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St. Mary'S Hospital

Idaho · 1,500 published self-pay prices, from $113 to $83,006.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
Activated protein resistance assay$152Outpatient
Acute hepatitis panel$234Outpatient
Administration of additional new drug or substance into vein using push technique$356Outpatient
Administration of chemotherapy into vein using push technique$807Outpatient
Administration of chemotherapy into vein, 1 hour or less$584Outpatient
Administration of chemotherapy into vein, each additional hour$239Outpatient
Adrenocorticotropic hormone (ACTH) level$189Outpatient
AIRWAY MASK EOA$131Outpatient
Alcohols levels$115Outpatient
Aldolase (enzyme) level$209Outpatient
AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)$998Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)$499Outpatient
AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)$460Outpatient
Aminolevulinic acid (protein) level$126Outpatient
Amphetamines levels, 1 or 2$122Outpatient
Amputation of both lower leg bones$1,616Outpatient
AMPUTATION OF DIGIT$713Both
Amputation of finger or thumb with direct closure$504Outpatient
Amputation of finger or thumb with tissue flap$1,116Outpatient
Amputation of fingers and part of hand at midhand bones$1,425Outpatient
Amputation of thigh through thigh bone$1,410Outpatient
Amputation of thigh through thigh bone leaving wound$1,240Outpatient
Amputation of toe and midfoot bone$758Outpatient
Amputation of toe at joint between forefoot and toes$226Outpatient
Amputation of toe at toe joint$221Outpatient
Anabolic steroids levels, 1 or 2$198Outpatient
Analysis for antibody to Diphtheria (bacteria)$145Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$131Outpatient
Analysis for antibody to fungus$131Outpatient
Analysis for antibody to Giardia lamblia (intestinal parasite)$159Outpatient
Analysis for antibody to helminth (intestinal worm)$175Outpatient
Analysis for antibody to Herpes simplex virus$119Outpatient
Analysis for antibody to john cunningham virus$724Outpatient
Analysis for antibody to Neisseria meningitidis (bacterial meningitis)$123Outpatient
Analysis for antibody to Rubella (German measles virus)$119Outpatient
Analysis for antibody to tetanus bacteria (Clostridium tetanus)$116Outpatient
Analysis for antibody to virus$159Outpatient
Analysis for detection of tumor marker$135Outpatient
Analysis of voice and resonance production$288Outpatient
Analysis test by nucleic acid for Hepatitis C virus$808Outpatient
Analysis using chemiluminescent technique (light and chemical )reaction$178Outpatient
Anesthesia for cesarean delivery$752Outpatient
Anesthesia for labor during planned vaginal delivery$752Outpatient
ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT$170Outpatient
ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT$265Outpatient
Antipsychotics levels, 1-3$252Outpatient
Antithrombin III antigen (clotting inhibitor) activity$138Outpatient
APLIGRAF, PER SQUARE CENTIMETER$1,507Outpatient
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less$117Outpatient
Aspiration and injection of cyst of bone$186Outpatient
Aspiration of abdominal cavity or cyst using an endoscope$654Outpatient
Aspiration of fluid from chest cavity$161Both
Aspiration of fluid from chest cavity using imaging guidance$197Outpatient
ASPIRATION/INJECT OF JNT BY DR$295Both
Attachment of vagina to rear pelvic bone$1,520Outpatient
Balloon dilation of esophagus using a flexible endoscope, less than 3.0 cm$212Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$276Outpatient
Balloon dilation of large bowel using a flexible endoscope$381Outpatient
Balloon dilation of lower large bowel using a flexible endoscope$140Outpatient
Beta 2 glycoprotein 1 antibody (autoantibody) measurement$113Outpatient
Biopsies of rectum and/or lower large bowel using a rigid endoscope$131Outpatient
Biopsy and removal of lymph nodes of abdominal cavity using an endoscope$800Outpatient
Biopsy of abdomen using an endoscope$611Outpatient
Biopsy of anal and/or rectal wall through anus$531Outpatient
Biopsy of anus using an endoscope$136Outpatient
Biopsy of back 1/3 of tongue$197Outpatient
Biopsy of back of throat$196Outpatient
Biopsy of breast through incision$344Outpatient
Biopsy of cervix using an endoscope$116Outpatient
Biopsy of cervix using an endoscope with loop electrode$232Outpatient
Biopsy of deep tissue of shoulder$630Outpatient
Biopsy of deep tissue of thigh or knee$705Outpatient
Biopsy of esophagus using a flexible endoscope through mouth$187Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$250Outpatient
Biopsy of extensive area of vaginal mucous membrane$121Outpatient
Biopsy of floor of mouth$160Outpatient
Biopsy of front 2/3 of tongue$191Outpatient
Biopsy of large bowel using a flexible endoscope$361Outpatient
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin$309Outpatient
Biopsy of lining of uterus and/or removal of polyp using an endoscope$368Outpatient
Biopsy of lip$130Outpatient
Biopsy of lobe of lung using an endoscope, 1 lobe$311Outpatient
Biopsy of lower large bowel using a flexible endoscope$164Outpatient
Biopsy of mouth$192Outpatient
Biopsy of muscle$169Outpatient
Biopsy of ovaries$670Outpatient
Biopsy of roof of mouth$194Outpatient
Biopsy of soft tissue of neck or chest$263Outpatient
Biopsy of surface bone$269Outpatient
Biopsy of surface tissue of leg or ankle$287Outpatient
Biopsy of surface tissue of pelvis and hip$352Outpatient
Biopsy of surface tissue of shoulder$295Outpatient
Biopsy of surface tissue of thigh or knee$314Outpatient
Biopsy of vagina and cervix using an endoscope$127Outpatient
Biopsy or removal of deep lymph nodes of neck$652Outpatient
Biopsy or removal of deep lymph nodes of underarm$674Outpatient
Biopsy or removal of foreign body in large bowel$1,739Outpatient
Biopsy or removal of lymph nodes$393Outpatient
Biopsy or removal of lymph nodes of groin$381Outpatient
Biopsy or removal of lymph nodes of neck with removal of fat pad$720Outpatient
Blockage of uterine tubes by device using an endoscope$579Outpatient
Blood bank physician services for investigation of transfusion reaction with written report$639Outpatient
Blood gases measurement$344Outpatient
Blood smear interpretation by physician with written report$120Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$118Outpatient
Blood test panel for obstetrics ( cbc, differential wbc count, hepatitis b, hiv, rubella, syphilis, antibody screening, rbc, blood typing)$430Outpatient
Blood unit compatibility test, electronic$172Outpatient
BOWEL STAPLER GIA80-3.8 60-3.8$341Outpatient
BOWEL STAPLER LINEAR OPEN ILA$943Outpatient
BRACE KNEE HINGED$196Outpatient
Breath test analysis for helicobacter pylori$346Outpatient
BURN TREATMENT COMPLEX$298Both
BURN TREATMENT INTERMEDIATE$191Both
BURN TREATMENT SIMPLE$125Both
Cadmium level$182Outpatient
Calcitonin (hormone) level$238Outpatient
CALCITONIN-SALMON 200 UNIT SPR$356Outpatient
Carbohydrate deficient transferrin (protein) level$119Outpatient
CARDIAC PACING$239Both
Cardiolipin antibody (tissue antibody) measurement$119Outpatient
CARDIVERSION$441Both
Carnitine level$482Outpatient
Catecholamines (organic nitrogen) level$118Outpatient
CATH CHOLEANGIOGRAM$271Outpatient
CATHETER, DRAINAGE$196Outpatient
CATHETER, OCCLUSION$433Outpatient
CATHETER,EPIDURAL BREVI XL$146Outpatient
CAUTERY ELECTRODE HANDSWITCH P$171Outpatient
Cell examination of body fluid, smears$128Outpatient
Cell examination of specimen, selective cellular enhancement technique$140Outpatient
Cell-based immunofluorescence (CBA) detection of aquaporin-4 (neuromyelitis optica [NMO]) antibody$624Outpatient
Cervicovaginal secretion of placenta protein$330Outpatient
Cesarean delivery$1,400Outpatient
Cesarean delivery and care before and after delivery following attempted vaginal delivery after previous cesarean delivery$3,632Outpatient
Cesarean delivery following vaginal delivery attempt after previous cesarean delivery$1,447Outpatient
Cesarean delivery with care after delivery$1,941Outpatient
Cesarean delivery with care after delivery following vaginal delivery attempt after previous cesarean delivery$2,003Outpatient
Cesarean delivery with care before and after delivery$3,588Outpatient
Cesarean delivery with removal of uterus$728Outpatient
Chemical test for genetic disorder$256Outpatient
CHEST TUBE PLACEMENT$410Both
Chromosome analysis for genetic defects, additional high resolution study$452Outpatient
Chromosome analysis for genetic defects, count 15-20 cells$452Outpatient
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month$115Outpatient
CLIP HEMOSTASIS GI DURACLIP$297Outpatient
Closed treatment of 2 broken lower leg bones at ankle$244Outpatient
Closed treatment of 2 broken lower leg bones at ankle with manipulation$816Outpatient
Closed treatment of 3 broken lower leg bones at ankle$239Outpatient
Closed treatment of 3 broken lower leg bones at ankle with manipulation$829Outpatient
Closed treatment of back portion of shin bone at ankle$212Outpatient
Closed treatment of back portion of shin bone at ankle with manipulation$774Outpatient
Closed treatment of broken and dislocated forearm bones at elbow with manipulation$410Outpatient
Closed treatment of broken and dislocated wrist bones with manipulation$915Outpatient
Closed treatment of broken ankle joint bone$174Outpatient
Closed treatment of broken ankle joint bone with manipulation$258Outpatient
Closed treatment of broken base of forearm bone on small finger side at wrist$239Outpatient
Closed treatment of broken bone in forefoot or midfoot$159Outpatient
Closed treatment of broken bone separating nose airways$513Outpatient
Closed treatment of broken chest bone$254Outpatient
Closed treatment of broken collar bone$163Outpatient
Closed treatment of broken collar bone with manipulation$618Outpatient
Closed treatment of broken elbow$254Outpatient
Closed treatment of broken elbow with manipulation$965Outpatient
Closed treatment of broken end of finger or thumb$136Outpatient
Closed treatment of broken end of finger or thumb with manipulation$550Outpatient
Closed treatment of broken finger or hand at base of finger$168Outpatient
Closed treatment of broken finger or hand at base of finger with manipulation$649Outpatient
Closed treatment of broken finger or thumb at midportion or part near hand$144Outpatient
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation$664Outpatient
Closed treatment of broken foot with manipulation$188Outpatient
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$244Outpatient
Closed treatment of broken forearm bone on small finger side at elbow$212Outpatient
Closed treatment of broken forearm bone on small finger side at elbow with manipulation$796Outpatient
Closed treatment of broken forearm bone on thumb side at elbow$192Outpatient
Closed treatment of broken forearm bone on thumb side at elbow with manipulation$767Outpatient
Closed treatment of broken great toe with manipulation$129Outpatient
Closed treatment of broken hand bone$217Outpatient
Closed treatment of broken hand bone with manipulation$239Outpatient
Closed treatment of broken heel bone$179Outpatient
Closed treatment of broken hip socket$303Outpatient
Closed treatment of broken inside or outside portion of lower end of thigh bone$382Outpatient
Closed treatment of broken kneecap$236Outpatient
Closed treatment of broken middle or upper end of outside lower leg bone$224Outpatient
Closed treatment of broken middle or upper end of outside lower leg bone with manipulation$315Outpatient
Closed treatment of broken middle part of shin bone$252Outpatient
Closed treatment of broken middle part of upper arm bone$262Outpatient
Closed treatment of broken middle part of upper arm bone with manipulation$869Outpatient
Closed treatment of broken midpart of both forearm bones$209Outpatient
Closed treatment of broken midpart of both forearm bones with manipulation$904Outpatient
Closed treatment of broken midpart of forearm bone on small finger side$192Outpatient
Closed treatment of broken midpart of forearm bone on small finger side with manipulation$850Outpatient
Closed treatment of broken midpart of forearm bone on thumb side with manipulation$871Outpatient
Closed treatment of broken nose bone with manipulation$263Outpatient
Closed treatment of broken nose bone with placement of stabilizing device$263Outpatient
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$393Outpatient
Closed treatment of broken outer part of upper arm bone at elbow$562Outpatient
Closed treatment of broken outside lower leg bone at ankle$229Outpatient
Closed treatment of broken outside lower leg bone at ankle with manipulation$737Outpatient
Closed treatment of broken shin bone$222Outpatient
Closed treatment of broken shin bone at lower weight bearing joint$232Outpatient
Closed treatment of broken shin bone at lower weight bearing joint with manipulation and/or traction$959Outpatient
Closed treatment of broken shin bone with traction$448Outpatient
Closed treatment of broken shoulder blade$173Outpatient
Closed treatment of broken spine bone with cast or brace$543Outpatient
Closed treatment of broken tailbone$136Outpatient
Closed treatment of broken thigh bone$379Outpatient
Closed treatment of broken thigh bone at far end with manipulation$1,000Outpatient
Closed treatment of broken thigh bone at lower end$368Outpatient
Closed treatment of broken thigh bone at midportion with manipulation$1,334Outpatient
Closed treatment of broken thumb at wrist with manipulation$752Outpatient
Closed treatment of broken toe with manipulation$118Outpatient
Closed treatment of broken top of shin bone at knee$683Outpatient
Closed treatment of broken top of upper arm bone$241Outpatient
Closed treatment of broken top of upper arm bone with manipulation$342Outpatient
Closed treatment of broken upper thigh bone$352Outpatient
Closed treatment of broken upper thigh bone with manipulation$1,310Outpatient
Closed treatment of broken wrist bone near base of thumb$223Outpatient
Closed treatment of dislocated ankle$650Outpatient
Closed treatment of dislocated ankle joint under anesthesia$645Outpatient
Closed treatment of dislocated ankle under anesthesia$866Outpatient
Closed treatment of dislocated finger joint with manipulation$206Outpatient
Closed treatment of dislocated finger joint with manipulation under anesthesia$668Outpatient
Closed treatment of dislocated forearm bone at wrist with manipulation$759Outpatient
Closed treatment of dislocated hand bone at wrist joint with manipulation$253Outpatient
Closed treatment of dislocated hand joint at base of finger with manipulation$539Outpatient
Closed treatment of dislocated hand joint at base of finger with manipulation under anesthesia$664Outpatient
Closed treatment of dislocated hip$131Outpatient
Closed treatment of dislocated hip prosthesis$700Outpatient
Closed treatment of dislocated hip prosthesis under anesthesia$1,021Outpatient
Closed treatment of dislocated hip under anesthesia$1,331Outpatient
Closed treatment of dislocated joint between collar bone and shoulder$171Outpatient
Closed treatment of dislocated joint between collar bone and shoulder with manipulation$252Outpatient
Closed treatment of dislocated joint in toe under anesthesia$232Outpatient
Closed treatment of dislocated knee$382Outpatient
Closed treatment of dislocated knee joint under anesthesia$704Outpatient
Closed treatment of dislocated kneecap$243Outpatient
Closed treatment of dislocated kneecap under anesthesia$212Outpatient
Closed treatment of dislocated shoulder and broken neck of upper arm bone with manipulation$959Outpatient
Closed treatment of dislocated shoulder and broken upper arm bone at shoulder joint with manipulation$313Outpatient
Closed treatment of dislocated shoulder with manipulation$234Outpatient
Closed treatment of dislocated shoulder with manipulation under anesthesia$704Outpatient
Closed treatment of dislocated thumb at wrist with manipulation$670Outpatient
Closed treatment of dislocated wrist bones with manipulation$724Outpatient
Closed treatment of inside portion of shin bone at ankle$557Outpatient
Closed treatment of inside portion of shin bone at ankle with manipulation$824Outpatient
Closed treatment of middle part of broken shin bone with manipulation$938Outpatient
Closed treatment of other broken wrist bone$222Outpatient
Closed treatment of upper arm bone broken at elbow$277Outpatient
Closed treatment of upper arm bone broken at elbow with manipulation$1,082Outpatient
Closed treatment of upper arm bone broken at shoulder joint$196Outpatient
Closed treatment of upper arm bone broken at shoulder joint with manipulation$662Outpatient
Closure of abnormal drainage tract from rectum to vagina through vagina or anus$920Outpatient
Closure of abnormal drainage tract from stomach to large bowel$2,828Outpatient
Closure of surgically created large or small bowel opening$1,537Outpatient
Closure of surgically created large or small bowel opening with bowel removal and reattachment$1,800Outpatient
Closure of surgically created large or small bowel opening with bowel removal and reattachment of large bowel and rectum$2,837Outpatient
Closure of surgically created opening from stomach to skin$1,256Outpatient
Clotting factor IX (PTC or Christmas) measurement$128Outpatient
Clotting factor V (AcG or proaccelerin) measurement$128Outpatient
Clotting factor VIII (AHG) measurement$125Outpatient
Clotting factor VIII (von Willebrand factor) measurement$301Outpatient
Clotting factor VIII (VW factor) antigen$301Outpatient
Clotting factor VIII (VW factor) measurement$301Outpatient
Clotting factor VIII related antigen measurement$224Outpatient
Clotting factor X (Stuart-Prower) measurement$214Outpatient
Clotting factor XI (PTA) measurement$226Outpatient
Coagulation function measurement, D-dimer; quantitative$140Outpatient
Collagen cross links test, (urine test to evaluate bone health)$182Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$334Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$124Outpatient
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month$139Outpatient
Complex control of nose bleed$178Outpatient
Complex drainage of wound infection after surgery$189Outpatient
Complicated control of bleeding of throat$904Outpatient
Complicated drainage of abscess in finger$337Outpatient
Complicated drainage of abscess, cyst, or blood accumulation of mouth$393Outpatient
Complicated drainage of cyst of tailbone$253Outpatient
Complicated drainage of external ear abscess or blood accumulation$334Outpatient
Complicated or multiple drainage of skin abscess$154Both
Complicated reconstruction of opening from large bowel to skin$1,864Outpatient
Complicated removal of cyst of tailbone$557Outpatient
Complicated removal of foreign body in deep muscle or tendon$436Outpatient
Complicated removal of foreign body in foot$649Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm$313Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm$369Outpatient
Complicated repair of wound of eyelids, nose, ears, or lip, each additional 5.0 cm or less$137Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm$287Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm$349Outpatient
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less$125Outpatient
Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm$263Outpatient
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm$316Outpatient
Complicated repair of wound of trunk, 1.1-2.5 cm$252Outpatient
Complicated repair of wound of trunk, 2.6-7.5 cm$295Outpatient
Cone biopsy of cervix and vagina using an endoscope with loop electrode$529Outpatient
Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)$146Outpatient
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment$224Outpatient
Control of bleeding of anus using an endoscope$116Outpatient
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope$361Outpatient
Control of bleeding of lower large bowel using a flexible endoscope$212Outpatient
Control of bleeding of throat requiring hospitalization$734Outpatient

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