Hospital

Cox-Monett Hospital

Cox-Monett Hospital in Monett, MO publishes cash prices for 247 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 222 of 244 procedures and above it for 21. By typical cash price it ranks #10 of 60 Missouri hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1000 E US Highway 60, Monett, MO 65708 Collected Sep 27, 2026 Source price file (417) 354-1400

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 261329 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs MissouriOff list
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE $156.17 $512.04 $49.19–$468.00 48% below 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS $204.85 $671.63 $104.15–$551.00 40% below 69%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST $197.60 $647.88 $96.68–$519.83 55% below 70%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY $678.24 $2,223.73 $270.48–$2,663.00 55% below 69%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE $327.81 $1,074.80 $370.54–$1,074.80 14% below 70%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED $214.45 $703.12 $283.94–$744.00 27% below 70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST $1,054.89 $3,458.64 $760.28–$2,556.73 46% below 69%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST $1,489.97 $4,885.14 $626.17–$4,885.14 30% below 69%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $1,737.03 $5,695.18 $1,214.92–$3,433.98 27% below 69%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $1,921.50 $6,300.00 $1,395.65–$3,536.04 34% below 70%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST $946.36 $3,102.82 $760.28–$2,043.38 40% below 70%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST $754.05 $2,472.31 $496.64–$2,472.31 30% below 70%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST $726.09 $2,380.61 $532.01–$2,380.61 33% below 69%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $770.36 $2,525.76 $404.43–$2,005.00 39% below 69%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST $922.81 $3,025.62 $583.03–$2,005.00 36% below 70%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST $986.36 $3,233.98 $706.63–$3,233.98 45% below 70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST $858.82 $2,815.80 $616.35–$2,815.80 38% below 69%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST $874.78 $2,868.14 $616.35–$2,868.14 46% below 70%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST $890.29 $2,918.97 $760.28–$2,052.12 46% below 69%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY $519.19 $1,702.27 $168.56–$551.00 — 70%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS $142.52 $467.28 $55.44–$468.00 43% below 70%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW $117.03 $383.69 $55.44–$468.00 44% below 69%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY $357.58 $1,172.40 $107.60–$791.60 37% below 70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE $178.45 $585.09 $79.14–$468.00 48% below 70%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS $355.58 $1,165.84 $168.56–$744.00 46% below 70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST $798.62 $2,618.44 $616.35–$2,618.44 38% below 70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST $889.22 $2,915.46 $760.28–$2,043.38 46% below 69%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI $186.78 $612.39 $224.00–$962.78 — 69%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS $457.63 $1,500.41 $168.56–$555.33 34% below 69%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS $639.70 $2,097.39 $168.56–$551.00 21% below 70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $1,360.78 $4,461.56 $474.71–$2,488.00 10% below 69%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM $735.91 $2,412.83 $1,221.03–$2,663.00 47% below 70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM $1,388.97 $4,554.00 $830.23–$4,554.00 47% below 70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER) $2,062.46 $6,762.16 $830.23–$6,762.16 21% below 69%
Knee X-ray, 3 views CPT 73562 X-RAY OF KNEE; 3 VIEWS $157.56 $516.58 $136.55–$516.58 42% below 69%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 $157.56 $516.58 $49.19–$468.00 42% below 69%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN $302.22 $990.89 $107.60–$744.00 40% below 70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING $287.77 $943.51 $544.69–$2,005.00 34% below 70%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST $954.35 $3,129.00 $1,290.86–$3,129.00 49% below 69%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE $954.35 $3,129.00 $1,001.78–$3,129.00 49% below 69%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST $1,328.67 $4,356.28 $2,250.00–$5,755.21 41% below 69%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE $1,328.67 $4,356.28 $1,001.78–$5,755.21 41% below 69%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST $1,050.40 $3,443.92 $1,001.78–$3,551.62 37% below 69%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST $1,539.08 $5,046.17 $1,001.78–$6,239.77 37% below 70%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST $955.58 $3,133.04 $1,001.78–$3,133.04 41% below 69%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $1,402.85 $4,599.50 $1,001.78–$4,599.50 45% below 69%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $1,025.53 $3,362.38 $1,001.78–$3,362.38 45% below 69%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST $1,405.22 $4,607.29 $1,001.78–$4,607.29 44% below 70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST $1,104.69 $3,621.94 $1,001.78–$3,621.94 37% below 70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST $1,564.01 $5,127.89 $1,001.78–$5,127.89 37% below 69%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST $1,063.95 $3,488.36 $1,001.78–$3,488.36 46% below 69%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST $1,416.54 $4,644.39 $1,001.78–$6,222.87 45% below 69%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST $1,091.17 $3,577.60 $1,001.78–$3,577.60 42% below 69%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST $1,010.85 $3,314.26 $1,290.86–$3,314.26 46% below 69%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE $1,010.85 $3,314.26 $1,001.78–$3,314.26 46% below 69%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT $1,718.17 $5,633.34 $960.23–$5,633.34 58% below 69%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS $218.72 $717.13 $68.78–$744.00 46% below 70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS $365.20 $1,197.39 $107.60–$744.00 44% below 70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS $239.96 $786.76 $107.60–$744.12 58% below 70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS $289.70 $949.82 $107.60–$744.00 43% below 69%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS $170.26 $558.23 $68.78–$744.00 53% below 70%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY $206.99 $678.66 $224.00–$795.29 25% above 70%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER $148.59 $487.17 $49.19–$468.00 46% below 69%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM $1,290.75 $4,231.96 $830.23–$4,231.96 49% below 69%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION $247.72 $812.21 $96.68–$809.44 44% below 70%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $270.35 $886.40 $107.60–$744.00 53% below 70%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC $219.82 $720.72 $68.78–$744.00 53% below 69%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN $406.77 $1,333.68 $107.60–$964.37 48% below 70%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM $351.05 $1,150.98 $107.60–$744.00 40% below 69%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE $330.54 $1,083.73 $107.60–$744.00 41% below 69%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST $266.45 $873.60 $52.76–$622.10 53% below 69%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS $426.47 $1,398.26 $107.60–$551.00 24% below 69%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST $149.29 $489.46 $49.19–$468.00 43% below 69%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS $129.81 $425.61 $156.78–$468.00 45% below 70%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS $129.81 $425.61 $156.78–$468.00 45% below 70%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW $123.70 $405.56 $55.44–$468.00 43% below 69%
X-ray of the ankle, 2 views CPT 73600 X-RAY OF ANKLE; 2 VIEWS $140.49 $460.63 $400.00–$468.00 26% below 70%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE $140.49 $460.63 $49.19–$468.00 26% below 70%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS $106.36 $348.72 $127.32–$468.00 48% below 69%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) $106.36 $348.72 $49.19–$468.00 48% below 69%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT $138.18 $453.06 $49.19–$468.00 30% below 70%
X-ray of the foot, 2 views CPT 73620 X-RAY OF FOOT; 2 VIEWS $138.18 $453.06 $400.00–$468.00 30% below 70%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT $152.53 $500.10 $49.19–$468.00 44% below 70%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS $152.53 $500.10 $400.00–$500.10 44% below 70%
X-ray of the hand, 3 or more views CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS $168.42 $552.21 $114.39–$552.21 33% below 70%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND $168.42 $552.21 $49.19–$468.00 33% below 70%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 $134.79 $441.95 $49.19–$468.00 41% below 70%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS $134.79 $441.95 $116.27–$468.00 41% below 70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS $169.67 $556.30 $49.19–$468.00 42% below 70%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $223.17 $731.70 $81.92–$468.00 48% below 69%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS $143.06 $469.04 $49.19–$468.00 45% below 69%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS $122.66 $402.15 $49.19–$468.00 51% below 69%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS $164.94 $540.80 $49.19–$468.00 45% below 70%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS $125.29 $410.79 $49.19–$468.00 44% below 70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS $139.48 $457.32 $49.19–$468.00 47% below 70%

Lab tests

ProcedureCash price List priceInsurers payvs MissouriOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL $21.81 $71.50 $21.01–$156.00 55% below 69%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) $27.71 $90.85 $21.01–$156.00 43% below 69%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL $21.34 $69.98 $20.55–$156.00 54% below 70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $187.43 $614.52 $135.00–$547.45 20% below 69%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $14.02 $45.98 $20.72–$156.00 37% below 70%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH $14.02 $45.98 $45.98–$156.00 37% below 70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT $40.98 $134.35 $51.45–$156.00 49% below 69%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY $49.15 $161.14 $51.45–$156.00 39% below 69%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER $54.65 $179.17 $48.04–$156.00 20% below 69%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES $66.96 $219.54 $48.04–$156.00 2% below 69%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL $87.32 $286.28 $110.87–$321.96 29% below 69%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $67.84 $222.41 $135.00–$222.41 45% below 69%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA $67.84 $222.41 $55.83–$156.00 45% below 69%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY $146.85 $481.48 $38.02–$277.55 28% below 70%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE $87.12 $285.65 $135.00–$285.65 22% below 70%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA $87.12 $285.65 $41.02–$156.00 22% below 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE $8.98 $29.44 $14.44–$156.00 47% below 69%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL $23.98 $78.62 $15.58–$156.00 26% below 69%
Blood lead test CPT 83655 LEAD LEVEL $41.45 $135.89 $48.09–$156.00 24% below 69%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS $67.02 $219.74 $29.86–$156.00 26% above 70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) $39.06 $128.08 $8.50–$156.00 46% below 70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO $48.83 $160.10 $8.50–$156.00 32% below 70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION $42.34 $138.82 $20.55–$156.00 29% below 70%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE $81.47 $267.13 $135.00–$404.90 42% below 70%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE $95.12 $311.88 $135.00–$404.90 32% below 70%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 $67.36 $220.86 $82.68–$240.13 39% below 70%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 $89.76 $294.29 $82.68–$240.13 18% below 69%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN $63.44 $208.00 $135.00–$431.55 37% below 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE $63.42 $207.93 $135.00–$404.90 29% below 69%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $50.09 $164.23 $88.43–$156.00 51% below 70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $62.34 $204.40 $88.43–$156.00 39% below 70%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC $44.51 $145.92 $51.31–$156.00 16% below 69%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $44.51 $145.92 $135.00–$156.00 16% below 69%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED $40.34 $132.25 $16.80–$156.00 18% below 69%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $119.71 $392.50 $69.75–$291.16 5% below 70%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT $70.99 $232.76 $40.44–$156.00 43% below 70%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE $73.96 $242.50 $40.44–$156.00 41% below 70%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL $60.03 $196.83 $88.33–$256.53 56% below 70%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) $56.24 $184.40 $111.01–$322.30 61% below 70%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL $112.48 $368.79 $111.01–$322.30 22% below 70%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL $60.11 $197.09 $73.82–$214.39 41% below 70%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL $110.63 $362.71 $77.97–$226.50 40% below 69%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL $54.64 $179.14 $54.14–$157.28 35% below 69%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM $46.79 $153.41 $58.41–$169.64 38% below 70%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE $65.42 $214.48 $67.31–$195.46 34% below 69%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE $46.16 $151.36 $35.84–$156.00 38% below 70%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE $39.96 $131.01 $101.16–$293.87 68% below 69%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE $62.90 $206.23 $101.16–$293.87 50% below 70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST $26.38 $86.48 $18.88–$156.00 38% below 69%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS $45.21 $148.23 $51.13–$156.00 50% below 70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE $71.80 $235.41 $135.00–$404.90 12% below 70%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY $78.60 $257.71 $57.66–$167.37 5% above 70%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL $61.31 $201.02 $29.71–$156.00 49% below 70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION $116.57 $382.20 $135.00–$981.79 67% below 70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES $64.42 $211.20 $95.70–$277.81 21% below 69%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL $34.05 $111.64 $24.84–$156.00 45% below 70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT $37.60 $123.29 $42.66–$156.00 45% below 70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN $57.72 $189.26 $40.32–$156.00 11% below 70%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT $79.38 $260.27 $56.71–$164.59 6% below 70%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION $138.24 $453.23 $135.00–$494.22 54% below 69%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 $29.44 $96.54 $52.40–$156.00 55% below 70%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 $42.07 $137.92 $76.88–$223.31 31% below 69%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY $37.62 $123.36 $51.45–$156.00 47% below 70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL $83.78 $274.70 $67.03–$194.62 23% below 70%
Insulin blood test CPT 83525 ASSAY OF INSULIN $30.13 $98.80 $45.41–$156.00 49% below 70%
Iron blood test (serum iron) CPT 83540 IRON LEVEL $29.87 $97.95 $25.73–$156.00 35% below 70%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST $13.72 $44.99 $34.74–$156.00 80% below 70%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $37.02 $121.37 $34.74–$156.00 45% below 69%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL $65.81 $215.77 $34.51–$156.00 38% below 69%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL $56.27 $184.49 $73.58–$213.64 45% below 69%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL $58.72 $192.51 $27.36–$156.00 7% below 69%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $67.84 $222.41 $32.46–$156.00 49% below 69%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $54.30 $178.04 $67.66–$196.48 41% below 70%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY $80.82 $264.97 $67.66–$196.48 12% below 69%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL $46.02 $150.89 $135.00–$156.00 2% below 70%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $46.02 $150.89 $26.61–$156.00 2% below 70%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) $35.27 $115.63 $51.19–$156.00 40% below 69%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $48.16 $157.90 $51.19–$156.00 19% below 69%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) $32.90 $107.88 $20.55–$156.00 20% below 70%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $181.59 $595.37 $135.00–$595.37 45% below 69%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE $42.53 $139.45 $73.09–$212.20 44% below 70%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE $54.17 $177.62 $73.09–$212.20 29% below 70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $56.47 $185.15 $73.09–$212.20 27% below 70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $47.95 $157.20 $60.01–$174.18 34% below 69%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE $93.20 $305.57 $135.00–$476.22 45% below 69%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL $104.87 $343.85 $135.00–$476.22 39% below 70%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $44.20 $144.92 $23.85–$156.00 16% below 70%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE $45.93 $150.58 $82.89–$240.71 58% below 69%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL $76.04 $249.30 $76.99–$223.56 38% below 69%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN $118.42 $388.26 $76.99–$223.56 3% below 69%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME $25.07 $82.19 $15.61–$156.00 10% below 69%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC $45.90 $150.49 $47.66–$156.00 23% below 69%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) $35.83 $117.47 $74.52–$156.00 10% below 69%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL $33.94 $111.29 $22.54–$156.00 24% below 70%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT $48.49 $158.98 $22.54–$156.00 9% above 69%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) $25.82 $84.64 $57.20–$166.03 51% below 69%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY $52.12 $170.88 $57.20–$166.03 1% below 69%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED $24.46 $80.20 $10.72–$156.00 29% below 70%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT $93.07 $305.16 $47.89–$156.00 21% below 70%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $28.37 $93.01 $35.35–$156.00 51% below 69%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES $18.45 $60.49 $12.95–$156.00 14% below 69%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY $29.59 $97.02 $63.18–$183.53 42% below 70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST $16.90 $55.42 $16.96–$156.00 43% below 70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON $138.90 $455.40 $135.00–$715.08 27% below 69%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL $69.50 $227.88 $102.57–$297.83 42% below 70%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT $47.11 $154.46 $57.78–$167.88 38% below 70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $58.32 $191.21 $110.95–$193.86 27% above 69%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE $65.75 $215.57 $135.00–$404.90 52% below 69%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD $29.29 $96.04 $17.94–$156.00 31% below 70%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $35.61 $116.75 $20.94–$156.00 5% below 69%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE $3.36 $11.02 $8.29–$156.00 83% below 70%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST $19.30 $63.27 $8.29–$156.00 4% below 69%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE $11.36 $37.26 $8.29–$156.00 13% below 70%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE $53.84 $176.51 $27.77–$156.00 16% below 69%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $53.80 $176.40 $41.64–$156.00 8% above 70%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL $47.60 $156.08 $59.88–$173.94 38% below 70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL $74.41 $243.98 $117.64–$341.56 45% below 70%
Zinc blood test CPT 84630 ZINC LEVEL $54.76 $179.53 $45.23–$156.00 10% below 69%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL $60.87 $199.56 $41.64–$156.00 28% below 69%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MissouriOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT $692.90 $2,271.81 $398.24–$2,488.00 16% below 70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI $94.21 $308.88 $308.88–$8,072.00 27% above 69%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING $94.21 $308.88 $308.88–$8,072.00 27% above 69%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX $89.40 $293.11 $46.99–$8,072.00 2% below 69%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV $1,036.71 $3,399.06 $1,359.43–$6,335.00 at median 70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY $278.75 $913.95 $913.95–$8,072.00 3% below 70%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS $290.18 $951.41 $102.71–$8,072.00 29% above 70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $440.64 $1,444.72 $180.81–$6,335.00 106% above 69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $297.10 $974.11 $180.81–$6,335.00 49% above 70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US $273.48 $896.65 $148.81–$6,335.00 36% above 69%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $1,054.91 $3,458.73 $521.39–$6,335.00 29% below 70%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $1,017.65 $3,336.56 $663.31–$6,335.00 18% above 70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED $603.41 $1,978.40 $325.40–$6,335.00 52% above 70%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST $158.53 $519.76 $125.00–$8,072.00 34% below 69%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING $944.65 $3,097.22 $179.25–$6,335.00 5% above 70%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MissouriOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT $490.07 $1,606.80 $243.86–$3,078.00 25% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT $141.75 $464.76 $2,031.00–$2,315.25 — 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION $141.75 $464.76 $2,031.00–$2,315.25 — 70%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS $244.42 $801.39 $206.84–$583.10 44% below 70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR $1,361.59 $4,464.23 $534.17–$4,364.00 1% above 70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES $1,361.59 $4,464.23 $3,725.00–$4,464.23 1% above 70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $490.23 $1,607.32 $168.43–$1,607.32 34% below 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING $121.19 $397.36 $193.00–$397.36 36% below 70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP $117.86 $386.43 $57.94–$713.00 16% below 70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM $225.13 $738.12 $94.80–$1,135.00 5% below 69%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM $420.15 $1,377.54 $150.46–$1,658.00 4% below 69%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM $670.93 $2,199.76 $239.80–$3,096.00 at median 69%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM $1,013.36 $3,322.48 $356.46–$3,970.00 4% below 69%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) $434.75 $1,425.42 $188.16–$1,425.42 47% below 70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT $175.31 $574.78 $81.08–$1,285.00 29% below 69%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT $59.29 $194.40 $141.55–$438.00 80% below 70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS $188.23 $617.16 $141.55–$1,285.00 38% below 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM $21.44 $70.30 $27.38–$438.00 78% below 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE $61.07 $200.23 $200.23–$713.00 37% below 70%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES $443.21 $1,453.14 $685.00–$1,453.14 4% below 69%
Neuromuscular re-education, 15 minutes CPT 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES $43.97 $144.15 $100.00–$296.00 51% below 69%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION $44.35 $145.42 $100.00–$296.00 50% below 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN $22.84 $74.88 $74.88–$324.00 48% below 69%
Occupational therapy evaluation, low complexity CPT 97165 EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES $96.08 $315.00 $100.00–$333.00 31% below 69%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN $128.78 $422.24 $100.00–$422.24 25% below 70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $94.55 $310.00 $100.00–$310.00 26% below 70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN $99.60 $326.56 $100.00–$326.56 36% below 70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS $47.89 $157.01 $60.00–$333.00 41% below 69%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES $47.89 $157.01 $60.00–$296.00 41% below 69%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES $47.79 $156.68 $66.47–$333.00 38% below 69%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN $18.78 $61.58 $12.57–$324.00 15% below 70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN $204.78 $671.40 $124.98–$147.41 1% above 69%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN $120.81 $396.09 $75.90–$89.52 4% above 69%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN $166.97 $547.44 $98.76–$116.48 5% above 69%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN $90.86 $297.89 $75.90–$89.52 33% above 69%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN $182.71 $599.04 $133.00–$599.04 33% below 69%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER $118.91 $389.88 $133.00–$389.88 25% below 70%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST $138.05 $452.61 $60.53–$805.00 36% below 69%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION $236.53 $775.51 $101.07–$805.00 48% below 70%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES $45.55 $149.36 $100.00–$296.00 45% below 70%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES $45.55 $149.36 $100.00–$296.00 45% below 70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM $102.60 $336.38 $43.92–$330.00 45% below 69%

Vaccines

ProcedureCash price List priceInsurers payvs MissouriOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM $18.30 $60.00 $60.00 64% below 70%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula $23.94 $78.49 $78.49 53% below 69%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty PFS 2024-2025 Age 12 and older $1,627.35 $5,335.56 $216.32–$5,335.56 496% above 69%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula $8.08 $26.50 $21.42–$26.50 86% below 70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2024-2025 Formula $9.02 $29.56 $21.42–$29.56 85% below 69%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM $65.65 $215.24 $213.39–$215.24 41% below 69%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM $73.45 $240.82 $116.14–$240.82 11% below 70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM $50.71 $166.27 $116.13–$166.27 35% below 70%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM $12.20 $40.00 $40.00–$121.11 88% below 70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC $42.91 $140.69 $140.69–$182.39 74% below 70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM $112.58 $369.10 $105.95–$299.95 13% below 69%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo $223.24 $731.93 $105.95–$299.95 73% above 69%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Gamunex-C $1,400.03 $4,590.25 $4,590.25 987% above 69%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM $103.94 $340.78 $340.78–$411.10 66% below 69%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM $262.97 $862.19 $491.77–$862.19 51% below 69%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM $224.97 $737.60 $220.23–$737.60 21% above 69%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM $405.30 $1,328.85 $1,328.85 53% below 69%
Rabies vaccine, one dose CPT 90675 RabAvert $411.05 $1,347.71 $1,347.71 53% below 70%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM $158.89 $520.94 $520.94 34% below 69%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM $70.22 $230.22 $45.90–$230.22 2% below 69%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac $73.35 $240.49 $45.90–$240.49 3% above 69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix $42.35 $138.85 $63.18–$138.85 58% below 69%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM $42.61 $139.72 $63.18–$139.72 58% below 70%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM $143.82 $471.53 $187.41–$471.53 21% above 69%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN $14.69 $48.18 $27.38–$53.65 75% below 70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE $29.66 $97.26 $27.38–$53.65 50% below 70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD $14.69 $48.18 $27.38–$48.18 69% below 70%

Source file: https://cdn.coxhealth.com/documents/431656689_cox-monett-hospital-inc_standardcharges.csv