Supplies, drugs & other prices at St. Mary's Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $781 $4,014.28 1.0×
2d tte w or w/o fol w/con,co (C8923) $781 $1,952.81 1.0×
2d tte w or w/o fol w/con,fu (C8924) $347 $2,054.82 1.0×
Admin influenza virus vac (G0008) $46 $212.26 1.0×
Ca screen;flexi sigmoidscope (G0104) $926 $2,566.66 1.0×
Catheterize for urine spec (P9612) $9 $135.39 1.0×
Diab manage trn per indiv (G0108) $54 $284.38 1.0×
Direct refer hospital observ (G0379) $593 $429.11 1.0×
Drug test def 1-7 classes (G0480) $114 $402.73 1.0×
Elec stim other than wound (G0283) $12 $197.35 0.9×
Fern test (Q0114) $9 $153.75 0.9×
Hbot, full body chamber, 30m (G0277) $137 $787.10 1.0×
Hep c screen high risk/other (G0472) $46 $586.31 1.0×
Home sleep test/type 3 porta (G0399) $215 $1,091.15 1.0×
Hospital outpt clinic visit (G0463) $132 $898.38 1.0×
Inj for sacroiliac jt anesth (G0260) $703 $1,171.48 1.0×
Lev 5 hosp type b ed visit (G0384) $409 $4,070.84 1.0×
Liver dis 10 assays w/nash (0003M) $503 $2,670.29 1.0×
Mri w/o fol w/cont, breast, (C8908) $347 $2,347.50 1.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $445 $18,158.72 1.0×
Perc d-e cor revasc chro sin (C9607) $18,271 $73,570.45 1.0×
Perc d-e cor revasc t cabg s (C9604) $11,506 $44,630.20 1.0×
Perc d-e cor stent ather s (C9602) $18,271 $72,819.25 1.0×
Perc drug-el cor stent sing (C9600) $11,506 $38,348.30 1.0×
Psa screening (G0103) $19 $306.34 1.0×
Revasc intravasc lithotripsy (C9764) $11,506 $53,981.30 1.0×
Therapeutic procd strg endur (G0237) $28 $137.84 1.0×
Tomosynthesis, mammo (G0279) $11 $91.79 0.9×
Tte w or w/o fol w/con,stres (C8928) $781 $2,147.87 1.0×
Tte w or wo fol wcon,doppler (C8929) $781 $3,992.12 1.0×
Unsched dialysis esrd pt hos (G0257) $684 $3,360.62 1.0×