CHI Saint Joseph Health - Flaget Memorial Hospital — price list

← Hospital overviewVerified from CHI Saint Joseph Health - Flaget Memorial Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

326 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Allogeneic bone marrow transplant Inpatient	014 MS-DRG	—	—	$89,644 – $213,428	—
Autologous bone marrow transplant with cc/mcc Inpatient	016 MS-DRG	—	—	$41,682 – $98,325	—
Autologous bone marrow transplant without cc/mcc Inpatient	017 MS-DRG	—	—	$41,682 – $98,325	—
Bacterial and tuberculous infections of nervous system with cc Inpatient	095 MS-DRG	—	—	$16,984 – $39,728	—
Bacterial and tuberculous infections of nervous system with mcc Inpatient	094 MS-DRG	—	—	$25,479 – $59,599	—
Bacterial and tuberculous infections of nervous system without cc/mcc Inpatient	096 MS-DRG	—	—	$16,984 – $39,728	—
Biopsy nail unit Outpatient	11755 CPT	—	—	$674 – $1,347	—
Carotid artery stent procedures with cc Inpatient	035 MS-DRG	—	—	$16,153 – $37,785	—
Carotid artery stent procedures with mcc Inpatient	034 MS-DRG	—	—	$27,108 – $63,410	—
Carotid artery stent procedures without cc/mcc Inpatient	036 MS-DRG	—	—	$13,155 – $30,771	—
Chimeric antigen receptor (car) t-cell and other immunotherapies Inpatient	018 MS-DRG	—	—	$256,698 – $614,342	—
Concussion with cc Inpatient	089 MS-DRG	—	—	$7,989 – $18,688	—
Concussion with mcc Inpatient	088 MS-DRG	—	—	$10,288 – $24,064	—
Concussion without cc/mcc Inpatient	090 MS-DRG	—	—	$6,531 – $15,278	—
Correct skin color 6.0 cm/< Outpatient	11920 CPT	—	—	$586 – $1,172	—
Correct skin color each 20.0cm Outpatient	11922 CPT	—	—	—	—
Correct skn color 6.1-20.0cm Outpatient	11921 CPT	—	—	$586 – $1,172	—
Covid/flu a/b triplex Inpatient	0240U CPT	$111	$47.10	$81.03 – $101	—
Covid/flu a/b triplex Outpatient	0240U CPT	$111	$47.10	$57.05 – $150	—
Cranial and peripheral nerve disorders with mcc Inpatient	073 MS-DRG	—	—	$11,203 – $26,206	—
Cranial and peripheral nerve disorders without mcc Inpatient	074 MS-DRG	—	—	$7,788 – $18,217	—
Craniotomy and endovascular intracranial procedures with cc Inpatient	026 MS-DRG	—	—	$21,473 – $50,230	—
Craniotomy and endovascular intracranial procedures with mcc Inpatient	025 MS-DRG	—	—	$31,069 – $72,854	—
Craniotomy and endovascular intracranial procedures without cc/mcc Inpatient	027 MS-DRG	—	—	$17,463 – $40,849	—
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator Inpatient	023 MS-DRG	—	—	$39,437 – $92,936	—
Craniotomy with major device implant or acute complex cns principal diagnosis without mcc Inpatient	024 MS-DRG	—	—	$26,517 – $62,028	—
Deb bone each add 20sq cm Inpatient	11047 CPT	$534	$227	$390 – $486	—
Deb bone each add 20sq cm Outpatient	11047 CPT	$534	$227	$94.20 – $486	—
Deb musc/fascia add-on Outpatient	11046 CPT	—	—	—	—
Deb subq tissue add-on Outpatient	11045 CPT	—	—	—	—