Hospital Cape Girardeau, MO-IL

Saint Francis Medical Center

Saint Francis Medical Center in Cape Girardeau, MO publishes cash prices for 306 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Missouri median for 243 of 305 procedures and below it for 56. By typical cash price it ranks #53 of 60 Missouri hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

211 St Francis Dr, Cape Girardeau, MO 63703 Collected Sep 27, 2026 Source price file (573) 331-3000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 260183 · CMS hospital register

The price file shows no self-pay discount

For 824 of the 824 prices listed here, the cash price in Saint Francis Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Saint Francis Medical Center in Cape Girardeau, MO:

Sep 14, 2023 Corrective action plan requested
Mar 11, 2024 Case closed

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 Hc Ankle, 3 Views	$439.00	$439.00	—	47% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Ankle, 3 Views	$439.00	$439.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Abi Bil	$796.00	$796.00	—	133% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Abi Bil W/O	$958.00	$958.00	—	180% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Abi Uni	$958.00	$958.00	—	180% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Abi Bil	$796.00	$796.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Abi Uni	$958.00	$958.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Abi Bil W/O	$958.00	$958.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Esophagus Single Contrast	$682.00	$682.00	—	56% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Esophagus Single Contrast	$682.00	$682.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Hc Bone Scan - Whole Body	$2,406.00	$2,406.00	—	61% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Bone Scan - Whole Body	$2,406.00	$2,406.00	—	—	—
Breast ultrasound, complete, one breast CPT 76641 Hc Us Breast W/Axilla	$387.00	$387.00	—	at median	—
Breast ultrasound, complete, one breast inpatient CPT 76641 Hc Us Breast W/Axilla	$387.00	$387.00	—	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Breast Unilat, Limited	$272.00	$272.00	—	16% below	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Us Breast Unilat, Limited	$272.00	$272.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Cta Chest W/Contrast	$5,217.00	$5,217.00	—	169% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Cta Chest W/Contrast	$5,217.00	$5,217.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Cta Heart W/Contr	$3,860.00	$3,860.00	—	172% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Cta Heart W/Contr	$3,860.00	$3,860.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Ct Heart, W/O Contr	$244.00	$244.00	—	189% above	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Cardiac Scoring	$909.00	$909.00	—	976% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Ct Heart, W/O Contr	$244.00	$244.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Cardiac Scoring	$909.00	$909.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abd/Pel W/O Contr	$1,944.00	$1,944.00	—	9% below	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abd/Pel W/O Contr	$1,944.00	$1,944.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abd/Pel W/Contr	$1,944.00	$1,944.00	—	18% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abd/Pel W/Contr	$1,944.00	$1,944.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd/Pel W/Wo Contr	$2,135.00	$2,135.00	—	27% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd/Pel W/Wo Contr	$2,135.00	$2,135.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen W/Contr	$1,750.00	$1,750.00	—	12% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen W/Contr	$1,750.00	$1,750.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen W/O Contr	$1,762.00	$1,762.00	—	63% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen W/O Contr	$1,762.00	$1,762.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial W/O Contrast	$1,597.00	$1,597.00	—	48% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Maxillofacial W/O Contrast	$1,597.00	$1,597.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head W/O	$2,016.00	$2,016.00	—	60% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head W/O	$2,016.00	$2,016.00	—	—	—
CT scan of the head with contrast CPT 70460 Hc Ct Head W Contrast	$2,069.00	$2,069.00	—	44% above	—
CT scan of the head with contrast inpatient CPT 70460 Hc Ct Head W Contrast	$2,069.00	$2,069.00	—	—	—
CT scan of the head without and with contrast CPT 70470 Hc Ct Head W/Wo Contrast	$2,320.00	$2,320.00	—	30% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Head W/Wo Contrast	$2,320.00	$2,320.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Lumbar Spine Wo	$3,324.00	$3,324.00	—	141% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Lumbar Spine Wo	$3,324.00	$3,324.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Cervical Spine W/O	$2,364.00	$2,364.00	—	46% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct Cervical Spine W/O	$2,364.00	$2,364.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis W/Contr	$1,766.00	$1,766.00	—	8% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis W/Contr	$1,766.00	$1,766.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Carotid Duplex Scan W/O	$3,648.00	$3,648.00	—	338% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Carotid Duplex Scan W/O	$3,648.00	$3,648.00	—	—	—
Chest X-ray, 2 views CPT 71046 Hc Chest Two Views	$196.00	$196.00	—	22% below	—
Chest X-ray, 2 views inpatient CPT 71046 Hc Chest Two Views	$196.00	$196.00	—	—	—
Chest X-ray, single view CPT 71045 Hc Chest (One View)	$484.00	$484.00	—	131% above	—
Chest X-ray, single view inpatient CPT 71045 Hc Chest (One View)	$484.00	$484.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperitoneal Com	$1,404.00	$1,404.00	—	146% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us Retroperitoneal Com	$1,404.00	$1,404.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Bone Density Axial W/O Pc	$660.00	$660.00	—	93% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Bone Density Axial W/O Pc	$660.00	$660.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Bone Dens Forearm W/O Pc	$162.00	$162.00	—	12% below	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Bone Dens Forearm W/O Pc	$162.00	$162.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us Preg Uterus W/Detail Fetal Anat Exam 1St Gestation	$828.00	$828.00	—	25% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us Ob Det >14Wks Sngl Fet	$1,401.00	$1,401.00	—	111% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us Preg Uterus W/Detail Fetal Anat Exam 1St Gestation	$828.00	$828.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us Ob Det >14Wks Sngl Fet	$1,401.00	$1,401.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Chest W/O Contrast	$3,634.00	$3,634.00	—	183% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct Chest W/O Contrast	$3,634.00	$3,634.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Chest Hi Res W/Contrast	$3,632.00	$3,632.00	—	121% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct Chest Hi Res W/Contrast	$3,632.00	$3,632.00	—	—	—
Diagnostic mammogram, both breasts CPT 77066 Hc Digital Dx Mamm Bil	$397.00	$397.00	—	80% above	—
Diagnostic mammogram, both breasts inpatient CPT 77066 Hc Digital Dx Mamm Bil	$397.00	$397.00	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 Hc Diagnostic Mammography Unilateral	$368.00	$368.00	—	57% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Diagnostic Mammography Unilateral	$368.00	$368.00	—	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Lower Ext Duplex Scan Bil W/O	$2,211.00	$2,211.00	—	188% above	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Lower Ext Duplex Scan Bil W/O	$2,211.00	$2,211.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Venous Doppler Bilat (Hi) W/O	$2,277.00	$2,277.00	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Venous Doppler Bilat (Vein Center)	$2,377.00	$2,377.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Venous Doppler Bilat (Hi) W/O	$2,277.00	$2,277.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Venous Doppler Bilat (Vein Center)	$2,377.00	$2,377.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc 2D Echo Cmp W/O	$5,299.00	$5,299.00	—	215% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc 2D Echo Cmp W/O	$5,299.00	$5,299.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Hepatobiliary	$1,225.00	$1,225.00	—	11% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Hepatobiliary	$1,225.00	$1,225.00	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study, Unattended	$841.00	$841.00	—	27% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Sleep Study, Unattended	$841.00	$841.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnogram W Cpap W/O	$8,629.00	$8,629.00	—	226% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomnogram W Cpap W/O	$8,629.00	$8,629.00	—	—	—
Knee X-ray, 3 views CPT 73562 Hc Knee/Patella Sunrise	$491.00	$491.00	—	82% above	—
Knee X-ray, 3 views inpatient CPT 73562 Hc Knee/Patella Sunrise	$491.00	$491.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Abdominal Ultrasound Limi	$372.00	$372.00	—	28% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Limited Us/Single Organ/Quadrant/Follow-Up	$1,023.00	$1,023.00	—	99% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdominal Limited	$1,425.00	$1,425.00	—	177% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Abdominal Ultrasound Limi	$372.00	$372.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Limited Us/Single Organ/Quadrant/Follow-Up	$1,023.00	$1,023.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abdominal Limited	$1,425.00	$1,425.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Thorax Lung Cancer Screen W/O Contrast	$296.00	$296.00	—	32% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Thorax Lung Cancer Screen W/O Contrast	$296.00	$296.00	—	—	—
MRI of both breasts, without and then with contrast dye CPT 77049 Hc Mri Breast Wwo Bil	$2,910.00	$2,910.00	—	63% above	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 Hc Mri Breast Wwo Bil	$2,910.00	$2,910.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Le Any Jt Wo	$3,290.00	$3,290.00	—	77% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Surgical Knee	$3,724.00	$3,724.00	—	100% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Le Any Jt Wo	$3,290.00	$3,290.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Surgical Knee	$3,724.00	$3,724.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Le Any Jt Wwo	$4,380.00	$4,380.00	—	96% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Le Any Jt Wwo	$4,380.00	$4,380.00	—	—	—
MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen Wo	$3,906.00	$3,906.00	—	135% above	—
MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri Abdomen Wo	$3,906.00	$3,906.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen Wwo	$5,339.00	$5,339.00	—	120% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abdomen Wwo	$5,339.00	$5,339.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain Wo	$3,351.00	$3,351.00	—	107% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain Wo	$3,351.00	$3,351.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Wwo	$4,465.00	$4,465.00	—	75% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain Wwo	$4,465.00	$4,465.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine Wo	$3,342.00	$3,342.00	—	80% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine Wo	$3,342.00	$3,342.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri Lumbar Spine Wwo	$4,401.00	$4,401.00	—	76% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri Lumbar Spine Wwo	$4,401.00	$4,401.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri Thoracic Spine Wo	$3,137.00	$3,137.00	—	79% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri Thoracic Spine Wo	$3,137.00	$3,137.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri Cervical Spine Wwo	$4,637.00	$4,637.00	—	86% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri Cervical Spine Wwo	$4,637.00	$4,637.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri Cervical Spine Wo	$3,493.00	$3,493.00	—	76% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri Cervical Spine Wo	$3,493.00	$3,493.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis Wwo Contrast	$4,737.00	$4,737.00	—	85% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis Wwo Contrast	$4,737.00	$4,737.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis Wo Contrast	$3,691.00	$3,691.00	—	96% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri Pelvis Wo Contrast	$3,691.00	$3,691.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Ue Any Jt Wo	$3,758.00	$3,758.00	—	102% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri Ue Any Jt Wo	$3,758.00	$3,758.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Myo Perf Spect Wm Ef Mult	$6,527.00	$6,527.00	—	60% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Myo Perf Spect Wm Ef Mult	$6,527.00	$6,527.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet-Skull Base To Mid-Thigh	$9,542.00	$9,542.00	—	108% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet-Skull Base To Mid-Thigh	$9,542.00	$9,542.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvic Limited Or F/U	$469.00	$469.00	—	13% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvic Limited Or F/U	$469.00	$469.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvis (Non Ob)	$1,114.00	$1,114.00	—	71% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us Pelvis (Non Ob)	$1,114.00	$1,114.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Ob >14 Wks Sngl Fetus	$930.00	$930.00	—	62% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Ob >14 Wks Sngl Fetus	$930.00	$930.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us Ob<14 Wks Sngl Fetus	$463.00	$463.00	—	11% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Us Ob<14 Wks Sngl Fetus	$463.00	$463.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Ob Limited	$846.00	$846.00	—	127% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Ob Limited	$846.00	$846.00	—	—	—
Screening mammogram, both breasts CPT 77067 Hc Digital Screen Mamm	$519.00	$519.00	—	214% above	—
Screening mammogram, both breasts inpatient CPT 77067 Hc Digital Screen Mamm	$519.00	$519.00	—	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Shoulder	$523.00	$523.00	—	92% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Shoulder	$523.00	$523.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnogram W/O	$6,665.00	$6,665.00	—	147% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnogram W/O	$6,665.00	$6,665.00	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc 2D Echo Stress W	$4,976.00	$4,976.00	—	178% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc 2D Echo Stress W	$4,976.00	$4,976.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Modified Barium Swallow	$699.00	$699.00	—	52% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Modified Barium Swallow	$699.00	$699.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal	$1,215.00	$1,215.00	—	108% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal	$1,215.00	$1,215.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Ob Transvaginal	$463.00	$463.00	—	3% below	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Us Ob Transvaginal	$463.00	$463.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Hc Complete Abdominal Us	$1,023.00	$1,023.00	—	27% above	—
Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdominal Comp	$1,827.00	$1,827.00	—	126% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Complete Abdominal Us	$1,023.00	$1,023.00	—	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdominal Comp	$1,827.00	$1,827.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum	$1,271.00	$1,271.00	—	118% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Us Scrotum	$1,271.00	$1,271.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Soft Tissue Head/Neck	$1,065.00	$1,065.00	—	89% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us Soft Tissue Head/Neck	$1,065.00	$1,065.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Venous Doppler Post Laser (Vein Center)	$1,694.00	$1,694.00	—	188% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Venous Doppler Ltd (Vein Center)	$1,694.00	$1,694.00	—	188% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Venous Doppler Unilat/Lmt (Hi) W/O	$1,613.00	$1,613.00	—	174% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hc Venous Doppler Ltd (Vein Center)	$1,694.00	$1,694.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hc Venous Doppler Post Laser (Vein Center)	$1,694.00	$1,694.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Venous Doppler Unilat/Lmt (Hi) W/O	$1,613.00	$1,613.00	—	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 Hc Wrist, 3 Views	$422.00	$422.00	—	61% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Wrist, 3 Views	$422.00	$422.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hc Hip	$405.00	$405.00	—	70% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hc Hip	$405.00	$405.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 Hc Kub, Abd (1 View)	$401.00	$401.00	—	84% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Kub, Abd (1 View)	$401.00	$401.00	—	—	—
X-ray of the ankle, 2 views CPT 73600 Hc Or Ankle	$436.00	$436.00	—	130% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 Hc Or Ankle	$436.00	$436.00	—	—	—
X-ray of the finger(s), 2 or more views CPT 73140 Hc Finger, 2 Views	$371.00	$371.00	—	81% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Finger, 2 Views	$371.00	$371.00	—	—	—
X-ray of the foot, 2 views CPT 73620 Hc Radiologic Examination Foot 2 Views	$161.00	$161.00	—	19% below	—
X-ray of the foot, 2 views inpatient CPT 73620 Hc Radiologic Examination Foot 2 Views	$161.00	$161.00	—	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 Hc Foot, 3 Views	$443.00	$443.00	—	62% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Foot, 3 Views	$443.00	$443.00	—	—	—
X-ray of the hand, 3 or more views CPT 73130 Hc Hand, 3 Views	$463.00	$463.00	—	84% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Hand, 3 Views	$463.00	$463.00	—	—	—
X-ray of the knee, 1 or 2 views CPT 73560 Hc Knee, 1 Or 2 Views	$488.00	$488.00	—	113% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Knee, 1 Or 2 Views	$488.00	$488.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Lumbar Spine, 2 Or 3 Views	$457.00	$457.00	—	55% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Lumbar Spine, 2 Or 3 Views	$457.00	$457.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 Hc Lumbar Spine Complete	$749.00	$749.00	—	75% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Lumbar Spine Complete	$749.00	$749.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Thoracic Spine Ap & Lat	$545.00	$545.00	—	108% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Thoracic Spine Ap & Lat	$545.00	$545.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Hc Nasal Bones	$493.00	$493.00	—	98% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc Nasal Bones	$493.00	$493.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Cervical Spine Flex & Ext	$527.00	$527.00	—	76% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Cervical Spine Flex & Ext	$527.00	$527.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Pelvis	$396.00	$396.00	—	76% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Pelvis	$396.00	$396.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Sacrum	$444.00	$444.00	—	69% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Sacrum	$444.00	$444.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Sgpt (Alt)	$53.00	$53.00	—	10% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Sgpt (Alt)	$53.00	$53.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Sgot (Ast)	$61.00	$61.00	—	31% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Sgot (Ast)	$61.00	$61.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Hepatitis Panel(Diagnosti	$407.00	$407.00	—	73% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Hepatitis Panel(Diagnosti	$407.00	$407.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige, 4	$42.00	$42.00	—	90% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige, 1	$42.00	$42.00	—	90% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige, 2	$42.00	$42.00	—	90% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige, 3	$42.00	$42.00	—	90% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Latex Sensitivity	$78.00	$78.00	—	253% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige, 2	$42.00	$42.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige, 4	$42.00	$42.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige, 3	$42.00	$42.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige, 1	$42.00	$42.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Latex Sensitivity	$78.00	$78.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Citrulline Ab	$51.00	$51.00	—	36% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Citrulline Ab	$51.00	$51.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana-Screen Only	$127.00	$127.00	—	87% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana	$127.00	$127.00	—	87% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana	$127.00	$127.00	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana-Screen Only	$127.00	$127.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Bnp-B Type Natriuretic	$390.00	$390.00	—	218% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Bnp-B Type Natriuretic	$390.00	$390.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 Hc Chemistry 7	$48.00	$48.00	—	61% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Chemistry 7	$48.00	$48.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Gross & Micro	$386.00	$386.00	—	89% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Cytology Cell Blk/Interp	$482.00	$482.00	—	136% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Gross & Micro	$386.00	$386.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Cytology Cell Blk/Interp	$482.00	$482.00	—	—	—
Blood culture for bacteria CPT 87040 Hc Culture-Blood Routine	$138.00	$138.00	—	24% above	—
Blood culture for bacteria inpatient CPT 87040 Hc Culture-Blood Routine	$138.00	$138.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Venipuncture	$21.00	$21.00	—	25% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Venipuncture	$21.00	$21.00	—	—	—
Blood glucose (sugar) test CPT 82947 Hc Glucose 2Hr Pp	$30.00	$30.00	—	8% below	—
Blood glucose (sugar) test CPT 82947 Hc Glucose, Serum	$30.00	$30.00	—	8% below	—
Blood glucose (sugar) test CPT 82947 Hc Glucose, Whole Blood	$60.00	$60.00	—	84% above	—
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose 2Hr Pp	$30.00	$30.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose, Serum	$30.00	$30.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose, Whole Blood	$60.00	$60.00	—	—	—
Blood lead test CPT 83655 Hc Lead, Blood	$93.00	$93.00	—	70% above	—
Blood lead test CPT 83655 Hc Lead, Urine	$108.00	$108.00	—	98% above	—
Blood lead test inpatient CPT 83655 Hc Lead, Blood	$93.00	$93.00	—	—	—
Blood lead test inpatient CPT 83655 Hc Lead, Urine	$108.00	$108.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Beta Hcg,Qual (Pregnancy)	$77.00	$77.00	—	44% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Beta Hcg,Qual (Pregnancy)	$77.00	$77.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Abo	$219.00	$219.00	—	203% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Abo	$219.00	$219.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C Reactive Protein	$90.00	$90.00	—	51% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C Reactive Protein	$90.00	$90.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Difficile Epi Strain	$107.00	$107.00	—	24% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Difficile Toxin Pcr	$107.00	$107.00	—	24% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc C Difficile Epi Strain	$107.00	$107.00	—	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc C Difficile Toxin Pcr	$107.00	$107.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Hc Ca 19-9	$138.00	$138.00	—	26% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Ca 19-9	$138.00	$138.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Ca 125	$166.00	$166.00	—	52% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Ca 125	$166.00	$166.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$482.00	$482.00	—	382% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$482.00	$482.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Screen	$110.00	$110.00	—	22% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Screen	$110.00	$110.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Chd Risk #1	$150.00	$150.00	—	46% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Chd Risk #1	$150.00	$150.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 Hc Cbc/Manual Diff	$42.00	$42.00	—	21% below	—
Complete blood count (CBC) with differential CPT 85025 Hc Cbc/Auto Diff	$42.00	$42.00	—	21% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc/Auto Diff	$42.00	$42.00	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc/Manual Diff	$42.00	$42.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 Hc Cbc-No Diff	$32.00	$32.00	—	35% below	—
Complete blood count (CBC), no differential CPT 85027 Hc Cbc-No Diff(Stroke)	$162.00	$162.00	—	230% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc-No Diff	$32.00	$32.00	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc-No Diff(Stroke)	$162.00	$162.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel	$108.00	$108.00	—	14% below	—
Comprehensive metabolic panel (blood test) CPT 80053 Hc Chemistry 12 (Stroke)	$151.00	$151.00	—	20% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel	$108.00	$108.00	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Chemistry 12 (Stroke)	$151.00	$151.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 Hc D-Dimer	$263.00	$263.00	—	110% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D-Dimer	$263.00	$263.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dhea-S	$220.00	$220.00	—	61% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dhea-S	$220.00	$220.00	—	—	—
Estradiol blood test CPT 82670 Hc Estradiol	$79.00	$79.00	—	45% below	—
Estradiol blood test inpatient CPT 82670 Hc Estradiol	$79.00	$79.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Hc Follicle Stim.Hormone	$129.00	$129.00	—	26% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Follicle Stim.Hormone	$129.00	$129.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Hc Calprotectin, Feces	$80.00	$80.00	—	57% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Calprotectin, Feces	$80.00	$80.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Hc Ferritin,Serum	$105.00	$105.00	—	25% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin,Serum	$105.00	$105.00	—	—	—
Folate (folic acid) blood test CPT 82746 Hc Folate,Serum	$110.00	$110.00	—	45% above	—
Folate (folic acid) blood test inpatient CPT 82746 Hc Folate,Serum	$110.00	$110.00	—	—	—
Free T3 thyroid hormone test CPT 84481 Pc T3,Free	$118.00	$118.00	—	19% above	—
Free T3 thyroid hormone test inpatient CPT 84481 Pc T3,Free	$118.00	$118.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc T4, Free	$71.00	$71.00	—	4% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc T4,Free By Equil,Dialysis	$220.00	$220.00	—	197% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc T4, Free	$71.00	$71.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc T4,Free By Equil,Dialysis	$220.00	$220.00	—	—	—
Free testosterone test CPT 84402 Hc Testosterone, Free	$97.00	$97.00	—	23% below	—
Free testosterone test inpatient CPT 84402 Hc Testosterone, Free	$97.00	$97.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Tolerance 1 Hour	$30.00	$30.00	—	29% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose Tolerance 1 Hour	$30.00	$30.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tolerance,3 Spec	$40.00	$40.00	—	56% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tolerance,3 Spec	$40.00	$40.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gc Screen	$110.00	$110.00	—	35% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Gc Screen	$110.00	$110.00	—	—	—
H. pylori antibody blood test CPT 86677 Hc Helicobacter Pylori Ab	$288.00	$288.00	—	284% above	—
H. pylori antibody blood test inpatient CPT 86677 Hc Helicobacter Pylori Ab	$288.00	$288.00	—	—	—
H. pylori stool antigen test CPT 87338 Hc H Pylori Stool Ag	$413.00	$413.00	—	245% above	—
H. pylori stool antigen test inpatient CPT 87338 Hc H Pylori Stool Ag	$413.00	$413.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv Type 1 Rna Quant	$366.00	$366.00	—	5% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv Quant Reflex Genotype	$377.00	$377.00	—	8% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv Type 1 Rna Quant	$366.00	$366.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv Quant Reflex Genotype	$377.00	$377.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv	$145.00	$145.00	—	27% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv	$145.00	$145.00	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv Dna High Risk	$184.00	$184.00	—	67% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv Dna High Risk	$184.00	$184.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Glycohemoglobin	$69.00	$69.00	—	12% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Glycohemoglobin	$69.00	$69.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Ab Ql	$82.00	$82.00	—	19% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Surface Ab Ql	$82.00	$82.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ag	$98.00	$98.00	—	52% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hbsag Confirm	$121.00	$121.00	—	87% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hepatitis B Surface Ag	$98.00	$98.00	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hbsag Confirm	$121.00	$121.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Ab	$205.00	$205.00	—	142% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Ab	$205.00	$205.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hepatitis C Pcr	$433.00	$433.00	—	46% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hepatitis C Pcr	$433.00	$433.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Hc Hsv-1 Igg	$36.00	$36.00	—	45% below	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Hsv-1 Igg	$36.00	$36.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Hc Hsv-2 Igg	$36.00	$36.00	—	41% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Hsv-2 Igg	$36.00	$36.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc Crp,Quantitative	$125.00	$125.00	—	77% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc Crp,Quantitative	$125.00	$125.00	—	—	—
Homocysteine blood test CPT 83090 Hc Homocysteine, Plasma	$91.00	$91.00	—	17% below	—
Homocysteine blood test inpatient CPT 83090 Hc Homocysteine, Plasma	$91.00	$91.00	—	—	—
Insulin blood test CPT 83525 Hc Insulin	$56.00	$56.00	—	6% below	—
Insulin blood test inpatient CPT 83525 Hc Insulin	$56.00	$56.00	—	—	—
Iron blood test (serum iron) CPT 83540 Hc Iron, Total	$64.00	$64.00	—	39% above	—
Iron blood test (serum iron) inpatient CPT 83540 Hc Iron, Total	$64.00	$64.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Capacity	$67.00	$67.00	—	1% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Capacity	$67.00	$67.00	—	—	—
Kidney function blood test panel CPT 80069 Hc Renal Function Panel	$108.00	$108.00	—	2% above	—
Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel	$108.00	$108.00	—	—	—
LH (luteinizing hormone) test CPT 83002 Hc Luteinizing Hormone	$115.00	$115.00	—	13% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Hc Luteinizing Hormone	$115.00	$115.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase	$63.00	$63.00	—	at median	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase	$63.00	$63.00	—	—	—
Liver function blood test panel CPT 80076 Hc Liver Profile	$172.00	$172.00	—	29% above	—
Liver function blood test panel inpatient CPT 80076 Hc Liver Profile	$172.00	$172.00	—	—	—
Lyme disease antibody test CPT 86618 Hc Lyme Disease Ab/Eia Serum	$170.00	$170.00	—	85% above	—
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Ab/Eia Serum	$170.00	$170.00	—	—	—
Magnesium blood test CPT 83735 Hc Magnesium, Serum	$47.00	$47.00	—	at median	—
Magnesium blood test inpatient CPT 83735 Hc Magnesium, Serum	$47.00	$47.00	—	—	—
Measles (rubeola) antibody test CPT 86765 Hc Rubeola	$39.00	$39.00	—	34% below	—
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola	$39.00	$39.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Hc Mono Test	$39.00	$39.00	—	5% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Mono Test	$39.00	$39.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Free Psa, Serum	$43.00	$43.00	—	44% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Free Psa, Serum	$43.00	$43.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa, Serum	$43.00	$43.00	—	44% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate Ca Screening; Psa	$66.00	$66.00	—	14% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Screen	$127.00	$127.00	—	65% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostatic Specific Ag	$127.00	$127.00	—	65% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa, Serum	$43.00	$43.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate Ca Screening; Psa	$66.00	$66.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostatic Specific Ag	$127.00	$127.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Screen	$127.00	$127.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Thin Prep Diag Reflex Hpv	$98.00	$98.00	—	34% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Thin Prep Screen	$98.00	$98.00	—	34% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Thin Prep Diagnostic	$98.00	$98.00	—	34% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Thin Prep Diag With Hpv	$142.00	$142.00	—	94% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Thin Prep Screen With Hpv	$142.00	$142.00	—	94% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Thin Prep Scrn Reflex Hpv	$148.00	$148.00	—	103% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Thin Prep Diag Reflex Hpv	$98.00	$98.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Thin Prep Diagnostic	$98.00	$98.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Thin Prep Screen	$98.00	$98.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Thin Prep Diag With Hpv	$142.00	$142.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Thin Prep Screen With Hpv	$142.00	$142.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Thin Prep Scrn Reflex Hpv	$148.00	$148.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth	$187.00	$187.00	—	9% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth	$187.00	$187.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Partial Thromboplast Time	$46.00	$46.00	—	13% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc 50:50 Mix Aptt(Circ.Inhib	$139.00	$139.00	—	164% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Activated Ptt, La	$139.00	$139.00	—	164% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Partial Thromboplast Time	$46.00	$46.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc 50:50 Mix Aptt(Circ.Inhib	$139.00	$139.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Activated Ptt, La	$139.00	$139.00	—	—	—
Progesterone blood test CPT 84144 Hc Progesterone	$108.00	$108.00	—	2% below	—
Progesterone blood test inpatient CPT 84144 Hc Progesterone	$108.00	$108.00	—	—	—
Prolactin blood test CPT 84146 Hc Prolactin	$108.00	$108.00	—	12% below	—
Prolactin blood test inpatient CPT 84146 Hc Prolactin	$108.00	$108.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Protime/Inr	$28.00	$28.00	—	at median	—
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Protime	$29.00	$29.00	—	4% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Hc 50:50 Mix Pt (Circ.Inhib)	$123.00	$123.00	—	339% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Protime/Inr	$28.00	$28.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Protime	$29.00	$29.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc 50:50 Mix Pt (Circ.Inhib)	$123.00	$123.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc Drug Screen-Each Drug Optical	$48.00	$48.00	—	29% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hc Drug Screen-Each Drug Optical	$48.00	$48.00	—	—	—
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza A,B Antigen Parent Panel	$88.00	$88.00	—	47% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza A,B Antigen Parent Panel	$88.00	$88.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Beta Strep Screen	$42.00	$42.00	—	6% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Beta Strep Screen	$42.00	$42.00	—	—	—
Rheumatoid factor (RF) test CPT 86431 Hc Rhematoid Factor, Quant	$57.00	$57.00	—	28% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rhematoid Factor, Quant	$57.00	$57.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 Hc Rubella	$90.00	$90.00	—	71% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella	$90.00	$90.00	—	—	—
Stool ova and parasites exam CPT 87177 Hc Ova & Parasites Full Exam	$73.00	$73.00	—	27% above	—
Stool ova and parasites exam inpatient CPT 87177 Hc Ova & Parasites Full Exam	$73.00	$73.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Blood, Sfrl	$27.00	$27.00	—	26% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Occult Blood, Sfrl	$27.00	$27.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Occult Blood, Immunoassay	$27.00	$27.00	—	47% below	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Occult Blood, Immunoassay	$27.00	$27.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Rpr	$53.00	$53.00	—	79% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Rpr Confirmation	$58.00	$58.00	—	96% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Vdrl, Serum	$70.00	$70.00	—	137% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Csf-Vdrl	$79.00	$79.00	—	167% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Rpr	$53.00	$53.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Rpr Confirmation	$58.00	$58.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Vdrl, Serum	$70.00	$70.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Csf-Vdrl	$79.00	$79.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Tb Test	$197.00	$197.00	—	3% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Tb Test	$197.00	$197.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone,Total	$97.00	$97.00	—	18% below	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone,Total	$97.00	$97.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Thyroid Peroxidase	$189.00	$189.00	—	147% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Thyroid Peroxidase	$189.00	$189.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh, Newborn	$31.00	$31.00	—	32% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh	$91.00	$91.00	—	99% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh, Newborn	$31.00	$31.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh	$91.00	$91.00	—	—	—
Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Vaginalis By Nucleic Acd, Male	$79.00	$79.00	—	43% below	—
Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Vaginalis By Nucleic Acd, Female	$79.00	$79.00	—	43% below	—
Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Vaginalis Amplified Probe	$107.00	$107.00	—	22% below	—
Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichomonas Vaginalis By Nucleic Acd, Female	$79.00	$79.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichomonas Vaginalis By Nucleic Acd, Male	$79.00	$79.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichomonas Vaginalis Amplified Probe	$107.00	$107.00	—	—	—
Uric acid blood test CPT 84550 Hc Uric Acid,Serum	$37.00	$37.00	—	12% below	—
Uric acid blood test inpatient CPT 84550 Hc Uric Acid,Serum	$37.00	$37.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis With Micro	$26.00	$26.00	—	31% below	—
Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Reflex Culture	$26.00	$26.00	—	31% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Reflex Culture	$26.00	$26.00	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis With Micro	$26.00	$26.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 Hc Blood, Urine Ql	$14.00	$14.00	—	30% below	—
Urinalysis without microscope exam, automated CPT 81003 Hc Ua Dip	$24.00	$24.00	—	20% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Blood, Urine Ql	$14.00	$14.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Ua Dip	$24.00	$24.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 Hc Protein,Total Urine Qual	$19.00	$19.00	—	46% above	—
Urinalysis without microscope exam, manual CPT 81002 Hc Us Dip. Protein/Glucose	$29.00	$29.00	—	123% above	—
Urinalysis without microscope exam, manual CPT 81002 Hc Specific Gravity, Urine	$48.00	$48.00	—	269% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Protein,Total Urine Qual	$19.00	$19.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Us Dip. Protein/Glucose	$29.00	$29.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Specific Gravity, Urine	$48.00	$48.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 Hc Urine Culture (Pppc)	$345.00	$345.00	—	435% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Urine Culture (Pppc)	$345.00	$345.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 Hc Pregnancy Test, Urine	$49.00	$49.00	—	2% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 Hc Pregnancy Test, Urine	$49.00	$49.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12	$110.00	$110.00	—	43% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B12	$110.00	$110.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D; 25 Hydroxy	$133.00	$133.00	—	2% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D; 25 Hydroxy	$133.00	$133.00	—	—	—
Zinc blood test CPT 84630 Hc Zinc, Serum	$74.00	$74.00	—	21% above	—
Zinc blood test inpatient CPT 84630 Hc Zinc, Serum	$74.00	$74.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Beta Hcg Subunit(Tumor)	$99.00	$99.00	—	17% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Beta Hcg, Quantitative	$99.00	$99.00	—	17% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Alpha-Subunit	$193.00	$193.00	—	127% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Beta Hcg Subunit(Tumor)	$99.00	$99.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Beta Hcg, Quantitative	$99.00	$99.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Alpha-Subunit	$193.00	$193.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Botox injections for chronic migraine CPT 64615 Hc Chemodenervation, Muscle	$1,010.00	$1,010.00	—	288% above	—
Botox injections for chronic migraine inpatient CPT 64615 Hc Chemodenervation, Muscle	$1,010.00	$1,010.00	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Stereo Breast Bx	$5,999.00	$5,999.00	—	116% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Stereo Breast Bx	$5,999.00	$5,999.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Cl Tx Dis Fib Fx W/O Mani	$809.00	$809.00	—	58% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Cl Tx Dis Fib Fx W/O Mani	$809.00	$809.00	—	—	—
Cardiac catheterization with coronary angiogram CPT 93458 Hc Lhc W/Lv	$18,633.00	$18,633.00	—	77% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Hc Lhc W/Lv	$18,633.00	$18,633.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion Holding Rm	$2,437.00	$2,437.00	—	196% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion	$2,437.00	$2,437.00	—	196% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Pacu Cardioversion	$2,437.00	$2,437.00	—	196% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Pacu Cardioversion	$2,437.00	$2,437.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion Holding Rm	$2,437.00	$2,437.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion	$2,437.00	$2,437.00	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 Hc Ep Study W/Afib Ablation	$50,382.00	$50,382.00	—	93% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Ep Study W/Afib Ablation	$50,382.00	$50,382.00	—	—	—
Cervical biopsy CPT 57500 Hb Biopsy Cervix Single/Mult/Excision Of Lesion Spx	$3,296.00	$3,296.00	—	211% above	—
Cervical biopsy inpatient CPT 57500 Hb Biopsy Cervix Single/Mult/Excision Of Lesion Spx	$3,296.00	$3,296.00	—	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Hc Circumcision Age > 28 Days	$6,957.00	$6,957.00	—	105% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Hc Circumcision Age > 28 Days	$6,957.00	$6,957.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Circumcision	$8,348.00	$8,348.00	—	2191% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Circumcision	$8,348.00	$8,348.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Cl Tx Colles Fx W/O Manip	$962.00	$962.00	—	63% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Cl Tx Colles Fx W/O Manip	$962.00	$962.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hb Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$8,937.00	$8,937.00	—	306% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hb Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$8,937.00	$8,937.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colpopscopy W/Biopsy	$777.00	$777.00	—	73% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colpopscopy W/Biopsy	$777.00	$777.00	—	—	—
Coronary stent placement, one artery CPT 92928 Hc Stent W/Wo Ptca Initial	$32,095.00	$32,095.00	—	125% above	—
Coronary stent placement, one artery inpatient CPT 92928 Hc Stent W/Wo Ptca Initial	$32,095.00	$32,095.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Local Cysto	$1,549.00	$1,549.00	—	25% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cysto	$4,728.00	$4,728.00	—	281% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Local Cysto	$1,549.00	$1,549.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Cysto	$4,728.00	$4,728.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruction Premalignant Lesion 1St	$654.00	$654.00	—	459% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Destruction Premalignant Lesion 1St	$654.00	$654.00	—	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hc Tympanostomy Local/Topical Anesthesia	$2,256.00	$2,256.00	—	382% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hc Tympanostomy Local/Topical Anesthesia	$2,256.00	$2,256.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Removal Impacted Cerumen Using Irrigation/Lavage, Uni	$292.00	$292.00	—	294% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Removal Impacted Cerumen Irrigation/Lavage, Uni	$292.00	$292.00	—	294% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Removal Impacted Cerumen Using Irrigation/Lavage, Uni	$292.00	$292.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hc Removal Impacted Cerumen Irrigation/Lavage, Uni	$292.00	$292.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 Hc Rem Impacted Cerumen	$263.00	$263.00	—	183% above	—
Earwax removal with instruments, one ear CPT 69210 Hc Removal Impacted Cerumen	$429.00	$429.00	—	361% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Hc Rem Impacted Cerumen	$263.00	$263.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Hc Removal Impacted Cerumen	$429.00	$429.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Biopsy Of Uterus Lining	$817.00	$817.00	—	207% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Biopsy Of Uterus Lining	$817.00	$817.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Cervical/Thoracic Epidural W/Fluoro	$3,937.00	$3,937.00	—	196% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Cervical/Thoracic Epidural W/Fluoro	$3,937.00	$3,937.00	—	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Intravitreal Njx Pharmacologic Agt Spx	$874.00	$874.00	—	164% above	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Intravitreal Njx Pharmacologic Agt Spx	$874.00	$874.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Lumbar Single	$2,596.63	$2,596.63	—	149% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Lumbar Single	$2,596.63	$2,596.63	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy Internal Rubber Band Ligations	$3,269.00	$3,269.00	—	140% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc Hemorrhoidectomy Internal Rubber Band Ligations	$3,269.00	$3,269.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Inject For Hysterosalping	$134.00	$134.00	—	53% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Inject For Hysterosalping	$134.00	$134.00	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 Hc Insertion Of Iud	$330.00	$330.00	—	46% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Insertion Of Iud	$330.00	$330.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 Hc I&D Of Skin Abscess	$875.00	$875.00	—	281% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Hc I&D Skin Abscess Simple	$875.00	$875.00	—	281% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Hc I & D Abscess Simple	$875.00	$875.00	—	281% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I&D Skin Abscess Simple	$875.00	$875.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I&D Of Skin Abscess	$875.00	$875.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I & D Abscess Simple	$875.00	$875.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Injection, Tendon Sheath	$932.00	$932.00	—	344% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Injection, Tendon Sheath	$932.00	$932.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Asp/Inj Large Joint	$946.00	$946.00	—	338% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Maj Joint Asp/Inj Wo/Ultrasound	$946.00	$946.00	—	338% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Asp/Inj Major Jt	$946.00	$946.00	—	338% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Maj Joint Asp/Inj Wo/Ultrasound	$946.00	$946.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Asp/Inj Large Joint	$946.00	$946.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Asp/Inj Major Jt	$946.00	$946.00	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion Drug Delivery Implant	$580.00	$580.00	—	222% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insertion Drug Delivery Implant	$580.00	$580.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Im Joint Asp/Inj	$998.00	$998.00	—	377% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Asp/Inj Intermediate Jt	$1,142.00	$1,142.00	—	446% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Asp/Inj Med Joint	$1,142.00	$1,142.00	—	446% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Im Joint Asp/Inj	$998.00	$998.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Asp/Inj Med Joint	$1,142.00	$1,142.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Asp/Inj Intermediate Jt	$1,142.00	$1,142.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Sm Joint Asp/Inj	$933.00	$933.00	—	351% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Asp/Inj Small Joint	$946.00	$946.00	—	358% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Sm Joint Asp/Inj	$933.00	$933.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Asp/Inj Small Joint	$946.00	$946.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Int Rep Sc/Tr/Ex <2.5Cm	$6,744.00	$6,744.00	—	1676% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Int Rep Sc/Tr/Ex <2.5Cm	$6,744.00	$6,744.00	—	—	—
Left heart catheterization, diagnostic CPT 93452 Hc Lhc S&I	$15,810.00	$15,810.00	—	126% above	—
Left heart catheterization, diagnostic inpatient CPT 93452 Hc Lhc S&I	$15,810.00	$15,810.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Hc Esi, Lumbar/Caudal	$3,937.00	$3,937.00	—	233% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 Hc Lumbar/Sac Epidural W/Fluoro	$3,937.00	$3,937.00	—	233% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Esi, Lumbar/Caudal	$3,937.00	$3,937.00	—	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Lumbar/Sac Epidural W/Fluoro	$3,937.00	$3,937.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 Hc Lumbar Epidural	$2,502.00	$2,502.00	—	120% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Lumbar Epidural	$2,502.00	$2,502.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Snrb Lumbar Single	$2,596.63	$2,596.63	—	73% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Snrb Lumbar Single	$2,596.63	$2,596.63	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Rem Skin Lesion Trunk/Arm/Leg .5Cm Or Less	$2,180.00	$2,180.00	—	788% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Rem Skin Lesion Trunk/Arm/Leg .5Cm Or Less	$2,180.00	$2,180.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5Cm/<	$2,214.00	$2,214.00	—	579% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5Cm/<	$2,214.00	$2,214.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Of Nail	$654.00	$654.00	—	253% above	—
Nail removal (partial or complete), one nail CPT 11730 Hc Avuls Nail Plate 1/Single	$654.00	$654.00	—	253% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avuls Nail Plate 1/Single	$654.00	$654.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Of Nail	$654.00	$654.00	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 Hc Nb Greater Occipital	$1,799.60	$1,799.60	—	402% above	—
Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Head & Head Nerve = > Occipital	$1,800.00	$1,800.00	—	402% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Nb Greater Occipital	$1,799.60	$1,799.60	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Inj Head & Head Nerve = > Occipital	$1,800.00	$1,800.00	—	—	—
Pacemaker implant (dual chamber) CPT 33208 Hc Nsrt/Rplc Gen W/Ra & Rv L	$31,649.00	$31,649.00	—	82% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Nsrt/Rplc Gen W/Ra & Rv L	$31,649.00	$31,649.00	—	—	—
Paracentesis with imaging guidance CPT 49083 Hc Us Paracentesis W Imaging	$1,954.00	$1,954.00	—	126% above	—
Paracentesis with imaging guidance CPT 49083 Hc Ct Paracentesis W Imaging	$3,674.00	$3,674.00	—	326% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Hc Us Paracentesis W Imaging	$1,954.00	$1,954.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Hc Ct Paracentesis W Imaging	$3,674.00	$3,674.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Removal Nail Bed	$1,202.00	$1,202.00	—	197% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Removal Nail Bed	$1,202.00	$1,202.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Rf Lumbar Single W/Image	$5,564.40	$5,564.40	—	283% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Rf Lumbar Single W/Image	$5,564.40	$5,564.40	—	—	—
Removal of a breast lump, open surgery CPT 19120 Hc Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$13,728.00	$13,728.00	—	1228% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 Hc Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$13,728.00	$13,728.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Hc Fb Rem Sq Simple	$1,202.00	$1,202.00	—	295% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Fb Rem Sq Simple	$1,202.00	$1,202.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 Hc Application Short Arm Cas	$949.00	$949.00	—	256% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 Hc Application Short Arm Cas	$949.00	$949.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 Hc Application Short Arm Spl	$447.00	$447.00	—	199% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Hc Application Short Arm Spl	$447.00	$447.00	—	—	—
Short leg cast (below the knee) CPT 29405 Hc Application Short Leg Cas	$949.00	$949.00	—	235% above	—
Short leg cast (below the knee) inpatient CPT 29405 Hc Application Short Leg Cas	$949.00	$949.00	—	—	—
Short leg splint (calf to foot) CPT 29515 Hc Application Short Leg Spl	$523.00	$523.00	—	217% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Short Leg Spl	$523.00	$523.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Sim Rep Sclp/Trnk/Ext<2.5	$654.00	$654.00	—	195% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Sim Rep Sclp/Trnk/Ext<2.5	$654.00	$654.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Skin	$5,616.00	$5,616.00	—	2043% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Biopsy Skin	$5,616.00	$5,616.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 Hc Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$654.00	$654.00	—	340% above	—
Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skn Tags Mlt Fibrq Tags Any Area Upw/15 Lesions	$789.00	$789.00	—	431% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$654.00	$654.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Of Skn Tags Mlt Fibrq Tags Any Area Upw/15 Lesions	$789.00	$789.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar	$2,100.00	$2,100.00	—	266% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar	$2,100.00	$2,100.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Sim Rep Scp/Tr/Ex 2.6-7.5	$727.00	$727.00	—	152% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Sim Rep Scp/Tr/Ex 2.6-7.5	$727.00	$727.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Sim Rep All Face <2.5Cm	$654.00	$654.00	—	146% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Sim Rep All Face <2.5Cm	$654.00	$654.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Biopsy Skin	$5,616.00	$5,616.00	—	2733% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangetial Biopsy Skin	$5,616.00	$5,616.00	—	2733% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangetial Biopsy Skin	$5,616.00	$5,616.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangential Biopsy Skin	$5,616.00	$5,616.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis Needle/Cath Pleura W/Imaging	$2,575.00	$2,575.00	—	187% above	—
Thoracentesis with imaging guidance CPT 32555 Hc Imaging Guided Thoracentesis	$3,249.00	$3,249.00	—	263% above	—
Thoracentesis with imaging guidance CPT 32555 Hc Image Guided Thoracentesis	$3,249.00	$3,249.00	—	263% above	—
Thoracentesis with imaging guidance CPT 32555 Noncdm Charge Record	$3,399.00	$3,399.00	—	279% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis Needle/Cath Pleura W/Imaging	$2,575.00	$2,575.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Imaging Guided Thoracentesis	$3,249.00	$3,249.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Image Guided Thoracentesis	$3,249.00	$3,249.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Noncdm Charge Record	$3,399.00	$3,399.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Trigger Point 1 Or 2	$946.00	$946.00	—	362% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inj Trig Pt(S) 1-2 Musc	$946.00	$946.00	—	362% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inj Trig Pt(S) 1-2 Musc	$946.00	$946.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Trigger Point 1 Or 2	$946.00	$946.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Us Guided Breast Biopsy	$4,588.00	$4,588.00	—	129% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Us Guided Breast Biopsy	$4,588.00	$4,588.00	—	—	—
Wart removal, up to 14 warts CPT 17110 Hc Destruction Benign Lesions Up To 14	$654.00	$654.00	—	305% above	—
Wart removal, up to 14 warts inpatient CPT 17110 Hc Destruction Benign Lesions Up To 14	$654.00	$654.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Sq First 20 Cm2	$2,290.00	$2,290.00	—	477% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Subq Debridement 1St 20 S	$2,290.00	$2,290.00	—	477% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Subq Debridement 1St 20 S	$2,290.00	$2,290.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debride Sq First 20 Cm2	$2,290.00	$2,290.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Noncdm Charge Record	$1,737.00	$1,737.00	—	165% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Noncdm Charge Record	$1,737.00	$1,737.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Drug Nebulizer - Initial	$655.00	$655.00	—	330% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Drug Nebulizer - Initial	$655.00	$655.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Iv Up To 1 Hr	$1,503.00	$1,503.00	—	247% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Iv Up To 1 Hr	$1,503.00	$1,503.00	—	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Air, Bone, Speech	$565.00	$565.00	—	231% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hc Air, Bone, Speech	$565.00	$565.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care	$3,749.00	$3,749.00	—	179% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care	$3,749.00	$3,749.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg W/O Awake & Drowsy	$3,381.00	$3,381.00	—	280% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg W/O Awake & Drowsy	$3,381.00	$3,381.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg-Pbb	$452.00	$452.00	—	136% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg Tech Fee	$495.00	$495.00	—	159% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg-Pbb	$452.00	$452.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg Tech Fee	$495.00	$495.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Class I Room	$502.00	$502.00	—	259% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Class I Room	$502.00	$502.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Class Ii Room	$845.00	$845.00	—	248% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Class Ii Room	$845.00	$845.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Class Iii Room	$1,273.00	$1,273.00	—	187% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Class Iii Room	$1,273.00	$1,273.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Class Iv Room	$1,841.00	$1,841.00	—	168% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Class Iv Room	$1,841.00	$1,841.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Class V Room	$2,521.00	$2,521.00	—	138% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Class V Room	$2,521.00	$2,521.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Card Stress Test, Tracing Only W/O	$2,154.00	$2,154.00	—	163% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Card Stress Test, Tracing Only W/O	$2,154.00	$2,154.00	—	—	—
Eye exam, returning patient, intermediate CPT 92012 Hc Rp-Eye Exam	$219.00	$219.00	—	112% above	—
Eye exam, returning patient, intermediate inpatient CPT 92012 Hc Rp-Eye Exam	$219.00	$219.00	—	—	—
Group psychotherapy session CPT 90853 Hc Group Psychotherapy	$198.00	$198.00	—	6% below	—
Group psychotherapy session inpatient CPT 90853 Hc Group Psychotherapy	$198.00	$198.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Hydration First Hr	$1,078.00	$1,078.00	—	337% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Hydration First Hr	$1,078.00	$1,078.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 Hc Ivpb First Hour	$1,870.00	$1,870.00	—	516% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Ivpb First Hour	$1,870.00	$1,870.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Im/Sq Injection	$516.00	$516.00	—	431% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Im/Sq Injection	$516.00	$516.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Diagnostic Interview	$751.00	$751.00	—	251% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Diagnostic Interview	$751.00	$751.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Ncv 7-8 Studies W/O	$3,605.00	$3,605.00	—	657% above	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hc Ncv 7-8 Studies W/O	$3,605.00	$3,605.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Re-Ed Ea 15 Min	$160.00	$160.00	—	80% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuro Muscular Re-Ed Ea 15 Min	$160.00	$160.00	—	80% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuro Muscular Re-Ed Ea 15 Min	$160.00	$160.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Re-Ed Ea 15 Min	$160.00	$160.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 Hc Preplacement I	$152.00	$152.00	—	14% above	—
New patient office visit, about 30 minutes CPT 99203 Hc New Patient Level Iii 30-44 Mi	$256.00	$256.00	—	91% above	—
New patient office visit, about 30 minutes CPT 99203 Noncdm Charge Record	$325.00	$325.00	—	143% above	—
New patient office visit, about 30 minutes CPT 99203 Hc New Patient Triage 91/120	$1,417.00	$1,417.00	—	958% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 Hc Preplacement I	$152.00	$152.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Hc New Patient Level Iii 30-44 Mi	$256.00	$256.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Noncdm Charge Record	$325.00	$325.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Hc New Patient Triage 91/120	$1,417.00	$1,417.00	—	—	—
New patient office visit, about 45 minutes CPT 99204 Hc Preplacement Ii	$213.00	$213.00	—	20% above	—
New patient office visit, about 45 minutes CPT 99204 Hc New Patient Level Iv 45-59 Mi	$307.00	$307.00	—	74% above	—
New patient office visit, about 45 minutes CPT 99204 Noncdm Charge Record	$325.00	$325.00	—	84% above	—
New patient office visit, about 45 minutes CPT 99204 Hc New Patient Triage 121/150	$1,928.00	$1,928.00	—	990% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Hc Preplacement Ii	$213.00	$213.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Hc New Patient Level Iv 45-59 Mi	$307.00	$307.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Noncdm Charge Record	$325.00	$325.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Hc New Patient Triage 121/150	$1,928.00	$1,928.00	—	—	—
New patient office visit, about 60 minutes CPT 99205 Noncdm Charge Record	$325.00	$325.00	—	26% above	—
New patient office visit, about 60 minutes CPT 99205 Hc New Patient Level V 60-74 Mi	$358.00	$358.00	—	38% above	—
New patient office visit, about 60 minutes CPT 99205 Hc New Patient Triage >150	$2,688.00	$2,688.00	—	939% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 Noncdm Charge Record	$325.00	$325.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Hc New Patient Level V 60-74 Mi	$358.00	$358.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Hc New Patient Triage >150	$2,688.00	$2,688.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Cl Osha Questionnaire Review	$41.00	$41.00	—	55% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Cl Pft Interpretation	$41.00	$41.00	—	55% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Cardiac Care Fund	$84.00	$84.00	—	7% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Cl Respiratory Protection Ex	$96.00	$96.00	—	6% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc New Patient Level Ii 15-29 Mi	$205.00	$205.00	—	127% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Noncdm Charge Record	$325.00	$325.00	—	260% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc New Patient Triage 61/90	$1,013.00	$1,013.00	—	1021% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Cl Osha Questionnaire Review	$41.00	$41.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Cl Pft Interpretation	$41.00	$41.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Cardiac Care Fund	$84.00	$84.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Cl Respiratory Protection Ex	$96.00	$96.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc New Patient Level Ii 15-29 Mi	$205.00	$205.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Noncdm Charge Record	$325.00	$325.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc New Patient Triage 61/90	$1,013.00	$1,013.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Diet Instruction	$76.00	$76.00	—	71% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Diabetic Diet Inst-15 Min	$76.00	$76.00	—	71% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Diabetic Diet Inst-15 Min	$76.00	$76.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Diet Instruction	$76.00	$76.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 Hc Occupational Therapy Eval	$380.00	$380.00	—	174% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Occupational Therapy Eval	$380.00	$380.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Cancer Fund Eval High Complex	$103.00	$103.00	—	40% below	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Physical Therapy Eval High Complex	$380.00	$380.00	—	121% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Cancer Fund Eval High Complex	$103.00	$103.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Physical Therapy Eval High Complex	$380.00	$380.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Cancer Fund Eval	$103.00	$103.00	—	19% below	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Physical Therapy Eval Low Complex	$380.00	$380.00	—	199% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Cancer Fund Eval	$103.00	$103.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Physical Therapy Eval Low Complex	$380.00	$380.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Cancer Fund Eval Mod Complex	$103.00	$103.00	—	34% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Physical Therapy Eval Mod Complex	$380.00	$380.00	—	143% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Cancer Fund Eval Mod Complex	$103.00	$103.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Physical Therapy Eval Mod Complex	$380.00	$380.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Ea 15 Min	$190.00	$190.00	—	134% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Ea 15 Min	$190.00	$190.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercise Ea 15 Min	$201.00	$201.00	—	159% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercise Ea 15 Min	$201.00	$201.00	—	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 Hc Intl Prv Med New Pt 18-39 Yrs	$416.00	$416.00	—	191% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Intl Prv Med New Pt 18-39 Yrs	$416.00	$416.00	—	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 Hc Intl Prv Med New Pt 40-64 Yrs	$420.00	$420.00	—	147% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Hc Intl Prv Med New Pt 40-64 Yrs	$420.00	$420.00	—	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 Hc Intl Prv Med New Pt 65 > Yrs	$446.00	$446.00	—	164% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Hc Intl Prv Med New Pt 65 > Yrs	$446.00	$446.00	—	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Hc Prd Prev Med Est Pt 18-39 Yrs	$352.00	$352.00	—	173% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Hc Prd Prev Med Est Pt 18-39 Yrs	$352.00	$352.00	—	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Hc Prd Prev Med Est Pt 40-64 Yrs	$325.00	$325.00	—	147% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Hc Prd Prev Med Est Pt 40-64 Yrs	$325.00	$325.00	—	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 Hc Prd Prev Med Est Pt 65 > Yrs	$325.00	$325.00	—	112% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Hc Prd Prev Med Est Pt 65 > Yrs	$325.00	$325.00	—	—	—
Psychiatric evaluation with medical services CPT 90792 Hc Psych Diag Eval W/Medical Svcs	$335.00	$335.00	—	83% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psych Diag Eval W/Medical Svcs	$335.00	$335.00	—	—	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Hc Psychological Test Eval; First Hour	$919.00	$919.00	—	300% above	—
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Hc Psychological Test Eval; First Hour	$919.00	$919.00	—	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Psychotherapy For Crisis; First 60 Minutes	$368.00	$368.00	—	85% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Psychotherapy For Crisis; First 60 Minutes	$368.00	$368.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 Hc Indiv Psychtx 30 Min	$346.00	$346.00	—	165% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Indiv Psychtx 30 Min	$346.00	$346.00	—	—	—
Psychotherapy session, 45 minutes CPT 90834 Hc Indiv Psychtx 45 Min	$644.00	$644.00	—	279% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Indiv Psychtx 45 Min	$644.00	$644.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 Hc Indiv Psychtx 60 Min	$689.00	$689.00	—	235% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Indiv Psychtx 60 Min	$689.00	$689.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Smoking Cess Coun 3-10Min	$92.00	$92.00	—	317% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Smoking Cess Coun 3-10Min	$92.00	$92.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Est Patient Level V 40-54 Mi	$332.00	$332.00	—	77% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Est Patient Triage >150	$948.00	$948.00	—	404% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Est Patient Level V 40-54 Mi	$332.00	$332.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Est Patient Triage >150	$948.00	$948.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Est Patient Level Iii 20-29 Mi	$230.00	$230.00	—	113% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Est Patient Triage 91/120	$751.00	$751.00	—	595% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Est Patient Level Iii 20-29 Mi	$230.00	$230.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Est Patient Triage 91/120	$751.00	$751.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Periodic I	$164.00	$164.00	—	15% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Est Patient Level Iv 30-39 Mi	$281.00	$281.00	—	97% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Cl Fit For Duty	$304.00	$304.00	—	114% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Est Patient Triage 121/150	$839.00	$839.00	—	489% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Periodic I	$164.00	$164.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Est Patient Level Iv 30-39 Mi	$281.00	$281.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Cl Fit For Duty	$304.00	$304.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Est Patient Triage 121/150	$839.00	$839.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Est Patient Level Ii 10-19 Mi	$179.00	$179.00	—	156% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Est Patient Triage 61/90	$751.00	$751.00	—	975% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Est Patient Level Ii 10-19 Mi	$179.00	$179.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Est Patient Triage 61/90	$751.00	$751.00	—	—	—
Speech and language evaluation CPT 92523 Hc Speech Eval Sound W/Lang	$492.00	$492.00	—	81% above	—
Speech and language evaluation inpatient CPT 92523 Hc Speech Eval Sound W/Lang	$492.00	$492.00	—	—	—
Speech therapy session, individual CPT 92507 Hc Cancer Fund Sp Return-15	$36.00	$36.00	—	77% below	—
Speech therapy session, individual CPT 92507 Hc Speech Treatment Indiv	$424.00	$424.00	—	167% above	—
Speech therapy session, individual inpatient CPT 92507 Hc Cancer Fund Sp Return-15	$36.00	$36.00	—	—	—
Speech therapy session, individual inpatient CPT 92507 Hc Speech Treatment Indiv	$424.00	$424.00	—	—	—
Spirometry (breathing test) CPT 94010 Hc Pulmonary Screen	$904.00	$904.00	—	299% above	—
Spirometry (breathing test) CPT 94010 Hc Pft (Spirometry)	$904.00	$904.00	—	299% above	—
Spirometry (breathing test) inpatient CPT 94010 Hc Pft (Spirometry)	$904.00	$904.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Hc Pulmonary Screen	$904.00	$904.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Hc Fvd/Bd No Pc	$1,266.00	$1,266.00	—	186% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Fvd/Bd No Pc	$1,266.00	$1,266.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Cancer Fund Return-15 Min	$36.00	$36.00	—	56% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Direct Ea 15 Min	$171.00	$171.00	—	107% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Cancer Fund Return-15 Min	$36.00	$36.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Direct Ea 15 Min	$171.00	$171.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Therapeutic Phlebotomy	$188.00	$188.00	—	at median	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Therapeutic Phlebotomy	$188.00	$188.00	—	—	—
Visual field test, extended CPT 92083 Hc Goldman (Routine) W/O	$334.00	$334.00	—	209% above	—
Visual field test, extended inpatient CPT 92083 Hc Goldman (Routine) W/O	$334.00	$334.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Hep B Vacc Admin Fee	$144.00	$144.00	—	143% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Flue Vaccine Admin Fee	$144.00	$144.00	—	143% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Pneu Vacc Admin. Fee	$144.00	$144.00	—	143% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vaccine Initial	$144.00	$144.00	—	143% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vaccine Initial	$144.00	$144.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Flue Vaccine Admin Fee	$144.00	$144.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Pneu Vacc Admin. Fee	$144.00	$144.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Hep B Vacc Admin Fee	$144.00	$144.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Vaccine Ea Additional	$144.00	$144.00	—	203% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Vaccine Ea Additional	$144.00	$144.00	—	—	—

Dental

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Hc Extraction Erupted Tooth/Exr	$4,988.00	$4,988.00	—	at median	—
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Hc Extraction Erupted Tooth/Exr	$4,988.00	$4,988.00	—	—	—

Source file: https://www.sfmc.net/wp-content/uploads/237246265_saint-francis-medical-center_standardcharges.json