St. Luke's Health - Patients Medical Center — price list
← Hospital overviewVerified from St. Luke's Health - Patients 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.
3 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Alteration in consciousness Inpatient | 0523 APR-DRG | — | — | $4,165 – $16,221 | — | |
| Ntrapx c ffr with3d funcjl map Inpatient | 0523T CPT | $3,913 | $1,370 | $2,543 – $2,935 | — | |
| Ntrapx c ffr with3d funcjl map Outpatient | 0523T CPT | $3,913 | $1,370 | $100 – $2,935 | — |