Ascension Via Christi St. Teresa
KS
Prices last published by the hospital: —
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
Can't afford a bill from Ascension Via Christi St. Teresa?
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Financial assistance: see income limits & how to applyPrices at this hospital (337 procedures)
| Procedure | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Abdominal ultrasound | —Insurance typically pays $99Sticker price — | — | $99 | — |
| Ablation for supraventricular tachycardia | —Insurance typically pays $17,906Sticker price — | — | $17,906 | — |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | —Insurance typically pays $5,644Sticker price — | — | $5,644 | — |
| Amino acid analysis, quantitative, each specimen | —Insurance typically pays $23Sticker price — | — | $23 | — |
| Analysis for antibody to Herpes simplex virus | —Insurance typically pays $15Sticker price — | — | $15 | — |
| Ankle-brachial index (ABI), complete | —Insurance typically pays $146Sticker price — | — | $146 | — |
| Ankle-brachial index (ABI), limited | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Application of long leg cast | —Insurance typically pays $248Sticker price — | — | $248 | — |
| Application of short arm cast | —Insurance typically pays $248Sticker price — | — | $248 | — |
| Application of short leg cast | —Insurance typically pays $248Sticker price — | — | $248 | — |
| Application of short leg splint | —Insurance typically pays $147Sticker price — | — | $147 | — |
| Arterial puncture for blood draw | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Aspiration of fluid from chest cavity | —Insurance typically pays $578Sticker price — | — | $578 | — |
| Aspiration or injection of ganglion cyst | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Basic metabolic blood panel | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Benign skin growth removal | —Insurance typically pays $657Sticker price — | — | $657 | — |
| Bladder catheter placement | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Blood count (CBC) | —Insurance typically pays $7Sticker price — | — | $7 | — |
| Blood count with differential | —Insurance typically pays $8Sticker price — | — | $8 | — |
| Blood draw | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Blood sugar test | —Insurance typically pays $4Sticker price — | — | $4 | — |
| Breast biopsy, open | —Insurance typically pays $393Sticker price — | — | $393 | — |
| Breast biopsy with stereotactic guidance | —Insurance typically pays $167Sticker price — | — | $167 | — |
| BUN kidney test | —Insurance typically pays $4Sticker price — | — | $4 | — |
| Capillary blood draw (finger stick) | —Insurance typically pays $2Sticker price — | — | $2 | — |
| Chemotherapy infusion, additional hour | —Insurance typically pays $66Sticker price — | — | $66 | — |
| Chemotherapy infusion, first hour | —Insurance typically pays $310Sticker price — | — | $310 | — |
| Chemotherapy injection under skin or into muscle | —Insurance typically pays $66Sticker price — | — | $66 | — |
| Chiropractic adjustment | —Insurance typically pays $24Sticker price — | — | $24 | — |
| Cholesterol panel | —Insurance typically pays $14Sticker price — | — | $14 | — |
| Closed treatment of broken middle or upper end of outside lower leg bone | —Insurance typically pays $224Sticker price — | — | $224 | — |
| Clotting factor VII (proconvertin, stable factor) | —Insurance typically pays $18Sticker price — | — | $18 | — |
| Colonoscopy | —Insurance typically pays $852Sticker price — | — | $852 | — |
| Coronary angiography | —Insurance typically pays $10,792Sticker price — | — | $10,792 | — |
| Coronary angioplasty (balloon), single vessel | —Insurance typically pays $14,404Sticker price — | — | $14,404 | — |
| Creatinine test | —Insurance typically pays $5Sticker price — | — | $5 | — |
| Critical care, additional 30 minutes | —Insurance typically pays $2,432Sticker price — | — | $2,432 | — |
| Critical care, first hour | —Insurance typically pays $787Sticker price — | — | $787 | — |
| C-section delivery | —Insurance typically pays $6,271Sticker price — | — | $6,271 | — |
| CT abdomen and pelvis with contrast | —Insurance typically pays $334Sticker price — | — | $334 | — |
| CT head without contrast | —Insurance typically pays $100Sticker price — | — | $100 | — |
| Debridement of skin, muscle or fascia | —Insurance typically pays $572Sticker price — | — | $572 | — |
| Defibrillator interrogation in office | —Insurance typically pays $35Sticker price — | — | $35 | — |
| DEPRESSIVE NEUROSES | —Insurance typically pays $5,530Sticker price — | — | $5,530 | — |
| Detailed obstetric ultrasound | —Insurance typically pays $226Sticker price — | — | $226 | — |
| Detection test by immunoassay technique for rotavirus | —Insurance typically pays $12Sticker price — | — | $12 | — |
| Diagnostic exam of bladder and urethra using an endoscope | —Insurance typically pays $623Sticker price — | — | $623 | — |
| Diagnostic exam of lower portion of large bowel using a flexible endoscope | —Insurance typically pays $852Sticker price — | — | $852 | — |
| DISORDERS OF PERSONALITY AND IMPULSE CONTROL | —Insurance typically pays $11,444Sticker price — | — | $11,444 | — |
| Doctor office visit (established patient) | —Insurance typically pays $70Sticker price — | — | $70 | — |
| Doctor visit, established patient, quick | —Insurance typically pays $41Sticker price — | — | $41 | — |
| Doctor visit, new patient | —Insurance typically pays $103Sticker price — | — | $103 | — |
| Doctor visit, new patient, quick | —Insurance typically pays $71Sticker price — | — | $71 | — |
| Duplex ultrasound of aorta and iliac arteries | —Insurance typically pays $226Sticker price — | — | $226 | — |
| Duplex ultrasound of dialysis access | —Insurance typically pays $99Sticker price — | — | $99 | — |
| Duplex ultrasound of lower extremity arteries, bilateral | —Insurance typically pays $226Sticker price — | — | $226 | — |
| Ear wax removal | —Insurance typically pays $55Sticker price — | — | $55 | — |
| EEG, awake and asleep | —Insurance typically pays $291Sticker price — | — | $291 | — |
| EEG, awake and drowsy | —Insurance typically pays $291Sticker price — | — | $291 | — |
| Emergency room visit, high complexity | —Insurance typically pays $578Sticker price — | — | $578 | — |
| Emergency room visit (high severity) | —Insurance typically pays $402Sticker price — | — | $402 | — |
| Emergency room visit, low complexity | —Insurance typically pays $149Sticker price — | — | $149 | — |
| Emergency room visit, minor | —Insurance typically pays $83Sticker price — | — | $83 | — |
| Emergency room visit, moderate | —Insurance typically pays $261Sticker price — | — | $261 | — |
| Epidural injection, cervical or thoracic | —Insurance typically pays $647Sticker price — | — | $647 | — |
| Epidural steroid shot, lower back | —Insurance typically pays $647Sticker price — | — | $647 | — |
| Excision of breast lesion with radiologic marker | —Insurance typically pays $436Sticker price — | — | $436 | — |
| Eye exam | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Eye exam, established patient | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Eye exam, new patient | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Eye exam, new patient, comprehensive | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Eye injection | —Insurance typically pays $310Sticker price — | — | $310 | — |
| Eyelid bump removal | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Facet joint injection, cervical or thoracic | —Insurance typically pays $832Sticker price — | — | $832 | — |
| Facet joint injection, lumbar or sacral | —Insurance typically pays $832Sticker price — | — | $832 | — |
| Ferritin test | —Insurance typically pays $14Sticker price — | — | $14 | — |
| Fetal non-stress test | —Insurance typically pays $188Sticker price — | — | $188 | — |
| Flu shot | —Insurance typically pays $87Sticker price — | — | $87 | — |
| Gallbladder removal (laparoscopic) | —Insurance typically pays $7,024Sticker price — | — | $7,024 | — |
| Glaucoma laser treatment | —Insurance typically pays $512Sticker price — | — | $512 | — |
| Glaucoma laser treatment | —Insurance typically pays $512Sticker price — | — | $512 | — |
| HCHG ACTH PLASMA LC | —Insurance typically pays $39Sticker price — | — | $39 | — |
| HCHG AFB CONCENTRATION | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG ALDOLASE LC | —Insurance typically pays $10Sticker price — | — | $10 | — |
| HCHG ALK PHOSPHATASE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG ALPHA-1-ANTITRYPSIN SERUM LC | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG AMINO ACIDEMIAS (PKU) | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG AMPA RECEPTOR ABY TITER SPINAL FLUID | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG ANA | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG ANAEROBIC CULTURE | —Insurance typically pays $10Sticker price — | — | $10 | — |
| HCHG ANTI-DNASE B STREP ANTIBODIES LC | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG ANTISTREPTOLYSIN O AB LC | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG ANTITHROMBIN III | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG ARC-ABY ID EACH SELECTED REAGENT CELL | —Insurance typically pays $158Sticker price — | — | $158 | — |
| HCHG ARTHROCENT/ASPIR/INJ SMALL JOINT/BURSA WO US | —Insurance typically pays $276Sticker price — | — | $276 | — |
| HCHG BLOOD/BLOOD PRODUCT ADMIN PER UNIT | —Insurance typically pays $408Sticker price — | — | $408 | — |
| HCHG CA15.3 | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG CARBAMAZEPINE | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG CATECHOLAMINESURFREE24 HR LC | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG CF SCREEN | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG CHROMIUM BLOOD | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG CHROMOGRANIN A | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG CMV IGM ABY | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG CMV QUANT DNA PCR (PLASMA) LC | —Insurance typically pays $43Sticker price — | — | $43 | — |
| HCHG COMPREHENSIVE METABOLIC PANE | —Insurance typically pays $11Sticker price — | — | $11 | — |
| HCHG COVID 19 NAA LC | —Insurance typically pays $51Sticker price — | — | $51 | — |
| HCHG C-PEPTIDE SERUM | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG CREATININE URINE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG CROSSMATCH IS | —Insurance typically pays $160Sticker price — | — | $160 | — |
| HCHG CRYOGLOBULIN QUAL WITH REFLEX | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG CRYPTOCOCCAL AG LATEX SCREEN W/REFL TITER QUE | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG CT SOFT TISSUE NECK W CONTRAST | —Insurance typically pays $166Sticker price — | — | $166 | — |
| HCHG CT THORACENTESIS PLEURAL ASPIRATION | —Insurance typically pays $578Sticker price — | — | $578 | — |
| HCHG DEBRIDE SQ TISSUE FIRST 20 SQ CM | —Insurance typically pays $373Sticker price — | — | $373 | — |
| HCHG DHEA SERUM LC | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG DIPTHERIA TOXOID IGG ABY | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG DIRECT ANTIGLOBULIN TEST | —Insurance typically pays $55Sticker price — | — | $55 | — |
| HCHG EBV NA | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG EBV VCA IGG | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG ECHO 2D F-U OR LTD STUDY W BUBBLE | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG FACTOR 2 GENE MUTATION | —Insurance typically pays $66Sticker price — | — | $66 | — |
| HCHG FACTOR 8 ASSAY | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG FACTOR IX ACTIVITY LC | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG FLUORO < 1 HOUR | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG FOLIC ACID | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG FSH-SERUM | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG GENERAL LAB 8007400 | —Insurance typically pays $48Sticker price — | — | $48 | — |
| HCHG GENERAL LAB 8663103 LC | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG GENERAL LAB 8670600 | —Insurance typically pays $11Sticker price — | — | $11 | — |
| HCHG GENERAL LAB 8680300 | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG GENERAL LAB 8738900 | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG GENERAL LAB 8748602 LC | —Insurance typically pays $35Sticker price — | — | $35 | — |
| HCHG GENERAL LAB 8749100 | —Insurance typically pays $35Sticker price — | — | $35 | — |
| HCHG GENERAL LAB 87522 LCC | —Insurance typically pays $43Sticker price — | — | $43 | — |
| HCHG GENTAMICIN KINETICS | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG GRAM STAIN | —Insurance typically pays $4Sticker price — | — | $4 | — |
| HCHG HEMOGLOBINOPATHIES | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG H HEMACHROMATOSIS | —Insurance typically pays $66Sticker price — | — | $66 | — |
| HCHG H. PYLORI ANTIGEN STOOL | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG ICU MD RETROPERITONEAL LIMITED | —Insurance typically pays $99Sticker price — | — | $99 | — |
| HCHG I D ABSCESS/CARB/CYST SINGLE SIMPLE | —Insurance typically pays $186Sticker price — | — | $186 | — |
| HCHG IHC STAIN ADDL | —Insurance typically pays $59Sticker price — | — | $59 | — |
| HCHG IHC STAIN FIRST | —Insurance typically pays $160Sticker price — | — | $160 | — |
| HCHG INJ EPIDURAL BLOOD/CLOT PATCH TX | —Insurance typically pays $647Sticker price — | — | $647 | — |
| HCHG INTRINSIC FACTOR ABS SERUM LC | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG INTUBATION ENDOTRACHEAL EMERGENCY | —Insurance typically pays $217Sticker price — | — | $217 | — |
| HCHG IRON | —Insurance typically pays $7Sticker price — | — | $7 | — |
| HCHG JAK2 MUTATION DETECTION | —Insurance typically pays $93Sticker price — | — | $93 | — |
| HCHG LEAD FILTER PAPER | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG LUTEINIZING HORMONE | —Insurance typically pays $19Sticker price — | — | $19 | — |
| HCHG MEAS POST VOID RES US NON-IMAGING | —Insurance typically pays $55Sticker price — | — | $55 | — |
| HCHG N METHYLHISTAMINE URINE | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG OCCULT BLOOD IFOBT | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG OT APPLICATION LONG ARM CAST | —Insurance typically pays $248Sticker price — | — | $248 | — |
| HCHG OT EVAL HIGH COMPLEXITY | —Insurance typically pays $96Sticker price — | — | $96 | — |
| HCHG OT EVAL LOW COMPLEXITY | —Insurance typically pays $96Sticker price — | — | $96 | — |
| HCHG OT EVAL MOD COMPLEXITY | —Insurance typically pays $96Sticker price — | — | $96 | — |
| HCHG OT RE-EVALUATION | —Insurance typically pays $66Sticker price — | — | $66 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 EA ADDL | —Insurance typically pays $20Sticker price — | — | $20 | — |
| HCHG OT THER INTERVENT COGNITIVE FUNCT 1 1 INIT 15 | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG PARACENTESIS ABD WO IMAGING | —Insurance typically pays $876Sticker price — | — | $876 | — |
| HCHG PHENOBARBITAL | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG POTASSIUM | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG PROCALCITONIN | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG PROTEIN TOTAL | —Insurance typically pays $4Sticker price — | — | $4 | — |
| HCHG PROTHOMBIN TIME | —Insurance typically pays $4Sticker price — | — | $4 | — |
| HCHG PT APPLICATION LONG ARM SPLINT | —Insurance typically pays $147Sticker price — | — | $147 | — |
| HCHG PT E-STIM-ATTENDED 15MIN | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG PT EVAL HIGH COMPLEXITY | —Insurance typically pays $94Sticker price — | — | $94 | — |
| HCHG PT EVAL LOW COMPLEXITY | —Insurance typically pays $94Sticker price — | — | $94 | — |
| HCHG PT EVAL MOD COMPLEXITY | —Insurance typically pays $94Sticker price — | — | $94 | — |
| HCHG PT FLUIDOTHERAPY | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG PT GAIT TRAINING 15MIN | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG PT GROUP THERAPY | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG PT IONTOPHORESIS 15MIN | —Insurance typically pays $18Sticker price — | — | $18 | — |
| HCHG PT MANUAL THERAPY 15MIN | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG PT MASSAGE 15 MIN | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG PT MECHANICAL TRACTION | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG PT NEUROMUSCULAR RE-ED 15MIN | —Insurance typically pays $31Sticker price — | — | $31 | — |
| HCHG PT ORTHO/PROSTHETIC TRAIN UPR/LWR EXT TRUNK S | —Insurance typically pays $47Sticker price — | — | $47 | — |
| HCHG PT ORTHOTIC FIT/TRAIN UPR/LWR EXT TRUNK INITI | —Insurance typically pays $43Sticker price — | — | $43 | — |
| HCHG PT PHONOPHORESIS 15MIN | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG PT PROSTHETIC TRAIN UPR/LWR EXT INITIAL ENC E | —Insurance typically pays $38Sticker price — | — | $38 | — |
| HCHG PT RE-EVALUATION | —Insurance typically pays $65Sticker price — | — | $65 | — |
| HCHG PT SELFCARE/HOME MNGMNT 15MIN | —Insurance typically pays $31Sticker price — | — | $31 | — |
| HCHG PT STRAPPING ANKLE | —Insurance typically pays $147Sticker price — | — | $147 | — |
| HCHG PT THERAPEUTIC ACTIVITY 15MIN | —Insurance typically pays $33Sticker price — | — | $33 | — |
| HCHG PT THERAPEUTIC EXERCISE 15MIN | —Insurance typically pays $28Sticker price — | — | $28 | — |
| HCHG RAD CT ANGIO CHEST | —Insurance typically pays $166Sticker price — | — | $166 | — |
| HCHG RAD CT ANGIO HEART CORONARY ARTERIES | —Insurance typically pays $334Sticker price — | — | $334 | — |
| HCHG RAD CT ANGIO LOWER EXTREMITY | —Insurance typically pays $166Sticker price — | — | $166 | — |
| HCHG RAD CT ANGIO NECK W CONTRAST | —Insurance typically pays $166Sticker price — | — | $166 | — |
| HCHG RAD CT GUIDED NEEDLE PLACEMENT | —Insurance typically pays $297Sticker price — | — | $297 | — |
| HCHG RAD CT HEAD BRAIN WWO | —Insurance typically pays $166Sticker price — | — | $166 | — |
| HCHG RAD CT LIMITED OR LOCALIZED FOLLOW UP | —Insurance typically pays $82Sticker price — | — | $82 | — |
| HCHG RAD CT LOWER EXTREMITY WO | —Insurance typically pays $100Sticker price — | — | $100 | — |
| HCHG RAD ECHO STRESS TRANSTHORACIC 2D EXERCISE OR | —Insurance typically pays $512Sticker price — | — | $512 | — |
| HCHG RAD MRI ANGIO HEAD BRAIN WWO | —Insurance typically pays $334Sticker price — | — | $334 | — |
| HCHG RAD MRI ANGIO HEAD WO | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG RAD MRI ANGIO NECK WO | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG RAD MRI ANGIO NECK WWO | —Insurance typically pays $334Sticker price — | — | $334 | — |
| HCHG RAD MRI JOINT LOWER EXTREMITY WO | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG RAD MRI SPINE CERVICAL WO | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG RAD MRI SPINE THORACIC WO | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG RAD NM BONE SCAN WHOLE BODY | —Insurance typically pays $375Sticker price — | — | $375 | — |
| HCHG RAD NM LUNG PERFUSION SCAN | —Insurance typically pays $375Sticker price — | — | $375 | — |
| HCHG RAD NM LUNG VENTILATION AND PERFUSION QUANTIT | —Insurance typically pays $503Sticker price — | — | $503 | — |
| HCHG RAD NM RADIOPHARM ORAL THERAPY | —Insurance typically pays $208Sticker price — | — | $208 | — |
| HCHG RAD US ARTERIAL UPPER EXTREMITY BILATERAL COM | —Insurance typically pays $226Sticker price — | — | $226 | — |
| HCHG RAD XRAY ABDOMEN ACUTE W CHEST 1 VIEW | —Insurance typically pays $99Sticker price — | — | $99 | — |
| HCHG RAD XRAY CHEST FRONTAL 1 VIEW | —Insurance typically pays $82Sticker price — | — | $82 | — |
| HCHG RAD XRAY FEMUR 1 VIEW UNILATERAL | —Insurance typically pays $82Sticker price — | — | $82 | — |
| HCHG RAD XRAY FOOT 2 VIEWS | —Insurance typically pays $82Sticker price — | — | $82 | — |
| HCHG RAD XRAY KNEE 3 VIEWS | —Insurance typically pays $82Sticker price — | — | $82 | — |
| HCHG RAD XRAY KNEES STANDING BILATERAL | —Insurance typically pays $82Sticker price — | — | $82 | — |
| HCHG RAD XRAY MANDIBLE MINIMUM OF FOUR VIEWS | —Insurance typically pays $99Sticker price — | — | $99 | — |
| HCHG RAD XRAY RIBS 3 VIEWS BILATERAL | —Insurance typically pays $99Sticker price — | — | $99 | — |
| HCHG RESPIRATORY DISEASE MULTIPLEX PCR PANEL | —Insurance typically pays $421Sticker price — | — | $421 | — |
| HCHG REVERSE T3 SERUM LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG RN APPL MULTLAY COMPRS LWR LEG UNILATERAL | —Insurance typically pays $147Sticker price — | — | $147 | — |
| HCHG SCHISTOSOMA IGG ABY | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG SELENIUM SERUM/PLASMA LC | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG SLP EVAL ORAL/PHAR SWALLOWING | —Insurance typically pays $80Sticker price — | — | $80 | — |
| HCHG SLP EVAL SPEECH SOUND W LANGUAGE COMP | —Insurance typically pays $215Sticker price — | — | $215 | — |
| HCHG SLP INDIV TX COMMUNICATION | —Insurance typically pays $72Sticker price — | — | $72 | — |
| HCHG SODIUM URINE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG SP STAIN 1 ORG | —Insurance typically pays $50Sticker price — | — | $50 | — |
| HCHG STONE ANALYSIS LC | —Insurance typically pays $13Sticker price — | — | $13 | — |
| HCHG STOOL CULTURE AEROBIC BACTERIA LC | —Insurance typically pays $10Sticker price — | — | $10 | — |
| HCHG T3 FREE | —Insurance typically pays $17Sticker price — | — | $17 | — |
| HCHG T4 FREE | —Insurance typically pays $9Sticker price — | — | $9 | — |
| HCHG TACROLIMUS AHL | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG TESTOSTERONE FREE EQUILIBRIUM ULTRAFILTRATION | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG THY PEROXIDASE ABY | —Insurance typically pays $15Sticker price — | — | $15 | — |
| HCHG THYROGLOBULIN ABY LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG THYROGLOBULIN TUMOR MARKER FNA ASP BX NEEDLE | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG TISSUE LEVEL 2 | —Insurance typically pays $37Sticker price — | — | $37 | — |
| HCHG TOTAL T CELLS | —Insurance typically pays $38Sticker price — | — | $38 | — |
| HCHG URIC ACID URINE | —Insurance typically pays $5Sticker price — | — | $5 | — |
| HCHG US ABDOMEN LIMITED | —Insurance typically pays $99Sticker price — | — | $99 | — |
| HCHG VALPROIC ACID | —Insurance typically pays $14Sticker price — | — | $14 | — |
| HCHG VANILLYLMANDELIC ACID 24-HR U LC | —Insurance typically pays $16Sticker price — | — | $16 | — |
| HCHG VEDOLIZUMAB QUANT LC | —Insurance typically pays $39Sticker price — | — | $39 | — |
| HCHG VITAMIN A SERUM LC | —Insurance typically pays $12Sticker price — | — | $12 | — |
| HCHG VITAMIN B6 PLASMA LC | —Insurance typically pays $28Sticker price — | — | $28 | — |
| Heart catheterization | —Insurance typically pays $10,792Sticker price — | — | $10,792 | — |
| Heart catheterization with bypass graft angiography | —Insurance typically pays $10,792Sticker price — | — | $10,792 | — |
| Heart stent placement | —Insurance typically pays $14,404Sticker price — | — | $14,404 | — |
| Heart ultrasound | —Insurance typically pays $512Sticker price — | — | $512 | — |
| Hemodialysis with single evaluation | —Insurance typically pays $654Sticker price — | — | $654 | — |
| Hemorrhoid banding | —Insurance typically pays $852Sticker price — | — | $852 | — |
| Hormonal chemotherapy injection | —Insurance typically pays $66Sticker price — | — | $66 | — |
| Insertion of tube in bypass graft for diagnosis with review by radiologist | —Insurance typically pays $10,792Sticker price — | — | $10,792 | — |
| Insertion of tube in right heart chambers for measurement | —Insurance typically pays $10,792Sticker price — | — | $10,792 | — |
| Iron test | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Irrigation of implanted venous access (port flush) | —Insurance typically pays $55Sticker price — | — | $55 | — |
| IV hydration infusion, additional hour | —Insurance typically pays $43Sticker price — | — | $43 | — |
| IV hydration infusion, first hour | —Insurance typically pays $197Sticker price — | — | $197 | — |
| IV infusion, additional drug or sequence | —Insurance typically pays $66Sticker price — | — | $66 | — |
| IV infusion, additional hour | —Insurance typically pays $43Sticker price — | — | $43 | — |
| IV infusion, first hour | —Insurance typically pays $197Sticker price — | — | $197 | — |
| IV push injection | —Insurance typically pays $197Sticker price — | — | $197 | — |
| Joint injection, large joint | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Joint injection, medium joint | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Joint injection with ultrasound | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Kidney function panel | —Insurance typically pays $9Sticker price — | — | $9 | — |
| Laparoscopic sleeve gastrectomy | —Insurance typically pays $18,266Sticker price — | — | $18,266 | — |
| Laser treatment after cataract surgery | —Insurance typically pays $512Sticker price — | — | $512 | — |
| LDH test | —Insurance typically pays $6Sticker price — | — | $6 | — |
| Left heart catheterization with coronary angiography | —Insurance typically pays $10,792Sticker price — | — | $10,792 | — |
| Leg vein ultrasound | —Insurance typically pays $226Sticker price — | — | $226 | — |
| Liver function panel | —Insurance typically pays $8Sticker price — | — | $8 | — |
| Lumbar laminectomy with discectomy | —Insurance typically pays $7,024Sticker price — | — | $7,024 | — |
| Lumbar laminectomy with facetectomy | —Insurance typically pays $7,024Sticker price — | — | $7,024 | — |
| Mohs skin cancer surgery | —Insurance typically pays $572Sticker price — | — | $572 | — |
| Molecular pathology procedure level 6 genetic analysis | —Insurance typically pays $304Sticker price — | — | $304 | — |
| Molecular pathology procedure level 7 genetic analysis | —Insurance typically pays $286Sticker price — | — | $286 | — |
| Molecular pathology procedure level 9 genetic analysis | —Insurance typically pays $6,280Sticker price — | — | $6,280 | — |
| MRI brain with and without contrast | —Insurance typically pays $334Sticker price — | — | $334 | — |
| MRI brain without contrast | —Insurance typically pays $226Sticker price — | — | $226 | — |
| MRI lower back with and without contrast | —Insurance typically pays $334Sticker price — | — | $334 | — |
| MRI lower back without contrast | —Insurance typically pays $226Sticker price — | — | $226 | — |
| Nail avulsion (ingrown nail removal) | —Insurance typically pays $186Sticker price — | — | $186 | — |
| Nail bed removal | —Insurance typically pays $373Sticker price — | — | $373 | — |
| Nail trimming, 6 or more nails | —Insurance typically pays $55Sticker price — | — | $55 | — |
| Nebulizer treatment | —Insurance typically pays $190Sticker price — | — | $190 | — |
| Neck artery ultrasound | —Insurance typically pays $226Sticker price — | — | $226 | — |
| Needle EMG, one extremity | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Needle EMG, two extremities | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Nerve conduction study, 1-2 nerves | —Insurance typically pays $146Sticker price — | — | $146 | — |
| Nerve conduction study, 3-4 nerves | —Insurance typically pays $291Sticker price — | — | $291 | — |
| Nerve conduction study, 5-6 nerves | —Insurance typically pays $291Sticker price — | — | $291 | — |
| Nuclear heart stress test | —Insurance typically pays $1,293Sticker price — | — | $1,293 | — |
| Obstetric ultrasound | —Insurance typically pays $99Sticker price — | — | $99 | — |
| Occipital nerve block | —Insurance typically pays $276Sticker price — | — | $276 | — |
| OTHER CARDIOTHORACIC PROCEDURES WITH MCC | —Insurance typically pays $28,509Sticker price — | — | $28,509 | — |
| OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | —Insurance typically pays $25,717Sticker price — | — | $25,717 | — |
| OTHER HEART ASSIST SYSTEM IMPLANT | —Insurance typically pays $57,376Sticker price — | — | $57,376 | — |
| Pacemaker interrogation in office | —Insurance typically pays $35Sticker price — | — | $35 | — |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | —Insurance typically pays $12,828Sticker price — | — | $12,828 | — |
| Peripheral nerve block | —Insurance typically pays $647Sticker price — | — | $647 | — |
| Peritoneal dialysis with single evaluation | —Insurance typically pays $398Sticker price — | — | $398 | — |
| Precancerous skin spot removal | —Insurance typically pays $186Sticker price — | — | $186 | — |
| Precancerous skin spots removal, 15+ | —Insurance typically pays $373Sticker price — | — | $373 | — |
| Retina scan (OCT) | —Insurance typically pays $55Sticker price — | — | $55 | — |
| Screening mammogram (3D) | —Insurance typically pays $82Sticker price — | — | $82 | — |
| Shot in muscle or under skin | —Insurance typically pays $66Sticker price — | — | $66 | — |
| Sigmoidoscopy | —Insurance typically pays $852Sticker price — | — | $852 | — |
| Simple drainage of abscess of finger | —Insurance typically pays $186Sticker price — | — | $186 | — |
| Skin biopsy, shave | —Insurance typically pays $186Sticker price — | — | $186 | — |
| Skin cancer removal | —Insurance typically pays $373Sticker price — | — | $373 | — |
| Sleep study (polysomnography) | —Insurance typically pays $960Sticker price — | — | $960 | — |
| Sleep study with CPAP initiation | —Insurance typically pays $960Sticker price — | — | $960 | — |
| Spinal nerve injection, lower back | —Insurance typically pays $832Sticker price — | — | $832 | — |
| Spirometry before and after bronchodilator | —Insurance typically pays $291Sticker price — | — | $291 | — |
| Spirometry (lung function test) | —Insurance typically pays $146Sticker price — | — | $146 | — |
| Stool blood test | —Insurance typically pays $4Sticker price — | — | $4 | — |
| Tdap vaccine | —Insurance typically pays $62Sticker price — | — | $62 | — |
| Tendon insertion injection | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Tendon sheath injection | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Therapy session, 60 minutes | —Insurance typically pays $150Sticker price — | — | $150 | — |
| Thyroid biopsy, open | —Insurance typically pays $657Sticker price — | — | $657 | — |
| Thyroid (TSH) test | —Insurance typically pays $17Sticker price — | — | $17 | — |
| Tilt table test | —Insurance typically pays $496Sticker price — | — | $496 | — |
| Tissue lab exam (pathology) | —Insurance typically pays $50Sticker price — | — | $50 | — |
| Trigger point injection | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Trigger point injections, multiple | —Insurance typically pays $276Sticker price — | — | $276 | — |
| Unattended home sleep study | —Insurance typically pays $148Sticker price — | — | $148 | — |
| Upper endoscopy | —Insurance typically pays $876Sticker price — | — | $876 | — |
| Upper endoscopy (EGD) | —Insurance typically pays $876Sticker price — | — | $876 | — |
| Upper endoscopy with guide wire placement | —Insurance typically pays $876Sticker price — | — | $876 | — |
| Upper endoscopy with submucosal injection | —Insurance typically pays $876Sticker price — | — | $876 | — |
| Urinalysis | —Insurance typically pays $3Sticker price — | — | $3 | — |
| VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | —Insurance typically pays $4,481Sticker price — | — | $4,481 | — |
| Visual field test | —Insurance typically pays $120Sticker price — | — | $120 | — |
| Voice box scope | —Insurance typically pays $181Sticker price — | — | $181 | — |
| Wound repair, layered stitches | —Insurance typically pays $373Sticker price — | — | $373 | — |
Source: this hospital's own published price file. Original file · Methodology