Supplies, drugs & other prices at St. Luke's Hospital
Chesterfield, MO · every code in this section with a posted price and a Medicare benchmark.
83 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $496.14 | $826.90 | 1.4× |
| Admin hepatitis b vaccine (G0010) | $49.68 | $82.80 | 1.1× |
| Admin influenza virus vac (G0008) | $35.94 | $59.90 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $35.88 | $59.80 | 0.8× |
| Behavior counsel obesity 15m (G0447) | $120 | $200 | 1.2× |
| Colon ca scrn not hi rsk ind (G0121) | $207.38 | $345.64 | 0.2× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$1,290 | $2,150 | 0.2× |
| Diab manage trn per indiv (G0108) | $120 | $200 | 2.2× |
| Direct refer hospital observ (G0379) | $360 | $600 | 0.6× |
| Elec stim other than wound (G0283) | $39.84 | $66.40 | 3.1× |
| Group behave couns 2-10 (G0473) | $60 | $100 | 1.6× |
| Hbot, full body chamber, 30m (G0277) | $216.20 | $360.33 | 1.6× |
| Home sleep test/type 3 porta (G0399) | $372 | $620 | 1.7× |
| Home sleep test/type 4 porta (G0400) | $372 | $620 | 1.7× |
| Hospital outpt clinic visit (G0463) | $166.20 | $277 | 1.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $36,965.02 | $61,608.36 | 1.2× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $12,154.55 | $20,257.58 | 1.5× |
| Intens cardiac rehab no exer (G0423) | $219.60 | $366 | 1.7× |
| Intens cardiac rehab w/exerc (G0422) | $219.60 | $366 | 1.7× |
| Lev 1 hosp type b ed visit (G0380) | $135 | $225 | 1.8× |
| Lev 2 hosp type b ed visit (G0381) | $162 | $270 | 1.7× |
| Lev 3 hosp type b ed visit (G0382) | $192 | $320 | 1.1× |
| Lev 4 hosp type b ed visit (G0383) | $240 | $400 | 0.9× |
| Lev 5 hosp type b ed visit (G0384) | $270 | $450 | 0.7× |
| Liver dis 10 assays w/nash (0003M) | $517.50 | $862.50 | 1.0× |
| Mra w/cont, abd (C8900) | $1,376.22 | $2,293.70 | 3.9× |
| Mra w/cont, chest (C8909) | $995.76 | $1,659.60 | 2.8× |
| Mra w/cont, lwr ext (C8912) | $1,108.56 | $1,847.60 | 3.2× |
| Mra w/cont, pelvis (C8918) | $995.76 | $1,659.60 | 2.8× |
| Mra w/o cont, abd (C8901) | $878.16 | $1,463.60 | 3.7× |
| Mra w/o cont, chest (C8910) | $923.04 | $1,538.40 | 3.9× |
| Mra w/o cont, lwr ext (C8913) | $1,028.16 | $1,713.60 | 4.3× |
| Mra w/o cont, pelvis (C8919) | $923.04 | $1,538.40 | 3.9× |
| Mra w/o fol w/cont, abd (C8902) | $1,467.06 | $2,445.10 | 4.2× |
| Mra w/o fol w/cont, chest (C8911) | $1,425 | $2,375 | 4.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,882.56 | $3,137.60 | 5.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,425 | $2,375 | 4.1× |
| Mra, w/dye, spinal canal (C8931) | $995.76 | $1,659.60 | 2.8× |
| Mra, w/dye, upper extremity (C8934) | $1,210.38 | $2,017.30 | 3.5× |
| Mra, w/o dye, spinal canal (C8932) | $923.04 | $1,538.40 | 3.9× |
| Mra, w/o dye, upper extr (C8935) | $923.04 | $1,538.40 | 3.9× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,425 | $2,375 | 4.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,425 | $2,375 | 4.1× |
| Mri w/cont, breast, bi (C8906) | $1,835.40 | $3,059 | 5.3× |
| Mri w/cont, breast, uni (C8903) | $1,118.40 | $1,864 | 6.4× |
| Mri w/o fol w/cont, breast, (C8908) | $2,019 | $3,365 | 5.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,333.80 | $2,223 | 3.8× |
| Oth resp proc, group (G0239) | $126 | $210 | 3.4× |
| Perc d-e cor revasc chro sin (C9607) | $18,295.80 | $30,493 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $11,684.58 | $19,474.30 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $18,682.49 | $31,137.48 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $11,438.40 | $19,064 | 1.0× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $6,840 | $11,400 | 0.6× |
| Place device/marker, non pro (C9728) | $1,260 | $2,100 | 0.9× |
| Prolonged iv inf, req pump (C8957) | $126 | $210 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $2,552.40 | $4,254 | 7.1× |
| Psa screening (G0103) | $129.06 | $215.10 | 6.7× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,350 | $2,250 | 1.4× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $275.52 | $459.20 | 1.2× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,195.08 | $3,658.46 | 1.1× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $3,861.64 | $6,436.06 | 1.0× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $6,031.67 | $10,052.79 | 1.6× |
| Revasc intra lithotrip-stent (C9765) | $20,410.33 | $34,017.22 | 1.1× |
| Screen cerv/vag thin layer (G0123) | $72.96 | $121.60 | 3.6× |
| Screen pap by tech w md supv (P3000) | $46.14 | $76.90 | 2.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $21,677.04 | $36,128.40 | 1.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $21,677.04 | $36,128.40 | 1.1× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $21,677.04 | $36,128.40 | 1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $21,677.04 | $36,128.40 | 1.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $3,577.57 | $5,962.62 | 1.1× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $3,577.57 | $5,962.62 | 1.1× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $3,577.57 | $5,962.62 | 1.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $21,677.04 | $36,128.40 | 1.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $21,677.04 | $36,128.40 | 1.1× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $21,677.04 | $36,128.40 | 1.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $8,168.76 | $13,614.60 | 1.4× |
| Tomosynthesis, mammo (G0279) | $42 | $70 | 3.3× |
| Trim nail(s) (G0127) | $85.74 | $142.90 | 1.5× |
| Trluml Perip Athrc Renal Art (0234T) | $10,434 | $17,390 | 0.9× |
| Tte w or w/o fol w/con,stres (C8928) | $1,072.14 | $1,786.90 | 1.4× |
| Tte w or w/o fol w/cont, com (C8921) | $1,631.58 | $2,719.30 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,700.34 | $2,833.90 | 2.2× |
| Unsched dialysis esrd pt hos (G0257) | $696.78 | $1,161.30 | 1.0× |