Hospital

Oklahoma Spine Hospital

Oklahoma Spine Hospital in Kansas City, MO publishes cash prices for 169 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Missouri median for 144 of 168 procedures and above it for 23. By typical cash price it ranks #2 of 60 Missouri hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

P.O. Box 803918, Kansas City, MO, 64180 Collected Sep 27, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs MissouriOff list
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Ba SWALLOW $235.00 $477.00 $59.85–$356.04 46% below 51%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Ba SWALLOW $235.00 $477.00 $59.85–$356.04 — 51%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST $235.00 $1,764.00 $144.09–$491.90 88% below 87%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST $235.00 $1,764.00 $144.09–$491.90 — 87%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV WO $315.00 $1,530.00 $90.18–$483.44 85% below 79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV WO $315.00 $1,530.00 $90.18–$483.44 — 79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W $460.00 $2,413.00 $195.04–$1,206.50 81% below 81%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV W $460.00 $2,413.00 $195.04–$1,206.50 — 81%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W&WO $460.00 $2,413.00 $220.06–$1,206.50 84% below 81%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV W&WO $460.00 $2,413.00 $220.06–$1,206.50 — 81%
CT scan of the abdomen with contrast CPT 74160 CT ABD W $235.00 $1,397.00 $157.05–$698.50 85% below 83%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W $235.00 $1,397.00 $157.05–$698.50 — 83%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO $140.00 $1,019.00 $71.94–$509.50 87% below 86%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO $140.00 $1,019.00 $71.94–$509.50 — 86%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS/FACE WO $140.00 $1,019.00 $77.84–$265.85 87% below 86%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS/FACE WO $140.00 $1,019.00 $77.84–$265.85 — 86%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO $140.00 $1,019.00 $58.73–$265.85 89% below 86%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO $140.00 $1,019.00 $58.73–$265.85 — 86%
CT scan of the head with contrast CPT 70460 CT HEAD W $235.00 $1,397.00 $84.03–$445.05 84% below 83%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W $235.00 $1,397.00 $84.03–$445.05 — 83%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&WO $235.00 $1,628.00 $101.15–$477.54 87% below 86%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&WO $235.00 $1,628.00 $101.15–$477.54 — 86%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SP BEALL WO $140.00 $1,200.00 $93.61–$251.69 90% below 88%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SP WO $140.00 $1,200.00 $93.61–$251.69 90% below 88%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SP BEALL WO $140.00 $1,200.00 $93.61–$251.69 — 88%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SP WO $140.00 $1,200.00 $93.61–$251.69 — 88%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SP BEALL WO $140.00 $1,019.00 $73.62–$251.69 91% below 86%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SP WO $140.00 $1,019.00 $73.62–$251.69 91% below 86%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SP WO $140.00 $1,019.00 $73.62–$251.69 — 86%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SP BEALL WO $140.00 $1,019.00 $73.62–$251.69 — 86%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W $235.00 $1,397.00 $157.05–$698.50 86% below 83%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W $235.00 $1,397.00 $157.05–$698.50 — 83%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V $115.00 $272.00 $18.71–$176.10 54% below 58%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2V $115.00 $272.00 $18.71–$176.10 — 58%
Chest X-ray, single view CPT 71045 XR CHEST 1V $115.00 $252.00 $13.83–$176.10 45% below 54%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1V $115.00 $252.00 $13.83–$176.10 — 54%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL REAL TIME W/IMAGE COM $205.00 $1,219.00 $62.66–$609.50 64% below 83%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL REAL TIME W/IMAGE COM $205.00 $1,219.00 $62.66–$609.50 — 83%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY STUDY AXIAL SKELETON $140.00 $187.00 $22.24–$212.68 59% below 25%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY STUDY AXIAL SKELETON $140.00 $187.00 $22.24–$212.68 — 25%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULAR SKELETON $115.00 $152.00 $17.08–$176.10 37% below 24%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY APPENDICULAR SKELETON $115.00 $152.00 $17.08–$176.10 — 24%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO $140.00 $1,019.00 $73.06–$265.85 89% below 86%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO $140.00 $1,019.00 $73.06–$265.85 — 86%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W $235.00 $1,397.00 $149.48–$445.05 86% below 83%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W $235.00 $1,397.00 $149.48–$445.05 — 83%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN BI LOW/UP $260.00 $1,547.00 $163.10–$773.50 — 83%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEN BI LOW/UP $260.00 $1,547.00 $163.10–$773.50 — 83%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY $405.00 $2,408.00 $176.84–$1,204.00 76% below 83%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY $405.00 $2,408.00 $176.84–$1,204.00 — 83%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP TITRATION $1,135.00 $4,500.00 $108.00–$2,250.00 57% below 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT $1,135.00 $4,500.00 $108.00–$2,250.00 57% below 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP TITRATION $1,135.00 $4,500.00 $108.00–$2,250.00 — 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT $1,135.00 $4,500.00 $108.00–$2,250.00 — 75%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST $315.00 $1,307.00 $114.08–$653.50 81% below 76%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WITHOUT CONTRAST $315.00 $1,307.00 $114.08–$653.50 — 76%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITH AND WITHOUT CONTRAST $460.00 $2,199.00 $211.01–$1,099.50 81% below 79%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WITH AND WITHOUT CONTRAST $460.00 $2,199.00 $211.01–$1,099.50 — 79%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO $315.00 $1,921.00 $112.67–$604.30 81% below 84%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO $315.00 $1,921.00 $112.67–$604.30 — 84%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO $460.00 $2,784.00 $188.80–$892.83 82% below 83%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO $460.00 $2,784.00 $188.80–$892.83 — 83%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SP WO $315.00 $1,921.00 $108.46–$604.30 83% below 84%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SP WO $315.00 $1,921.00 $108.46–$604.30 — 84%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SP W&WO $460.00 $2,784.00 $189.64–$796.73 82% below 83%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SP W&WO $460.00 $2,784.00 $189.64–$796.73 — 83%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SP WO $315.00 $1,921.00 $107.89–$490.81 82% below 84%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SP WO $315.00 $1,921.00 $107.89–$490.81 — 84%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SP W&WO $460.00 $2,784.00 $190.20–$796.73 82% below 83%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SP W&WO $460.00 $2,784.00 $190.20–$796.73 — 83%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SP WO $315.00 $1,921.00 $107.89–$604.30 84% below 84%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SP WO $315.00 $1,921.00 $107.89–$604.30 — 84%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO $460.00 $2,784.00 $209.88–$796.73 82% below 83%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&WO $460.00 $2,784.00 $209.88–$796.73 — 83%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO $315.00 $1,921.00 $143.31–$490.81 83% below 84%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO $315.00 $1,921.00 $143.31–$490.81 — 84%
Sleep study in a lab (polysomnography) CPT 95810 DIAGNOSTIC STUDY $700.00 $4,200.00 $108.00–$2,100.00 74% below 83%
Sleep study in a lab (polysomnography) inpatient CPT 95810 DIAGNOSTIC STUDY $700.00 $4,200.00 $108.00–$2,100.00 — 83%
X-ray of the abdomen, 1 view CPT 74018 XR ABD 1V $115.00 $234.00 $17.96–$176.10 47% below 51%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1V $115.00 $234.00 $17.96–$176.10 — 51%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XROR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 52% below 54%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 52% below 54%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 — 54%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XROR L-SP 2-3V $140.00 $303.00 $23.61–$212.68 — 54%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SP 4V $140.00 $396.00 $32.86–$212.68 67% below 65%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SP 4V $140.00 $396.00 $32.86–$212.68 — 65%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SP 2V $140.00 $234.00 $18.71–$212.68 47% below 40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XROR T-SP 2V $140.00 $234.00 $18.71–$212.68 47% below 40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SP 2V $140.00 $234.00 $18.71–$212.68 — 40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XROR T-SP 2V $140.00 $234.00 $18.71–$212.68 — 40%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL 1-3V $115.00 $254.00 $24.14–$176.10 54% below 55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL 1-3V $115.00 $254.00 $24.14–$176.10 — 55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 62% below 62%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XROR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 62% below 62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 — 62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XROR C-SP 2-3V $115.00 $303.00 $23.33–$176.10 — 62%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V $140.00 $234.00 $16.56–$212.68 38% below 40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2V $140.00 $234.00 $16.56–$212.68 — 40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX 2V $115.00 $234.00 $20.49–$176.10 56% below 51%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX 2V $115.00 $234.00 $20.49–$176.10 — 51%

Lab tests

ProcedureCash price List priceInsurers payvs MissouriOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALTV) $10.00 $50.89 $2.62–$6.63 79% below 80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALTV) $10.00 $50.89 $2.62–$6.63 — 80%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) $10.00 $49.70 $2.56–$6.48 78% below 80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) $10.00 $49.70 $2.56–$6.48 — 80%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEP PANEL $75.00 $457.38 $23.57–$59.54 68% below 84%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEP PANEL $75.00 $457.38 $23.57–$59.54 — 84%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCKUC CITRULLNATED PEPTIDE ( CCP), ANTI $20.00 $124.32 $6.41–$16.19 75% below 84%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCKUC CITRULLNATED PEPTIDE ( CCP), ANTI $20.00 $124.32 $6.41–$16.19 — 84%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN $20.00 $116.06 $5.98–$15.11 71% below 83%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN $20.00 $116.06 $5.98–$15.11 — 83%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC $60.00 $325.92 $16.80–$49.08 51% below 82%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC $60.00 $325.92 $16.80–$49.08 — 82%
Basic metabolic panel (blood test) CPT 80048 BASIC MET PANEL $15.00 $81.20 $4.19–$10.58 88% below 82%
Basic metabolic panel (blood test) CPT 80048 RBMP $15.00 $81.20 $4.19–$10.58 88% below 82%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC MET PANEL $15.00 $81.20 $4.19–$10.58 — 82%
Basic metabolic panel (blood test) inpatient CPT 80048 RBMP $15.00 $81.20 $4.19–$10.58 — 82%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LEVEL IV $55.00 $184.05 $13.72–$92.02 73% below 70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM LEVEL IV $55.00 $184.05 $13.72–$92.02 — 70%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $20.00 $99.12 $5.11–$12.90 82% below 80%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $20.00 $99.12 $5.11–$12.90 — 80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $3.50 $21.00 $1.08–$9.15 79% below 83%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $3.50 $21.00 $1.08–$9.15 — 83%
Blood glucose (sugar) test CPT 82947 GLUCOSE FLUID $10.00 $37.73 $1.94–$4.91 69% below 73%
Blood glucose (sugar) test CPT 82947 GLUCOSE ISTAT $10.00 $37.73 $1.94–$4.91 69% below 73%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING $10.00 $37.73 $1.94–$4.91 69% below 73%
Blood glucose (sugar) test CPT 82947 ISTAT GLUCOSE $10.00 $28.00 $1.94–$4.91 69% below 64%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM $10.00 $37.73 $1.94–$4.91 69% below 73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING $10.00 $37.73 $1.94–$4.91 — 73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM $10.00 $37.73 $1.94–$4.91 — 73%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE ISTAT $10.00 $37.73 $1.94–$4.91 — 73%
Blood glucose (sugar) test inpatient CPT 82947 ISTAT GLUCOSE $10.00 $28.00 $1.94–$4.91 — 64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FLUID $10.00 $37.73 $1.94–$4.91 — 73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL URINE $15.00 $72.24 $3.72–$9.40 72% below 79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUALITATIVE $15.00 $72.24 $3.72–$9.40 72% below 79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QUALITATIVE $15.00 $72.24 $3.72–$9.40 — 79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL URINE $15.00 $72.24 $3.72–$9.40 — 79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP QUANT $10.00 $49.70 $2.56–$6.48 83% below 80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP QUANT $10.00 $49.70 $2.56–$6.48 — 80%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF A AND B PCR $60.00 $310.31 $17.37–$46.59 57% below 81%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFF A AND B PCR $60.00 $310.31 $17.37–$46.59 — 81%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 $35.00 $199.85 $10.30–$26.01 68% below 82%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA125 $35.00 $199.85 $10.30–$26.01 — 82%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ABBOTT ID NOW NUCLEIC ACID AMPLIFICATION $80.00 $300.00 $45.64–$64.14 20% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RCOVID $80.00 $300.00 $45.64–$64.14 20% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 ABBOTT ID NOW NUCLEIC ACID AMPLIFICATION $80.00 $300.00 $45.64–$64.14 — 73%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RCOVID $80.00 $300.00 $45.64–$64.14 — 73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $25.00 $128.59 $6.63–$16.74 76% below 81%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $25.00 $128.59 $6.63–$16.74 — 81%
Complete blood count (CBC) with differential CPT 85025 CHARGE CBC/PLATELETS/RDW $15.00 $74.62 $3.85–$9.71 72% below 80%
Complete blood count (CBC) with differential CPT 85025 RCBC $15.00 $74.62 $3.85–$9.71 72% below 80%
Complete blood count (CBC) with differential inpatient CPT 85025 CHARGE CBC/PLATELETS/RDW $15.00 $74.62 $3.85–$9.71 — 80%
Complete blood count (CBC) with differential inpatient CPT 85025 RCBC $15.00 $74.62 $3.85–$9.71 — 80%
Complete blood count (CBC), no differential CPT 85027 CHARGE- HEMOGRAM $10.00 $62.09 $3.20–$8.09 80% below 84%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM $10.00 $62.09 $3.20–$8.09 80% below 84%
Complete blood count (CBC), no differential inpatient CPT 85027 CHARGE- HEMOGRAM $10.00 $62.09 $3.20–$8.09 — 84%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM $10.00 $62.09 $3.20–$8.09 — 84%
Comprehensive metabolic panel (blood test) CPT 80053 RCMP $20.00 $101.43 $5.23–$13.20 84% below 80%
Comprehensive metabolic panel (blood test) CPT 80053 COMP MET PANEL $20.00 $101.43 $5.23–$13.20 84% below 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP MET PANEL $20.00 $101.43 $5.23–$13.20 — 80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 RCMP $20.00 $101.43 $5.23–$13.20 — 80%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER $20.00 $97.72 $5.04–$12.73 84% below 80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER $20.00 $97.72 $5.04–$12.73 — 80%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S $35.00 $213.50 $11.00–$27.79 74% below 84%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S $35.00 $213.50 $11.00–$27.79 — 84%
Estradiol blood test CPT 82670 ESTRADIOL $45.00 $268.24 $13.83–$34.93 69% below 83%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $45.00 $268.24 $13.83–$34.93 — 83%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $30.00 $178.43 $9.19–$23.23 71% below 83%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH $30.00 $178.43 $9.19–$23.23 — 83%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $25.00 $130.90 $6.74–$17.04 70% below 81%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $25.00 $130.90 $6.74–$17.04 — 81%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $25.00 $141.19 $7.28–$18.38 67% below 82%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $25.00 $141.19 $7.28–$18.38 — 82%
Free T3 thyroid hormone test CPT 84481 T3 FREE $30.00 $162.68 $8.38–$21.18 70% below 82%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $30.00 $162.68 $8.38–$21.18 — 82%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE $15.00 $86.59 $4.46–$11.28 80% below 83%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE $15.00 $86.59 $4.46–$11.28 — 83%
Free testosterone test CPT 84402 TESTERONE FREE $40.00 $244.58 $12.60–$31.84 68% below 84%
Free testosterone test inpatient CPT 84402 TESTERONE FREE $40.00 $244.58 $12.60–$31.84 — 84%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI $30.00 $139.30 $7.18–$21.06 60% below 78%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI $30.00 $139.30 $7.18–$21.06 — 78%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1& 2 SGL ASSAY $40.00 $231.21 $11.92–$30.10 51% below 83%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1& 2 SGL ASSAY $40.00 $231.21 $11.92–$30.10 — 83%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $15.00 $82.95 $4.80–$12.14 76% below 82%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $15.00 $82.95 $4.80–$12.14 — 82%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF ANTIBDY $20.00 $103.11 $5.31–$13.43 71% below 81%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF ANTIBDY $20.00 $103.11 $5.31–$13.43 — 81%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURGACE ANTIGEN $20.00 $99.19 $5.11–$12.91 69% below 80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B ANTIGEN $20.00 $99.19 $5.11–$12.91 69% below 80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B ANTIGEN $20.00 $99.19 $5.11–$12.91 — 80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURGACE ANTIGEN $20.00 $99.19 $5.11–$12.91 — 80%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY $25.00 $136.99 $7.06–$17.84 70% below 82%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY $25.00 $136.99 $7.06–$17.84 — 82%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA QUANT PCR $65.00 $411.32 $21.20–$53.55 78% below 84%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA QUANT PCR $65.00 $411.32 $21.20–$53.55 — 84%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1 $20.00 $92.33 $6.53–$16.49 70% below 78%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 ANTIBODY HERPES SIMPLEX TYPE 1 $20.00 $92.33 $6.53–$16.49 — 78%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY HERPES SIMPLEX TYPE 2 $30.00 $135.45 $9.58–$24.19 50% below 78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 ANTIBODY HERPES SIMPLEX TYPE 2 $30.00 $135.45 $9.58–$24.19 — 78%
Homocysteine blood test CPT 83090 HOMOCYSTINE $30.00 $161.98 $8.35–$22.40 73% below 81%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE $30.00 $161.98 $8.35–$22.40 — 81%
Insulin blood test CPT 83525 INSULIN TOTAL $20.00 $109.76 $5.66–$14.29 66% below 82%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL $20.00 $109.76 $5.66–$14.29 — 82%
Iron blood test (serum iron) CPT 83540 IRON $10.00 $53.48 $3.20–$8.09 78% below 81%
Iron blood test (serum iron) inpatient CPT 83540 IRON $10.00 $53.48 $3.20–$8.09 — 81%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CPCY $15.00 $83.93 $4.33–$10.93 78% below 82%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CPCY $15.00 $83.93 $4.33–$10.93 — 82%
Kidney function blood test panel CPT 80069 RENAL FUNCT PANEL $15.00 $83.37 $4.30–$10.85 86% below 82%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCT PANEL $15.00 $83.37 $4.30–$10.85 — 82%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE $30.00 $177.80 $9.17–$23.15 71% below 83%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE $30.00 $177.80 $9.17–$23.15 — 83%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM $15.00 $66.15 $3.41–$8.61 76% below 77%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM $15.00 $66.15 $3.41–$8.61 — 77%
Liver function blood test panel CPT 80076 HEPATIC FUNC PANEL $15.00 $78.47 $4.04–$10.21 89% below 81%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNC PANEL $15.00 $78.47 $4.04–$10.21 — 81%
Magnesium blood test CPT 83735 MAGNESIUM $15.00 $64.33 $3.32–$8.38 68% below 77%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $15.00 $64.33 $3.32–$8.38 — 77%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG $20.00 $123.69 $6.38–$16.10 66% below 84%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGM $20.00 $123.69 $6.38–$16.10 66% below 84%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGM $20.00 $123.69 $6.38–$16.10 — 84%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGG $20.00 $123.69 $6.38–$16.10 — 84%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE $65.00 $396.34 $20.43–$51.60 62% below 84%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE $65.00 $396.34 $20.43–$51.60 — 84%
Partial thromboplastin time (PTT) clotting test CPT 85730 RPTT $10.00 $57.68 $2.97–$7.51 81% below 83%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT $10.00 $57.68 $2.97–$7.51 81% below 83%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RPTT $10.00 $57.68 $2.97–$7.51 — 83%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT $10.00 $57.68 $2.97–$7.51 — 83%
Progesterone blood test CPT 84144 PROGESTERONE $35.00 $200.34 $10.32–$26.08 68% below 83%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $35.00 $200.34 $10.32–$26.08 — 83%
Prolactin blood test CPT 84146 PROLACTIN $30.00 $186.06 $9.59–$24.23 76% below 84%
Prolactin blood test inpatient CPT 84146 PROLACTIN $30.00 $186.06 $9.59–$24.23 — 84%
Prothrombin time (PT/INR) clotting test CPT 85610 RPT $10.00 $37.73 $1.94–$5.36 64% below 73%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $10.00 $37.73 $1.94–$5.36 64% below 73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RPT $10.00 $37.73 $1.94–$5.36 — 73%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $10.00 $37.73 $1.94–$5.36 — 73%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS DIAG PANEL $10.00 $54.46 $2.81–$7.09 78% below 82%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID QUANT $10.00 $54.46 $2.81–$7.09 78% below 82%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS DIAG PANEL $10.00 $54.46 $2.81–$7.09 — 82%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID QUANT $10.00 $54.46 $2.81–$7.09 — 82%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG $25.00 $138.18 $7.12–$17.99 53% below 82%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG $25.00 $138.18 $7.12–$17.99 — 82%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES, DIRECT SMEARS, CONCEN $15.00 $83.93 $4.40–$11.13 74% below 82%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES, DIRECT SMEARS, CONCEN $15.00 $83.93 $4.40–$11.13 — 82%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD $10.00 $31.22 $1.61–$5.48 53% below 68%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD $10.00 $31.22 $1.61–$5.48 — 68%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PREMATERIAL SEROLOG $10.00 $41.02 $2.11–$5.34 66% below 76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSFVDRL $10.00 $41.02 $2.11–$5.34 66% below 76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 PREMATERIAL SEROLOG $10.00 $41.02 $2.11–$5.34 — 76%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSFVDRL $10.00 $41.02 $2.11–$5.34 — 76%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB $95.00 $595.14 $30.67–$77.48 50% below 84%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB $95.00 $595.14 $30.67–$77.48 — 84%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE $40.00 $247.87 $12.78–$32.26 66% below 84%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE $40.00 $247.87 $12.78–$32.26 — 84%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXI ANTI $25.00 $139.72 $7.20–$18.19 67% below 82%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXI ANTI $25.00 $139.72 $7.20–$18.19 — 82%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $30.00 $161.35 $8.32–$21.00 34% below 81%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $30.00 $161.35 $8.32–$21.00 — 81%
Uric acid blood test CPT 84550 URIC ACID $10.00 $43.40 $2.24–$5.65 76% below 77%
Uric acid blood test inpatient CPT 84550 URIC ACID $10.00 $43.40 $2.24–$5.65 — 77%
Urinalysis with microscope exam, automated CPT 81001 CHARGE - URINEWITHMICROSCOPI $5.00 $30.45 $1.57–$3.96 87% below 84%
Urinalysis with microscope exam, automated inpatient CPT 81001 CHARGE - URINEWITHMICROSCOPI $5.00 $30.45 $1.57–$3.96 — 84%
Urinalysis without microscope exam, automated CPT 81003 CHARGE- URINALYSIS $5.00 $21.56 $1.11–$2.81 75% below 77%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHARGE- URINALYSIS $5.00 $21.56 $1.11–$2.81 — 77%
Urinalysis without microscope exam, manual CPT 81002 CHARGE - URINALYSIS NONAUTO W/O SCOPE $10.00 $22.47 $1.27–$4.35 23% below 55%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHARGE - URINALYSIS NONAUTO W/O SCOPE $10.00 $22.47 $1.27–$4.35 — 55%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $15.00 $77.49 $4.00–$10.09 77% below 81%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $15.00 $77.49 $4.00–$10.09 — 81%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $25.00 $144.76 $7.46–$18.85 68% below 83%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $25.00 $144.76 $7.46–$18.85 — 83%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH $45.00 $284.27 $14.65–$37.00 67% below 84%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D3 25-OH $45.00 $284.27 $14.65–$37.00 — 84%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE $25.00 $144.55 $7.45–$18.81 71% below 83%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE $25.00 $144.55 $7.45–$18.81 — 83%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MissouriOff list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 ARTHRODESIS ANT INTERBODY $16,900.00 $21,600.00 $1,458.62–$21,873.59 20% above 22%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 22551 ARTHRODESIS ANT INTERBODY $16,900.00 $21,600.00 $1,458.62–$21,873.59 — 22%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 DECOMPRESSOPM ROTATOR CUFF REP $9,555.00 $11,000.00 $896.06–$12,144.34 34% below 13%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827 DECOMPRESSOPM ROTATOR CUFF REP $9,555.00 $11,000.00 $896.06–$12,144.34 — 13%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 DISTAL METATARSAL OSTEOTOM $4,310.00 $5,000.00 $798.19–$5,515.84 74% above 14%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296 DISTAL METATARSAL OSTEOTOM $4,310.00 $5,000.00 $798.19–$5,515.84 — 14%
Carpal tunnel release, open surgery CPT 64721 64721 NEUROPLASTY MEDIAN NEVERE AT CARP $2,575.00 $3,100.00 $435.61–$3,319.71 31% below 17%
Carpal tunnel release, open surgery inpatient CPT 64721 64721 NEUROPLASTY MEDIAN NEVERE AT CARP $2,575.00 $3,100.00 $435.61–$3,319.71 — 17%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 EPI STEROID INJ CRV/ THRC WITH IMA $930.00 $2,535.95 $248.00–$1,177.28 30% below 63%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 EPI STEROID INJ CRV/ THRC WITH IMA $930.00 $2,535.95 $248.00–$1,177.28 — 63%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJ FACET L/S 1 LEVE $1,165.00 $2,829.00 $171.26–$1,513.49 12% above 59%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 INJ FACET L/S 1 LEVE $1,165.00 $2,829.00 $171.26–$1,513.49 — 59%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIB $4,715.00 $5,313.00 $484.62–$10,607.58 35% below 11%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIB $4,715.00 $5,313.00 $484.62–$10,607.58 — 11%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBL $3,500.00 $6,198.00 $650.90–$10,607.58 10% above 44%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 49595 RPR AA HERNIA 1ST > 10 CM REDUCIBL $3,500.00 $6,198.00 $650.90–$10,607.58 — 44%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE $4,715.00 $5,313.00 $290.92–$5,999.40 19% below 11%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM REDUCIBLE $4,715.00 $5,313.00 $290.92–$5,999.40 — 11%
Hammertoe correction surgery CPT 28285 28285 CORRECTION HAMMERTOE $4,310.00 $5,000.00 $496.80–$5,515.84 79% above 14%
Hammertoe correction surgery inpatient CPT 28285 28285 CORRECTION HAMMERTOE $4,310.00 $5,000.00 $496.80–$5,515.84 — 14%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION DRAIN ABSCESS $265.00 $500.00 $116.21–$500.00 15% above 47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 INCISION DRAIN ABSCESS $265.00 $500.00 $116.21–$500.00 — 47%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 REPAIR INTIAL ING HERNIA 5Y OLDER $4,715.00 $5,600.00 $463.99–$5,999.40 28% below 16%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 REPAIR INTIAL ING HERNIA 5Y OLDER $4,715.00 $5,600.00 $463.99–$5,999.40 — 16%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJ TNDN SHEATH LIG $405.00 $2,306.00 $55.12–$760.00 93% above 82%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJ TNDN SHEATH LIG $405.00 $2,306.00 $55.12–$760.00 — 82%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHRCNTSIS INJ MAJO $405.00 $756.00 $62.42–$756.00 88% above 46%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHRCNTSIS INJ MAJO $405.00 $756.00 $62.42–$756.00 — 46%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHRCNTSIS INJ INT $405.00 $1,896.00 $51.99–$760.00 94% above 79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHRCNTSIS INJ INT $405.00 $1,896.00 $51.99–$760.00 — 79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHRO ASPIR &/OR IN $405.00 $1,930.00 $51.05–$760.00 96% above 79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 ARTHRO ASPIR &/OR IN $405.00 $1,930.00 $51.05–$760.00 — 79%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 EPI STEROID INJ LUM/SAC WITH IMAGI $930.00 $2,535.95 $244.63–$1,177.28 21% below 63%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 EPI STEROID INJ LUM/SAC WITH IMAGI $930.00 $2,535.95 $244.63–$1,177.28 — 63%
Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC $1,165.00 $1,278.00 $132.16–$1,513.49 at median 9%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC $1,165.00 $1,278.00 $132.16–$1,513.49 — 9%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 TRANFORAMINAL INJ L $1,165.00 $2,829.00 $237.63–$1,513.49 22% below 59%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 TRANFORAMINAL INJ L $1,165.00 $2,829.00 $237.63–$1,513.49 — 59%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 LAMINOTOMY 1 INTERSPACE LUMBAR $9,555.00 $11,000.00 $812.40–$12,144.34 29% below 13%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 63030 LAMINOTOMY 1 INTERSPACE LUMBAR $9,555.00 $11,000.00 $812.40–$12,144.34 — 13%
Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 LAM FACET FORM LUMBAR $9,555.00 $11,000.00 $966.43–$12,144.34 37% below 13%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 63047 LAM FACET FORM LUMBAR $9,555.00 $11,000.00 $966.43–$12,144.34 — 13%
Lumbar spinal fusion (posterior), one level CPT 22612 22612 ARTHODESIS POSTER BELOW C2 LUMB $16,900.00 $21,600.00 $1,339.59–$31,263.09 368% above 22%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 22612 ARTHODESIS POSTER BELOW C2 LUMB $16,900.00 $21,600.00 $1,339.59–$31,263.09 — 22%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE $265.00 $358.00 $100.90–$358.00 43% above 26%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 AVULSION OF NAIL PLATE $265.00 $358.00 $100.90–$358.00 — 26%
Occipital nerve block (injection for headaches) CPT 64405 64405 OCCIPITAL NERVE BLOC $405.00 $2,306.00 $71.41–$760.00 13% above 82%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 OCCIPITAL NERVE BLOC $405.00 $2,306.00 $71.41–$760.00 — 82%
Paracentesis with imaging guidance CPT 49083 49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC $1,195.00 $2,062.00 $254.78–$1,593.85 38% above 42%
Paracentesis with imaging guidance inpatient CPT 49083 49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC $1,195.00 $2,062.00 $254.78–$1,593.85 — 42%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 DESTRUCTION BY NEUROLYTIC AGENT PA $405.00 $4,512.00 $417.14–$3,319.71 72% below 91%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 DESTRUCTION BY NEUROLYTIC AGENT PA $405.00 $4,512.00 $417.14–$3,319.71 — 91%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL FB SUBQ TISSU $530.00 $530.00 $141.32–$679.20 74% above —
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 INCISION AND REMOVAL FB SUBQ TISSU $530.00 $530.00 $141.32–$679.20 — —
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 DISTAL CLAVICULECTOMY INCL DIST $4,310.00 $5,000.00 $583.18–$5,515.84 65% below 14%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824 DISTAL CLAVICULECTOMY INCL DIST $4,310.00 $5,000.00 $583.18–$5,515.84 — 14%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 DECOMPRESSION SUB SPACE PART ACROM $800.00 $4,800.00 $137.26–$1,163.00 94% below 83%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 DECOMPRESSION SUB SPACE PART ACROM $800.00 $4,800.00 $137.26–$1,163.00 — 83%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 LACERATION REPAIR EXTRE SIMP 2.5CM $74.00 $221.45 $101.86–$337.79 67% below 67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 RPR S N AX GEN TRNK 2.5CM< $265.00 $887.00 $101.86–$760.00 20% above 70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 LACERATION REPAIR EXTRE SIMP 2.5CM $74.00 $221.45 $101.86–$337.79 — 67%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 RPR S N AX GEN TRNK 2.5CM< $265.00 $887.00 $101.86–$760.00 — 70%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOV SKIN TAGSMULTI FIBRO TAG 15 $265.00 $500.00 $83.17–$500.00 78% above 47%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOV SKIN TAGSMULTI FIBRO TAG 15 $265.00 $500.00 $83.17–$500.00 — 47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR SPINE PUNCT LUMB $930.00 $1,512.00 $147.46–$1,177.28 62% above 38%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR SPINE PUNCT LUMB $930.00 $1,512.00 $147.46–$1,177.28 — 38%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 LACERATION REPAIR FACE SIMP 2.5CM $92.00 $275.00 $124.95–$337.79 65% below 67%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 LACERATION REPAIR FACE SIMP 2.5CM $92.00 $275.00 $124.95–$337.79 — 67%
Total shoulder replacement CPT 23472 23472 ARTHROPLASTY GLEN JOINT TTL SHOULD $23,085.00 $33,866.00 $1,196.97–$31,263.09 72% above 32%
Total shoulder replacement inpatient CPT 23472 23472 ARTHROPLASTY GLEN JOINT TTL SHOULD $23,085.00 $33,866.00 $1,196.97–$31,263.09 — 32%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ 1 - 2 MUSCLE GRP $405.00 $2,306.00 $47.28–$760.00 98% above 82%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ 1 - 2 MUSCLE GRP $405.00 $2,306.00 $47.28–$760.00 — 82%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 BIOPSY BREAST $2,175.00 $2,700.00 $425.53–$2,754.41 9% above 19%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 BIOPSY BREAST $2,175.00 $2,700.00 $425.53–$2,754.41 — 19%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE $540.00 $560.00 $118.98–$679.20 36% above 4%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE $540.00 $560.00 $118.98–$679.20 — 4%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MissouriOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD $101.00 $302.00 $41.40–$743.21 85% below 67%
Blood transfusion (giving blood or blood components) CPT 36430 TRANS PLATLET PARTIA $120.00 $360.00 $41.40–$743.21 82% below 67%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD $101.00 $302.00 $41.40–$743.21 — 67%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS PLATLET PARTIA $120.00 $360.00 $41.40–$743.21 — 67%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB $25.00 $149.00 $7.57–$355.93 84% below 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT $95.00 $551.88 $7.57–$355.93 38% below 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 AIRWAY INHALATION TR $290.00 $537.00 $7.57–$537.00 90% above 46%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB $25.00 $149.00 $7.57–$355.93 — 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT $95.00 $551.88 $7.57–$355.93 — 83%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 AIRWAY INHALATION TR $290.00 $537.00 $7.57–$537.00 — 46%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $25.00 $143.00 $5.31–$101.00 87% below 83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG ED $27.00 $81.00 $5.31–$100.98 86% below 67%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $25.00 $143.00 $5.31–$101.00 — 83%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG ED $27.00 $81.00 $5.31–$100.98 — 67%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ROOM LEVEL 1 $115.00 $120.00 $10.41–$120.00 18% below 4%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER ROOM LEVEL 1 $115.00 $120.00 $10.41–$120.00 — 4%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ROOM LEVEL II $205.00 $230.00 $38.21–$230.00 16% below 11%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER ROOM LEVEL II $205.00 $230.00 $38.21–$230.00 — 11%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ROOM LEVEL III $116.00 $350.00 $65.64–$350.00 74% below 67%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER ROOM LEVEL III $116.00 $350.00 $65.64–$350.00 — 67%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ROOM LEVEL IV $150.00 $460.00 $111.74–$532.28 79% below 67%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER ROOM LEVEL IV $150.00 $460.00 $111.74–$532.28 — 67%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ROOM LEVEL V $193.00 $580.00 $162.14–$766.38 82% below 67%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER ROOM LEVEL V $193.00 $580.00 $162.14–$766.38 — 67%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 INTRAVENOUS INFUSI, HYDR; INITIAL $305.00 $433.00 $29.79–$368.71 24% above 30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 INTRAVENOUS INFUSI, HYDR; INITIAL $305.00 $433.00 $29.79–$368.71 — 30%
IV infusion of a medicine, first hour CPT 96365 96365 TX/PROPH/DG UP TO 1 HOUR $122.00 $731.00 $59.34–$368.71 60% below 83%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 TX/PROPH/DG UP TO 1 HOUR $122.00 $731.00 $59.34–$368.71 — 83%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SUB INJECTION $95.00 $128.00 $14.00–$128.00 2% below 26%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ $95.00 $196.00 $14.00–$124.55 2% below 52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAG $103.00 $215.00 $14.00–$124.55 6% above 52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SUB INJECTION $95.00 $128.00 $14.00–$128.00 — 26%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ $95.00 $196.00 $14.00–$124.55 — 52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAG $103.00 $215.00 $14.00–$124.55 — 52%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROM/PROPRIO BALAN $25.00 $148.00 $30.17–$75.00 72% below 83%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROM/PROPRIO BALAN $25.00 $148.00 $30.17–$75.00 — 83%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THERAPY INITIAL EACH 15 MIN $25.00 $137.00 $33.98–$68.50 44% below 82%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THERAPY INITIAL EACH 15 MIN $25.00 $137.00 $33.98–$68.50 — 82%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY $55.00 $327.32 $75.00–$163.66 68% below 83%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY $55.00 $327.32 $75.00–$163.66 — 83%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY $55.00 $327.32 $75.00–$163.66 57% below 83%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY $55.00 $327.32 $75.00–$163.66 — 83%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY $25.00 $133.00 $24.30–$75.00 70% below 81%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY $25.00 $133.00 $24.30–$75.00 — 81%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISES EACH 15 MIN $30.00 $155.00 $26.34–$77.50 61% below 81%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISES EACH 15 MIN $30.00 $155.00 $26.34–$77.50 — 81%

Vaccines

ProcedureCash price List priceInsurers payvs MissouriOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMINISTRATION $95.00 $117.00 $19.84–$124.55 61% above 19%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMINISTRATION $95.00 $117.00 $19.84–$124.55 — 19%

Source file: https://oklahomaspine.com/wp-content/uploads/731538478_Oklahoma-Spine-Hospital-LLC_standardcharges.csv