St Luke's Wood River Medical Center

100 Hospital Drive, Ketchum, ID 83340 · (208) 727-8800

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 4/5Hailey, ID metro

Price file

Prices published

File dated 2026-03-25

4,176 price rows for 59 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $38

$38

cash

$22 to $63

78 negotiated rates

$38

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,263

$2,263

cash

$1,290 to $3,650

78 negotiated rates

$2,263

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $819

$819

cash

$467 to $1,320

78 negotiated rates

$819

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,093

$1,093

cash

$623 to $1,762

78 negotiated rates

$1,093

list

Cataract surgery with lens implant

CPT 66984 · lowest of 3 lines · metro median $5,599

$5,599

cash

$3,191 to $5,431

39 negotiated rates

$5,599

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $51,616

$51,616

cash

$23,060 to $25,242

5 negotiated rates

$51,616

list

Chlamydia test (DNA)

CPT 87491 · lowest of 5 lines · metro median $18

$18

cash

$11 to $262

120 negotiated rates

$18

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $2,509

$2,509

cash

$1,430 to $2,434

39 negotiated rates

$2,509

list

Colonoscopy with biopsy

CPT 45380 · lowest of 3 lines · metro median $3,234

$3,234

cash

$1,843 to $3,137

39 negotiated rates

$3,234

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 3 lines · metro median $3,234

$3,234

cash

$1,843 to $3,137

39 negotiated rates

$3,234

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $35

$35

cash

$20 to $58

78 negotiated rates

$35

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $47

$47

cash

$27 to $79

78 negotiated rates

$47

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $407

$407

cash

$232 to $395

42 negotiated rates

$407

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $386

$386

cash

$220 to $374

32 negotiated rates

$386

list

Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $466

$466

cash

$266 to $452

42 negotiated rates

$466

list

Family psychotherapy without the patient

CPT 90846 · lowest of 3 lines · metro median $466

$466

cash

$266 to $452

42 negotiated rates

$466

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 3 lines · metro median $15,131

$15,131

cash

$8,625 to $14,677

39 negotiated rates

$15,131

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 8 lines · metro median $18

$18

cash

$11 to $262

162 negotiated rates

$18

list

Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $268

$268

cash

$153 to $260

42 negotiated rates

$268

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $115,275

$115,275

cash

$41,410 to $41,410

3 negotiated rates

$115,275

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $17,742

$17,742

cash

$19,198 to $19,198

3 negotiated rates

$17,742

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $87,745

$87,745

cash

—

$87,745

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 3 lines · metro median $8,630

$8,630

cash

$4,919 to $8,371

39 negotiated rates

$8,630

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $6,877

$6,877

cash

$3,920 to $8,121

74 negotiated rates

$6,877

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 3 lines · metro median $1,535

$1,535

cash

$875 to $1,489

39 negotiated rates

$1,535

list

Left heart catheterization

CPT 93452 · lowest of 3 lines · metro median $19,903

$19,903

cash

$7,549 to $19,306

42 negotiated rates

$19,903

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 5 lines · metro median $21

$21

cash

$12 to $100

120 negotiated rates

$21

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $36

$36

cash

$21 to $61

78 negotiated rates

$36

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,263

$2,263

cash

$1,290 to $3,650

78 negotiated rates

$2,263

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,857

$1,857

cash

$1,058 to $2,994

78 negotiated rates

$1,857

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,857

$1,857

cash

$1,058 to $2,994

78 negotiated rates

$1,857

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,857

$1,857

cash

$1,058 to $2,994

78 negotiated rates

$1,857

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $148,335

$148,335

cash

$66,772 to $66,772

3 negotiated rates

$148,335

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 3 lines · metro median $2,430

$2,430

cash

$1,385 to $2,357

32 negotiated rates

$2,430

list

PSA test (prostate)

CPT 84153 · lowest of 11 lines · metro median $13

$13

cash

$8 to $138

204 negotiated rates

$13

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 17 lines · metro median $14

$14

cash

$8 to $46

288 negotiated rates

$14

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $72

$72

cash

$41 to $70

42 negotiated rates

$72

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines · metro median $441

$441

cash

$251 to $428

42 negotiated rates

$441

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 3 lines · metro median $428

$428

cash

$244 to $415

42 negotiated rates

$428

list

Prostate removal (laparoscopic)

CPT 55866 · lowest of 3 lines · metro median $26,271

$26,271

cash

$14,974 to $25,483

39 negotiated rates

$26,271

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $15

$15

cash

$9 to $32

162 negotiated rates

$15

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $466

$466

cash

$266 to $452

42 negotiated rates

$466

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $466

$466

cash

$266 to $452

42 negotiated rates

$466

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 3 lines · metro median $466

$466

cash

$266 to $452

42 negotiated rates

$466

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 3 lines · metro median $10,392

$10,392

cash

$5,923 to $10,080

32 negotiated rates

$10,392

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 3 lines · metro median $337

$337

cash

$84 to $327

51 negotiated rates

$337

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $2,859

$2,859

cash

$1,630 to $2,773

39 negotiated rates

$2,859

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines · metro median $4,833

$4,833

cash

$2,755 to $4,688

42 negotiated rates

$4,833

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 3 lines · metro median $2,430

$2,430

cash

$1,385 to $2,357

32 negotiated rates

$2,430

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines · metro median $1,886

$1,886

cash

$1,075 to $1,829

32 negotiated rates

$1,886

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $75

$75

cash

$43 to $125

78 negotiated rates

$75

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 3 lines · metro median $15,519

$15,519

cash

$8,846 to $15,053

39 negotiated rates

$15,519

list

Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $441

$441

cash

$251 to $428

42 negotiated rates

$441

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines · metro median $441

$441

cash

$251 to $428

42 negotiated rates

$441

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 3 lines · metro median $2,526

$2,526

cash

$1,440 to $2,450

39 negotiated rates

$2,526

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 3 lines · metro median $2,526

$2,526

cash

$1,440 to $2,450

39 negotiated rates

$2,526

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $14

$14

cash

$8 to $23

78 negotiated rates

$14

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $20,259

$20,259

cash

$12,146 to $16,485

5 negotiated rates

$20,259

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines · metro median $441

$441

cash

$251 to $428

42 negotiated rates

$441

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://assets.slhs.org/download/assets/841421665_St-Lukes-Wood-River-Medical-Center-LTD_standardcharges.csv/aa6baaec2a2111f1a390eeb323b4f562
St. Luke's Wood River Standard Charges · parsed · wide v3.0.0 · file dated 2026-03-25 · 372.5 MB · 4176 price rows read · read Nov 2026