Hospital Hailey, ID

St Luke's Wood River Medical Center, LTD

St Luke's Wood River Medical Center, LTD in Ketchum, 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.

100 Hospital Drive, Ketchum, ID 83340-9999 Collected Sep 23, 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 CPT 77066 $407.00 $407.00
Diagnostic mammogram, both breasts inpatient 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 CPT 77065 $319.00 $319.00
Diagnostic mammogram, one breast inpatient 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 CPT 76805 $441.00 $441.00
Pregnancy ultrasound after 14 weeks, one baby inpatient 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) CPT 95810 $4,833.00 $4,833.00
Sleep study in a lab (polysomnography) inpatient 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 CPT 76830 $441.00 $441.00
Transvaginal pelvic ultrasound inpatient 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 CPT 76700 $441.00 $441.00
Ultrasound of the abdomen, complete inpatient 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 CPT 72110 $441.00 $441.00
X-ray of the lower back, 4 or more views inpatient 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 CPT 81000 $31.00 $31.00
Urinalysis with microscope exam, manual inpatient 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 $27.00 $27.00
Urinalysis without microscope exam, manual CPT 81002 $27.00 $27.00
Urinalysis without microscope exam, manual inpatient CPT 81002 $27.00 $27.00
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
Inguinal (groin) hernia repair, age 5 or older CPT 49505 $8,630.00 $8,630.00
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 $8,630.00 $8,630.00
Inguinal (groin) hernia repair, age 5 or older inpatient 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 CPT 93452 $19,903.00 $19,903.00
Left heart catheterization, diagnostic inpatient 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
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 CPT 90847 $466.00 $466.00
Family therapy with the patient, 50 minutes inpatient 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 CPT 90846 $466.00 $466.00
Family therapy without the patient, 50 minutes inpatient 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 CPT 90853 $268.00 $268.00
Group psychotherapy session inpatient 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) CPT 97110 $72.00 $72.00
Physical therapy, therapeutic exercise (15-minute unit) inpatient 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 CPT 99385 $428.00 $428.00
Preventive checkup, new patient aged 18–39 inpatient 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 CPT 90832 $466.00 $466.00
Psychotherapy session, 30 minutes inpatient 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 CPT 90834 $466.00 $466.00
Psychotherapy session, 45 minutes inpatient 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 CPT 90837 $466.00 $466.00
Psychotherapy session, 60 minutes inpatient 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/841421665_St-Lukes-Wood-River-Medical-Center-LTD_standardcharges.csv/aa6baaec2a2111f1a390eeb323b4f562