St Lukes Rehabilitation Hospital
St Lukes Rehabilitation Hospital in Chesterfield, MO publishes cash prices for 125 common procedures listed here, from its own machine-readable price file updated Aug 6, 2026. Click a procedure to compare it with other hospitals nearby.
14709 Olive Blvd., Chesterfield, MO 63017 Collected Sep 29, 2026 Source price file
The price file shows no self-pay discount
For 144 of the 144 prices listed here, the cash price in St Lukes Rehabilitation Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography Chest w/Contras | $7,217.40 | $7,217.40 | $5,052.18–$5,413.05 | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis W/O Contrast | $6,213.05 | $6,213.05 | $4,349.14–$4,659.79 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis w/Contrast | $9,599.45 | $9,599.45 | $6,719.62–$7,199.59 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelv 1/> Regns w/wo c | $10,692.70 | $10,692.70 | $7,484.89–$8,019.53 | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast | $6,399.65 | $6,399.65 | $4,479.76–$4,799.74 | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast | $4,142.05 | $4,142.05 | $2,899.44–$3,106.54 | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o contrast | $4,142.05 | $4,142.05 | $2,899.44–$3,106.54 | — |
| CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/Contrast | $4,301.51 | $4,301.51 | $3,011.06–$3,226.13 | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-Spine W/O Dye | $4,142.05 | $4,142.05 | $2,899.44–$3,106.54 | — |
| Chest X-ray, 2 views inpatient CPT 71046 RAD Chest 2 Views | $549.75 | $549.75 | $384.83–$412.31 | — |
| Chest X-ray, single view inpatient CPT 71045 RAD Chest 1 View | $308.50 | $308.50 | $215.95–$231.38 | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Renal Ultrasound Complete | $1,415.51 | $1,415.51 | $990.86–$1,061.63 | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Axial | $501.26 | $501.26 | $350.88–$375.95 | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Dye | $3,934.58 | $3,934.58 | $2,754.21–$2,950.94 | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest W/ Dye | $5,297.81 | $5,297.81 | $3,708.47–$3,973.36 | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Doppler Lower Extrem Bilat | $714.65 | $714.65 | $500.26–$535.99 | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Doppler Upper Extrem bilat | $714.65 | $714.65 | $500.26–$535.99 | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthoracic 2d | $1,235.60 | $1,235.60 | $864.92–$926.70 | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 RAD Knee 3 Views Lt | $468.00 | $468.00 | $327.60–$351.00 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Exam Abdomen Limited | $1,058.05 | $1,058.05 | $740.64–$793.54 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $1,137.05 | $1,137.05 | $795.94–$852.79 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extr W/O&w/Dye R | $1,746.94 | $1,746.94 | $1,222.86–$1,310.21 | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Dye | $7,324.00 | $7,324.00 | $5,126.80–$5,493.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar Spine W/O Dye | $7,324.00 | $7,324.00 | $5,126.80–$5,493.00 | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar Spine W/O & W/Dye | $11,377.15 | $11,377.15 | $7,964.01–$8,532.86 | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Thoracic Spine W/O Dye | $7,324.00 | $7,324.00 | $5,126.80–$5,493.00 | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Neck Spine W/O & W/Dye | $11,377.15 | $11,377.15 | $7,964.01–$8,532.86 | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Exam Pelvic Limited | $907.30 | $907.30 | $635.11–$680.48 | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Exam Pelvic Complete | $1,313.45 | $1,313.45 | $919.42–$985.09 | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 RAD Shoulder bilat comp 2vw | $1,434.24 | $1,434.24 | $1,003.97–$1,075.68 | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RAD Shoulder Complete | $603.82 | $603.82 | $422.67–$452.87 | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RAD Shoulder 2 Views Lt | $472.75 | $472.75 | $330.93–$354.56 | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RAD Cine/Vid Throat/Esoph MBSS | $854.45 | $854.45 | $598.12–$640.84 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Exam Abdom Complete | $1,130.75 | $1,130.75 | $791.53–$848.06 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD Upper Gi Delay W/O Kub | $823.85 | $823.85 | $576.70–$617.89 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD Upper Gi Delay Single Cont | $2,136.45 | $2,136.45 | $1,495.52–$1,602.34 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Doppler Extremity Vein Ltd Lt | $509.36 | $509.36 | $356.55–$382.02 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Doppler Extremity Vein Ltd RT | $509.36 | $509.36 | $356.55–$382.02 | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 RAD Wrist 3+ Views Lt | $474.35 | $474.35 | $332.05–$355.76 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD Hip 2-3 Views Unil Lt | $584.80 | $584.80 | $409.36–$438.60 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD Hip 2-3 Views Unil Rt | $584.80 | $584.80 | $409.36–$438.60 | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RAD Abdomen 1 Vw | $370.55 | $370.55 | $259.39–$277.91 | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 MRI Joint Lwr Extr W/O&w/Dye | $370.55 | $370.55 | $259.39–$277.91 | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RAD Exam Abdomen 1 View | $370.55 | $370.55 | $259.39–$277.91 | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 RAD Ankle 2 Views Lt | $355.00 | $355.00 | $248.50–$266.25 | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 RAD Ankle 2 Views Rt | $355.00 | $355.00 | $248.50–$266.25 | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 RAD Foot 2 Views Rt | $464.10 | $464.10 | $324.87–$348.08 | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 RAD Foot 2 Views Lt | $464.10 | $464.10 | $324.87–$348.08 | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 RAD Hand 3 Views Lt | $404.10 | $404.10 | $282.87–$303.08 | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 RAD Knee 1-2 Views Bilat | $496.75 | $496.75 | $347.73–$372.56 | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 RAD Knee/Patella 2 View | $316.55 | $316.55 | $221.59–$237.41 | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RAD Knee 1-2 Views Lt | $336.70 | $336.70 | $235.69–$252.53 | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RAD Knee 1-2 Views Rt | $336.70 | $336.70 | $235.69–$252.53 | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RAD Exam L-S Spine 2/3 Vws | $497.55 | $497.55 | $348.29–$373.16 | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD Exam Neck Spine 2-3 Vw | $404.00 | $404.00 | $282.80–$303.00 | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD Exam of Pelvis | $648.55 | $648.55 | $453.99–$486.41 | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $673.20 | $673.20 | $471.24–$504.90 | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibody | $114.20 | $114.20 | $79.94–$85.65 | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B type BNP | $251.10 | $251.10 | $175.77–$188.33 | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PROBNP | $265.20 | $265.20 | $185.64–$198.90 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMP with Total Calcium | $449.25 | $449.25 | $314.48–$336.94 | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Tissue Exam By Path | $319.20 | $319.20 | $223.44–$239.40 | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture For Bacteria | $333.75 | $333.75 | $233.63–$250.31 | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $27.45 | $27.45 | $19.22–$20.59 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin BHCG | $145.10 | $145.10 | $101.57–$108.83 | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic ABO | $167.00 | $167.00 | $116.90–$125.25 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP C-Reactive Protein | $164.85 | $164.85 | $115.40–$123.64 | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium AmpProbe Cdiff | $348.01 | $348.01 | $243.61–$261.01 | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 ImmunoTumor CA 19-9 | $399.55 | $399.55 | $279.69–$299.66 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-Cov-2 Cov10-19 | $188.80 | $188.80 | $132.16–$141.60 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $234.35 | $234.35 | $164.05–$175.76 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete CBC W/Auto Diff | $143.20 | $143.20 | $100.24–$107.40 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o differential | $139.70 | $139.70 | $97.79–$104.78 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen Metabolic Panel CMP | $585.95 | $585.95 | $410.17–$439.46 | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP -D-dimer Quantitative | $211.60 | $211.60 | $148.12–$158.70 | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $212.00 | $212.00 | $148.40–$159.00 | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Folic Acid Serum | $264.00 | $264.00 | $184.80–$198.00 | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free (FT-3) | $402.60 | $402.60 | $281.82–$301.95 | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free Thyroxine (T4) | $183.30 | $183.30 | $128.31–$137.48 | — |
| Free testosterone test inpatient CPT 84402 Free Testosterone | $116.30 | $116.30 | $81.41–$87.23 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Glucose Test | $71.82 | $71.82 | $50.27–$53.87 | — |
| H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool IA | $358.40 | $358.40 | $250.88–$268.80 | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 Quant&Revrse Trnscrpj | $311.65 | $311.65 | $218.16–$233.74 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Glycosylated HGBA1C | $147.20 | $147.20 | $103.04–$110.40 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Antibody | $166.70 | $166.70 | $116.69–$125.03 | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface AG IA | $123.60 | $123.60 | $86.52–$92.70 | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C AB Test | $216.90 | $216.90 | $151.83–$162.68 | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Trnscrpj | $910.90 | $910.90 | $637.63–$683.18 | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine | $584.50 | $584.50 | $409.15–$438.38 | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $94.85 | $94.85 | $66.40–$71.14 | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC Iron Binding Capacity | $111.70 | $111.70 | $78.19–$83.78 | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $572.45 | $572.45 | $400.72–$429.34 | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin (Lh) | $248.80 | $248.80 | $174.16–$186.60 | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $375.25 | $375.25 | $262.68–$281.44 | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $129.70 | $129.70 | $90.79–$97.28 | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Antibody Rubeola | $128.80 | $128.80 | $90.16–$96.60 | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (PTH) | $554.30 | $554.30 | $388.01–$415.73 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Thromboplastin Time Partia | $157.00 | $157.00 | $109.90–$117.75 | — |
| Prolactin blood test inpatient CPT 84146 Prolactin | $290.30 | $290.30 | $203.21–$217.73 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time PT/INR | $129.70 | $129.70 | $90.79–$97.28 | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Dir Opt Obs | $189.00 | $189.00 | $132.30–$141.75 | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay w/Optic Swab | $165.50 | $165.50 | $115.85–$124.13 | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A W/Optic | $164.40 | $164.40 | $115.08–$123.30 | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Antibody Rubella | $143.90 | $143.90 | $100.73–$107.93 | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED Rate Automated (ESR) | $36.80 | $36.80 | $25.76–$27.60 | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites Smears | $190.50 | $190.50 | $133.35–$142.88 | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces | $120.70 | $120.70 | $84.49–$90.53 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test NonTrep Qual RPR | $87.90 | $87.90 | $61.53–$65.93 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Test Cell - Quantiferon | $167.65 | $167.65 | $117.36–$125.74 | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Total Testosterone | $48.40 | $48.40 | $33.88–$36.30 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stim Hormone | $219.80 | $219.80 | $153.86–$164.85 | — |
| Uric acid blood test inpatient CPT 84550 Blood/Uric Acid | $101.70 | $101.70 | $71.19–$76.28 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Scope UA | $104.10 | $104.10 | $72.87–$78.08 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Body Fluid/Urine Specific Grav | $51.00 | $51.00 | $35.70–$38.25 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope UA | $78.45 | $78.45 | $54.92–$58.84 | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count | $231.05 | $231.05 | $161.74–$173.29 | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 | $215.85 | $215.85 | $151.10–$161.89 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy | $743.45 | $743.45 | $520.42–$557.59 | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthro, Asp, and/or Inj w/o US | $674.46 | $674.46 | $472.12–$505.85 | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Img | $1,716.53 | $1,716.53 | $1,201.57–$1,287.40 | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis asp w/Imaging | $2,852.05 | $2,852.05 | $1,996.44–$2,139.04 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD Biopsy Single/Multi | $2,503.44 | $2,503.44 | $1,752.41–$1,877.58 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Fee Surgery | $715.00 | $715.00 | $500.50–$536.25 | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Fee | $715.00 | $715.00 | $500.50–$536.25 | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Init 30-74 Min | $4,466.63 | $4,466.63 | $3,126.64–$3,349.97 | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O Interpre and Repo-(RT) | $349.05 | $349.05 | $244.34–$261.79 | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular re-ED 15 min | $112.10 | $112.10 | $78.47–$84.08 | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval- Low Complexity | $243.20 | $243.20 | $170.24–$182.40 | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval- High Complexity | $486.05 | $486.05 | $340.24–$364.54 | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Low Complexity | $120.35 | $120.35 | $84.25–$90.26 | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval - Low Complexity | $282.50 | $282.50 | $197.75–$211.88 | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval -Moderate Complexity | $364.55 | $364.55 | $255.19–$273.41 | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 15 min | $129.70 | $129.70 | $90.79–$97.28 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic proc/exer 15 min | $112.10 | $112.10 | $78.47–$84.08 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ther procedure exercise 15 min | $112.10 | $112.10 | $78.47–$84.08 | — |
| Speech and language evaluation inpatient CPT 92523 Eval of speech/language comp | $410.26 | $410.26 | $287.18–$307.70 | — |
| Speech therapy session, individual inpatient CPT 92507 Speech/auditory tx individual | $153.15 | $153.15 | $107.21–$114.86 | — |
| Spirometry (breathing test) inpatient CPT 94010 PFT W/Graphical Records | $204.10 | $204.10 | $142.87–$153.08 | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT W/ Pre/Post Brochodilator | $353.30 | $353.30 | $247.31–$264.98 | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities 15 min | $112.10 | $112.10 | $78.47–$84.08 | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities 15 min | $112.10 | $112.10 | $78.47–$84.08 | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC QUAD 2022-23 240MCG | $136.29 | $136.29 | $68.15–$102.22 | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13 .5 mL | $465.79 | $465.79 | $232.90–$349.34 | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 25 mcg | $236.05 | $236.05 | $118.03–$177.04 | — |