HSHS St. Nicholas Hospital — price list
← Hospital overviewVerified from HSHS St. Nicholas 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.
92 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Anchor/screw bn/bn,tis/bn Inpatient & outpatient | C1713 HCPCS | $345 | $228 | $168 – $345 | — | |
| Assay of estrone Inpatient & outpatient | 82679 CPT | $122 | $80.52 | $24.95 – $122 | — | |
| Assay of free thyroxine Inpatient & outpatientapprox. match | 84439 CPT | $82.00 | $54.12 | $9.02 – $82.00 | — | |
| Component ulnar nexel size 5 zimmer Inpatient & outpatient | C1776 HCPCS | $3,823 | $2,523 | $1,858 – $3,823 | — | |
| Dihydrotestosterone Inpatient & outpatient | 82642 CPT | $218 | $144 | $29.28 – $218 | — | |
| Drug test def 1-7 classes Inpatient & outpatient | G0480 HCPCS | $200 | $132 | $63.95 – $257 | — | |
| Drug test prsmv chem anlyzr Inpatient & outpatient | 80307 CPT | $392 | $259 | $62.14 – $392 | — | |
| Fibertag tightrope ii abs implant with attached needle Inpatient & outpatient | C1713 HCPCS | $871 | $575 | $423 – $871 | — | |
| Filler bone 10cc 20cc calcium sulfate stimulan rapid cure Inpatient & outpatient | C1713 HCPCS | $2,309 | $1,524 | $1,122 – $2,309 | — | |
| Filler bone 5cc 12.5cc calcium sulfate stimulan rapid cure Inpatient & outpatient | C1713 HCPCS | $1,538 | $1,015 | $747 – $1,538 | — | |
| Filler bone void norian drillable 3ml Inpatient & outpatient | C1713 HCPCS | $1,561 | $1,030 | $759 – $1,561 | — | |
| Graft bone ic chambers 15cc lifenet Inpatient & outpatient | C1713 HCPCS | $3,663 | $2,418 | $1,780 – $3,663 | — | |
| Graft bone readigraft cancellous 1-8 mm 30 ml preservon chip Inpatient & outpatient | C1713 HCPCS | $951 | $627 | $462 – $951 | — | |
| Graft bone vivigen formable cellular bone matrix small 1 cc Inpatient & outpatient | C1713 HCPCS | $1,369 | $904 | $665 – $1,369 | — | |
| Alcohol biomarkers 1-2 Inpatient & outpatient | 80321 CPT | $186 | $123 | $4.99 – $186 | — | |
| Antidepressant nos Inpatient & outpatient | 80338 CPT | $64.00 | $42.24 | $4.99 – $64.00 | — | |
| Apolipoprotein serum-90 Inpatient & outpatient | 82172 CPT | $146 | $96.36 | $21.09 – $146 | — | |
| Buprenorphine Inpatient & outpatient | 80348 CPT | $177 | $117 | $4.99 – $177 | — | |
| C telopeptide ctx Inpatient & outpatient | 82523 CPT | $123 | $81.18 | $14.65 – $123 | — | |
| Drug screen definitive toxicology urine Inpatient & outpatient | G0483 HCPCS | $1,060 | $700 | $172 – $1,060 | — | |
| Drug screen pregabalin Inpatient & outpatient | 80366 CPT | $155 | $102 | $4.99 – $155 | — | |
| Drug screen presum direct optical Inpatient & outpatient | 80305 CPT | $183 | $121 | $12.60 – $183 | — | |
| Fentanyl Inpatient & outpatient | 80354 CPT | $191 | $126 | $4.99 – $191 | — | |
| Heroin metabolite Inpatient & outpatient | 80356 CPT | $105 | $69.30 | $4.99 – $105 | — | |
| Immunoassay protein qn csf (prion) Inpatient & outpatient | 83520 CPT | $1,015 | $670 | $17.27 – $1,015 | — | |
| Lipase Inpatient & outpatient | 83690 CPT | $218 | $144 | $6.89 – $218 | — | |
| Methadone Inpatient & outpatient | 80358 CPT | $158 | $104 | $4.99 – $158 | — | |
| Methylenedioxyamphetamines mda mdea mdma Inpatient & outpatient | 80359 CPT | $115 | $75.90 | $4.99 – $115 | — | |
| Methylphenidate Inpatient & outpatient | 80360 CPT | $110 | $72.60 | $4.99 – $110 | — | |
| Nicotine urine Inpatient & outpatient | 80323 CPT | $216 | $143 | $4.99 – $216 | — |