Leavenworth, KS
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 17, 2026 | Sep 19, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Saint John Hospital’s price for it.
The codes Saint John Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Emergency department visitCPT 99284 | $413 | $474 | $215 | 45% | 174–183 | $105 | $1.1k |
| Electrocardiogram (ECG) heart rhythm tracingCPT 93005 | $56 | $72 | $67 | 93% | 175 | $14 | $387 |
| Troponin blood test, quantitativeCPT 84484 | $15 | $23 | $19 | 85% | 127 | $12 | $90 |
| Chest X-ray, single viewCPT 71045 | $82 | $93 | $59 | 63% | 119 | $16 | $371 |
| Unscheduled hospital outpatient clinic visitHCPCS G0463 | $125 | $138 | $77 | 55% | 36–198 | $19 | $463 |
| Immunization administrationCPT 90471 | $68 | $65 | $30 | 46% | 85 | $8 | $109 |
| Therapeutic exercise sessionCPT 97110 | $29 | $39 | $30 | 77% | 73 | $27 | $236 |
| Automated urinalysis without microscopic examCPT 81003 | $3 | $4 | $5 | 107% | 71 | $2 | $25 |
| Initial intravenous infusion for therapy or diagnosisCPT 96365 | $200 | $217 | $81 | 37% | 63–72 | $87 | $455 |
| Magnesium blood testCPT 83735 | $8 | $12 | $12 | 93% | 49 | $7 | $61 |
EIN: H052002
Last updated: Mar 17, 2026
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Hospital ID: 740c43b2dba4bdf00d614702b5a1c6009aea3a0424302516f44b1e532d45c6ae