Carroll County Memorial Hospital
Carroll County Memorial Hospital in Carrollton, MO publishes cash prices for 103 common procedures listed here, from its own machine-readable price file updated Jul 7, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Missouri median for 92 of 101 procedures and above it for 9. By typical cash price it ranks #1 of 67 Missouri hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1502 N Jefferson, Carrollton, MO 64633 Collected Sep 27, 2026 Source price file Check a bill from this hospital (660) 542-1695
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 261332 · CMS hospital register
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Carroll County Memorial Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Home Testing Charge - CARR | $116.25 | $155.00 | $93.00–$148.80 | 82% below | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 42830 Adenoidectomy, primary; younger than age 12 | $465.00 | $620.00 | $372.00–$595.20 | 89% below | 25% |
| Appendectomy, open surgery CPT 44950 Appendectomy | $1,245.00 | $1,660.00 | $996.00–$1,593.60 | 30% below | 25% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 29888 Arthroscopically aided anterior cruiate ligament repair | $2,216.25 | $2,955.00 | $1,773.00–$2,836.80 | 86% below | 25% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 Arthroscop rotator cuff repr | $2,415.00 | $3,220.00 | $1,932.00–$3,091.20 | 75% below | 25% |
| Botox injections for chronic migraine both sides CPT 64615 64615 Chemodenervation Muscle - Face - Bilateral | $273.75 | $365.00 | $219.00–$350.40 | — | 25% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Management & tx Metatarsal fx | $157.50 | $210.00 | $126.00–$201.60 | 59% below | 25% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Austin Bunionectomy | $993.75 | $1,325.00 | $795.00–$1,272.00 | 70% below | 25% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Bunionectomy Revision | $933.75 | $1,245.00 | $747.00–$1,195.20 | 71% below | 25% |
| Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Release | $821.25 | $1,095.00 | $657.00–$1,051.20 | 68% below | 25% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision - OR | $382.50 | $510.00 | $306.00–$489.60 | 86% below | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150-SP Circumcision, using clamp or other device with regional dorsal penile or ring block | $232.50 | $310.00 | $186.00–$297.60 | 36% below | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed treatment of distal radial fracture or epiphyseal separation; without manipulation | $697.50 | $930.00 | $558.00–$892.80 | 68% above | 25% |
| Colonoscopy with polyp removal CPT 45385 Lesion removal colonoscopy | $588.75 | $785.00 | $471.00–$753.60 | 65% below | 25% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPE W/BIOPSY Charge | $588.75 | $785.00 | $471.00–$753.60 | 61% below | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Procedure | $588.75 | $785.00 | $471.00–$753.60 | 65% below | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Charge | $588.75 | $785.00 | $471.00–$753.60 | 65% below | 25% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $198.75 | $265.00 | $159.00–$254.40 | 88% below | 25% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy (CARR) | $240.00 | $320.00 | $192.00–$307.20 | 85% below | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction (eg, laser surgery), premalignant lesions (eg, actinic keratoses); first lesion | $116.25 | $155.00 | $93.00–$148.80 | 16% below | 25% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Myringotomy with Ear Tube Insertion | $348.75 | $465.00 | $279.00–$446.40 | 89% below | 25% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Myringotomy including aspiration and/or eustachian tube inflation | $292.50 | $390.00 | $234.00–$374.40 | 46% below | 25% |
| Earwax removal with instruments, one ear CPT 69210 Wax Removal | $63.75 | $85.00 | $51.00–$81.60 | 39% below | 25% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal impacted cerumen unilateral | $63.75 | $85.00 | $51.00–$81.60 | 39% below | 25% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Ethmoidectomy | $746.25 | $995.00 | $597.00–$955.20 | 90% below | 25% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) | $772.50 | $1,030.00 | $618.00–$988.80 | 90% below | 25% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276 Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of tis | $1,147.50 | $1,530.00 | $918.00–$1,468.80 | 86% below | 25% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Maxillary Antrostomy | $386.25 | $515.00 | $309.00–$494.40 | 88% below | 25% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxill | $611.25 | $815.00 | $489.00–$782.40 | 92% below | 25% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 Cervical Thoracic Epidural Steroid Injection with guidance | $232.50 | $310.00 | $186.00–$297.60 | 85% below | 25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Lumbar Medial Branch Block First Level | $176.25 | $235.00 | $141.00–$225.60 | 84% below | 25% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $1,275.00 | $1,700.00 | $1,020.00–$1,632.00 | 73% below | 25% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 49594 Hernia repair,other than inguin/fem,any approach,3-10 cm int,incarcerated/strangulated,inclmes | $1,721.25 | $2,295.00 | $1,377.00–$2,203.20 | 85% below | 25% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 repair of anterior abdominal hernia | $772.50 | $1,030.00 | $618.00–$988.80 | 80% below | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexible Procedure | $120.00 | $160.00 | $96.00–$153.60 | 90% below | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washin | $127.50 | $170.00 | $102.00–$163.20 | 90% below | 25% |
| Gallbladder removal, laparoscopic CPT 47562 Cholecystectomy Laparoscopic | $1,507.50 | $2,010.00 | $1,206.00–$1,929.60 | 75% below | 25% |
| Hammertoe correction surgery CPT 28285 Hammertoe(s) Repair | $731.25 | $975.00 | $585.00–$936.00 | 71% below | 25% |
| Hammertoe correction surgery CPT 28285 Hammertoe Repair | $772.50 | $1,030.00 | $618.00–$988.80 | 69% below | 25% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy | $686.25 | $915.00 | $549.00–$878.40 | 77% below | 25% |
| Hysterectomy through an abdominal incision (total) CPT 58150 Hysterectomy Abdominal | $1,946.25 | $2,595.00 | $1,557.00–$2,491.20 | 87% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Charge | $232.50 | $310.00 | $186.00–$297.60 | 18% below | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505-50 Prp i/hern init reduc >5 yr | $1,158.75 | $1,545.00 | $927.00–$1,483.20 | 65% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Tendon Sheath/Ligament Injection | $82.50 | $110.00 | $66.00–$105.60 | 75% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Major joint/bursa injection/aspiration | $97.50 | $130.00 | $78.00–$124.80 | 66% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis intermediate joint/bursa injection/aspiration | $78.75 | $105.00 | $63.00–$100.80 | 77% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis small joint injection/aspiration | $78.75 | $105.00 | $63.00–$100.80 | 71% below | 25% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 Knee arthroscopy/surgery w meniscus repair | $1,556.25 | $2,075.00 | $1,245.00–$1,992.00 | 83% below | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery w/meniscectomy | $1,530.00 | $2,040.00 | $1,224.00–$1,958.40 | 78% below | 25% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery WITH MENISCECTOMY | $1,237.50 | $1,650.00 | $990.00–$1,584.00 | 82% below | 25% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery DRILLING FOR INTACT OSTEOCHONDRITIS | $1,402.50 | $1,870.00 | $1,122.00–$1,795.20 | 80% below | 25% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Appendectomy Laparoscopic | $1,376.25 | $1,835.00 | $1,101.00–$1,761.60 | 80% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate scalp,axilla,trunk,arms,legs <= 2.5cm | $330.00 | $440.00 | $264.00–$422.40 | 24% below | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 Lumbar Epidural Steroid Injection w guidance | $232.50 | $310.00 | $186.00–$297.60 | 84% below | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Lumbar Interiaminar Epidural Injection | $183.75 | $245.00 | $147.00–$235.20 | 84% below | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Lumbar Transforminal Nerve Block | $217.50 | $290.00 | $174.00–$278.40 | 86% below | 25% |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple | $2,193.75 | $2,925.00 | $1,755.00–$2,808.00 | 63% below | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision Trunk, Arm, Legs benign <= 0.5cm. | $168.75 | $225.00 | $135.00–$216.00 | 69% below | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Excision benign lesion 0.5cm or less | $225.00 | $300.00 | $180.00–$288.00 | 64% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Nail Avulsion Simple (Single) | $123.75 | $165.00 | $99.00–$158.40 | 50% below | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Greater occipital nerve; injection, anesthetic agent | $120.00 | $160.00 | $96.00–$153.60 | 68% below | 25% |
| Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance | $243.75 | $325.00 | $195.00–$312.00 | 76% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Matrixectomy | $232.50 | $310.00 | $186.00–$297.60 | 60% below | 25% |
| Prostate biopsy CPT 55700 Prostate Needle Bx | $266.25 | $355.00 | $213.00–$340.80 | 90% below | 25% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of paravertebral facet joint (single), w/ guidance; lumbar or sacral | $502.50 | $670.00 | $402.00–$643.20 | 72% below | 25% |
| Removal of a breast lump, open surgery CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $918.75 | $1,225.00 | $735.00–$1,176.00 | 63% below | 25% |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 60220- Total thyroid lobectomy, unilateral; with or without isthmusectomy | $1,567.50 | $2,090.00 | $1,254.00–$2,006.40 | 87% below | 25% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal cancer screening; colonoscopy on individual at high risk - KMCT | $588.75 | $785.00 | $471.00–$753.60 | 56% below | 25% |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty | $1,185.00 | $1,580.00 | $948.00–$1,516.80 | 84% below | 25% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 Assist Shoulder arthroscopy/surgery distal claviculectomy | $1,511.25 | $2,015.00 | $1,209.00–$1,934.40 | 88% below | 25% |
| Skin biopsy, punch, one lesion CPT 11104 11104 - Punch biopsy of skin (including simple closure, when performed); single lesion | $112.50 | $150.00 | $90.00–$144.00 | 66% below | 25% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Trunk, Arm, Legs Malignant<= 0.5cm. | $258.75 | $345.00 | $207.00–$331.20 | 59% below | 25% |
| Skin tag removal, up to 15 tags CPT 11200 Skin Tags 1-15 | $157.50 | $210.00 | $126.00–$201.60 | 6% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $150.00 | $200.00 | $120.00–$192.00 | 78% below | 25% |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp) | $1,638.75 | $2,185.00 | $1,311.00–$2,097.60 | 82% below | 25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 - Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion. | $90.00 | $120.00 | $72.00–$115.20 | 64% below | 25% |
| Thoracentesis with imaging guidance CPT 32555 32555 - Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance | $243.75 | $325.00 | $195.00–$312.00 | 76% below | 25% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 Tonsillectomy and adenoidectomy; age 12 or over | $581.25 | $775.00 | $465.00–$744.00 | 90% below | 25% |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 Tonsillectomy and adenoidectomy; younger than age 12 | $558.75 | $745.00 | $447.00–$715.20 | 90% below | 25% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 Tonsillectomy, primary or secondary; age 12 or over | $562.50 | $750.00 | $450.00–$720.00 | 88% below | 25% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy, Primary Or Secondary; Under Age 12 | $506.25 | $675.00 | $405.00–$648.00 | 91% below | 25% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $3,108.75 | $4,145.00 | $2,487.00–$3,979.20 | 15% below | 25% |
| Total knee replacement CPT 27447 Arthoplasty, femoral condyles or tibial plateau(s), knee | $3,090.00 | $4,120.00 | $2,472.00–$3,955.20 | 78% below | 25% |
| Trigger finger release surgery CPT 26055 26055 TRIGGER FINGER RELEASE | $637.50 | $850.00 | $510.00–$816.00 | 68% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Injection | $75.00 | $100.00 | $60.00–$96.00 | 76% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Single/Multiple triggor points 1/2 muscles | $75.00 | $100.00 | $60.00–$96.00 | 76% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1-2 muscles | $75.00 | $100.00 | $60.00–$96.00 | 76% below | 25% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $386.25 | $515.00 | $309.00–$494.40 | 79% below | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPOSY Charge | $348.75 | $465.00 | $279.00–$446.40 | 75% below | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy | $348.75 | $465.00 | $279.00–$446.40 | 75% below | 25% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 PHY UPPER GI SCOPE W/SUBMC INJ | $318.75 | $425.00 | $255.00–$408.00 | 84% below | 25% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Operative Upper Gi Endoscopy; Removal Tumor(s), Polyp(s), Other Lesion(s) | $405.00 | $540.00 | $324.00–$518.40 | 77% below | 25% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD w/ guide wire dilation | $386.25 | $515.00 | $309.00–$494.40 | 78% below | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Procedure | $348.75 | $465.00 | $279.00–$446.40 | 77% below | 25% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystoscopy Ureteroscopy Retrograde Pyelogram Holium Laser Lithotripsy | $907.50 | $1,210.00 | $726.00–$1,161.60 | 81% below | 25% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cystoscopy Ureteroscopy with Lithotripsy and Stent Placement | $960.00 | $1,280.00 | $768.00–$1,228.80 | 90% below | 25% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy, unilateral or bilateral, incl postoperative semen examination(s) | $442.50 | $590.00 | $354.00–$566.40 | — | 25% |
| Wart removal, up to 14 warts CPT 17110 Destruction (eg, laser surgery), benign lesions; up to 14 lesions | $146.25 | $195.00 | $117.00–$187.20 | 19% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq | $86.25 | $115.00 | $69.00–$110.40 | 85% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG (w/ hypervent &/ photic stem awake & drowsey) | $596.25 | $795.00 | $477.00–$763.20 | 20% below | 25% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Initial Psychiatric Diagnostic Evaluation CARR | $292.50 | $390.00 | $234.00–$374.40 | 37% above | 25% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies | $330.00 | $440.00 | $264.00–$422.40 | 49% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 99203 Office Visit New Pt Low 30-44 mins CCMH CARR | $176.25 | $235.00 | $141.00–$225.60 | 13% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 99204 Office Visit New Pt Moderate 45-59 mins CCMH CARR | $273.75 | $365.00 | $219.00–$350.40 | 28% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 New Patient 60 min | $330.00 | $440.00 | $264.00–$422.40 | 4% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 99205 Office Visit New Pt High 60-74 mins CCMH CARR | $330.00 | $440.00 | $264.00–$422.40 | 4% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office Visit New Pt straightforward 15-29 mins CCMH CARR | $116.25 | $155.00 | $93.00–$148.80 | 6% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Office Visit Est Pt High 40-54 mins CCMH CARR | $273.75 | $365.00 | $219.00–$350.40 | 21% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Consult to Psychiatrist | $116.25 | $155.00 | $93.00–$148.80 | 14% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office Visit Est Pt Low 20-29 mins CCMH CARR | $116.25 | $155.00 | $93.00–$148.80 | 14% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office Visit Est Pt Moderate 30-39 mins CCMH CARR | $195.00 | $260.00 | $156.00–$249.60 | 8% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Consult to Psychiatrist 30 min | $195.00 | $260.00 | $156.00–$249.60 | 8% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office Visit Est Pt Straightforward 10-19 mins CCMH CARR | $67.50 | $90.00 | $54.00–$86.40 | 35% below | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Office Consultation - Level 3 | $221.25 | $295.00 | $177.00–$283.20 | 25% above | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Office Consultation - Level 4 | $330.00 | $440.00 | $264.00–$422.40 | 23% above | 25% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.