Ketchum, ID
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 25, 2026 | Oct 16, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see St Luke's Wood River Medical Center, LTD’s price for it.
The codes St Luke's Wood River Medical Center, LTD has the most pricing samples for.
| Procedure | ||||||
|---|---|---|---|---|---|---|
| SCREW-BONE LOCKING CANNULATED STAINLESS-STEEL FEMORALHCPCS C1713 | $793 | $1.4k | $1.8k | 110,560–1,098,616 | $2 | $45.1k |
| IMP KNEE INS POST STAB ADVURHCPCS C1776 | $2.9k | $3.8k | $3.0k | 62,152–615,544 | $52 | $47.7k |
| Ringers lactate infusionHCPCS J7120 | $48 | $49 | $24 | 34,750–34,795 | $3 | $74 |
| COIL VASC AXIUM BARE 3DHCPCS C1889 | $2.4k | $4.6k | $7.8k | 5,943–59,430 | $14 | $67.1k |
| Normal saline solution infusHCPCS J7030 | $44 | $43 | $22 | 24,075–24,165 | $2 | $74 |
| DISC - KIT CAG RX49 JAGT 20MM GW 260HCPCS C1769 | $196 | $306 | $335 | 3,148–31,480 | $15 | $3.4k |
| SODIUM CHLORIDE IV SOLN 0.9%HCPCS J7050 | $42 | $43 | $24 | 12,133–12,277 | $1 | $134 |
| BUPIVACAINE HCL PRESERVATIVE FREE (PF) INJ 0.5%HCPCS J0665 | $8 | $7 | $5 | 11,159–11,186 | $0 | $18 |
| MESH PHASIX PLUG AND PTCHHCPCS C1781 | $1.2k | $2.2k | $2.8k | 1,614–16,140 | $14 | $26.8k |
| PROPOFOL IV EMUL 1000 MG/100ML (10 MG/ML),PROPOFOL IV EMUL 500 MG/50ML (10 MG/ML),PROPOFOL IV EMUL 200 MG/20ML (10 MG/ML),PROPOFOL IV EMUL PREFILLED SYRINGE 200 MG/20ML (10 MG/ML)HCPCS J2704 | $18 | $21 | $16 | 6,904–6,949 | $0 | $75 |
EIN: 841421665
Last updated: Mar 25, 2026
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Hospital ID: cc187522f456653429c7023107a7dc606baba1eb199b9d24f8ec9762feeec4f7