Saint Luke's East Hospital — price list
← Hospital overviewVerified from Saint Luke's East Hospital’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.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETIC ACID (BULK) 3 % LIQUID Inpatient & outpatient | 25000003 HCPCS | $150 | $90.00 | $16.50 – $142 | — | |
| ACETIC ACID (BULK) 5 % LIQUID Inpatient & outpatient | 25000003 HCPCS | $12.00 | $7.20 | $1.32 – $11.00 | — | |
| ACETIC ACID 0.25 % IRRIGATION SOLUTION Inpatient & outpatient | 25000003 HCPCS | $70.75 | $42.45 | $7.78 – $67.00 | — | |
| ACETYLCHOLINE 2 MCG/ML INTRACORONARY INJECTION SYRINGE TEST DOSE Inpatient & outpatient | 25000003 HCPCS | $12.50 | $7.50 | $1.38 – $11.00 | — | |
| ACETYLCHOLINE 20 MCG/ML INJECTION SYRINGE INJECTION Inpatient & outpatient | 25000003 HCPCS | $12.50 | $7.50 | $1.38 – $11.00 | — | |
| ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION Inpatient & outpatient | 25000003 HCPCS | $254 | $152 | $27.92 – $241 | — |