Top 40 services provided by ST LUKE COMMUNITY HOSPITAL CAH
Services CPT Price Est. Cash Price
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $818.00 $0.00
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $1,474.00 $0.00
Repair of the shoulder generally called a shoulder arthroscopy 29826 $1,320.00 $0.00
Knee cartilage replacement surgery with an endoscope 29881 $1,403.00 $0.00
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $781.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $898.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,026.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $260.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $801.00 $0.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,385.00 $0.00
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $1,084.00 $0.00
Release and/or relocation of median nerve of hand 64721 $893.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $945.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $154.00 $0.00
MRI scan of the brain with and without contrast 70553 $271.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $444.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $181.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $36.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,905.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $192.00 $0.00
Mammogram of both breasts 77067 $87.00 $0.00
Basic Metabolic Panel 80048 $32.00 $0.00
Basic Metabolic Panel 80048 $149.00 $0.00
Lipid Panel 80061 $51.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $28.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $31.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $20.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $75.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $57.00 $0.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $96.00 $0.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $298.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $87.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $93.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $70.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $81.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $68.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $212.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $138.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $69.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $149.00 $0.00
Ultrasound of chest to examine the heart 93307 $435.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $84.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $127.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $212.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $79.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $65.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $155.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $25.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $105.00 $0.00