Patient Average Out-of-Pocket Cost Estimates

Our Commitment to Pricing Transparency:

We understand that it is important for consumers to have healthcare pricing information available to them. Therefore, we are making information available to our patients so that they can better anticipate and understand their financial responsibilities and make an informed healthcare choice.

Pricing transparency is a term that is used to describe initiatives in the healthcare industry to provide meaningful pricing information to consumers. Pricing healthcare services is often complex for most patients to navigate and understand. Therefore, pricing transparency is a means of providing patients pricing information on common procedures so they can make more informed healthcare decisions. St. Luke's Hospital is committed to providing high value healthcare services by delivering high quality care in relation to the total rate paid, and it is committed to presenting out-of-pocket cost information on its website in a way that is easy for patients to understand.

The list below shows the average amounts that patients pay out-of-pocket for the most common scheduled tests and procedures after deductibles are met.

To receive an estimate of your patient financial responsibility prior to service based on your individual insurance plan, please feel free to call our Customer Service Department at (636) 685-7879 between the hours of 8:30 a.m. - 5 p.m., Monday - Friday. You may also fill out the online request and someone will contact you within 48 business hours.

For information needed to obtain an estimate, please see our frequently asked questions.

Disclaimers:

The estimate information is not a guarantee of final patient financial responsibility. Estimates are based on information provided by you and/or your physician and your insurance company. Timeliness of claims processing may affect your overall out-of-pocket estimate. Professional fees (such as physician, anesthesiologist, radiologist, pathologist, etc.) are not included in this estimate and will be billed separately. Please contact those offices directly to find out what you might owe.

Test/Procedure	Test/Procedure Description	Average Patient Responsibility After Deductible
OUTPATIENT
Cardiology
Cardiovascular Stress Test	Stress Test: Examination used to evaluate heart function; requires that a patient exercises on a treadmill or stationary bicycle while his or her heart rate, breathing, blood pressure, electrocardiogram and feeling of well being are monitored.	$50
TTE with Doppler complete	Echocardiogram: Uses sound waves called ultrasound to look at the size, shape and motion of the heart.	$175
Stress TTE only	Stress Echocardiogram: A graphic outline of the heart's movement using high frequency sound waves called ultrasound to look a the heart's valves and chambers to evaluate the pumping action of the heart.	$215
Digestive
Colonoscopy with Lesion Removal	Colonoscopy with lesion removal: Medical procedure where a long flexible, tubular instrument called the colonscope is used to view and remove lesion(s) from the inner lining of the colon (large intestine) and the rectum.	$175
Colonoscopy and Biopsy	Colonoscopy with biopsy: Medical procedure where a long flexible, tubular instrument called the colonscope is used to view and remove polyps or tissue from the inner lining of the colon (large intestine) and the rectum. Small tissue samples are obtained to diagnosis or treat possible disease.	$160
Upper GI Endoscopy Biopsy	Upper GI Endoscopy with biopsy: A procedure used to visually examine the upper digestive system with a tiny camera on the end of a long flexible tube to diagnose and treat conditions that affect the esophagus, stomach and beginning of the small intestine. Small tissue samples are obtained to diagnosis or treat possible disease.	$185
Radiology
Diagnostic Mammography Digital	Mammography: Radiographic imaging of the breast to screen for cancer.	$20
Ultrasound	Ultrasound: An imaging technique bouncing sound waves through interior body structures to display a two dimensional image.	$30
CT Scan	CAT (CT) scan: A computerized tomography (CT) scan combines X-ray images taken from different angles and uses computer processing to create cross-sectional images, or slices, of the bones, blood vessels and soft tissues inside the body.	$80
MRI	MRI: Magnetic resonance imaging (MRI) is a technique that uses a magnetic field and radio waves to create detailed images of the organs and tissues within the body.	$135
Surgical
Cataract Surgery Intraocular Lens	Cataract Removal with Lens: Surgery to remove a cataract and insert a prosthetic lens.	$200
Fragmenting of Kidney Stone	Lithotripsy: Pulverization of kidney stones or gallstones by means of a lithotripter.	$700
Hernia Repair	Inguinal Hernia Repair: Surgical procedure to repair a hernia in the abdominal wall of your groin. The bulging tissue is pushed back in and the wall is strengthened and supported with sutures and sometimes mesh.	$370
Laparoscopic Cholecystectomy	Cholecystectomy: Surgical removal of the gallbladder.	$630
Low Back Disc Surgery	Lumbar Microdiscectomy: Surgical removal of lumbar (low back) herniated disc material that is pressed on a nerve root or the spinal cord using a special microscope to view the disc and nerves.	$500
Repair Detached Retina	Retina Repair: Surgical procedure to replace the retina back to its normal position.	$500
Knee Arthroscopy Surgery	Knee Arthroscopy: Allows the doctor to look at the inside of a joint in your body through a thin viewing instrument called an arthroscope. Arthroscopy allows your doctors to look at the joint surfaces, surrounding soft tissues such as ligaments and cartilage. The procedure can be used to diagnose a joint problem, repair a joint problem, remove a loose or foreign body or monitor a disease or the effectiveness of a treatment.	$450
Carpal Tunnel Surgery	Carpal Tunnel Release: Endoscopic surgery uses a thin, flexible tube with a camera attached (endoscope). The endoscope is guided through a small incision in the wrist or at the wrist and palm. The scope allows the doctor to see structures in the wrist such as transverse carpal ligament, without opening the entire area with a large incision.	$240
Repair of Nasal Septum	Nasal Septoplasty: Surgical procedure to straighten the septum, submucous resection of the septum or septal reconstruction.	$400
INPATIENT
Neurosurgery
Spinal Fusion Except Cervical	Spinal Fusion: A surgery to permanently connect two or more vertebrae in your spine eliminating motion between them.	$1,300
Obstetrics
Vaginal Delivery	Normal Vaginal Delivery of a Newborn - Mother and Single Live-born: Delivery requiring minimal or no assistance of a full term, single live-born infant newborn. Includes well baby nursery charges.	$745
Cesarean Section	C-Section Delivery of a Newborn - Mother and Single Liveborn: Delivery of a single live-born infant newborn through the abdominal incision (Cesarean section) Includes well baby nursery charges.	$1,045
Orthopedic
Major Joint Replace Or Reattach Of Low Extrem	Total Knee Replacement: A surgical procedure in which damaged parts of the knee joint are replaced with artificial parts by separating the muscles and ligaments around the knee to expose the inside of the joint.	$1,430
Major Joint Replace Or Reattach Of Low Extrem	Total Hip Replacement: Surgery in which the diseased ball and socket of the hip joint are completely removed and replace with artificial materials. A metal ball with a stem (a prosthesis) is inserted into the femur and an artificial plastic cup socket is placed in the acetabulum.	$1,200