthalmic fva (C9733) | $2,500 | $2,500 | 7.0× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$115–$180 | $115–$180 | varies |
| Open tx iliac spine uni/bil (G0412) likely a partial charge, not the full procedure |
$1,870 | $1,870 | 0.3× |
| Open tx post pelvic fxcture (G0415) | $3,538 | $3,538 | 1.1× |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$33–$225 | $33–$225 | varies |
| Oth resp proc, indiv (G0238) | $29 | $29 | 1.0× |
| Pelvic ring fracture uni/bil (G0413) unusually low: confirm this is the full procedure |
$2,748 | $2,748 | 0.4× |
| Pelvic ring fx treat int fix (G0414) unusually low: confirm this is the full procedure |
$2,572 | $2,572 | 0.3× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$270–$640 | $270–$640 | varies |
| Ppps, subseq visit (G0439) range across 3 matching MRF lines |
$215–$510 | $215–$510 | varies |
| Prostate biopsy, any mthd (G0416) | $1,680 | $1,680 | 4.6× |
| Provide inr test mater/equip (G0249) | $281 | $281 | 2.1× |
| Psa screening (G0103) range across 3 matching MRF lines |
$80–$130 | $80–$130 | varies |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) | $1,049 | $1,049 | 1.1× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) | $1,050 | $1,050 | 1.1× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,379 | $1,379 | 1.5× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,068 | $1,068 | 1.1× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) | $630 | $630 | 0.2× |
| Routine footcare pt w lops (G0247) | $188 | $188 | 0.9× |
| Single energy x-ray study (G0130) | $87 | $87 | 0.8× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$27–$183 | $27–$183 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$10,406–$11,858 | $10,406–$11,858 | varies |
| Trim nail(s) (G0127) | $59 | $59 | 1.0× |
| Tte w or w/o fol w/con,stres (C8928) | $1,850 | $1,850 | 2.3× |
| Tte w or wo fol wcon,doppler (C8929) | $2,188 | $2,188 | 2.7× |
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.