Supplies, drugs & other prices at St. Luke Community Hospital
Ronan, MT · every code in this section with a posted price and a Medicare benchmark.
40 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) | — | $1,173.40 | — |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | — | $200 | — |
| Adm of soc dtr assess 5-15 m (G0136) | — | $35 | — |
| Admin hepatitis b vaccine (G0010) | — | $31 | — |
| Admin influenza virus vac (G0008) | — | $31 | — |
| Admin pneumococcal vaccine (G0009) | — | $31 | — |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
— | $100–$536.90 | — |
| Chemo extend iv infus w/pump (G0498) | — | $685.80 | — |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
— | $425.30–$946 | — |
| Colorectal scrn; hi risk ind (G0105) range across 3 matching MRF lines |
— | $426–$945.20 | — |
| Depression screen annual (G0444) | — | $35 | — |
| Diab manage trn per indiv (G0108) | — | $90 | — |
| Diab manage trn ind/group (G0109) | — | $30 | — |
| Direct refer hospital observ (G0379) | — | $105.25 | — |
| Ekg tracing for initial prev (G0404) | — | $138.60 | — |
| Elec stim other than wound (G0283) | — | $32 | — |
| Group mnt 2 or more 30 mins (G0271) | — | $30 | — |
| Hiv combination assay (G0475) | — | $161.70 | — |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | — | $241 | — |
| Initial preventive exam (G0402) | — | $274 | — |
| Inj for sacroiliac jt anesth (G0260) | — | $1,368 | — |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | — | $1,210 | — |
| Mnt subs tx for change dx (G0270) | — | $52.15 | — |
| Mra w/cont, abd (C8900) | — | $163.80 | — |
| Mra w/cont, chest (C8909) | — | $229.30 | — |
| Mra w/cont, lwr ext (C8912) | — | $150.85 | — |
| Mra w/o cont, chest (C8910) | — | $201.10 | — |
| Mra w/o cont, lwr ext (C8913) | — | $132.20 | — |
| Mri w/cont, breast, bi (C8906) | — | $425.20 | — |
| Mri w/cont, breast, uni (C8903) | — | $324.20 | — |
| Obtaining screen pap smear (Q0091) | — | $74 | — |
| Ppps, initial visit (G0438) | — | $285 | — |
| Ppps, subseq visit (G0439) | — | $209 | — |
| Psa screening (G0103) range across 2 matching MRF lines |
— | $51.15–$130.10 | — |
| Scr c/v cyto, automated sys (G0147) | — | $35 | — |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
— | $100–$112 | — |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
— | $530–$1,265 | — |
| Tte w or w/o fol w/con,stres (C8928) | — | $1,539.95 | — |
| Tte w or wo fol wcon,doppler (C8929) | — | $1,539.95 | — |
| Wet mounts/ w preparations (Q0111) | — | $26.10 | — |
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.