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St Johns Health Jackson

ID 5000010

Part of St Johns Health

Jackson, WY

Cash prices at St Johns Health Jackson

Showing 50 of 872 procedures

Procedure	Code	Estimated cash price
HC CATH BALLN ANGIOSCLPT RX SCORING 137MM	HCPCS C1725	$24
XR NASOJEJUNAL FEEDING TUBE REPOSITION	CPT 76000	$68
MRI JNT OF LWR EXTRE W/O DYE	CPT 73721	$317
SCREW VARIABLE SELF STARTING 4.0X18MM	HCPCS C1713	$946
SOD BI 325MG 325MG TB	HCPCS J3490	$1,014
STEM TIBIA LT 5 DEG SZ C	HCPCS C1776	$1,388
CULT SCREEN (MRSA ETC)	CPT 87081	$23
NM Parathyroid planar imaging	CPT 78070	$40
IV THROMBOLYSIS CORONARY	CPT 92977	$41
PT SELF-CARE DC G8989-CJ	HCPCS G8989	$41
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	CPT 24600	$42
HC LEAD ICD SPRINT QUATTRO SECURE S	HCPCS C1777	$47
Xr fluoro exam	CPT 64450	$54
HC CATH OPTICROSS 35 PERIPH IMAG	HCPCS C1753	$56
Diabetic Management Program,	HCPCS S9460	$59
Radex Nasal Bones Complete Minimum 3 Views	CPT 70160	$60
Prp i/hern init reduc >5 yr	CPT 49505	$61
CATH OCCLUSION LVL 01	HCPCS C2628	$62
INSJ WCS LV BOTH COMPNT PG	HCPCS 0517T	$69
SMALL BOWEL ENDOSCOPY BR/WA	CPT 44381	$69
XR ISOVUE M 200-20ML	HCPCS Q9966	$70
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	CPT 90732	$73
HEMOGLOBIN A1C LEVEL	CPT 83036	$74
EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM	CPT 27047	$78
VINCRISTINE 2 MG/2 ML INTRAVENOUS SOLUTION	HCPCS J9370	$78
IMP PROSTH SPHINCTR URIN LVL 07	HCPCS C1815	$85
PR ROM RAD THERAPY PANCREAS, PC	HCPCS M1099	$85
INJECTION, GOLIMUMAB, 1 MG, FOR INTRAVENOUS USE	HCPCS J1602	$86
EXCISE BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	CPT 11442	$90
STABILIZATION DEVICE STATLOCK SMALL 6 TO 8.5 FR UNIVERSAL	HCPCS A5200	$90
US lmtd jt/nonvasc xtr strux	CPT 76882	$97
GTT (EACH PAST 3)	CPT 82952	$98
CT TEMPORAL BONES W/WO CONTRAST - REPORT	CPT 70482	$103
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	CPT 29827	$105
OT ELBOW OR WRIST STRAPPING	CPT 29260	$107
CRYSTAL IDENTIFICATION BY LIGHT MICROSCOPY WITH OR WITHOUT POLARIZING LENS ANALYSIS, TISSUE OR ANY BODY FLUID (EXCEPT URINE)	CPT 89060	$116
PF DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MLT PASS	CPT 43450	$122
PF EXCISION LESION MENISCUS/CAPSULE KNEE	CPT 27347	$124
DEMO/EVAL PATIENT USE OF AEROSOL GENERATOR NEBLIZER MDI OR I	CPT 94664	$150
PR INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS	CPT 22841	$150
HC CATH THROM 12 LIGHTNING INDIGO	HCPCS C1757	$152
CMC CONTROLLER PLUS BRACE SM/ MED LEFT	HCPCS L3808	$158
LAB SCR AQUAPORIN 4 AB IGG CSF	CPT 86052	$160
RED SORREL IGE (MAYO RPR11)	CPT 86003	$185
LAB PHENYTOIN FREE	CPT 80186	$187
insulin NPH isoph U-100 human 100 unit/mL (3 mL) Inpn 3 mL Syringe	HCPCS J1815	$199
HC Strep a Pcr	CPT 87880	$208
REPAIR INTERMEDIATE SCALP UNDERARMS TRUNK ARM LEG 2.6-7.5CM	CPT 12032	$310
FACTOR VII ACTIVITY ASSAY (MAYO F_7)	CPT 85230	$321
UA W O MICRO AUTO	CPT 81003	$323