CHI Saint Joseph Health - Saint Joseph Berea
305 Estill Street, Berea, KY · CommonSpirit Health · · NPI 1740488386
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $1,130.90 | $2,346.00 | $647.27 – $2,134.86 | 9 |
| Cysto/uretero stricture tx CPT 52344 | $1,654.42 | $3,432.00 | $946.89 – $3,123.12 | 9 |
| Cysto/uretero w/lithotripsy CPT 52356 | $5,585.57 | $11,587.00 | $3,196.86 – $10,544.17 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $1,188.75 | $2,466.00 | $680.37 – $2,244.06 | 9 |
| Cytogenetics 25-99 CPT 88274 | $108.47 | $225.00 | $29.59 – $204.75 | 9 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $95.45 | $198.00 | $12.23 – $180.18 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $101.24 | $210.00 | $14.32 – $191.10 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $90.63 | $188.00 | $24.17 – $171.08 | 9 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $60.74 | $126.00 | $21.14 – $114.66 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $105.09 | $218.00 | $37.15 – $198.38 | 9 |
| Cytopath smear other source CPT 88160 | $54.00 | $112.00 | $16.52 – $101.92 | 9 |
| Cytotoxic antibody screening CPT 86807 | $228.02 | $473.00 | $33.63 – $430.43 | 9 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $192.65 | $399.64 | $5.22 – $337.39 | 9 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,921.41 | $10,209.23 | $46.80 – $9,290.40 | 9 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $1,417.40 | $2,940.32 | $116.15 – $383.10 | 9 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $27,688.92 | $57,439.42 | $154.17 – $52,269.88 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,404.32 | $11,211.02 | $4.10 – $345.84 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $183.20 | $380.04 | $8.91 – $345.84 | 9 |
| D&c after delivery 59160 CPT 59160 | $1,025.33 | $2,127.00 | $586.84 – $1,935.57 | 9 |
| Dch glucoscan CPT 82948 | $6.27 | $13.00 | $2.69 – $11.83 | 9 |
| Dch validity tests CPT 81002 | $17.84 | $37.00 | $2.05 – $33.67 | 9 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $356.24 | $739.00 | $203.90 – $672.49 | 9 |
| Debridement (>20 cm) charge pt CPT 97598 | $88.70 | $184.00 | $50.77 – $167.44 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $891.32 | $1,849.00 | $510.14 – $1,682.59 | 9 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $257.42 | $534.00 | $147.34 – $485.94 | 9 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $383.72 | $796.00 | $219.62 – $724.36 | 9 |
| Debride nail1-5 11720 CPT 11720 | $57.37 | $119.00 | $32.84 – $108.29 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $357.21 | $741.00 | $204.45 – $674.31 | 9 |
| Debride skin bone at fx site CPT 11012 | $859.99 | $1,784.00 | $492.21 – $1,623.44 | 9 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $171.62 | $356.00 | $98.23 – $323.96 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $383.72 | $796.00 | $219.62 – $724.36 | 9 |
| Decalcification CPT 88311 | $54.00 | $112.00 | $3.71 – $101.92 | 9 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,350.27 | $2,801.06 | $2.37 – $502.27 | 9 |
| Decompress fasciotomyhand 26037 CPT 26037 | $887.95 | $1,842.00 | $508.21 – $1,676.22 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $65.12 | $135.07 | $23.03 – $75.94 | 9 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,655.05 | $3,433.32 | $5.86 – $3,124.33 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $17.36 | $36.00 | $9.94 – $32.76 | 9 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,347.49 | $17,316.48 | $35.26 – $8,696.28 | 9 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $149.92 | $311.00 | $85.81 – $283.01 | 9 |
| Depo-estradiol cypionate inj HCPCS J1000 | $60.46 | $125.41 | $34.61 – $114.13 | 9 |
| Derma-fat-fascia graft 15770 CPT 15770 | $1,370.00 | $2,842.00 | $784.11 – $2,586.22 | 9 |
| Dermagraft HCPCS Q4106 | $54.00 | $112.00 | $21.25 – $70.07 | 9 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $930.11 | $1,929.47 | $14.85 – $116.80 | 9 |
| Desoxycorticosterone CPT 82633 | $176.44 | $366.00 | $26.32 – $333.06 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $201.99 | $419.00 | $115.61 – $381.29 | 9 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $73.76 | $153.00 | $42.22 – $139.23 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $201.99 | $419.00 | $115.61 – $381.29 | 9 |
| Detect agent nos dna dir CPT 87797 | $79.54 | $165.00 | $16.76 – $150.15 | 9 |
| Device ablt adv novasure HCPCS C1886 | $2,147.56 | $4,455.00 | $284.18 – $937.30 | 9 |
| Device sut capio slim opn HCPCS C2631 | $253.08 | $525.00 | $136.51 – $450.25 | 9 |
| Device tiss remov myosure reach HCPCS C1782 | $479.65 | $995.00 | $274.53 – $905.45 | 9 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $209.22 | $434.00 | $119.75 – $394.94 | 9 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $47.41 | $98.34 | $2.63 – $8.67 | 9 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $40.65 | $84.32 | $0.07 – $0.23 | 9 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $482.14 | $1,000.17 | $196.20 – $647.12 | 9 |
| Dextran 40 infusion HCPCS J7100 | $44.31 | $91.90 | $25.36 – $83.63 | 9 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $11.98 | $24.85 | $2.75 – $9.07 | 9 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $11.98 | $24.85 | $2.75 – $9.07 | 9 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $12.47 | $25.85 | $2.07 – $6.80 | 9 |
| Dextrose 5 % IV bolus HCPCS J7070 | $11.98 | $24.85 | $0.07 – $0.23 | 9 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $130.16 | $270.00 | $18.89 – $245.70 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $46.76 | $97.00 | $8.25 – $88.27 | 9 |
| Diab manage trn ind/group HCPCS G0109 | $38.09 | $79.00 | $21.80 – $71.89 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $145.59 | $302.00 | $83.33 – $274.82 | 9 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $302.25 | $627.00 | $172.99 – $570.57 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $251.16 | $521.00 | $143.75 – $474.11 | 9 |
| Diagnostic radio unlisted proc CPT 76499 | $546.65 | $1,134.00 | $312.88 – $1,031.94 | 9 |
| Dialysis one evaluation CPT 90945 | $470.01 | $975.00 | $269.01 – $887.25 | 9 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $64.99 | $134.80 | $0.07 – $0.23 | 9 |
| Dicyclomine injection HCPCS J0500 | $169.00 | $350.57 | $29.37 – $96.87 | 9 |
| Diffusing capacity CPT 94729 | $64.60 | $134.00 | $36.98 – $121.94 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $242.02 | $502.04 | $0.07 – $0.23 | 9 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $12,738.82 | $26,426.10 | $7,290.97 – $24,047.76 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $32.78 | $68.00 | $11.28 – $61.88 | 9 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $206.91 | $429.22 | $57.94 – $191.10 | 9 |
| Dilate urethra stricture CPT 53600 | $122.45 | $254.00 | $70.08 – $231.14 | 9 |
| Dilation/female urethra/initial 53660 CPT 53660 | $163.42 | $339.00 | $93.54 – $308.49 | 9 |
| Dilator fascial 10fx20cm HCPCS C2627 | $57.90 | $120.10 | $33.14 – $109.30 | 9 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,091.69 | $2,264.65 | $624.82 – $2,060.84 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.72 | $3.55 | $0.98 – $3.21 | 9 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $26.10 | $54.13 | $14.28 – $47.08 | 9 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $132.59 | $275.04 | $75.89 – $250.29 | 9 |
| Disability dlco CPT 94727 | $114.73 | $238.00 | $65.67 – $216.58 | 9 |
| Disaccharidases CPT 82657 | $198.61 | $412.00 | $15.34 – $374.92 | 9 |
| #d/lmeth-l-methamphetamine CPT 80374 | $144.62 | $300.00 | $0.01 – $273.00 | 9 |
| Dna antibody native/double stranded CPT 86225 | $92.08 | $191.00 | $10.07 – $173.81 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $85.60 | $177.56 | $15.08 – $49.74 | 9 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $424.75 | $881.12 | $1.39 – $801.82 | 9 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $62.57 | $129.79 | $15.93 – $52.53 | 9 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $588.11 | $1,220.00 | $336.60 – $1,110.20 | 9 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $539.42 | $1,119.00 | $308.74 – $1,018.29 | 9 |
| Dornhoffer fixed part w/window HCPCS L8614 | $5,071.22 | $10,520.00 | $2,902.47 – $9,573.20 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $297.33 | $616.79 | $4.59 – $361.20 | 9 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,321.97 | $2,742.36 | $333.13 – $1,098.76 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $183.19 | $380.00 | $104.85 – $345.80 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $787.20 | $1,633.00 | $450.55 – $1,486.03 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $1,763.84 | $3,659.00 | $1,009.52 – $3,329.69 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $178.37 | $370.00 | $102.09 – $336.70 | 9 |
| Drainage mouth roof lesion CPT 42000 | $255.98 | $531.00 | $146.51 – $483.21 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $791.54 | $1,642.00 | $453.03 – $1,494.22 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.