Carroll County Memorial Hospital
Carroll County Memorial Hospital in Carrollton, MO publishes cash prices for 156 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 131 of 152 procedures and above it for 17. By typical cash price it ranks #1 of 60 Missouri hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1502 N Jefferson, Carrollton, MO 64633 Collected Sep 27, 2026 Source price file (660) 542-1695
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 261332 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus - Report | $67.50 | $90.00 | $54.00–$86.40 | 84% below | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Gastrografin Swallow - Report | $67.50 | $90.00 | $54.00–$86.40 | 84% below | 25% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Bilateral - Report | $82.50 | $110.00 | $66.00–$105.60 | — | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Left - Report | $82.50 | $110.00 | $66.00–$105.60 | 78% below | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Right - Report | $82.50 | $110.00 | $66.00–$105.60 | 78% below | 25% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral - Report | $78.75 | $105.00 | $63.00–$100.80 | — | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left - Report | $78.75 | $105.00 | $63.00–$100.80 | 73% below | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right - Report | $78.75 | $105.00 | $63.00–$100.80 | 73% below | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest w/ Contrast - Report | $198.75 | $265.00 | $159.00–$254.40 | 90% below | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast - Report | $135.00 | $180.00 | $108.00–$172.80 | 87% below | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Doppler Bilateral - Report | $90.00 | $120.00 | $72.00–$115.20 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Duplex Comp Bil - Report | $90.00 | $120.00 | $72.00–$115.20 | 89% below | 25% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views - Report | $27.00 | $36.00 | $21.60–$34.56 | 89% below | 25% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View - Report | $23.25 | $31.00 | $18.60–$29.76 | 89% below | 25% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal - Report | $23.25 | $31.00 | $18.60–$29.76 | 89% below | 25% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Portable - Report | $23.25 | $31.00 | $18.60–$29.76 | 89% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete - Report | $82.50 | $110.00 | $66.00–$105.60 | 85% below | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton - Report | $23.25 | $31.00 | $18.60–$29.76 | 87% below | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnancy Complete w/ Detail - Report | $210.00 | $280.00 | $168.00–$268.80 | 68% below | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB More Than 14 Weeks 1st Gest - Report | $210.00 | $280.00 | $168.00–$268.80 | 68% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast - Report | $120.00 | $160.00 | $96.00–$153.60 | 91% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution - Report | $120.00 | $160.00 | $96.00–$153.60 | 91% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abdomen/Pelvis w/o Contrast - Report | $120.00 | $160.00 | $96.00–$153.60 | 91% below | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammogram Diagnostic Bilat w/ Tomo. - Report | $108.75 | $145.00 | $87.00–$139.20 | — | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammogram Digital Diagnostic Bilat. - Report | $108.75 | $145.00 | $87.00–$139.20 | — | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammogram Digital Diagnostic Bilat - Report | $108.75 | $145.00 | $87.00–$139.20 | — | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammogram Diagnostic Left w/ Tomo. - Report | $90.00 | $120.00 | $72.00–$115.20 | 61% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammogram Diagnostic Right w/ Tomo. - Report | $90.00 | $120.00 | $72.00–$115.20 | 61% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Post Clip Placement Rt - Report | $90.00 | $120.00 | $72.00–$115.20 | 61% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Post Clip Placement Lt - Report | $90.00 | $120.00 | $72.00–$115.20 | 61% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammogram Digital Diagnostic Left - Report | $90.00 | $120.00 | $72.00–$115.20 | 61% below | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MA Mammogram Digital Diagnostic Right - Report | $90.00 | $120.00 | $72.00–$115.20 | 61% below | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral - Report | $90.00 | $120.00 | $72.00–$115.20 | — | 25% |
| 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% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder - Report | $67.50 | $90.00 | $54.00–$86.40 | 87% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited - Report | $67.50 | $90.00 | $54.00–$86.40 | 87% below | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Screen - Report | $120.00 | $160.00 | $96.00–$153.60 | 72% below | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OB Limited - Report | $56.25 | $75.00 | $45.00–$72.00 | 86% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Complete - Report | $78.75 | $105.00 | $63.00–$100.80 | 88% below | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester - Report | $108.75 | $145.00 | $87.00–$139.20 | 81% below | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Than 14 Weeks 1st Gest - Report | $108.75 | $145.00 | $87.00–$139.20 | 79% below | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnancy 1st Trimester - Report | $108.75 | $145.00 | $87.00–$139.20 | 79% below | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy Limited - Report | $75.00 | $100.00 | $60.00–$96.00 | 79% below | 25% |
| Screening mammogram, both breasts both sides CPT 77067 MA Mammogram Screening Bilat w/ Tomo. - Report | $86.25 | $115.00 | $69.00–$110.40 | — | 25% |
| Screening mammogram, both breasts CPT 77067 MA Mammogram Digital Screening - Report | $86.25 | $115.00 | $69.00–$110.40 | 48% below | 25% |
| Screening mammogram, both breasts CPT 77067 MA Mammogram Digital Screening. - Report | $86.25 | $115.00 | $69.00–$110.40 | 48% below | 25% |
| Screening mammogram, both breasts one side CPT 77067 MA Mammogram Screening Left w/ Tomo. - Report | $86.25 | $115.00 | $69.00–$110.40 | 48% below | 25% |
| Screening mammogram, both breasts one side CPT 77067 MA Mammogram Screening Right w/ Tomo. - Report | $86.25 | $115.00 | $69.00–$110.40 | 48% below | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Video - Report | $63.75 | $85.00 | $51.00–$81.60 | 86% below | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB - Report | $78.75 | $105.00 | $63.00–$100.80 | 86% below | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal - Report | $86.25 | $115.00 | $69.00–$110.40 | 82% below | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete - Report | $90.00 | $120.00 | $72.00–$115.20 | 89% below | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US Testicular - Report | $75.00 | $100.00 | $60.00–$96.00 | 87% below | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) - Report | $75.00 | $100.00 | $60.00–$96.00 | 87% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid - Report | $67.50 | $90.00 | $54.00–$86.40 | 88% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Superficial Structure - Report | $71.25 | $95.00 | $57.00–$91.20 | 87% below | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB - Report | $90.00 | $120.00 | $72.00–$115.20 | 84% below | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Gastrografin - Report | $90.00 | $120.00 | $72.00–$115.20 | 84% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included both sides CPT 73502 XR Pelvis w/Bilateral Hips - Report | $27.00 | $36.00 | $21.60–$34.56 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Series Right - Report | $27.00 | $36.00 | $21.60–$34.56 | 89% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Rt w/ Pelvis - Report | $27.00 | $36.00 | $21.60–$34.56 | 89% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Series Left - Report | $27.00 | $36.00 | $21.60–$34.56 | 89% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Lt w/ Pelvis - Report | $27.00 | $36.00 | $21.60–$34.56 | 89% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen AP - Report | $23.25 | $31.00 | $18.60–$29.76 | 89% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View - Report | $23.25 | $31.00 | $18.60–$29.76 | 89% 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 | 86% below | 25% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy; for ruptured appendix with abscess or generalized peritonitis | $2,021.25 | $2,695.00 | $1,617.00–$2,587.20 | 37% above | 25% |
| Appendectomy, open surgery CPT 44950 Appendectomy | $1,245.00 | $1,660.00 | $996.00–$1,593.60 | at median | 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 | 88% 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 | 80% 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 ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786-Distal Fibular w/o Manipulation | $626.25 | $835.00 | $501.00–$801.60 | 28% above | 25% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Management & tx Metatarsal fx | $157.50 | $210.00 | $126.00–$201.60 | 60% 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 | 46% 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 | 21% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - Cardioversion; Elective | $243.75 | $325.00 | $195.00–$312.00 | 70% below | 25% |
| Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Release | $821.25 | $1,095.00 | $657.00–$1,051.20 | 73% 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 | 88% 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 | 30% below | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-Distal Radial w/o Manipulation | $693.75 | $925.00 | $555.00–$888.00 | 18% above | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX DISTAL RAD W/O MANIP Charge | $697.50 | $930.00 | $558.00–$892.80 | 18% above | 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 | 18% 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 | 67% below | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Procedure | $588.75 | $785.00 | $471.00–$753.60 | 53% below | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Charge | $588.75 | $785.00 | $471.00–$753.60 | 53% below | 25% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $198.75 | $265.00 | $159.00–$254.40 | 81% below | 25% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy (CARR) | $240.00 | $320.00 | $192.00–$307.20 | 78% 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 | 1% 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 | 29% below | 25% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209-Cerumen Irrigation/Lavage | $78.75 | $105.00 | $63.00–$100.80 | 6% above | 25% |
| Earwax removal with instruments, one ear CPT 69210 Wax Removal | $63.75 | $85.00 | $51.00–$81.60 | 30% below | 25% |
| Earwax removal with instruments, one ear CPT 69210 69210-Cerumen w/ Instrumentation | $75.00 | $100.00 | $60.00–$96.00 | 18% below | 25% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal impacted cerumen unilateral | $63.75 | $85.00 | $51.00–$81.60 | 30% below | 25% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Ethmoidectomy | $746.25 | $995.00 | $597.00–$955.20 | 91% 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 | 91% 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 | 87% 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 | 77% 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 | 83% 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 | 80% 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 | 9% 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 | 84% below | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexible Procedure | $120.00 | $160.00 | $96.00–$153.60 | 89% 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 | 89% 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 | 70% below | 25% |
| Hammertoe correction surgery CPT 28285 Hammertoe Repair | $772.50 | $1,030.00 | $618.00–$988.80 | 68% below | 25% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy | $686.25 | $915.00 | $549.00–$878.40 | 84% 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 10060-I&D Abscess/Cyst/Hematoma Simple | $225.00 | $300.00 | $180.00–$288.00 | at median | 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 | 3% above | 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 | 81% 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 | 58% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-Major Joint Aspirate/Inject w/o US | $97.50 | $130.00 | $78.00–$124.80 | 54% 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 | 54% 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 | 61% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-Intermediate Aspiration/Inj w/o US | $78.75 | $105.00 | $63.00–$100.80 | 61% 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 | 61% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-Small Joint Aspirate/Inject w/o US | $78.75 | $105.00 | $63.00–$100.80 | 61% 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 | 86% 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 | 77% 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 | 83% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-Scalp/Trunk/Extremity Less Than | $330.00 | $440.00 | $264.00–$422.40 | 13% 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 | 13% 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 | 76% 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 | 85% below | 25% |
| Lumpectomy (partial mastectomy) CPT 19301 19301 MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); ProFee | $1,470.00 | $1,960.00 | $1,176.00–$1,881.60 | 15% above | 25% |
| Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple | $2,193.75 | $2,925.00 | $1,755.00–$2,808.00 | 48% above | 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 | 32% below | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-Excision Lesion Benign Trunk/Extremity | $180.00 | $240.00 | $144.00–$230.40 | 27% below | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440-Excise Lesion Benign Face Less Than/Equal | $225.00 | $300.00 | $180.00–$288.00 | 22% 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 | 22% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Nail Avulsion Simple (Single) | $123.75 | $165.00 | $99.00–$158.40 | 25% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 11730-Avulsion Nail Plate Single | $123.75 | $165.00 | $99.00–$158.40 | 25% 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 | 61% below | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 64405-Inject Nerve Block Great Occipital | $120.00 | $160.00 | $96.00–$153.60 | 61% below | 25% |
| Paracentesis with imaging guidance CPT 49083 49083-Abdominal Paracentesis w/ Imaging Guide | $236.25 | $315.00 | $189.00–$302.40 | 73% below | 25% |
| Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance | $243.75 | $325.00 | $195.00–$312.00 | 72% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-Excision Nail & Matrix | $232.50 | $310.00 | $186.00–$297.60 | 41% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Matrixectomy | $232.50 | $310.00 | $186.00–$297.60 | 41% below | 25% |
| Prostate biopsy CPT 55700 Prostate Needle Bx | $266.25 | $355.00 | $213.00–$340.80 | 91% 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 | 65% 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 | 8% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 10120-Subcutaneous Tissue Simple | $225.00 | $300.00 | $180.00–$288.00 | 26% 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 | 22% below | 25% |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty | $1,185.00 | $1,580.00 | $948.00–$1,516.80 | 83% below | 25% |
| Short arm cast (elbow to hand) CPT 29075 CAST APPLI SHORT ARM Charge | $138.75 | $185.00 | $111.00–$177.60 | 42% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 29125-Short Arm | $86.25 | $115.00 | $69.00–$110.40 | 42% below | 25% |
| Short leg splint (calf to foot) CPT 29515 29515-Short Leg | $108.75 | $145.00 | $87.00–$139.20 | 34% 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 | 86% below | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 Assist Shoulder arthroscopy/surgery decomp w/partial | $408.75 | $545.00 | $327.00–$523.20 | 97% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm | $101.25 | $135.00 | $81.00–$129.60 | 54% 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 | 57% 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 | 25% below | 25% |
| Skin tag removal, up to 15 tags CPT 11200 Skin Tags 1-15 | $157.50 | $210.00 | $126.00–$201.60 | 7% above | 25% |
| Skin tag removal, up to 15 tags CPT 11200 11200-Removal Skin Tag up to 15 | $165.00 | $220.00 | $132.00–$211.20 | 12% above | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270-Lumbar Puncture Diagnostic | $142.50 | $190.00 | $114.00–$182.40 | 72% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $150.00 | $200.00 | $120.00–$192.00 | 70% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity | $135.00 | $180.00 | $108.00–$172.80 | 53% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal | $127.50 | $170.00 | $102.00–$163.20 | 52% below | 25% |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy (turp) | $1,638.75 | $2,185.00 | $1,311.00–$2,097.60 | 84% 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 | 53% 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 | 73% below | 25% |
| Thoracentesis with imaging guidance CPT 32555 32555-Thoracentesis w/ Imaging Guidance | $251.25 | $335.00 | $201.00–$321.60 | 72% 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 | 86% 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 | 85% 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 | 83% 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 | 89% below | 25% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $3,108.75 | $4,145.00 | $2,487.00–$3,979.20 | 5% above | 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 | at median | 25% |
| Total shoulder replacement CPT 23472 23472 Total Shoulder Replacement | $3,322.50 | $4,430.00 | $2,658.00–$4,252.80 | 75% below | 25% |
| Trigger finger release surgery CPT 26055 26055 TRIGGER FINGER RELEASE | $637.50 | $850.00 | $510.00–$816.00 | 60% 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 | 63% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Injection | $75.00 | $100.00 | $60.00–$96.00 | 63% 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 | 63% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552-Inject Trigger Point 1-2 Muscles | $86.25 | $115.00 | $69.00–$110.40 | 58% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Biopsy Breast - Report | $348.75 | $465.00 | $279.00–$446.40 | 80% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy 1st Lesion Perc Rt - Report | $348.75 | $465.00 | $279.00–$446.40 | 80% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy 1st Lesion Perc Lt - Report | $348.75 | $465.00 | $279.00–$446.40 | 80% 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 | 84% below | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy | $348.75 | $465.00 | $279.00–$446.40 | 79% below | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPOSY Charge | $348.75 | $465.00 | $279.00–$446.40 | 79% 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 | 80% 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 | 66% below | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Procedure | $348.75 | $465.00 | $279.00–$446.40 | 68% 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 | 90% 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 | 92% 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 | 8% 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 | 78% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm | $138.75 | $185.00 | $111.00–$177.60 | 64% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Missouri | Off list |
|---|---|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 ER Critical Care Pro Fee 105 - 134 mins CARR | $502.50 | $670.00 | $402.00–$643.20 | 63% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 ER Critical Care Pro Fee 135 - 164 mins CARR | $502.50 | $670.00 | $402.00–$643.20 | 63% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 ER Critical Care Pro Fee 75 - 104 mins CARR | $502.50 | $670.00 | $402.00–$643.20 | 63% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 ER Critical Care Pro Fee 30 - 74 mins CARR | $502.50 | $670.00 | $402.00–$643.20 | 63% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 ER Critical Care Pro Fee 165 - 194 mins CARR | $502.50 | $670.00 | $402.00–$643.20 | 63% below | 25% |
| 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% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PROF FEE ER I Charge | $60.00 | $80.00 | $48.00–$76.80 | 57% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PROF FEE ER II Charge | $116.25 | $155.00 | $93.00–$148.80 | 51% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PROF FEE ER III Charge | $195.00 | $260.00 | $156.00–$249.60 | 55% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PROF FEE ER IV Charge | $311.25 | $415.00 | $249.00–$398.40 | 54% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PROF FEE ER V Charge | $427.50 | $570.00 | $342.00–$547.20 | 60% 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 | 31% 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 | 29% 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 | 30% 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 | 51% 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 | 27% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 New Patient 60 min | $330.00 | $440.00 | $264.00–$422.40 | 27% 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 | 16% above | 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 | 35% above | 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 | at median | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Consult to Psychiatrist | $116.25 | $155.00 | $93.00–$148.80 | at median | 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 | 22% above | 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 | 22% 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 | 2% below | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Office Consultation - Level 3 | $221.25 | $295.00 | $177.00–$283.20 | 24% above | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Office Consultation - Level 4 | $330.00 | $440.00 | $264.00–$422.40 | 35% above | 25% |