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St. Luke's Jerome Standard Charges prices. From its own published file.

St. Luke's Jerome Standard Charges in Twin Falls, ID publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

8,047prices published
Mar 2026file last updated
$2,665cash price for emergency visit, highest (level 5) (list $5,330)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$1,204$1,204$305–$1,144
Emergency visit, high (level 4)
99284
$1,851$1,851$466–$1,758
Emergency visit, highest (level 5)
99285
$2,665$5,330$665–$5,064
Comprehensive metabolic panel
80053
$47.00$47.00$10.56–$44.65
Basic metabolic panel
80048
$38.00$38.00$8.46–$36.10
Complete blood count (CBC)
85025
$35.00$35.00$7.77–$33.25
Blood draw (venipuncture)
36415
$32.00$32.00$9.34–$30.40
Urinalysis
81001
$14.00$14.00$3.17–$13.30
Troponin (heart test)
84484
$45.49$45.49$12.47–$52.25
EKG tracing
93005
$296$296$26.34–$281
Chest X-ray, 2 views
71046
$365$365$36.00–$347
CT head without contrast
70450
$819$819$117–$778
CT abdomen and pelvis with contrast
74177
$2,263$2,263$390–$2,150
MRI lower back without contrast
72148
$1,857$1,857$266–$1,764
Ultrasound, abdomen
76700
$441$441$117–$419
IV push, single drug
96374
$734$734$94.99–$697
IV fluids, first hour
96360
$734$734$94.99–$697
Ketorolac injection, 15 mg
J1885
$2.18$15.18$0.33–$29.10
Ondansetron injection
J2405
$0.99$4.94$0.11–$14.30
Colonoscopy, diagnostic
45378
$2,509$2,509$1,038–$2,769
Upper GI endoscopy with biopsy
43239
$2,526$2,526$1,013–$2,747
Knee arthroscopy
29881
$6,877$6,877$3,038–$9,807

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: St. Luke's Jerome Standard Charges price transparency page.

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