Supplies, drugs & other prices at St. Lukes Regional Medical Center
Sioux City, IA · every code in this section with a posted price and a Medicare benchmark.
99 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) | $1,711.58 | $2,139.47 | 2.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $851.28 | $1,064.10 | 2.4× |
| Adm tocilizu covid-19 1st (M0249) | $618.13 | $772.66 | 1.4× |
| Adm tocilizu covid-19 2nd (M0250) | $618.13 | $772.66 | 1.4× |
| Admin hepatitis b vaccine (G0010) | $55.05 | $68.81 | 1.2× |
| Admin influenza virus vac (G0008) | $55.05 | $68.81 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $55.05 | $68.81 | 1.2× |
| 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) | $40.22 | $50.27 | 0.4× |
| Catheterize for urine spec (P9612) | $73.10 | $91.37 | 7.8× |
| 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) | $703.61 | $879.51 | 6.8× |
| Diab manage trn per indiv (G0108) | $69.82 | $87.27 | 1.3× |
| Diab manage trn ind/group (G0109) | $41.41 | $51.76 | 2.6× |
| Direct refer hospital observ (G0379) | $103.39 | $129.23 | 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× |
| Elec stim other than wound (G0283) | $55.20 | $69 | 4.3× |
| Elisa hiv-1/hiv-2 screen (G0433) | $48.57 | $60.71 | 2.7× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $32,677.20 | $40,846.49 | 0.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $24,527.63 | $30,659.53 | 2.1× |
| Fecal blood scrn immunoassay (G0328) | $64.28 | $80.35 | 3.6× |
| Fecal microbiota prep instil (G0455) | $1,623.28 | $2,029.10 | 1.7× |
| 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) | $40.22 | $50.27 | 1.1× |
| Hep c screen high risk/other (G0472) | $110 | $137.50 | 2.4× |
| Hepb screen high risk indiv (G0499) | $110 | $137.50 | 3.9× |
| Home sleep test/type 3 porta (G0399) | $556.40 | $695.50 | 2.5× |
| Hopd mntl hlt, 15-29 min (C7900) | $68.57 | $85.71 | 1.8× |
| Hopd mntl hlt, 30-60 min (C7901) | $175.26 | $219.07 | 1.7× |
| Hopd mntl hlt, grp (C7903) | $116.48 | $145.60 | 3.1× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$106.64–$391.88 | $133.30–$489.85 | 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 2 matching MRF lines |
$1,356.74–$2,713.48 | $1,695.92–$3,391.84 | varies |
| 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× |
| Mra w/cont, abd (C8900) | $1,164.03 | $1,455.03 | 3.3× |
| Mra w/cont, pelvis (C8918) | $1,269.75 | $1,587.18 | 3.6× |
| Mra w/o cont, abd (C8901) | $1,104.48 | $1,380.60 | 4.6× |
| Mra w/o cont, chest (C8910) | $1,141.14 | $1,426.42 | 4.7× |
| Mra w/o cont, lwr ext (C8913) | $1,243.34 | $1,554.17 | 5.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,472.64 | $1,840.80 | 4.2× |
| Mra w/o fol w/cont, chest (C8911) | $1,730.55 | $2,163.18 | 4.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,243.34 | $1,554.17 | 3.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,357.18 | $1,696.47 | 3.8× |
| Mra, w/dye, spinal canal (C8931) | $1,120.64 | $1,400.80 | 3.2× |
| Mra, w/dye, upper extremity (C8934) | $1,269.75 | $1,587.18 | 3.6× |
| Mra, w/o dye, spinal canal (C8932) | $853.80 | $1,067.24 | 3.5× |
| Mra, w/o dye, upper extr (C8935) | $1,142.78 | $1,428.47 | 4.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,396.71 | $1,745.88 | 3.9× |
| Mri w/o fol w/cont, breast, (C8908) | $2,602.51 | $3,253.13 | 7.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,223.54 | $2,779.42 | 6.3× |
| 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× |
| Obtaining screen pap smear (Q0091) | $55 | $68.75 | 1.9× |
| 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) | $200.30 | $250.37 | 5.3× |
| Oth resp proc, indiv (G0238) | $97.79 | $122.23 | 3.3× |
| Pathogen test for platelets (P9100) | $70 | $87.49 | 1.2× |
| Pemivibart infusion (M0224) | $618.13 | $772.66 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $16,078.86 | $20,098.57 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $17,414.93 | $21,768.66 | 1.5× |
| Perc d-e cor stent ather s (C9602) | $16,078.86 | $20,098.57 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $19,156.46 | $23,945.57 | 1.6× |
| Perq Sacral Augmt Unilat Inj (0200T) | $10,199.35 | $12,749.18 | 1.4× |
| Prostate biopsy, any mthd (G0416) | $328.79 | $410.98 | 0.9× |
| Psa screening (G0103) | $64.28 | $80.35 | 3.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $691.20 | $864 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $36,382.86 | $45,478.57 | 2.0× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $46,868.03 | $58,585.03 | 2.1× |
| 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 Dual Chamber Ldls Pm Compl Sys (0795T) | $34,894.39 | $43,617.98 | 1.8× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,711.58 | $2,139.47 | 2.2× |
| Therapeutic procd strg endur (G0237) | $89.95 | $112.43 | 3.1× |
| Tomosynthesis, mammo (G0279) | $33.96 | $42.44 | 2.7× |
| Tpmt and Nudt15 Genotype (0034U) | $447.52 | $559.40 | 1.0× |
| Trauma respons w/hosp criti (G0390) | $1,679.10 | $2,098.87 | 1.2× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,360 | $4,200 | 1.0× |
| Trluml perip athrc abd aorta (0236T) | $19,165.16 | $23,956.45 | 1.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $25,788.84 | $32,236.04 | 1.4× |
| Tte w or w/o contr, cont ecg (C8930) | $1,711.58 | $2,139.47 | 2.2× |
| Tte w or w/o fol w/con,stres (C8928) | $1,711.58 | $2,139.47 | 2.2× |
| Tte w or w/o fol w/cont, com (C8921) | $1,711.58 | $2,139.47 | 2.2× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,711.58 | $2,139.47 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,711.58 | $2,139.47 | 2.2× |
| Unsched dialysis esrd pt hos (G0257) | $775.09 | $968.86 | 1.1× |
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.