Supplies, drugs & other prices at St. Lukes Hospital
Cedar Rapids, IA · every code in this section with a posted price and a Medicare benchmark.
116 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) | $2,080.16 | $2,600.19 | 2.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $807.65 | $1,009.56 | 2.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $4,182.75 | $5,228.43 | 2.2× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $14,431.09 | $18,038.86 | 1.7× |
| Adm tocilizu covid-19 1st (M0249) | $661.25 | $826.56 | 1.6× |
| Adm tocilizu covid-19 2nd (M0250) | $661.25 | $826.56 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $77.18 | $96.47 | 1.7× |
| Admin influenza virus vac (G0008) | $116.49 | $145.61 | 2.6× |
| Admin pneumococcal vaccine (G0009) | $88.76 | $110.94 | 2.0× |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,253.16 | $1,566.44 | 1.0× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $110 | $137.50 | 3.5× |
| Behavior counsel obesity 15m (G0447) | $68.76 | $85.95 | 0.7× |
| Comt gene analysis c.472g>a variant (0032U) | $167.82 | $209.77 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $49.26 | $61.57 | 1.0× |
| Cyp1a2 gene analysis common variants (0031U) | $167.82 | $209.77 | 1.0× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $649.32 | $811.64 | 1.0× |
| Devlopment test interpt&rep (G0451) | $364.34 | $455.42 | 3.7× |
| Diab manage trn per indiv (G0108) | $95.70 | $119.62 | 1.7× |
| Diab manage trn ind/group (G0109) | $54.99 | $68.73 | 3.4× |
| Direct refer hospital observ (G0379) | $132.70 | $165.87 | 0.2× |
| Drug test def 1-7 classes (G0480) | $126.43 | $158.03 | 1.1× |
| Drug test def 15-21 classes (G0482) | $294.28 | $367.84 | 1.5× |
| Drug test def 22+ classes (G0483) | $294.28 | $367.84 | 1.2× |
| Drug test def 8-14 classes (G0481) | $294.28 | $367.84 | 1.9× |
| Eia hiv-1/hiv-2 screen (G0432) | $48.57 | $60.71 | 2.5× |
| Ekg tracing for initial prev (G0404) | $243.11 | $303.88 | 8.7× |
| Elec stim other than wound (G0283) | $119.88 | $149.85 | 9.4× |
| Elisa hiv-1/hiv-2 screen (G0433) | $48.57 | $60.71 | 2.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $21,694.72 | $27,118.40 | 1.9× |
| Fecal blood scrn immunoassay (G0328) | $64.28 | $80.35 | 3.6× |
| Fern test (Q0114) | $56.44 | $70.54 | 5.8× |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $391.14 | $488.92 | 1.0× |
| Group behave couns 2-10 (G0473) | $61.96 | $77.44 | 1.7× |
| Hbot, full body chamber, 30m (G0277) | $587.93 | $734.91 | 4.4× |
| Hep c screen high risk/other (G0472) | $110 | $137.50 | 2.4× |
| Hepb screen high risk indiv (G0499) | $110 | $137.50 | 3.9× |
| Hopd mntl hlt, 15-29 min (C7900) | $69.84 | $87.30 | 1.9× |
| Hopd mntl hlt, 30-60 min (C7901) | $178.52 | $223.14 | 1.8× |
| Hopd mntl hlt, grp (C7903) | $116.48 | $145.60 | 3.2× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$232.03–$546.41 | $290.03–$683.01 | varies |
| Hpv combo assay ca screen (G0476) | $67.15 | $83.93 | 1.9× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $110 | $137.50 | 2.5× |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$677.86–$3,795.04 | $847.32–$4,743.80 | varies |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $65,331.98 | $81,664.97 | 2.2× |
| Instlj fecal microbiota ssp (0780T) | $262.91 | $328.63 | 2.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $127.86 | $159.82 | 1.0× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $483.27 | $604.08 | 1.0× |
| Mnt subs tx for change dx (G0270) | $67.72 | $84.65 | 2.1× |
| Mra w/cont, abd (C8900) | $3,000.74 | $3,750.92 | 8.9× |
| Mra w/cont, lwr ext (C8912) | $2,725.41 | $3,406.76 | 8.1× |
| Mra w/cont, pelvis (C8918) | $2,906.88 | $3,633.59 | 8.6× |
| Mra w/o cont, abd (C8901) | $2,464.94 | $3,081.17 | 10.7× |
| Mra w/o cont, chest (C8910) | $2,183.48 | $2,729.34 | 9.5× |
| Mra w/o cont, lwr ext (C8913) | $2,725.41 | $3,406.76 | 11.8× |
| Mra w/o cont, pelvis (C8919) | $2,906.88 | $3,633.59 | 12.6× |
| Mra w/o fol w/cont, abd (C8902) | $3,617.08 | $4,521.34 | 10.7× |
| Mra w/o fol w/cont, chest (C8911) | $3,596.18 | $4,495.22 | 10.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,725.41 | $3,406.76 | 8.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,906.88 | $3,633.59 | 8.6× |
| Mra, w/dye, upper extremity (C8934) | $2,687.58 | $3,359.47 | 8.0× |
| Mra, w/o dye, upper extr (C8935) | $2,582.69 | $3,228.36 | 11.2× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,072.52 | $3,840.65 | 9.1× |
| Mri w/cont, breast, bi (C8906) | $2,891.22 | $3,614.02 | 8.6× |
| Mri w/cont, breast, uni (C8903) | $2,238.93 | $2,798.66 | 13.2× |
| Mri w/o fol w/cont, breast, (C8908) | $3,854.56 | $4,818.19 | 11.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,985.25 | $3,731.56 | 8.8× |
| Neuro csf prion prtn qual (0035U) | $519.36 | $649.19 | 1.0× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $192 | $240 | 1.0× |
| Non-ophthalmic fva (C9733) | $848.69 | $1,060.86 | 2.5× |
| Obtaining screen pap smear (Q0091) | $55 | $68.75 | 2.0× |
| Onc brst dux carc is mrna 12 genes alg rsk scor (0045U) | $3,718.08 | $4,647.60 | 1.0× |
| Oral hiv-1/hiv-2 screen (G0435) | $38.58 | $48.22 | 3.2× |
| Oth resp proc, group (G0239) | $227.34 | $284.17 | 6.3× |
| Pathogen test for platelets (P9100) | $70 | $87.49 | 1.2× |
| Pemivibart infusion (M0224) | $661.25 | $826.56 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) | $21,583.93 | $26,979.91 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $18,116.76 | $22,645.94 | 1.6× |
| Perc d-e cor stent ather s (C9602) | $21,584.07 | $26,980.08 | 1.2× |
| Perc drug-el cor stent sing (C9600) | $18,116.76 | $22,645.94 | 1.6× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) | $37,056.40 | $46,320.49 | 2.1× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $81.70 | $102.12 | 2.3× |
| Prolonged iv inf, req pump (C8957) | $911.36 | $1,139.19 | 4.4× |
| Prostate biopsy, any mthd (G0416) | $328.79 | $410.98 | 0.9× |
| Psa screening (G0103) | $64.28 | $80.35 | 3.3× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $1,355.80 | $1,694.74 | 2.2× |
| Quan CT tiss charac w/o CT (0721T) | $1,355.80 | $1,694.74 | 2.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $691.20 | $864 | 1.0× |
| Revasc intra lithotrip-ather (C9766) | $33,873.02 | $42,341.27 | 1.9× |
| Revasc intra lithotrip-stent (C9765) | $33,873.02 | $42,341.27 | 1.9× |
| Revasc intravasc lithotripsy (C9764) | $21,185.19 | $26,481.48 | 1.9× |
| Revasc lith-sten-ath tib/per (C9775) | $33,873.02 | $42,341.27 | 1.9× |
| Revasc lithotr-ather tib/per (C9774) | $33,873.02 | $42,341.27 | 1.9× |
| Revasc lithotr-stent tib/per (C9773) | $33,873.02 | $42,341.27 | 1.9× |
| Revasc lithotrip tibi/perone (C9772) | $21,185.19 | $26,481.48 | 1.9× |
| Revasc lithotrip-stent-ather (C9767) | $33,873.02 | $42,341.27 | 1.9× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $712.58 | $890.72 | 1.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $55 | $68.75 | 2.1× |
| Screen cerv/vag thin layer (G0123) | $55 | $68.75 | 2.7× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $48.57 | $60.71 | 2.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $37,567.29 | $46,959.11 | 2.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $38,694.31 | $48,367.88 | 2.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $38,694.31 | $48,367.88 | 2.1× |
| Tee w or w/o fol w/cont,cong (C8926) | $2,213.03 | $2,766.28 | 2.9× |
| Therapeutic procd strg endur (G0237) | $122.04 | $152.54 | 4.4× |
| Tomosynthesis, mammo (G0279) | $31.84 | $39.79 | 2.5× |
| Tpmt and Nudt15 Genotype (0034U) | $447.52 | $559.40 | 1.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,048.84–$2,315.28 | $2,561.04–$2,894.10 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,360 | $4,200 | 1.0× |
| Trluml perip athrc abd aorta (0236T) | $19,937.52 | $24,921.90 | 1.8× |
| Trluml Perip Athrc Iliac Art (0238T) | $19,719.29 | $24,649.11 | 1.1× |
| Tte w or w/o contr, cont ecg (C8930) | $2,329.76 | $2,912.19 | 3.1× |
| Tte w or w/o fol w/con,stres (C8928) | $2,329.76 | $2,912.19 | 3.1× |
| Tte w or w/o fol w/cont, com (C8921) | $2,213.03 | $2,766.28 | 2.9× |
| Tte w or w/o fol w/cont, f/u (C8922) | $2,213.03 | $2,766.28 | 2.9× |
| Tte w or wo fol wcon,doppler (C8929) | $2,329.76 | $2,912.19 | 3.1× |
| Unsched dialysis esrd pt hos (G0257) | $1,939.26 | $2,424.07 | 2.9× |
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.