Ranken Jordan Pediatric Bridge Hospital
Listed in its price file as “Ranken Jordan Home for Convalescent Crippled Children Hospital”.
Ranken Jordan Pediatric Bridge Hospital in Maryland Heights, MO publishes cash prices for 165 common procedures listed here, from its own machine-readable price file updated Apr 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Missouri median for 106 of 163 procedures and above it for 57. By typical cash price it ranks #18 of 67 Missouri hospitals and #3 of 17 hospitals in the St. Louis, MO area, cheapest first. Select a procedure to compare it with other hospitals nearby.
11365 Dorsett Rd, Maryland Heights, MO 63043 Collected Sep 23, 2026 Source price file Check a bill from this hospital (314) 872-6400
Children's hospital Nonprofit hospital No emergency department CCN 263303 · CMS hospital register NPI 1235117532
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Ranken Jordan Pediatric Bridge Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast | $1,297.12 | $1,621.40 | — | 33% below | 20% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast | $1,297.12 | $1,621.40 | — | — | 20% |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen AP Obliques Cone Views | $424.78 | $530.97 | — | 43% above | 20% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen AP Obliques Cone Views | $424.78 | $530.97 | — | — | 20% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $1,112.32 | $1,390.40 | — | 34% below | 20% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $1,112.32 | $1,390.40 | — | — | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $848.94 | $1,061.17 | — | 28% below | 20% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $848.94 | $1,061.17 | — | — | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $1,760.80 | $2,200.99 | — | 55% above | 20% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $1,760.80 | $2,200.99 | — | — | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Contrast | $1,596.32 | $1,995.40 | — | 27% above | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Contrast | $1,596.32 | $1,995.40 | — | — | 20% |
| CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Contrast | $1,772.32 | $2,215.40 | — | 24% above | 20% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w/ Contrast | $1,772.32 | $2,215.40 | — | — | 20% |
| CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Contrast | $2,036.32 | $2,545.40 | — | 15% above | 20% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w/ + w/o Contrast | $2,036.32 | $2,545.40 | — | — | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $1,534.90 | $1,918.62 | — | 8% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $1,534.90 | $1,918.62 | — | — | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $1,845.98 | $2,307.47 | — | 17% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $1,845.98 | $2,307.47 | — | — | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,889.36 | $2,361.70 | — | 15% above | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $1,889.36 | $2,361.70 | — | — | 20% |
| Chest CT scan without and with contrast CPT 71270 CT Thorax w/ + w/o Contrast | $1,664.08 | $2,080.10 | — | 10% below | 20% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax w/ + w/o Contrast | $1,664.08 | $2,080.10 | — | — | 20% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $310.64 | $388.30 | — | 26% above | 20% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $310.64 | $388.30 | — | — | 20% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal | $262.24 | $327.80 | — | 37% above | 20% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal | $262.24 | $327.80 | — | — | 20% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR Clavicle Bilateral | $376.20 | $470.25 | — | — | 20% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left | $250.80 | $313.50 | — | 4% above | 20% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right | $250.80 | $313.50 | — | 4% above | 20% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR Clavicle Bilateral | $376.20 | $470.25 | — | — | 20% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left | $250.80 | $313.50 | — | — | 20% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right | $250.80 | $313.50 | — | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal | $660.00 | $825.00 | — | 7% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $720.72 | $900.90 | — | 17% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Aorta Complete | $720.72 | $900.90 | — | 17% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal | $660.00 | $825.00 | — | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $720.72 | $900.90 | — | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Aorta Complete | $720.72 | $900.90 | — | — | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast | $1,312.08 | $1,640.10 | — | 1% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast | $1,312.08 | $1,640.10 | — | — | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast | $1,488.08 | $1,860.10 | — | 9% below | 20% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast | $1,488.08 | $1,860.10 | — | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Doppler Bilateral | $660.00 | $825.00 | — | — | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Doppler Bilateral | $660.00 | $825.00 | — | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Transthoracic ECG, 2D, M-mode color flow doppler | $3,190.00 | $3,987.50 | — | 79% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Transthoracic ECG, 2D, M-mode color flow doppler | $3,190.00 | $3,987.50 | — | — | 20% |
| Elbow X-ray, 2 views both sides CPT 73070 XR Elbow 2 Views Bilateral | $324.09 | $405.11 | — | — | 20% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left | $240.07 | $300.08 | — | 15% above | 20% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right | $240.07 | $300.08 | — | 15% above | 20% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 XR Elbow 2 Views Bilateral | $324.09 | $405.11 | — | — | 20% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right | $240.07 | $300.08 | — | — | 20% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left | $240.07 | $300.08 | — | — | 20% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR Forearm 2 Views Bilateral | $292.25 | $365.31 | — | — | 20% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right | $216.48 | $270.60 | — | 3% above | 20% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left | $216.48 | $270.60 | — | 3% above | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR Forearm 2 Views Bilateral | $292.25 | $365.31 | — | — | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right | $216.48 | $270.60 | — | — | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left | $216.48 | $270.60 | — | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR Calcaneous Bilateral | $283.94 | $354.92 | — | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Right | $210.32 | $262.90 | — | 7% above | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Left | $210.32 | $262.90 | — | 7% above | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XR Calcaneous Bilateral | $283.94 | $354.92 | — | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Left | $210.32 | $262.90 | — | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Right | $210.32 | $262.90 | — | — | 20% |
| Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 Views Bilateral | $348.80 | $436.00 | — | — | 20% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $258.37 | $322.96 | — | 4% below | 20% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $258.37 | $322.96 | — | 4% below | 20% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 Views Bilateral | $348.80 | $436.00 | — | — | 20% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $258.37 | $322.96 | — | — | 20% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $258.37 | $322.96 | — | — | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $698.72 | $873.40 | — | 39% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $698.72 | $873.40 | — | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia/Fibula Bilateral | $414.62 | $518.27 | — | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left | $307.12 | $383.90 | — | 27% above | 20% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right | $307.12 | $383.90 | — | 27% above | 20% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia/Fibula Bilateral | $414.62 | $518.27 | — | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right | $307.12 | $383.90 | — | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left | $307.12 | $383.90 | — | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LE Joint w/o Contrast Bilateral | $826.04 | $1,032.55 | — | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Left | $413.02 | $516.27 | — | 77% below | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Right | $413.02 | $516.27 | — | 77% below | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LE Joint w/o Contrast Bilateral | $826.04 | $1,032.55 | — | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Left | $413.02 | $516.27 | — | — | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Right | $413.02 | $516.27 | — | — | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LE Joint w/ + w/o Contrast Bilateral | $1,426.54 | $1,783.17 | — | — | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Right | $713.27 | $891.58 | — | 69% below | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Left | $713.27 | $891.58 | — | 69% below | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LE Joint w/ + w/o Contrast Bilateral | $1,426.54 | $1,783.17 | — | — | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Left | $713.27 | $891.58 | — | — | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Right | $713.27 | $891.58 | — | — | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $3,092.32 | $3,865.40 | — | 100% above | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $3,092.32 | $3,865.40 | — | — | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $2,476.32 | $3,095.40 | — | at median | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $2,476.32 | $3,095.40 | — | — | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,974.72 | $2,468.40 | — | 6% above | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $1,974.72 | $2,468.40 | — | — | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,326.72 | $2,908.40 | — | 6% below | 20% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,326.72 | $2,908.40 | — | — | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $2,285.36 | $2,856.70 | — | 30% above | 20% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $2,285.36 | $2,856.70 | — | — | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,637.36 | $3,296.70 | — | 7% above | 20% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,637.36 | $3,296.70 | — | — | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $2,285.36 | $2,856.70 | — | 16% above | 20% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $2,285.36 | $2,856.70 | — | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI UE Joint w/o Contrast Bilateral | $2,730.03 | $3,412.53 | — | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Right | $2,022.24 | $2,527.80 | — | 9% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Left | $2,022.24 | $2,527.80 | — | 9% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI UE Joint w/o Contrast Bilateral | $2,730.03 | $3,412.53 | — | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Left | $2,022.24 | $2,527.80 | — | — | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Right | $2,022.24 | $2,527.80 | — | — | 20% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast | $1,713.36 | $2,141.70 | — | 22% above | 20% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast | $1,713.36 | $2,141.70 | — | — | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Limited | $836.00 | $1,045.00 | — | 30% above | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB Limited | $836.00 | $1,045.00 | — | — | 20% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left | $212.96 | $266.20 | — | 10% below | 20% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right | $212.96 | $266.20 | — | 10% below | 20% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right | $212.96 | $266.20 | — | — | 20% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left | $212.96 | $266.20 | — | — | 20% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR Shoulder, complete, minimum 2 view | $428.56 | $535.70 | — | 57% above | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR Shoulder, complete, minimum 2 view | $428.56 | $535.70 | — | — | 20% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $287.76 | $359.70 | — | 12% above | 20% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views | $287.76 | $359.70 | — | — | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified Barium Swallow Study with Video | $480.48 | $600.60 | — | 8% above | 20% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Modified Barium Swallow Study with Video | $480.48 | $600.60 | — | — | 20% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR Hip Complete Bilateral | $542.92 | $678.65 | — | — | 20% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR Hip Complete Bilateral | $542.92 | $678.65 | — | — | 20% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast | $1,845.98 | $2,307.47 | — | 39% above | 20% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast | $1,845.98 | $2,307.47 | — | — | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $786.72 | $983.40 | — | 1% below | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $786.72 | $983.40 | — | — | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $550.00 | $687.50 | — | 4% below | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $550.00 | $687.50 | — | — | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $564.08 | $705.10 | — | 2% below | 20% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $564.08 | $705.10 | — | — | 20% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR Humerus Bilateral | $447.88 | $559.85 | — | — | 20% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left | $331.76 | $414.70 | — | 38% above | 20% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right | $331.76 | $414.70 | — | 38% above | 20% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR Humerus Bilateral | $447.88 | $559.85 | — | — | 20% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left | $331.76 | $414.70 | — | — | 20% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right | $331.76 | $414.70 | — | — | 20% |
| Wrist X-ray, 2 views both sides CPT 73100 XR Wrist 2 Views Bilateral | $376.36 | $470.45 | — | — | 20% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right | $278.79 | $348.48 | — | 36% above | 20% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left | $278.79 | $348.48 | — | 36% above | 20% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 XR Wrist 2 Views Bilateral | $376.36 | $470.45 | — | — | 20% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left | $278.79 | $348.48 | — | — | 20% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right | $278.79 | $348.48 | — | — | 20% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP | $248.78 | $310.97 | — | 20% above | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen AP | $248.78 | $310.97 | — | — | 20% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle 2 Views Bilateral | $601.71 | $752.13 | — | — | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $481.36 | $601.70 | — | 144% above | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $481.36 | $601.70 | — | 144% above | 20% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle 2 Views Bilateral | $601.71 | $752.13 | — | — | 20% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $481.36 | $601.70 | — | — | 20% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $481.36 | $601.70 | — | — | 20% |
| X-ray of the foot, 2 views both sides CPT 73620 XR Foot 2 Views Bilateral | $497.90 | $622.37 | — | — | 20% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $368.81 | $461.01 | — | 76% above | 20% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $368.81 | $461.01 | — | 76% above | 20% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot 2 Views Bilateral | $497.90 | $622.37 | — | — | 20% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $368.81 | $461.01 | — | — | 20% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $368.81 | $461.01 | — | — | 20% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete Bilateral | $452.64 | $565.79 | — | — | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Right | $335.28 | $419.10 | — | 24% above | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete Left | $335.28 | $419.10 | — | 24% above | 20% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete Bilateral | $452.64 | $565.79 | — | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Right | $335.28 | $419.10 | — | — | 20% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete Left | $335.28 | $419.10 | — | — | 20% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete Bilateral | $339.77 | $424.71 | — | — | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Left | $251.68 | $314.60 | — | 3% below | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete Right | $251.68 | $314.60 | — | 3% below | 20% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete Bilateral | $339.77 | $424.71 | — | — | 20% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Right | $251.68 | $314.60 | — | — | 20% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete Left | $251.68 | $314.60 | — | — | 20% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 Views Bilateral | $312.45 | $390.56 | — | — | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $232.06 | $290.07 | — | 1% above | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $232.06 | $290.07 | — | 1% above | 20% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 Views Bilateral | $312.45 | $390.56 | — | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $232.06 | $290.07 | — | — | 20% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $232.06 | $290.07 | — | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $412.72 | $515.90 | — | 42% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbar Flexion + Extension | $412.72 | $515.90 | — | 42% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbar Flexion + Extension | $412.72 | $515.90 | — | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $412.72 | $515.90 | — | — | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $316.01 | $395.01 | — | 25% above | 20% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $316.01 | $395.01 | — | — | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical Flexion + Extension | $418.00 | $522.50 | — | 43% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $634.53 | $793.16 | — | 117% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical Flexion + Extension | $418.00 | $522.50 | — | — | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $634.53 | $793.16 | — | — | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $249.92 | $312.40 | — | 13% above | 20% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $249.92 | $312.40 | — | — | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase (ALT) | $48.40 | $60.50 | — | 3% below | 20% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase (ALT) | $48.40 | $60.50 | — | — | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $5.28 | $6.60 | — | 89% below | 20% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $5.28 | $6.60 | — | — | 20% |
| Albumin blood test CPT 82040 Albumin Level | $5.28 | $6.60 | — | 84% below | 20% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $5.28 | $6.60 | — | — | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $38.16 | $47.69 | — | 25% below | 20% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $38.16 | $47.69 | — | — | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Childhood Allergy (Food and Environmental) Profile | $13.28 | $16.59 | — | 38% below | 20% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Childhood Allergy (Food and Environmental) Profile | $13.28 | $16.59 | — | — | 20% |
| Amylase blood test CPT 82150 Amylase Level | $22.07 | $27.58 | — | 62% below | 20% |
| Amylase blood test inpatient CPT 82150 Amylase Level | $22.07 | $27.58 | — | — | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody Screen | $19.66 | $24.57 | — | 70% below | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibody Screen | $19.66 | $24.57 | — | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture | $39.32 | $49.15 | — | 43% below | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Culture | $48.92 | $61.14 | — | 29% below | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture | $76.83 | $96.03 | — | 11% above | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture | $39.32 | $49.15 | — | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Culture | $48.92 | $61.14 | — | — | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture | $76.83 | $96.03 | — | — | 20% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $5.28 | $6.60 | — | 90% below | 20% |
| Bilirubin blood test, total CPT 82247 Bilirubin, Total and Direct, Neonatal | $10.56 | $13.20 | — | 80% below | 20% |
| Bilirubin blood test, total CPT 82247 Bilirubin, Fractionated | $39.60 | $49.50 | — | 24% below | 20% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $5.28 | $6.60 | — | — | 20% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Total and Direct, Neonatal | $10.56 | $13.20 | — | — | 20% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Fractionated | $39.60 | $49.50 | — | — | 20% |
| Blood culture for bacteria CPT 87040 Blood Culture | $62.04 | $77.55 | — | 48% below | 20% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $62.04 | $77.55 | — | — | 20% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $6.94 | $8.67 | — | 77% below | 20% |
| Blood glucose (sugar) test CPT 82947 Glucose, Plasma | $15.40 | $19.25 | — | 49% below | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting | $6.94 | $8.67 | — | — | 20% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose, Plasma | $15.40 | $19.25 | — | — | 20% |
| Blood lead test CPT 83655 Lead Level | $27.82 | $34.77 | — | 49% below | 20% |
| Blood lead test inpatient CPT 83655 Lead Level | $27.82 | $34.77 | — | — | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta Human Chorionic Gonadotropin Qualitative Urine | $38.21 | $47.76 | — | 30% below | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta Human Chorionic Gonadotropin Qualitative Urine | $38.21 | $47.76 | — | — | 20% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $6.94 | $8.67 | — | 82% below | 20% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $6.94 | $8.67 | — | — | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Cardio CRP (R) | $22.00 | $27.50 | — | 63% below | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Cardio CRP (R) | $22.00 | $27.50 | — | — | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 POC Rapid Nasal COVID Test | $22.00 | $27.50 | — | 77% below | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 POC Rapid Nasal COVID Test | $22.00 | $27.50 | — | — | 20% |
| Calcium blood test, total CPT 82310 Calcium Level Total | $5.28 | $6.60 | — | 89% below | 20% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Total | $5.28 | $6.60 | — | — | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $17.16 | $21.45 | — | 83% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Piccolo Lipid Panel | $17.16 | $21.45 | — | 83% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Piccolo Lipid Panel | $17.16 | $21.45 | — | — | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $17.16 | $21.45 | — | — | 20% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ Automated Differential | $4.40 | $5.50 | — | 91% below | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ Automated Differential | $4.40 | $5.50 | — | — | 20% |
| Cortisol blood test, total CPT 82533 Cortisol, A.M. | $23.35 | $29.18 | — | 73% below | 20% |
| Cortisol blood test, total CPT 82533 Cortisol, Total | $23.35 | $29.18 | — | 73% below | 20% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, Total | $23.35 | $29.18 | — | — | 20% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, A.M. | $23.35 | $29.18 | — | — | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $11.99 | $14.98 | — | 83% below | 20% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $11.99 | $14.98 | — | — | 20% |
| Creatinine blood test CPT 82565 Bun/Creatinine Ratio | $5.44 | $6.79 | — | 83% below | 20% |
| Creatinine blood test inpatient CPT 82565 Bun/Creatinine Ratio | $5.44 | $6.79 | — | — | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine | $52.80 | $66.00 | — | 36% below | 20% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine | $52.80 | $66.00 | — | — | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level | $19.11 | $23.88 | — | 81% below | 20% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Level | $19.11 | $23.88 | — | — | 20% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $20.68 | $25.85 | — | 78% below | 20% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $20.68 | $25.85 | — | — | 20% |
| Folate (folic acid) blood test CPT 82746 Folate, Serum | $34.05 | $42.56 | — | 59% below | 20% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate, Serum | $34.05 | $42.56 | — | — | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free, Direct Dialysis | $40.10 | $50.12 | — | 48% below | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free | $40.10 | $50.12 | — | 48% below | 20% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free, Direct Dialysis | $40.10 | $50.12 | — | — | 20% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free | $40.10 | $50.12 | — | — | 20% |
| Free testosterone test CPT 84402 Testosterone Level Free | $44.00 | $55.00 | — | 65% below | 20% |
| Free testosterone test inpatient CPT 84402 Testosterone Level Free | $44.00 | $55.00 | — | — | 20% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $22.14 | $27.67 | — | 62% below | 20% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $22.14 | $27.67 | — | — | 20% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody | $34.82 | $43.52 | — | 56% below | 20% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody | $34.82 | $43.52 | — | — | 20% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Antigen, EIA, Stool | $14.64 | $18.29 | — | 88% below | 20% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Antigen, EIA, Stool | $14.64 | $18.29 | — | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $13.84 | $17.30 | — | 77% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $13.84 | $17.30 | — | — | 20% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $3.31 | $4.13 | — | 88% below | 20% |
| Hemoglobin blood test CPT 85018 Hemoglobin + Hematocrit | $6.60 | $8.25 | — | 76% below | 20% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $3.31 | $4.13 | — | — | 20% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin + Hematocrit | $6.60 | $8.25 | — | — | 20% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody IgG + IgM | $18.89 | $23.61 | — | 72% below | 20% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody IgG + IgM | $18.89 | $23.61 | — | — | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Immunity, Quantitative | $18.66 | $23.32 | — | 72% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody Immunity, Quantitative | $18.66 | $23.32 | — | — | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $18.66 | $23.32 | — | 70% below | 20% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $18.66 | $23.32 | — | — | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody IgM + IgG | $21.29 | $26.61 | — | 73% below | 20% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody IgM + IgG | $21.29 | $26.61 | — | — | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein | $22.00 | $27.50 | — | 69% below | 20% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein | $22.00 | $27.50 | — | — | 20% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $21.83 | $27.28 | — | 53% below | 20% |
| Iron blood test (serum iron) CPT 83540 Iron Binding Capacity Total | $40.94 | $51.17 | — | 11% below | 20% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $21.83 | $27.28 | — | — | 20% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Binding Capacity Total | $40.94 | $51.17 | — | — | 20% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (LH) | $200.45 | $250.56 | — | 95% above | 20% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone (LH) | $200.45 | $250.56 | — | — | 20% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $21.83 | $27.28 | — | 75% below | 20% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $21.83 | $27.28 | — | — | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $12.32 | $15.40 | — | 76% below | 20% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $12.32 | $15.40 | — | — | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $19.60 | $24.50 | — | 74% below | 20% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $19.60 | $24.50 | — | — | 20% |
| Magnesium blood test CPT 83735 Magnesium Level | $7.92 | $9.90 | — | 84% below | 20% |
| Magnesium blood test CPT 83735 Magnesium, 24 Hour Urine | $20.15 | $25.18 | — | 59% below | 20% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $7.92 | $9.90 | — | — | 20% |
| Magnesium blood test inpatient CPT 83735 Magnesium, 24 Hour Urine | $20.15 | $25.18 | — | — | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile, Mono Screen | $7.63 | $9.53 | — | 83% below | 20% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile, Mono Screen | $7.63 | $9.53 | — | — | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact and Calcium | $38.57 | $48.21 | — | 78% below | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact and Calcium | $38.57 | $48.21 | — | — | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $25.68 | $32.09 | — | 54% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Prothrombin w/INR & Partial Thromboplastin Times | $31.84 | $39.79 | — | 43% below | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $25.68 | $32.09 | — | — | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Prothrombin w/INR & Partial Thromboplastin Times | $31.84 | $39.79 | — | — | 20% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $5.28 | $6.60 | — | 86% below | 20% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level | $5.28 | $6.60 | — | — | 20% |
| Potassium blood test CPT 84132 Potassium Level | $5.28 | $6.60 | — | 87% below | 20% |
| Potassium blood test inpatient CPT 84132 Potassium Level | $5.28 | $6.60 | — | — | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 zzProthrombin Time | $6.16 | $7.70 | — | 79% below | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time - INR | $6.16 | $7.70 | — | 79% below | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time - INR | $6.16 | $7.70 | — | — | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 zzProthrombin Time | $6.16 | $7.70 | — | — | 20% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A and B Antigen Immunoassay | $130.24 | $162.80 | — | 121% above | 20% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A and B Antigen Immunoassay | $130.24 | $162.80 | — | — | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus Group A AG, w/ Reflex to Culture | $23.12 | $28.89 | — | 48% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus, Group A Culture | $129.96 | $162.45 | — | 192% above | 20% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus Group A AG, w/ Reflex to Culture | $23.12 | $28.89 | — | — | 20% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus, Group A Culture | $129.96 | $162.45 | — | — | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate by Modified Westergren | $5.86 | $7.32 | — | 83% below | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed Rate by Modified Westergren | $5.86 | $7.32 | — | — | 20% |
| Sodium blood test CPT 84295 Sodium Level | $5.28 | $6.60 | — | 87% below | 20% |
| Sodium blood test CPT 84295 Sodium w/ Creatinine, Random Urine | $57.10 | $71.37 | — | 37% above | 20% |
| Sodium blood test inpatient CPT 84295 Sodium Level | $5.28 | $6.60 | — | — | 20% |
| Sodium blood test inpatient CPT 84295 Sodium w/ Creatinine, Random Urine | $57.10 | $71.37 | — | — | 20% |
| Stool ova and parasites exam CPT 87177 Ova and Parasites Stool Conc and Perm Smear | $75.96 | $94.95 | — | 28% above | 20% |
| Stool ova and parasites exam inpatient CPT 87177 Ova and Parasites Stool Conc and Perm Smear | $75.96 | $94.95 | — | — | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool for Occult Blood POC | $14.96 | $18.70 | — | 33% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool | $14.96 | $18.70 | — | 33% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool ll | $14.96 | $18.70 | — | 33% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool lll | $14.96 | $18.70 | — | 33% below | 20% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool ll | $14.96 | $18.70 | — | — | 20% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool | $14.96 | $18.70 | — | — | 20% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool lll | $14.96 | $18.70 | — | — | 20% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool for Occult Blood POC | $14.96 | $18.70 | — | — | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON®-TB Gold Plus, 1 Tube | $40.44 | $50.55 | — | 79% below | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON®-TB Gold Plus, 1 Tube | $40.44 | $50.55 | — | — | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total | $26.28 | $32.84 | — | 78% below | 20% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total | $26.28 | $32.84 | — | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, 3rd Generation w/ Reflex to FT4 | $15.84 | $19.80 | — | 65% below | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, 3rd Generation | $15.84 | $19.80 | — | 65% below | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, 3rd Generation | $15.84 | $19.80 | — | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, 3rd Generation w/ Reflex to FT4 | $15.84 | $19.80 | — | — | 20% |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $14.08 | $17.60 | — | 58% below | 20% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $14.08 | $17.60 | — | — | 20% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine | $18.29 | $22.86 | — | 70% below | 20% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine | $18.29 | $22.86 | — | — | 20% |
| Transferrin blood test CPT 84466 Transferrin | $54.40 | $68.00 | — | 36% below | 20% |
| Transferrin blood test inpatient CPT 84466 Transferrin | $54.40 | $68.00 | — | — | 20% |
| Triglycerides blood test CPT 84478 Triglycerides | $7.92 | $9.90 | — | 83% below | 20% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $7.92 | $9.90 | — | — | 20% |
| Uric acid blood test CPT 84550 Uric Acid | $18.08 | $22.59 | — | 58% below | 20% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $18.08 | $22.59 | — | — | 20% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Complete | $4.60 | $5.75 | — | 87% below | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Complete | $4.60 | $5.75 | — | — | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick POC | $7.92 | $9.90 | — | 43% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Color Urine Dipstick | $7.92 | $9.90 | — | 43% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 Clinitest | $22.44 | $28.04 | — | 63% above | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Color Urine Dipstick | $7.92 | $9.90 | — | — | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Dipstick POC | $7.92 | $9.90 | — | — | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Clinitest | $22.44 | $28.04 | — | — | 20% |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine, Routine | $18.12 | $22.65 | — | 73% below | 20% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture, Urine, Routine | $18.12 | $22.65 | — | — | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $29.74 | $37.17 | — | 62% below | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12/Folate, Serum Panel | $63.79 | $79.73 | — | 18% below | 20% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $29.74 | $37.17 | — | — | 20% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12/Folate, Serum Panel | $63.79 | $79.73 | — | — | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy, Total, Immunoassay | $26.40 | $33.00 | — | 81% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy, Total, Immunoassay | $26.40 | $33.00 | — | — | 20% |
| Zinc blood test CPT 84630 Zinc | $25.52 | $31.90 | — | 57% below | 20% |
| Zinc blood test CPT 84630 Zinc, RBC | $25.52 | $31.90 | — | 57% below | 20% |
| Zinc blood test inpatient CPT 84630 Zinc | $25.52 | $31.90 | — | — | 20% |
| Zinc blood test inpatient CPT 84630 Zinc, RBC | $25.52 | $31.90 | — | — | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Colonoscopy with tissue sample CPT 45380 Colonoscopy, flexible, diagnostic, w/biopsy | $1,245.20 | $1,556.50 | — | 19% below | 20% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy, flexible, diagnostic, w/biopsy | $1,245.20 | $1,556.50 | — | — | 20% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy w/out biopsy | $897.60 | $1,122.00 | — | 46% below | 20% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy w/out biopsy | $897.60 | $1,122.00 | — | — | 20% |
| Earwax removal with instruments, one ear CPT 69210 Cerumen Removal | $66.00 | $82.50 | — | 36% below | 20% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Cerumen Removal | $66.00 | $82.50 | — | — | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision and Drainage, simple | $264.00 | $330.00 | — | 9% below | 20% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision and Drainage, simple | $264.00 | $330.00 | — | — | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection(s), single tendon sheath, or ligament, aponeurosis | $196.24 | $245.30 | — | 39% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection(s), single tendon sheath, or ligament, aponeurosis | $196.24 | $245.30 | — | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection, major joint or bursa (shoulder, hip, knee, subacromial bursa, etc) | $169.84 | $212.30 | — | 42% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection, major joint or bursa (shoulder, hip, knee, subacromial bursa, etc) | $169.84 | $212.30 | — | — | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of toenail or fingernail, simple; single | $396.00 | $495.00 | — | 58% above | 20% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of toenail or fingernail, simple; single | $396.00 | $495.00 | — | — | 20% |
| Short arm cast (elbow to hand) CPT 29075 OT Short Arm Cast Units | $286.40 | $358.00 | $32.60–$632.45 | 7% above | 20% |
| Short arm cast (elbow to hand) inpatient CPT 29075 OT Short Arm Cast Units | $286.40 | $358.00 | — | — | 20% |
| Short leg cast (below the knee) CPT 29405 OT Apply short leg cast units | $286.40 | $358.00 | $32.60–$632.45 | 3% below | 20% |
| Short leg cast (below the knee) CPT 29405 PT Short Leg Cast App Units | $286.40 | $358.00 | $32.60–$632.45 | 3% below | 20% |
| Short leg cast (below the knee) inpatient CPT 29405 PT Short Leg Cast App Units | $286.40 | $358.00 | — | — | 20% |
| Short leg cast (below the knee) inpatient CPT 29405 OT Apply short leg cast units | $286.40 | $358.00 | — | — | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Suture wound, 2.5 cm or less (except face, ears) | $220.00 | $275.00 | — | 19% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Suture wound, 2.5 cm or less (except face, ears) | $220.00 | $275.00 | — | — | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Suture wound, 2.5 cm or less (face, ears, eyelids, nose, lips and/or mucous membranes) | $308.00 | $385.00 | — | 11% above | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Suture wound, 2.5 cm or less (face, ears, eyelids, nose, lips and/or mucous membranes) | $308.00 | $385.00 | — | — | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection(s), single or multiple trigger points, 1 or 2 muscles | $164.56 | $205.70 | — | 48% below | 20% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection(s), single or multiple trigger points, 1 or 2 muscles | $164.56 | $205.70 | — | — | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper GI endoscopy, flexible, transoral, diagnostic w/biopsy | $1,122.00 | $1,402.50 | — | 18% below | 20% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper GI endoscopy, flexible, transoral, diagnostic w/biopsy | $1,122.00 | $1,402.50 | — | — | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Upper gastrointestinal endoscopy, simple primary exam (separate procedure) | $809.60 | $1,012.00 | — | 47% below | 20% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Upper gastrointestinal endoscopy, simple primary exam (separate procedure) | $809.60 | $1,012.00 | — | — | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction Collection -> Yes | $22.00 | $27.50 | — | 84% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction Collection -> Yes | $22.00 | $27.50 | — | — | 20% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG Bedside | $308.00 | $385.00 | — | 633% above | 20% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG 12 Lead - Transport | $330.00 | $412.50 | — | 686% above | 20% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG Bedside | $308.00 | $385.00 | — | — | 20% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG 12 Lead - Transport | $330.00 | $412.50 | — | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG Rhythm Report | $176.00 | $220.00 | — | 7% below | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG Rhythm Report | $176.00 | $220.00 | — | — | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, conjoint psychoterapy, with patient present, 50 minutes | $186.80 | $233.49 | — | 18% below | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psychotherapy, conjoint psychoterapy, with patient present, 50 minutes | $186.80 | $233.49 | — | — | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, without patient present, 50 minutes | $179.88 | $224.84 | — | 23% below | 20% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family psychotherapy, without patient present, 50 minutes | $179.88 | $224.84 | — | — | 20% |
| Group psychotherapy session CPT 90853 Group psychotherapy (other than of a multiple family group) | $44.62 | $55.77 | — | 79% below | 20% |
| Group psychotherapy session inpatient CPT 90853 Group psychotherapy (other than of a multiple family group) | $44.62 | $55.77 | — | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation (Limited) | $223.52 | $279.40 | — | 4% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $294.80 | $368.50 | — | 38% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation (Extended) | $366.08 | $457.60 | — | 71% above | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation (Limited) | $223.52 | $279.40 | — | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation | $294.80 | $368.50 | — | — | 20% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation (Extended) | $366.08 | $457.60 | — | — | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $58.40 | $73.00 | $30.24–$92.23 | 35% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $58.40 | $73.00 | $30.24–$92.23 | 35% below | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $58.40 | $73.00 | — | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $58.40 | $73.00 | — | — | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Low Eval Units | $286.40 | $358.00 | $32.60–$274.07 | 115% above | 20% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Low Eval Units | $286.40 | $358.00 | — | — | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT High Eval Units | $286.40 | $358.00 | $32.60–$274.07 | 64% above | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT High Eval Units | $286.40 | $358.00 | — | — | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Low Eval Units | $286.40 | $358.00 | $32.60–$274.07 | 115% above | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Low Eval Units | $286.40 | $358.00 | — | — | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Mod Eval Units | $286.40 | $358.00 | $32.60–$274.07 | 81% above | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Mod Eval Units | $286.40 | $358.00 | — | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $58.40 | $73.00 | $24.28–$87.00 | 29% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $58.40 | $73.00 | $24.28–$87.00 | 29% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $58.40 | $73.00 | — | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $58.40 | $73.00 | — | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $58.40 | $73.00 | $26.36–$87.00 | 25% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $58.40 | $73.00 | $26.36–$87.00 | 25% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $58.40 | $73.00 | — | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $58.40 | $73.00 | — | — | 20% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis; first 60 minutes | $232.73 | $290.91 | — | 9% above | 20% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for crisis; first 60 minutes | $232.73 | $290.91 | — | — | 20% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes per patient | $111.32 | $139.15 | — | 32% below | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 minutes per patient | $111.32 | $139.15 | — | — | 20% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes per patient | $148.46 | $185.57 | — | 22% below | 20% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 minutes per patient | $148.46 | $185.57 | — | — | 20% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 minutes per patient | $223.32 | $279.14 | — | 7% below | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy, 60 minutes per patient | $223.32 | $279.14 | — | — | 20% |
| Speech and language evaluation CPT 92523 SLP Eval speech and language units | $286.40 | $358.00 | $32.60–$621.53 | 16% above | 20% |
| Speech and language evaluation CPT 92523 SLP Eval language comp/exp units | $286.40 | $358.00 | $32.60–$621.53 | 16% above | 20% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval speech and language units | $286.40 | $358.00 | — | — | 20% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval language comp/exp units | $286.40 | $358.00 | — | — | 20% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $286.40 | $358.00 | $32.60–$208.74 | 69% above | 20% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $286.40 | $358.00 | — | — | 20% |
| Spirometry (breathing test) CPT 94010 Spirometry Bedside -> Yes, see scanned report | $30.80 | $38.50 | — | 87% below | 20% |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Study | $120.56 | $150.70 | — | 48% below | 20% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry Bedside -> Yes, see scanned report | $30.80 | $38.50 | — | — | 20% |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Study | $120.56 | $150.70 | — | — | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $58.40 | $73.00 | $32.60–$100.99 | 28% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $58.40 | $73.00 | $32.60–$100.99 | 28% below | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $58.40 | $73.00 | — | — | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $58.40 | $73.00 | — | — | 20% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.