St. Joseph’s Westgate Medical Center — price list

← Hospital overviewVerified from St. Joseph’s Westgate Medical Center’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.

12 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ACNE SURGERY Outpatient	10040 CPT	—	—	$188 – $371	—
ADMN SARSCV2 5MCG BST ER Inpatient	0044A CPT	$181	$69.15	$119 – $147	—
ADMN SARSCV2 5MCG BST ER Outpatient	0044A CPT	$181	$69.15	$34.39 – $147	—
CT CEREBRL PERFUSION WCON Inpatient	0042T CPT	$2,998	$1,145	$1,979 – $2,428	—
CT CEREBRL PERFUSION WCON Outpatient	0042T CPT	$2,998	$1,145	$265 – $2,428	—
DEBRIDE GENITALIA PERINEUM Outpatient	11004 CPT	—	—	$588 – $4,934	—
FNA BX W/O IMG GDN EA ADDL Outpatient	10004 CPT	—	—	$45.06 – $642	—
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES Inpatient	004 MS-DRG	—	—	$107,487 – $359,069	—
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Inpatient	0041 APR-DRG	—	—	$37,780 – $41,935	—
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Inpatient	0042 APR-DRG	—	—	$44,850 – $49,783	—
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Inpatient	0043 APR-DRG	—	—	$64,029 – $71,072	—
TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE Inpatient	0044 APR-DRG	—	—	$93,639 – $103,939	—