St. Peter’s Hospital Charges
Due to the fact that it cannot be predicted what services a patient may require during an inpatient stay, it is not possible to quote an exact price in advance for an inpatient stay. The price of an outpatient service may be determined in advance if the CPT code is known. However, oftentimes the use of additional supplies or drugs may increase the price charged for a procedure.
For more information, contact Sheri Renney, Director of Patient Business Services at (406) 444-2184 or srenney@stpetes.org.
Effective June 1, 2010
INPATIENT PROCEDURES |
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Description |
Average Hospital Charge |
Additional Charges |
|
TOTAL HIP REPLACEMENT |
$33,657.55 |
|
|
TOTAL KNEE REPLACEMENT |
$32,691.35 |
|
|
VAGINAL HYSTERECTOMY |
$10,313.56 |
|
OUTPATIENT PROCEDURES |
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|
Description |
Average Hospital Charge |
Additional Charges |
|
COLONOSCOPY- SCREENING |
$1,190.45 |
|
|
COLONOSCOPY-WITH POLYP REMOVAL |
$1,597.74 |
|
|
EGD |
$1,600.00 |
|
|
GALLBLADDER REMOVAL |
$7,844.32 |
|
|
LEFT HEART CATH |
$8,974.92 |
|
|
STEREOTACTIC BREAST BIOPSY |
$3,223.00 |
|
CARDIAC |
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CPT |
Description |
Average Hospital Charge |
Additional Charges |
93306 |
ECHO,2 D/M W/SPEC DOPPLER & COLOR FLOW |
$1,186.53 |
|
93017 |
CARDIOVASCULAR STRESS TEST, TREADMILL |
$467.10 |
|
93350 |
ECHO, STRESS EXERCISE |
$610.66 |
|
93005 |
EKG-TRACING ONLY WITHOUT INTERPRETATION AND REPORT |
$67.06 |
|
93225 |
HOLTER MONITOR-CONNECTION,RECORDING AND DISCONNECTION |
$398.32 |
|
93226 |
HOLTER MONITOR-SCANNING ANALYSIS WITH REPORT |
$364.15 |
|
DIAGNOSTIC IMAGING TESTING |
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CPT |
Description |
Average Hospital Charge |
Additional Charges |
77080 |
BONE DENSITY (DEXA SCAN) |
$314.42 |
|
76700 |
ABDOMINAL (COMP) ULTRASOUND |
$354.56 |
|
71010 |
CHEST X-RAY 1 VIEW |
$106.00 |
|
71020 |
CHEST X-RAY 2 VIEWS |
$132.50 |
|
74150 |
CT SCAN ABDOMEN WITH OUT CONTRAST |
$1,021.02 |
|
76705 |
GALLBLADDER ULTRASOUND |
$287.32 |
|
G0204 |
MAMMOGRAM-DIAGNOSTIC |
$234.89 |
|
72156 |
MRI CERVICAL SPINE WITH AND WITHOUT CONTRAST |
$1,925.72 |
|
73221 |
MRI SHOULDER |
$1,025.24 |
|
76645 |
ULTRASOUND, BREAST BILATERAL |
$202.50 |
|
70486 |
CT SINUS LIMITED STUDY |
$530.00 |
|
G0202 |
MAMMOGRAM-SCREENING |
$227.88 |
|
73721 |
MRI ANKLE WITHOUT CONTRAST |
$1,025.24 |
|
70551 |
MRI BRAIN WITHOUT CONTRAST |
$1,467.34 |
|
73721 |
MRI KNEE WITHOUT CONTRAST |
$1,025.24 |
|
***Note All blood draws have an additional venipuncture charge of $15.23 (CPT 36415) |
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LAB TESTING |
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CPT |
Description |
Average Hospital Charge |
Additional Charges |
80048 |
BASIS METABOLIC PANEL |
$54.67 |
|
85025 |
COMPLETE CBC WITH AUTOMATED DIFF |
$50.90 |
|
80053 |
COMPLETE METABOLIC PANEL |
$79.40 |
|
82948 |
GLUCOSE, POINT OF CARE |
$13.56 |
|
80061 |
LIPID PANEL |
$61.11 |
|
83735 |
MAGNESIUM |
$32.02 |
|
88142 |
PAP SMEAR |
$67.85 |
|
85610 |
PROTHROMBIN TIME |
$33.56 |
|
84443 |
THYROID STIMULATING HORMONE (TSH) |
$27.15 |
|
81001 |
URINALYSIS |
$37.31 |
|
MISCELLANOUS PROCEDURES |
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CPT |
Description |
Average Hospital Charge |
Additional Charges |
95816 |
EEG-AWAKE AND DROWSEY |
$610.66 |
|
95953 |
EEG-24 HOUR |
$1,229.49 |
|
95819 |
EEG-AWAKE AND ASLEEP |
$481.74 |
|
97802 |
NUTRITION THERAPY- INITIAL ASSESSMENT, PER 15 MINUTES |
$23.59 |
|
97803 |
NUTRITION THERAPY- RE-ASSESSMENT, PER 15 MINUTES |
$23.59 |
|
97804 |
NUTRITION THERAPY- GROUP PER 30 MINUTES |
$27.29 |
|
G0108 |
NUTRITION THERAPY- INDIVIDUAL DIABETIC SELF MNGMT, PER 30 MINUTES |
$47.10 |
|
G0109 |
NUTRITION THERAPY- GROUP DIABETIC SELF MNGMT, PER 30 MINUTES |
$27.29 |
|
94060 |
PFT WITH BRONCHODILATOR |
$213.37 |
|
94720 |
PFT DIFFUSION STUDY |
$202.23 |
|
94260 |
PFT THORACIC GAS VOLUME |
$146.31 |
|
94360 |
PFT RESISTANCE TO FL |
$156.67 |
|
94010 |
PFT WITHOUT BRONCHODILATOR |
$79.13 |
|
***Note All blood draws have an additional venipuncture charge of $15.23 (CPT 36415) |
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OBSTETRICS |
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CPT |
Description |
Average Hospital Charge |
Additional Charges |
inpatient |
NEWBORN -ONE DAY STAY (BABY) |
$1,371.00 |
|
inpatient |
NEWBORN WITH CIRCUMCISION-ONE DAY STAY (BABY) |
$2,581.00 |
|
inpatient |
C SECTION DELIVERY- WITHOUT COMPLICATIONS (MOM) |
$9,288.00 |
|
inpatient |
VAGINAL DELIVERY WITHOUT COMPLICATIONS (MOM) |
$4,489.00 |
|
inpatient |
VAGINAL DELIVERY- WITH INDUCTION (MOM) |
$5,251.55 |
|
76805 |
OB COMPLETE ULTRASOUND AFTER FIRST TRIMESTER |
$497.14 |
|
76815 |
OB LIMITED ULTRASOUND |
$318.00 |
|
76819 |
FETAL BIOPHYSICAL PROFILE, WITHOUT NON-STRESS TEST |
$198.00 |
|
76820 |
DOPPLER FETAL UMBILICAL ARTERY |
$192.04 |
|
59025 |
FETAL NON-STRESS |
$307.48 |
|
80055 |
LAB, OBSTETRIC PANEL |
$108.44 |
|
81025 |
LAB, URINE PREGNANCY TEST |
$31.30 |
|
84144 |
PROGESTERONE |
$111.45 |
|
PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY |
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CPT |
Description |
Average Hospital Charge |
Additional Charges |
97003 |
OCCUPATIONAL THEREAPY, INTITAL EVALUATION |
$188.34 |
|
97110 |
THERAPUTIC EXERCISE, PER 15 MINUTES |
$47.07 |
|
97035 |
THERAPUTIC ULTRASOUND, PER 15 MINUTES |
$47.07 |
|
97530 |
THERAPUTIC ACTIVITIES, PER 15 MINUTES |
$47.07 |
|
|
DRIVING EVALUATION |
$188.34 |
|
97001 |
PHYSICAL THEREAPY, INTITAL EVALUATION |
$188.34 |
|
97110 |
THERAPUTIC EXERCISE, PER 15 MINUTES |
$47.07 |
|
97113 |
AQUATIC THERAPY, PER 15 MINUTES |
$47.07 |
|
97140 |
MANUAL THERAPY, PER 15 MINUTES |
$47.07 |
|
92506 |
SPEECH THEREAPY, INTITAL EVALUATION |
$282.53 |
|
92507 |
SPEECH, LANGUAGE THERAPY |
$141.27 |
|
92610 |
EVALUATION OF ORAL AND PHARYNGEAL SWALLOWING FUNCTION |
$189.97 |
|
92526 |
TREATMENT OF SWALLOWING DYSFUNCTION |
$141.25 |
|
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CARDIAC/PULMONARY EXERCISE CLASS PER SESSION |
$4.50 |
|
SLEEP STUDIES |
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CPT |
Description |
Average Hospital Charge |
Additional Charges |
95810 |
POLYSOMNOGRAM, ATTENDED BY TECHNOLOGIST |
$1,590.03 |
|
95811 |
POLYSOMNOGRAM, WITH CPAP, ATTENDED BY TECHNOLOGIST |
$1,590.03 |
|
95805 |
POLYSOMNOGRAM,SLEEP |
$1,358.74 |
|
Some procedures compared against other places, e.g., cardiovascular/heart pacemaker, are offered at St. Peter’s only in emergencies, and because of the low volume are more expensive.The charge ranges also reflect disparities among health conditions, geographic location, and proximity to healthcare. Satisfactorily explaining or accurately predicting actual charges to individuals’ remains a difficult task.
St. Peter’s mission is to partner with its patients, community, and medical staff to provide exceptional and compassionate healthcare.Because of this commitment to the community, some services such as the ambulance and home health services are subsidized by the Hospital. St. Peter’s also provides services to those in the Helena area who simply can't afford to pay for their healthcare.
Charges for St. Peter’s Medical Group Clinics
| Charges for New Patients | Preventive Visits for New Patients | |||
| Office visit level 1 | $79.04 | Infant | $161.20 | |
| Office visit level 2 | $142.48 | Ages 1-4 years | $176.80 | |
| Office visit level 3 | $212.16 | Ages 5-11 years | $176.80 | |
| Office visit level 4 | $301.60 | Ages 12-17 years | $187.20 | |
| Office visit level 5 | $382.72 | Ages 18-39 years | $179.24 | |
| Ages 40-64 years | $218.56 | |||
| Charges for Established Patients | Ages 65 and older | $238.21 | ||
| Office visit level 1 | $45.76 | |||
| Office visit level 2 | $83.20 | Preventive Visits for Established Patients | ||
| Office visit level 3 | $114.40 | Infant | $124.80 | |
| Office visit level 4 | $179.92 | Ages 1-4 years | $140.40 | |
| Office visit level 5 | $264.16 | Ages 5-11 years | $146.02 | |
| Ages 12-17 years | $151.74 | |||
| Other Physician Fees | Ages 18-39 years | $157.40 | ||
| Colonoscopy | $521.48 | Ages 40-64 years | $177.06 | |
| Colonoscopy with biopsy | $553.08 | Ages 65 and older | $196.66 | |
| Colonoscopy with lesion removal | $658.50 | |||
| Obstetrics Global Care | $3,645.98 | |||
| Vaginal Delivery Only | $1,854.55 | |||
| Cesarean Delivery Only | $2,189.49 | |||
Patients | Visitors | Physicians | Employees
Copyright 2006 St. Peter's Hospital, all rights reserved -- 2475 Broadway, Helena MT 59601 -- Phone (406) 442-2480
