HSHS St. John's Hospital — price list
← Hospital overviewVerified from HSHS St. John's 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.
105 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Cath, ep, othr than cool-tip Inpatient & outpatient | C1733 HCPCS | $1,050 | $756 | $294 – $1,050 | $22,250 | |
| Cath, thrombectomy/embolect Inpatient & outpatient | C1757 HCPCS | $600 | $432 | $168 – $600 | — | |
| Catheter, guiding Inpatient & outpatient | C1887 HCPCS | $75.00 | $54.00 | $21.00 – $75.00 | $150 | |
| Closure dev, vasc Inpatient & outpatient | C1760 HCPCS | $750 | $540 | $210 – $750 | $750 | |
| Guide wire Inpatient & outpatient | C1769 HCPCS | $10.00 | $7.20 | $2.80 – $10.00 | $225 | |
| Catheter angioplasty laser t10 Inpatient & outpatient | C1885 HCPCS | $5,100 | $3,672 | $1,428 – $5,100 | — | |
| Catheter angioplasty laser t13 Inpatient & outpatient | C1885 HCPCS | $6,900 | $4,968 | $1,932 – $6,900 | — | |
| Catheter angioplasty laser t16 Inpatient & outpatient | C1885 HCPCS | $8,700 | $6,264 | $2,436 – $8,700 | — | |
| Catheter angioplasty laser t17 Inpatient & outpatient | C1885 HCPCS | $9,300 | $6,696 | $2,604 – $9,300 | — | |
| Catheter angioplasty laser t22 Inpatient & outpatient | C1885 HCPCS | $12,300 | $8,856 | $3,444 – $12,300 | — | |
| Catheter angioplasty laser t9 Inpatient & outpatient | C1885 HCPCS | $4,500 | $3,240 | $1,260 – $4,500 | — | |
| Catheter ep diag/ablation othr cool tip t12 Inpatient & outpatient | C1733 HCPCS | $750 | $540 | $210 – $750 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t13 Inpatient & outpatient | C1733 HCPCS | $900 | $648 | $252 – $900 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t15 Inpatient & outpatient | C1733 HCPCS | $1,200 | $864 | $336 – $1,200 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t16 Inpatient & outpatient | C1733 HCPCS | $1,350 | $972 | $378 – $1,350 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t17 Inpatient & outpatient | C1733 HCPCS | $1,500 | $1,080 | $420 – $1,500 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t18 Inpatient & outpatient | C1733 HCPCS | $2,100 | $1,512 | $588 – $2,100 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t21 Inpatient & outpatient | C1733 HCPCS | $3,900 | $2,808 | $1,092 – $3,900 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t24 Inpatient & outpatient | C1733 HCPCS | $5,700 | $4,104 | $1,596 – $5,700 | $22,250 | |
| Catheter ep diag/ablation othr cool tip t25 Inpatient & outpatient | C1733 HCPCS | $6,300 | $4,536 | $1,764 – $6,300 | $22,250 | |
| Catheter guiding t11 Inpatient & outpatient | C1887 HCPCS | $600 | $432 | $168 – $600 | $150 | |
| Catheter guiding t12 Inpatient & outpatient | C1887 HCPCS | $750 | $540 | $210 – $750 | $150 | |
| Catheter guiding t13 Inpatient & outpatient | C1887 HCPCS | $900 | $648 | $252 – $900 | $150 | |
| Catheter guiding t16 Inpatient & outpatient | C1887 HCPCS | $1,350 | $972 | $378 – $1,350 | $150 | |
| Catheter guiding t17 Inpatient & outpatient | C1887 HCPCS | $1,500 | $1,080 | $420 – $1,500 | $150 | |
| Catheter guiding t2 Inpatient & outpatient | C1887 HCPCS | $20.00 | $14.40 | $5.60 – $20.00 | $150 | |
| Catheter guiding t20 Inpatient & outpatient | C1887 HCPCS | $3,366 | $2,424 | $942 – $3,366 | $150 | |
| Catheter guiding t22 Inpatient & outpatient | C1887 HCPCS | $4,500 | $3,240 | $1,260 – $4,500 | $150 | |
| Catheter guiding t25 Inpatient & outpatient | C1887 HCPCS | $6,300 | $4,536 | $1,764 – $6,300 | $150 | |
| Catheter guiding t26 Inpatient & outpatient | C1887 HCPCS | $6,900 | $4,968 | $1,932 – $6,900 | $150 |