Visits & medical services prices at St. Luke's Hospital

Chesterfield, MO · every code in this section with a posted price and a Medicare benchmark.

263 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $7,455.60 $12,426 1.0×
Actigraphy testing recording analysis i&r (95803) $66 $110 1.1×
Advance care planning first 30 mins (99497) $105.14 $175.24 1.0×
Aep Neurodiagnostic I&R (92653) $338.84 $564.73 1.6×
Aep threshold estimation mlt frequencies i&r (92652) $301.19 $501.98 1.4×
Airway inhalation treatment (94640) $210 $350 1.0×
Ambulatory Bp Analysis (93788) $309.78 $516.30 2.3×
Ambulatory Bp Recording (93786) $172.14 $286.90 1.3×
Analyze Neurostim Complex (95972) $204.78 $341.30 2.2×
Analyze neurostim no prog (95970) $76.50 $127.50 0.6×
Appl on-body injector for timed subq injection (96377) $90 $150 1.9×
Arrhythmia induction (93618) $1,724.84 $2,874.73 1.4×
Assessment of aphasia (96105) $67.50 $112.50 0.7×
Behavioral and qualitative analysis of voice and resonance (92524) $155.96 $259.94 1.4×
Bfb training 1st 15 min (90912) $66.47 $110.78 0.8×
Bfb training ea addl 15 min (90913) $66.47 $110.78 2.0×
Blink reflex test (95933) $97.92 $163.20 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $405.60 $676 1.1×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,832.22 $3,053.70 0.2×
C motor evoked uppr limbs (95928) $183.84 $306.40 0.2×
C motor evoked upr&lwr limbs (95939) $864 $1,440 1.0×
Canalith Repositioning (95992) $78.60 $131 1.9×
Capsule endoscopy (91110) $2,416.50 $4,027.50 2.7×
Car seat/bed test 60 min (94780) $55.62 $92.70 1.5×
Cardiac Stress Tst,Tracing Only (93017) $640.62 $1,067.70 3.0×
Cardiopulmonary exercise testing (94621) $636.54 $1,060.90 1.7×
Cardiopulmonary resuscitation (92950) $334.83 $558.05 1.5×
Cardioversion (92960) $613.20 $1,022 0.9×
Cardioversion internal (92961) $480.30 $800.50 0.7×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $7,673.04 $12,788.40 2.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $5,700 $9,500 1.8×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $17,413.20 $29,022 0.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $10,697.40 $17,829 3.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,894.16 $14,823.60 2.7×
Cbt 1st hour (94644) $143.28 $238.80 1.1×
Chemo Admin Peritoneal Cavity (96446) $329.10 $548.50 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $159.12 $265.20 2.2×
Chemo IV push addl drug (96411) $171.24 $285.40 2.4×
Chemo Iv Push Sngl Drug (96409) $190.98 $318.30 0.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $329.10 $548.50 1.0×
Chemother, IV infusion, 1 hr (96413) $268.02 $446.70 0.8×
Chemother, IV infusion, ea add hr (96415) $123.60 $206 1.7×
Chemother,Ia Push Technique (96420) $464.40 $774 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $159.12 $265.20 2.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $464.40 $774 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $127.32 $212.20 1.8×
Color/duplex Doppler, complete (93975) $565.38 $942.30 2.4×
Color/duplex Doppler, limited (93976) $421.20 $702 4.0×
Coronary artery angio s&i (93454) $6,523.92 $10,873.20 2.0×
Cortical mapping 1st hr (95961) $1,002.60 $1,671 1.2×
Cpap initiation and management (94660) $391.68 $652.80 1.8×
Cpt initial (94667) $141 $235 1.1×
Critical care (99291) $366 $610 0.4×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $183.84 $306.40 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $150.24 $250.40 0.7×
Demo &/or eval,pt use,aerosol device (94664) $105 $175 0.5×
Dermatological procedure (96999) $44.76 $74.60 0.2×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $989.08 $1,648.48 2.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $562.74 $937.90 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $110.38 $183.96 1.1×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $138.87 $231.45 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $228.60 $381 1.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $375 $625 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $228.60 $381 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $270.84 $451.40 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $606.36 $1,010.60 5.8×
Duplex hemodialysis access (93990) $520.20 $867 5.0×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $328.20 $547 1.4×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $347.40 $579 3.3×
Duplex scan extracranial art compl bi study (93880) $1,123.20 $1,872 4.7×
Echo Heart Xthoracic,Limited (93308) $481.14 $801.90 2.0×
Echo transesophageal (93312) $1,479.12 $2,465.20 2.7×
Echo Transesophageal - Congenital Tee Complete (93315) $1,049.88 $1,749.80 1.9×
Echo Transthoracic - Congenital Tte Complete (93303) $1,631.58 $2,719.30 3.0×
EEG awake asleep (95819) $645 $1,075 3.0×
EEG awake drowsy (95816) $864 $1,440 4.0×
EEG cerebral death evaluation (95824) $530.34 $883.90 1.4×
EEG coma or sleep only (95822) $864 $1,440 4.0×
EEG cont rec w/video by tech min 8 channels (95700) $388.68 $647.80 1.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $443.94 $739.90 2.1×
EKG (93005) $240 $400 4.1×
EKG rhythm strip (93041) $61.80 $103 1.0×
Elec alys implt cplx cn npgt prgrmg (95977) $118.50 $197.50 1.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $69.90 $116.50 1.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $355.15 $591.92 1.6×
EMG cranial nerve bilat (95868) $451.92 $753.20 2.1×
EMG cranial nerve unilat (95867) $183.84 $306.40 0.9×
EMG one extremity (95860) $205.02 $341.70 1.5×
EMG two extremities (95861) $250.98 $418.30 1.9×
Endomyocardial biopsy (93505) $3,432.98 $5,721.64 1.1×
Ep & ablate supravent arrhyt (93653) $33,825 $56,375 1.3×
Ep & ablate ventric tachy (93654) $33,825 $56,375 1.3×
Ep Analyze Pacer Sys (93724) $366.69 $611.15 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,841.52 $13,069.20 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,440 $7,400 0.6×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $840 $1,400 0.7×
Ep Right Ventricular Recording (93603) $1,832.22 $3,053.70 1.5×
Er level 1 (99281) $52.86 $88.10 0.6×
Er level ii (99282) $73.86 $123.10 0.5×
Er level iii (99283) $110.10 $183.50 0.4×
Er level IV (99284) $180.78 $301.30 0.4×
Er level v (99285) $270.54 $450.90 0.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $135.45 $225.75 1.9×
Evaluation of speech fluency (92521) $184.22 $307.04 1.4×
Evaluation of speech sound production (92522) $149.60 $249.34 1.3×
Evaluation of swallowing function (92610) $190.98 $318.30 2.3×
Exercise tst brncspsm (94617) $509.22 $848.70 3.8×
Exhaled Air Analysis (94690) $45 $75 0.8×
External ECG rec>48hr<7d recording (93242) $265.20 $442 7.1×
External ECG rec>7d<15d recording (93246) $265.20 $442 7.1×
External Ecg Scanning Analysis Report (93226) $508.68 $847.80 8.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $274.89 $458.15 1.4×
Group Therapeutic Procedures (97150) $25.38 $42.30 1.4×
Hemodialysis (90935) $1,011.96 $1,686.60 1.5×
Holter Monitor Recording (93225) $265.20 $442 2.0×
Icd Device Interrogate (93289) $67.28 $112.14 1.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $48 $80 1.2×
Immunization Admin (90471) $39 $65 0.5×
Inital newborn e/m (99460) $112.80 $188 0.8×
Initial normal newborn care, same day discharge (99463) $91.20 $152 0.7×
Injection intra arterial (96373) $95.64 $159.40 0.4×
Ins swan ganz bedside (93503) $1,012.92 $1,688.20 0.6×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$1,832.22 $3,053.70 0.2×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,832.22 $3,053.70 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $65.16 $108.60 1.1×
IV infusion hydration each additional hour (96361) $108 $180 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $240 $400 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $115.71 $192.85 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $240 $400 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $108 $180 2.3×
IV push initial (96374) $138 $230 0.6×
Manual therapy 15 min (97140) $84 $140 3.0×
Massage 15 min (97124) $21 $35 0.7×
Maximum voluntary ventilation (94200) $72.60 $121 1.2×
Mechanical chest wall oscillation (94669) $220.69 $367.82 1.0×
Mechanical traction (97012) $72.84 $121.40 5.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $57 $95 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57 $95 1.6×
Methacholine challenge (94070) $785.52 $1,309.20 2.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $262.95 $438.25 2.9×
Multiple sleep latency test (95805) $1,039.50 $1,732.50 1.2×
Nasopharyngoscopy (92511) $208.17 $346.95 1.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $111.72 $186.20 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $286.13 $476.88 1.4×
Nerve conduction studies 13/> studies (95913) $1,680 $2,800 4.5×
Nerve Conduction Studies 3-4 Studies (95908) $480 $800 2.2×
Nerve Conduction Studies 9-10 Studies (95911) $1,200 $2,000 3.2×
Nerve conduction studies; 1-2 studies (95907) $240 $400 1.1×
Nerve conduction studies; 11-12 studies (95912) $1,440 $2,400 3.9×
Nerve conduction studies; 5-6 studies (95909) $720 $1,200 3.3×
Nerve conduction studies; 7-8 studies (95910) $960 $1,600 2.6×
Neuromuscular junction test (95937) $131.34 $218.90 1.0×
Newborn resuscitation (99465) $351.82 $586.37 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $371.16 $618.60 2.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $375 $625 1.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $243.36 $405.60 1.9×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $72 $120 2.1×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $12 $20 1.0×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $24 $40 1.0×
Nonphysician Telephone Assessment 11-20 Min (98967) $35.22 $58.70 1.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $57.68 $96.14 1.7×
Nonphysician Telephone Assessment 5-10 Min (98966) $20.56 $34.28 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $59.64 $99.40 1.3×
Osteopathic manipulative tx 1-2 body regions (98925) $34.84 $58.06 1.6×
Ot eval high complex 60 min (97167) $243.84 $406.40 2.4×
Ot eval low complex 30 min (97165) $152.76 $254.60 1.5×
Ot eval mod complex 45 min (97166) $159.12 $265.20 1.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $31.74 $52.90 0.6×
Ot Prosthetic Training, Each 15 Min (97761) $53.04 $88.40 1.3×
Ot re-eval est plan care (97168) $100.14 $166.90 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $219.60 $366 1.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $219.60 $366 1.7×
Paraffin bath (97018) $42.66 $71.10 7.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $159.12 $265.20 0.7×
Perq Transcath Cls Mitral (93590) $17,413.20 $29,022 0.9×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $17,413.20 $29,022 0.9×
Phy/qhp op pulm rhb w/o mntr (94625) $126 $210 2.1×
Plethysmography (94726) $387.60 $646 1.0×
Pm device eval in person (93288) $52.80 $88 1.4×
Pm device progr eval dual (93280) $135.84 $226.40 3.6×
Pm/Icd Remote Tech Serv (93296) $54.30 $90.50 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $990 $1,650 1.2×
Polysom <6 yrs 4/> paramtrs (95782) $1,953.60 $3,256 2.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,680.30 $2,800.50 2.0×
Programming of single lead implantable defibrillator system (93282) $135.84 $226.40 3.6×
Prq balloon valvuloplasty aortic valve (92986) $4,600.26 $7,667.10 0.8×
Prq Balloon Valvuloplasty Mitral Valve (92987) $15,739.50 $26,232.50 1.4×
Prq card revasc chronic 1vsl (92943) $10,781.28 $17,968.80 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $12,728.88 $21,214.80 1.1×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$6,960 $11,600 0.4×
Prq revasc byp graft 1 vsl (92937) $6,960 $11,600 0.6×
Prq tcat plmt ntrac st 2+les (92930) $22,033.48 $36,722.46 1.2×
Prq trluml coronary angio/atherect one art/brnch (92924) $8,760 $14,600 0.8×
Prq trluml coronary angioplasty one art/branch (92920) $7,920 $13,200 1.4×
Psychiatric diagnostic evaluation (90791) $152.40 $254 0.9×
Pt Aquatic Therapy/Exercises (97113) $65.70 $109.50 1.8×
Pt Electric Current Therapy (97033) $76.38 $127.30 4.0×
Pt Electrical Stimulation (97032) $63.66 $106.10 4.3×
Pt eval high complex 45 min (97163) $176.94 $294.90 1.8×
Pt eval low complex 20 min (97161) $180 $300 1.8×
Pt Gait Training Therapy (97116) $75.60 $126 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $87 $145 2.7×
Pt Physical Performance Test (97750) $66.87 $111.45 2.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $159.78 $266.30 1.6×
Pt re-evaluation (97164) $176.10 $293.50 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $61.50 $102.50 1.9×
Pt Ultrasound Therapy (97035) $63.66 $106.10 4.4×
Pt Whirlpool Therapy (97022) $54.12 $90.20 3.4×
Pulmonary stress testing (94618) $240 $400 1.8×
R & l hrt cath w/njx l ventriculog img s&i (93453) $4,517.88 $7,529.80 1.4×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $8,416.52 $14,027.53 2.6×
R hrt art/grft angio (93457) $5,700 $9,500 1.8×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $8,640 $14,400 2.7×
Rapid Desensitization Procedure Each Hour (95180) $147.18 $245.30 0.3×
Refill/maint, portable pump (96521) $185.40 $309 0.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $111.60 $186 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $293.40 $489 7.8×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $210 $350 0.7×
Right heart cath (93451) $2,563.26 $4,272.10 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $200.40 $334 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $141 $235 1.1×
Short-latency somatosens ep std lwr limbs (95926) $577.02 $961.70 2.7×
Short-latency somatosens ep std upr limbs (95925) $577.02 $961.70 2.7×
Sleep study unattended (95806) $209.22 $348.70 1.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $372 $620 1.7×
Smoking cessation > 10 min (99407) $76.32 $127.20 2.0×
Somatosensory testing (95938) $1,141.50 $1,902.50 1.3×
Speech group therapy (92508) $34.22 $57.03 1.4×
Speech sound lang comprehen (92523) $310.77 $517.96 1.4×
Spirometry (94010) $239.40 $399 1.1×
Standardized Cognitive Performance Testing (96125) $76.20 $127 0.7×
Stress echo (93350) $1,077.06 $1,795.10 2.0×
Surfactant Admin Thru Tube (94610) $93.60 $156 0.4×
Temp transcutaneous pacing (92953) $265.56 $442.60 0.4×
Tensilon test (95857) $63.11 $105.18 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $23.34 $38.90 1.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $23.34 $38.90 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $163.50 $272.50 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $78 $130 1.1×
Therapeutic Activities (97530) $85.98 $143.30 2.5×
Therapeutic phlebotomy (99195) $144.42 $240.70 1.1×
Tilt Table Eval (93660) $709.20 $1,182 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25.44 $42.40 0.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $85.62 $142.70 2.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,631.58 $2,719.30 3.0×
Tx atrial fib pulm vein isol (93656) $33,825 $56,375 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $162.48 $270.80 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $191.16 $318.60 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $129 $215 2.8×
Unlisted Cardiovascular Service/Procedure (93799) $915 $1,525 7.1×
Unlisted pulmonary service/procedure (94799) $152.94 $254.90 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $711.60 $1,186 3.0×
Vasc Duplex Scan Extracranial,Limited (93882) $213.48 $355.80 2.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $401.40 $669 1.9×
Vasopneumatic device (97016) $42.66 $71.10 3.5×
Veeg by tech 2-12 hours unmonitored (95711) $363 $605 1.7×
Veeg Ea 12-26 Hr Unmntr (95714) $696 $1,160 1.9×
Ventilation assist & mgmt inpatient 1st day (94002) $1,200 $2,000 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $772.50 $1,287.50 1.2×
Visual Evoked Potential Test (95930) $446.70 $744.50 2.1×
Vital capacity total (94150) $117.60 $196 0.9×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,020 $1,700 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $46.38 $77.30 1.5×