SelfPayRates
Hospital

St Luke's McCall, LTD

St Luke's McCall, LTD in McCall, ID publishes cash prices for 61 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

1000 State St., McCall, ID 83638-3704 Collected Sep 22, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 $2,263.00 $2,263.00 —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 $3,763.00 $3,763.00 —
CT scan of the head or brain, no contrast dye CPT 70450 $819.00 $819.00 —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 $1,361.00 $1,361.00 —
CT scan of the pelvis, with contrast dye CPT 72193 $1,093.00 $1,093.00 —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 $1,816.00 $1,816.00 —
Diagnostic mammogram, both breasts CPT 77066 $407.00 $407.00 —
Diagnostic mammogram, both breasts inpatient CPT 77066 $407.00 $407.00 —
Diagnostic mammogram, one breast CPT 77065 $319.00 $319.00 —
Diagnostic mammogram, one breast inpatient CPT 77065 $319.00 $319.00 —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 $1,857.00 $1,857.00 —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 $3,087.00 $3,087.00 —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 $2,263.00 $2,263.00 —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 $3,763.00 $3,763.00 —
MRI of the brain, no contrast dye CPT 70551 $1,857.00 $1,857.00 —
MRI of the brain, no contrast dye inpatient CPT 70551 $3,087.00 $3,087.00 —
MRI of the brain, with and without contrast dye CPT 70553 $2,263.00 $2,263.00 —
MRI of the brain, with and without contrast dye inpatient CPT 70553 $3,763.00 $3,763.00 —
MRI of the lower back, no contrast dye CPT 72148 $1,857.00 $1,857.00 —
MRI of the lower back, no contrast dye inpatient CPT 72148 $3,087.00 $3,087.00 —
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 $441.00 $441.00 —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 $441.00 $441.00 —
Screening mammogram, both breasts CPT 77067 $337.00 $337.00 —
Screening mammogram, both breasts CPT 77067 $337.00 $337.00 —
Screening mammogram, both breasts inpatient CPT 77067 $337.00 $337.00 —
Screening mammogram, both breasts inpatient CPT 77067 $337.00 $337.00 —
Sleep study in a lab (polysomnography) CPT 95810 $4,833.00 $4,833.00 —
Sleep study in a lab (polysomnography) inpatient CPT 95810 $4,833.00 $4,833.00 —
Transvaginal pelvic ultrasound CPT 76830 $441.00 $441.00 —
Transvaginal pelvic ultrasound inpatient CPT 76830 $441.00 $441.00 —
Ultrasound of the abdomen, complete CPT 76700 $441.00 $441.00 —
Ultrasound of the abdomen, complete inpatient CPT 76700 $441.00 $441.00 —
X-ray of the lower back, 4 or more views CPT 72110 $441.00 $441.00 —
X-ray of the lower back, 4 or more views inpatient CPT 72110 $441.00 $441.00 —

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 $38.00 $38.00 —
Basic metabolic panel (blood test) inpatient CPT 80048 $65.00 $65.00 —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 $21.25 $21.25 —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 $60.00 $60.00 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 $21.25 $21.25 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 $103.00 $103.00 —
Complete blood count (CBC) with differential CPT 85025 $35.00 $35.00 —
Complete blood count (CBC) with differential inpatient CPT 85025 $60.00 $60.00 —
Complete blood count (CBC), no differential CPT 85027 $29.00 $29.00 —
Complete blood count (CBC), no differential inpatient CPT 85027 $50.00 $50.00 —
Comprehensive metabolic panel (blood test) CPT 80053 $47.00 $47.00 —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 $81.00 $81.00 —
Kidney function blood test panel CPT 80069 $39.00 $39.00 —
Kidney function blood test panel inpatient CPT 80069 $67.00 $67.00 —
Liver function blood test panel CPT 80076 $36.00 $36.00 —
Liver function blood test panel inpatient CPT 80076 $63.00 $63.00 —
PSA (prostate-specific antigen) blood test, free CPT 84154 $82.00 $82.00 —
PSA (prostate-specific antigen) blood test, free CPT 84154 $178.13 $178.13 —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 $142.00 $142.00 —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 $178.13 $178.13 —
PSA (prostate-specific antigen) blood test, total CPT 84153 $25.65 $25.65 —
PSA (prostate-specific antigen) blood test, total CPT 84153 $82.00 $82.00 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 $25.65 $25.65 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 $142.00 $142.00 —
Partial thromboplastin time (PTT) clotting test CPT 85730 $15.03 $15.03 —
Partial thromboplastin time (PTT) clotting test CPT 85730 $27.00 $27.00 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 $15.03 $15.03 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 $46.00 $46.00 —
Prothrombin time (PT/INR) clotting test CPT 85610 $15.03 $15.03 —
Prothrombin time (PT/INR) clotting test CPT 85610 $19.00 $19.00 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 $15.03 $15.03 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 $33.00 $33.00 —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 $75.00 $75.00 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 $129.00 $129.00 —
Urinalysis with microscope exam, automated CPT 81001 $14.00 $14.00 —
Urinalysis with microscope exam, automated inpatient CPT 81001 $24.00 $24.00 —
Urinalysis with microscope exam, manual CPT 81000 $31.00 $31.00 —
Urinalysis with microscope exam, manual inpatient CPT 81000 $31.00 $31.00 —
Urinalysis without microscope exam, automated CPT 81003 $10.00 $10.00 —
Urinalysis without microscope exam, automated inpatient CPT 81003 $17.00 $17.00 —
Urinalysis without microscope exam, manual CPT 81002 $15.00 $15.00 —
Urinalysis without microscope exam, manual inpatient CPT 81002 $27.00 $27.00 —

Surgery and procedures

ProcedureCash price List priceOff list
Cataract surgery with lens implant CPT 66984 $5,599.00 $5,599.00 —
Cataract surgery with lens implant CPT 66984 $5,599.00 $5,599.00 —
Cataract surgery with lens implant inpatient CPT 66984 $5,599.00 $5,599.00 —
Cataract surgery with lens implant inpatient CPT 66984 $5,599.00 $5,599.00 —
Colonoscopy with endoscopic ultrasound CPT 45391 $3,234.00 $3,234.00 —
Colonoscopy with endoscopic ultrasound CPT 45391 $3,234.00 $3,234.00 —
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 $3,234.00 $3,234.00 —
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 $3,234.00 $3,234.00 —
Colonoscopy with polyp removal CPT 45385 $3,234.00 $3,234.00 —
Colonoscopy with polyp removal CPT 45385 $3,234.00 $3,234.00 —
Colonoscopy with polyp removal inpatient CPT 45385 $3,234.00 $3,234.00 —
Colonoscopy with polyp removal inpatient CPT 45385 $3,234.00 $3,234.00 —
Colonoscopy with tissue sample CPT 45380 $3,234.00 $3,234.00 —
Colonoscopy with tissue sample CPT 45380 $3,234.00 $3,234.00 —
Colonoscopy with tissue sample inpatient CPT 45380 $3,234.00 $3,234.00 —
Colonoscopy with tissue sample inpatient CPT 45380 $3,234.00 $3,234.00 —
Colonoscopy, diagnostic CPT 45378 $2,509.00 $2,509.00 —
Colonoscopy, diagnostic CPT 45378 $2,509.00 $2,509.00 —
Colonoscopy, diagnostic inpatient CPT 45378 $2,509.00 $2,509.00 —
Colonoscopy, diagnostic inpatient CPT 45378 $2,509.00 $2,509.00 —
Gallbladder removal, laparoscopic CPT 47562 $15,131.00 $15,131.00 —
Gallbladder removal, laparoscopic CPT 47562 $15,131.00 $15,131.00 —
Gallbladder removal, laparoscopic inpatient CPT 47562 $15,131.00 $15,131.00 —
Gallbladder removal, laparoscopic inpatient CPT 47562 $15,131.00 $15,131.00 —
Inguinal (groin) hernia repair, age 5 or older CPT 49505 $8,630.00 $8,630.00 —
Knee arthroscopy with meniscus trim CPT 29881 $6,877.00 $6,877.00 —
Knee arthroscopy with meniscus trim inpatient CPT 29881 $8,372.00 $8,372.00 —
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 $1,535.00 $1,535.00 —
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 $1,535.00 $1,535.00 —
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 $1,535.00 $1,535.00 —
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 $1,535.00 $1,535.00 —
Left heart catheterization, diagnostic CPT 93452 $19,903.00 $19,903.00 —
Left heart catheterization, diagnostic inpatient CPT 93452 $19,903.00 $19,903.00 —
Lower-back epidural injection, with imaging guidance CPT 62323 $1,886.00 $1,886.00 —
Lower-back epidural injection, with imaging guidance CPT 62323 $1,886.00 $1,886.00 —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 $1,886.00 $1,886.00 —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 $1,886.00 $1,886.00 —
Lower-back epidural injection, without imaging guidance CPT 62322 $2,430.00 $2,430.00 —
Lower-back epidural injection, without imaging guidance CPT 62322 $2,430.00 $2,430.00 —
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 $2,430.00 $2,430.00 —
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 $2,430.00 $2,430.00 —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 $2,430.00 $2,430.00 —
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 $2,430.00 $2,430.00 —
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 $2,430.00 $2,430.00 —
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 $2,430.00 $2,430.00 —
Prostate removal (prostatectomy), laparoscopic CPT 55866 $26,271.00 $26,271.00 —
Prostate removal (prostatectomy), laparoscopic CPT 55866 $26,271.00 $26,271.00 —
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 $26,271.00 $26,271.00 —
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 $26,271.00 $26,271.00 —
Removal of a breast lump, open surgery CPT 19120 $10,392.00 $10,392.00 —
Removal of a breast lump, open surgery CPT 19120 $10,392.00 $10,392.00 —
Removal of a breast lump, open surgery inpatient CPT 19120 $10,392.00 $10,392.00 —
Removal of a breast lump, open surgery inpatient CPT 19120 $10,392.00 $10,392.00 —
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 $2,859.00 $2,859.00 —
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 $2,859.00 $2,859.00 —
Tonsil and adenoid removal, child under 12 CPT 42820 $15,519.00 $15,519.00 —
Tonsil and adenoid removal, child under 12 CPT 42820 $15,519.00 $15,519.00 —
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 $15,519.00 $15,519.00 —
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 $15,519.00 $15,519.00 —
Total hip replacement CPT 27130 $15,889.00 $15,889.00 —
Total hip replacement CPT 27130 $15,889.00 $15,889.00 —
Total hip replacement inpatient CPT 27130 $15,889.00 $15,889.00 —
Total hip replacement inpatient CPT 27130 $15,889.00 $15,889.00 —
Total knee replacement CPT 27447 $15,889.00 $15,889.00 —
Total knee replacement CPT 27447 $15,889.00 $15,889.00 —
Total knee replacement inpatient CPT 27447 $15,889.00 $15,889.00 —
Total knee replacement inpatient CPT 27447 $15,889.00 $15,889.00 —
Upper endoscopy (EGD) with biopsy CPT 43239 $2,526.00 $2,526.00 —
Upper endoscopy (EGD) with biopsy CPT 43239 $2,526.00 $2,526.00 —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 $2,526.00 $2,526.00 —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 $2,526.00 $2,526.00 —
Upper endoscopy (EGD), diagnostic CPT 43235 $2,526.00 $2,526.00 —
Upper endoscopy (EGD), diagnostic CPT 43235 $2,526.00 $2,526.00 —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 $2,526.00 $2,526.00 —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 $2,526.00 $2,526.00 —

Doctor visits and therapy

ProcedureCash price List priceOff list
Family therapy with the patient, 50 minutes CPT 90847 $466.00 $466.00 —
Family therapy with the patient, 50 minutes inpatient CPT 90847 $466.00 $466.00 —
Family therapy without the patient, 50 minutes CPT 90846 $466.00 $466.00 —
Family therapy without the patient, 50 minutes inpatient CPT 90846 $466.00 $466.00 —
Group psychotherapy session CPT 90853 $268.00 $268.00 —
Group psychotherapy session inpatient CPT 90853 $268.00 $268.00 —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 $72.00 $72.00 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 $72.00 $72.00 —
Preventive checkup, new patient aged 18–39 CPT 99385 $428.00 $428.00 —
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 $428.00 $428.00 —
Psychotherapy session, 30 minutes CPT 90832 $466.00 $466.00 —
Psychotherapy session, 30 minutes inpatient CPT 90832 $466.00 $466.00 —
Psychotherapy session, 45 minutes CPT 90834 $466.00 $466.00 —
Psychotherapy session, 45 minutes inpatient CPT 90834 $466.00 $466.00 —
Psychotherapy session, 60 minutes CPT 90837 $466.00 $466.00 —
Psychotherapy session, 60 minutes inpatient CPT 90837 $466.00 $466.00 —

Source file: https://assets.slhs.org/download/assets/273311774_St-Lukes-McCall-LTD_standardcharges.csv/8ce4df342a2111f1b690eeb323b4f562