Cheyenne County Hospital is a critical access hospital in St Francis, Kansas. Medicare data lists emergency services. Its official website lists 49 services, specialties and programs. Medicare lists 15 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.
What is a critical access hospital?
A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
Does Cheyenne County Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Cheyenne County Hospital. In a medical emergency, call 911.
Where is Cheyenne County Hospital?
210 West 1st Street, St Francis, KS 67756, in Cheyenne County, Kansas.
What is the phone number of Cheyenne County Hospital?
(785) 332-2104, as listed by Medicare (CMS).
What is the Medicare star rating of Cheyenne County Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
15 doctors and other clinicians list Cheyenne County Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Cheyenne County Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients
Not reported to Medicare
Deaths within 30 days: heart failure patients
Too few cases to report
Deaths within 30 days: pneumonia patients
14.7%
Deaths within 30 days: COPD patients
Too few cases to report
Deaths within 30 days: stroke patients
Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients)
Not reported to Medicare
Readmitted within 30 days: heart attack
Not reported to Medicare
Readmitted within 30 days: heart failure
Too few cases to report
Readmitted within 30 days: pneumonia
Too few cases to report
Readmitted within 30 days: COPD
Too few cases to report
Readmitted within 30 days: coronary bypass surgery
Not reported to Medicare
Readmitted within 30 days: hip or knee replacement
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
Average (median) time patients spent in the emergency room before leaving (OP-18b)
110 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Cheyenne County Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
$! 26 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.
Office and emergency visits
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$162.11
$162.11
$38 – $243.17
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $154
AETNA MCR ADV — AETNA MCR ADV: $131.31
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $38
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $162.11
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $131.31
CPM - ALL PLANS — CPM - ALL PLANS: $154
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $113.48
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $129.69
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $158.87
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $162.11
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$163.87
$163.87
$38 – $245.81
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $155.68
AETNA MCR ADV — AETNA MCR ADV: $132.73
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $38
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $163.87
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $132.73
CPM - ALL PLANS — CPM - ALL PLANS: $155.68
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $114.71
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $131.10
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $160.59
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $163.87
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$225.60
$191.76
$38 – $338.40
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $214.32
AETNA MCR ADV — AETNA MCR ADV: $182.74
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $38
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $225.60
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $182.74
CPM - ALL PLANS — CPM - ALL PLANS: $214.32
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $157.92
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $180.48
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $221.09
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $225.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$224
$190.40
$38 – $336
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $212.80
AETNA MCR ADV — AETNA MCR ADV: $181.44
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $38
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $224
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $181.44
CPM - ALL PLANS — CPM - ALL PLANS: $212.80
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $156.80
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $179.20
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $219.52
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $224
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$155
$155
$38 – $232.50
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $147.25
AETNA MCR ADV — AETNA MCR ADV: $125.55
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $38
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $155
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $125.55
CPM - ALL PLANS — CPM - ALL PLANS: $147.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $108.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $124
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $151.90
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $155
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)
$240
$204
$168 – $360
Preventive checkup, new patient, age 18–39: 10 of 22 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $228
AETNA MCR ADV — AETNA MCR ADV: $313.95
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $240
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $313.95
CPM - ALL PLANS — CPM - ALL PLANS: $228
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $168
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $192
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $235.20
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $240
HEALTHY BLUE MCAID - ALL OTHER PLANS — HEALTHY BLUE MCAID - ALL OTHER PLANS: $240
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)
$271
$230.35
$189.70 – $406.50
Preventive checkup, new patient, age 40–64: 10 of 22 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $257.45
AETNA MCR ADV — AETNA MCR ADV: $313.95
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $271
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $313.95
CPM - ALL PLANS — CPM - ALL PLANS: $257.45
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $189.70
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $216.80
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $265.58
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $271
HEALTHY BLUE MCAID - ALL OTHER PLANS — HEALTHY BLUE MCAID - ALL OTHER PLANS: $271
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making
$600
$510
$403.75 – $955
Emergency room visit (moderate): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $570
AETNA MCR ADV — AETNA MCR ADV: $486
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $403.75
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $600
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $486
CPM - ALL PLANS — CPM - ALL PLANS: $570
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $420
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $480
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $588
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $600
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$173
Not listed in the file
$2.21! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $169.54
Emergency room visit (moderate): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $2.21! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $62
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $115.69
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $40.48
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $68.02
CPM - ALL PLANS — CPM - ALL PLANS: $164.35
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $120.03
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $37.14
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $169.54
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $40.48
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$925
$786.25
$647.50 – $1,704
Emergency room visit (moderately high): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $878.75
AETNA MCR ADV — AETNA MCR ADV: $749.25
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $688.36
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $925
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $749.25
CPM - ALL PLANS — CPM - ALL PLANS: $878.75
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $647.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $740
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $906.50
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $925
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$293
Not listed in the file
$4.06! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $287.14
Emergency room visit (moderately high): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $4.06! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $105.45
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $192.77
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $105
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $114.94
CPM - ALL PLANS — CPM - ALL PLANS: $278.35
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $203.40
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $90.35
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $287.14
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $105
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making
$1,380
$1,173
$966 – $2,110
Emergency room visit (high): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $1,311
AETNA MCR ADV — AETNA MCR ADV: $1,117.80
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $1,069.84
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $1,380
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $1,117.80
CPM - ALL PLANS — CPM - ALL PLANS: $1,311
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $966
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $1,104
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,352.40
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $1,380
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$426
Not listed in the file
$5.89! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $417.48
Emergency room visit (high): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $5.89! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $153.24
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $286.58
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $105
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $166.93
CPM - ALL PLANS — CPM - ALL PLANS: $404.70
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $295.14
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $90.35
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $417.48
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $105
Lab tests
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)
$28.37
$28.37
$2.40 – $42.56
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $26.95
AETNA MCR ADV — AETNA MCR ADV: $22.98
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $19.46
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $28.37
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $22.98
CPM - ALL PLANS — CPM - ALL PLANS: $26.95
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $19.86
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $22.70
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $27.80
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $28.37
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals
$33.69
$33.69
$3.56 – $50.54
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $32.01
AETNA MCR ADV — AETNA MCR ADV: $27.29
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $22.46
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $33.69
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $27.29
CPM - ALL PLANS — CPM - ALL PLANS: $32.01
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $23.58
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $26.95
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $33.02
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $33.69
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)
$65.67
$65.67
$8.79 – $98.51
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $62.39
AETNA MCR ADV — AETNA MCR ADV: $53.19
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $42.75
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $65.67
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $53.19
CPM - ALL PLANS — CPM - ALL PLANS: $62.39
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $45.97
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $52.54
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $64.36
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $65.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel
$29.36
$29.36
$2.55 – $44.04
Kidney function panel: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $27.89
AETNA MCR ADV — AETNA MCR ADV: $23.78
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $20.12
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $29.36
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $23.78
CPM - ALL PLANS — CPM - ALL PLANS: $27.89
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $20.55
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $23.49
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $28.77
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $29.36
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel
$47.34
$47.34
$3.87 – $71.01
Liver function panel: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $44.97
AETNA MCR ADV — AETNA MCR ADV: $38.35
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $31.56
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $47.34
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $38.35
CPM - ALL PLANS — CPM - ALL PLANS: $44.97
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $33.14
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $37.87
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $46.39
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $47.34
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$14.43
$14.43
$0.46 – $21.65
Urine test (automated, with microscope): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $13.71
AETNA MCR ADV — AETNA MCR ADV: $11.69
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $9.62
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $14.43
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $11.69
CPM - ALL PLANS — CPM - ALL PLANS: $13.71
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $10.10
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $11.54
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $14.14
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $14.43
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test
$16.63
$16.63
$0.58 – $24.95
Urine test (manual, without microscope): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $15.80
AETNA MCR ADV — AETNA MCR ADV: $13.47
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $10.26
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $16.63
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $13.47
CPM - ALL PLANS — CPM - ALL PLANS: $15.80
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $11.64
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $13.30
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $16.30
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $16.63
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test
$10.93
$10.93
$0.25 – $16.40
Urine test (automated, without microscope): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $10.38
AETNA MCR ADV — AETNA MCR ADV: $8.85
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $9.11
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $10.93
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $8.85
CPM - ALL PLANS — CPM - ALL PLANS: $10.38
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $7.65
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $8.74
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $10.71
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $10.93
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total
$112.93
$112.93
$20.77 – $169.40
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $107.28
AETNA MCR ADV — AETNA MCR ADV: $91.47
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $67.28
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $112.93
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $91.47
CPM - ALL PLANS — CPM - ALL PLANS: $107.28
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $79.05
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $90.34
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $110.67
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $112.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)
$73.08
$73.08
$12.28 – $109.62
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $69.43
AETNA MCR ADV — AETNA MCR ADV: $59.19
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $43.53
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $73.08
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $59.19
CPM - ALL PLANS — CPM - ALL PLANS: $69.43
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $51.16
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $58.46
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $71.62
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $73.08
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$19.84
$19.84
$1.54 – $29.76
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $18.85
AETNA MCR ADV — AETNA MCR ADV: $16.07
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $13.23
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $19.84
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $16.07
CPM - ALL PLANS — CPM - ALL PLANS: $18.85
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $13.89
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $15.87
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $19.44
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $19.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test
$20.64
$20.64
$1.34 – $30.96
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $19.61
AETNA MCR ADV — AETNA MCR ADV: $16.72
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $13.76
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $20.64
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $16.72
CPM - ALL PLANS — CPM - ALL PLANS: $19.61
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $14.45
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $16.51
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $20.23
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $20.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time
$23.88
$23.88
$1.02 – $35.82
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $22.69
AETNA MCR ADV — AETNA MCR ADV: $19.34
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $15.92
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $23.88
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $19.34
CPM - ALL PLANS — CPM - ALL PLANS: $22.69
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $16.72
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $19.10
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $23.40
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $23.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$26.77
$26.77
$1.61 – $40.16
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $25.43
AETNA MCR ADV — AETNA MCR ADV: $21.68
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $22.31
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $26.77
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $21.68
CPM - ALL PLANS — CPM - ALL PLANS: $25.43
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $18.74
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $21.42
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $26.23
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $26.77
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast
$770
$654.50
$214.74 – $1,155
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $731.50
AETNA MCR ADV — AETNA MCR ADV: $623.70
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $453
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $770
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $623.70
CPM - ALL PLANS — CPM - ALL PLANS: $731.50
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $539
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $616
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $754.60
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $770
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast
$885
$752.25
$521 – $1,327.50
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $840.75
AETNA MCR ADV — AETNA MCR ADV: $716.85
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $521
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $885
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $716.85
CPM - ALL PLANS — CPM - ALL PLANS: $840.75
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $619.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $708
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $867.30
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $885
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views
$253
$215.05
$149.28 – $379.50
Chest X-ray, 2 views: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $240.35
AETNA MCR ADV — AETNA MCR ADV: $204.93
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $149.28
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $253
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $204.93
CPM - ALL PLANS — CPM - ALL PLANS: $240.35
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $177.10
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $202.40
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $247.94
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $253
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views
$417
$354.45
$214.74 – $625.50
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $396.15
AETNA MCR ADV — AETNA MCR ADV: $337.77
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $245.64
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $417
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $337.77
CPM - ALL PLANS — CPM - ALL PLANS: $396.15
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $291.90
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $333.60
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $408.66
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $417
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$835
$709.75
$478.61 – $1,252.50
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $793.25
AETNA MCR ADV — AETNA MCR ADV: $676.35
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $521
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $835
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $676.35
CPM - ALL PLANS — CPM - ALL PLANS: $793.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $584.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $668
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $818.30
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $835
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast
$795
$675.75
$358.87 – $1,192.50
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $755.25
AETNA MCR ADV — AETNA MCR ADV: $643.95
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $453
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $795
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $643.95
CPM - ALL PLANS — CPM - ALL PLANS: $755.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $556.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $636
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $779.10
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $795
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast
$835
$709.75
$478.61 – $1,252.50
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $793.25
AETNA MCR ADV — AETNA MCR ADV: $676.35
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $521
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $835
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $676.35
CPM - ALL PLANS — CPM - ALL PLANS: $793.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $584.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $668
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $818.30
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $835
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast
$795
$675.75
$453 – $1,192.50
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $755.25
AETNA MCR ADV — AETNA MCR ADV: $643.95
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $453
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $795
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $643.95
CPM - ALL PLANS — CPM - ALL PLANS: $755.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $556.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $636
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $779.10
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $795
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen
$500
$425
$150 – $750
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $475
AETNA MCR ADV — AETNA MCR ADV: $405
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $150
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $500
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $405
CPM - ALL PLANS — CPM - ALL PLANS: $475
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $350
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $400
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $490
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $500
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$611
$519.35
$131 – $916.50
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $580.45
AETNA MCR ADV — AETNA MCR ADV: $494.91
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $131
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $611
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $494.91
CPM - ALL PLANS — CPM - ALL PLANS: $580.45
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $427.70
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $488.80
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $598.78
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $611
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$197.77
$197.77
$122 – $296.66
Transvaginal ultrasound: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $187.88
AETNA MCR ADV — AETNA MCR ADV: $160.19
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $122
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $197.77
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $160.19
CPM - ALL PLANS — CPM - ALL PLANS: $187.88
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $138.44
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $158.22
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $193.81
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $197.77
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast
$222
$188.70
$122 – $333
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $210.90
AETNA MCR ADV — AETNA MCR ADV: $179.82
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $122
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $222
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $179.82
CPM - ALL PLANS — CPM - ALL PLANS: $210.90
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $155.40
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $177.60
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $217.56
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $222
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts
$283
$240.55
$122 – $424.50
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $268.85
AETNA MCR ADV — AETNA MCR ADV: $229.23
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $122
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $283
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $229.23
CPM - ALL PLANS — CPM - ALL PLANS: $268.85
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $198.10
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $226.40
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $277.34
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $283
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography
$283
$240.55
$122 – $424.50
Screening mammogram, both breasts: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $268.85
AETNA MCR ADV — AETNA MCR ADV: $229.23
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $122
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $283
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $229.23
CPM - ALL PLANS — CPM - ALL PLANS: $268.85
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $198.10
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $226.40
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $277.34
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $283
Heart tests and sleep study
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)
$2,900
$2,465
$1,046 – $4,350
Sleep study (overnight, in a sleep lab): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $2,755
AETNA MCR ADV — AETNA MCR ADV: $2,349
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $1,046
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $2,900
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $2,349
CPM - ALL PLANS — CPM - ALL PLANS: $2,755
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,030
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $2,320
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $2,842
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $2,900
Physical therapy and mental health
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$81
$81
$49 – $218
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $76.95
AETNA MCR ADV — AETNA MCR ADV: $65.61
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $49
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $81
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $65.61
CPM - ALL PLANS — CPM - ALL PLANS: $76.95
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $56.70
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $64.80
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $79.38
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $81
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$180
$180
$119.41 – $270
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $171
AETNA MCR ADV — AETNA MCR ADV: $145.80
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $119.41
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $180
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $145.80
CPM - ALL PLANS — CPM - ALL PLANS: $171
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $126
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $144
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $176.40
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $180
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$180
$180
$119.41 – $270
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $171
AETNA MCR ADV — AETNA MCR ADV: $145.80
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $119.41
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $180
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $145.80
CPM - ALL PLANS — CPM - ALL PLANS: $171
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $126
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $144
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $176.40
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $180
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$180
$180
$119.41 – $270
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $171
AETNA MCR ADV — AETNA MCR ADV: $145.80
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $119.41
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $180
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $145.80
CPM - ALL PLANS — CPM - ALL PLANS: $171
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $126
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $144
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $176.40
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $180
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes
$450
$382.50
$83.28 – $675
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $427.50
AETNA MCR ADV — AETNA MCR ADV: $364.50
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $83.28
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $450
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $364.50
CPM - ALL PLANS — CPM - ALL PLANS: $427.50
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $315
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $360
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $441
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $450
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes
$475
$403.75
$99.22 – $712.50
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $451.25
AETNA MCR ADV — AETNA MCR ADV: $384.75
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $99.22
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $475
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $384.75
CPM - ALL PLANS — CPM - ALL PLANS: $451.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $332.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $380
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $465.50
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $475
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour
$500
$425
$149.69 – $750
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $475
AETNA MCR ADV — AETNA MCR ADV: $405
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $149.69
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $500
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $405
CPM - ALL PLANS — CPM - ALL PLANS: $475
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $350
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $400
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $490
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $500
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes
$250
$212.50
$175 – $375
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $237.50
AETNA MCR ADV — AETNA MCR ADV: $202.50
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $250
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $202.50
CPM - ALL PLANS — CPM - ALL PLANS: $237.50
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $175
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $200
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $245
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $250
HEALTHY BLUE MCAID - ALL OTHER PLANS — HEALTHY BLUE MCAID - ALL OTHER PLANS: $250
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes
$575
$488.75
$125.96 – $862.50
Family psychotherapy, with the patient: 10 of 21 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $546.25
AETNA MCR ADV — AETNA MCR ADV: $465.75
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $125.96
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $575
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $465.75
CPM - ALL PLANS — CPM - ALL PLANS: $546.25
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $402.50
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $460
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $563.50
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $575
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy
$1,200
$1,020
$29.33 – $1,800
Group psychotherapy: 10 of 21 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $1,140
AETNA MCR ADV — AETNA MCR ADV: $972
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $29.33
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $1,200
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $972
CPM - ALL PLANS — CPM - ALL PLANS: $1,140
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $840
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $960
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,176
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $1,200
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple
$615.89
$2,664.75
$14.40! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $603.57
Removal of breast growth (open surgery): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $14.40! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $349.41
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $2,355
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $355.87
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $384.17
CPM - ALL PLANS — CPM - ALL PLANS: $585.10
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $483.95
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $316.98
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $603.57
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $355.87
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$329.64
$1,409.58
$4.25! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $323.05
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $4.25! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $98.12
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $1,023
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $250
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $113.64
CPM - ALL PLANS — CPM - ALL PLANS: $313.16
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $144.46
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $222.68
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $323.05
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $250
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$204
$1,573.55
$4.79! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $284.80
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $4.79! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $109.80
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $204
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $284.80
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $128.31
CPM - ALL PLANS — CPM - ALL PLANS: $193.80
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $162.94
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $253.67
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $199.92
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $284.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope
$273
$1,724.65
$6.42! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $307.30
Colonoscopy (diagnostic): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $6.42! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $145.90
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $1,308
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $225
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $171.05
CPM - ALL PLANS — CPM - ALL PLANS: $259.35
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $217.29
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $293.17
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $267.54
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $307.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope
$511.54
$1,860.16
$6.95! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $501.31
Colonoscopy with biopsy: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $6.95! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $157.84
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $475.74
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $391.05
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $186.17
CPM - ALL PLANS — CPM - ALL PLANS: $485.96
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $236.35
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $346.62
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $501.31
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $391.05
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$538.99
$2,028.26
$8.82! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $538.99
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $8.82! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $199.02
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $538.99
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $225
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $235.78
CPM - ALL PLANS — CPM - ALL PLANS: $512.04
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $300.30
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $420.88
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $528.21
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $225
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
$399.02
$1,016.94
$6.43! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $391.04
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $6.43! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $146.06
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $997
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $199.86
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $171.22
CPM - ALL PLANS — CPM - ALL PLANS: $379.07
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $208.79
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $113.93
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $391.04
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $199.86
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope
$823.47
$6,649.71
$23.03! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $807
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $23.03! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $539.92
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $4,826
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $583.17
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $604.94
CPM - ALL PLANS — CPM - ALL PLANS: $782.30
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $767
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $519.44
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $807
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $435
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)
$650.47
$5,200.16
$18.20! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $637.46
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $18.20! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $433.91
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $3,774
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $410.79
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $480.71
CPM - ALL PLANS — CPM - ALL PLANS: $617.95
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $608.23
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $365.89
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $637.46
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $410.79
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$1,142.40
$971.04
$799.68 – $1,713.60
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $1,085.28
AETNA MCR ADV — AETNA MCR ADV: $925.34
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $952
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $1,142.40
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $925.34
CPM - ALL PLANS — CPM - ALL PLANS: $1,085.28
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $799.68
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $913.92
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,119.55
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $1,142.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$930.48
$790.91
$574 – $1,395.72
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $883.96
AETNA MCR ADV — AETNA MCR ADV: $753.69
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $574
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $930.48
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $753.69
CPM - ALL PLANS — CPM - ALL PLANS: $883.96
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $651.34
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $744.38
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $911.87
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $930.48
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve
$538.24
$1,640.50
$14.84! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $527.48
Carpal tunnel release: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $14.84! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
AETNA MCR ADV — AETNA MCR ADV: $365.65
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $1,608
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $336.76
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $407.96
CPM - ALL PLANS — CPM - ALL PLANS: $511.33
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $509.95
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $299.95
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $527.48
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $336.76
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser
$1,081.20
$919.02
$756.84 – $1,621.80
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $1,027.14
AETNA MCR ADV — AETNA MCR ADV: $875.77
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $901
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $1,081.20
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $875.77
CPM - ALL PLANS — CPM - ALL PLANS: $1,027.14
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $756.84
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $864.96
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,059.58
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $1,081.20
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens
$4,686
$3,983.10
$1,490 – $7,029
Cataract removal with lens implant: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $4,451.70
AETNA MCR ADV — AETNA MCR ADV: $3,795.66
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $2,679
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $4,686
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $3,795.66
CPM - ALL PLANS — CPM - ALL PLANS: $4,451.70
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $3,280.20
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $3,748.80
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $4,592.28
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $4,686
Pregnancy and childbirth
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery
$3,960
Not listed in the file
$73.84 – $3,880.80
Vaginal delivery, with care before and after: 10 of 24 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $73.84
AETNA MCR ADV — AETNA MCR ADV: $1,880.72
BCBS PPO - ALL PLANS — BCBS PPO - ALL PLANS: $2,951.54
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $1,751.03
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $2,188.79
CPM - ALL PLANS — CPM - ALL PLANS: $3,762
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $2,752.34
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $1,428.54
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $3,880.80
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $1,751.03
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery
$4,350
Not listed in the file
$81.89 – $4,263
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates
AETNA COVENTRY - ALL OTHER PLANS — AETNA COVENTRY - ALL OTHER PLANS: $81.89
AETNA MCR ADV — AETNA MCR ADV: $2,084.15
CHILDRENS MERCY - ALL PLANS — CHILDRENS MERCY - ALL PLANS: $1,924.96
CHOICE CARE - ALL PLANS — CHOICE CARE - ALL PLANS: $2,406.20
CPM - ALL PLANS — CPM - ALL PLANS: $4,132.50
FIRST HEALTH - ALL PLANS — FIRST HEALTH - ALL PLANS: $3,020.40
FIRSTGUARD - ALL PLANS — FIRSTGUARD - ALL PLANS: $1,568.87
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $4,263
HEALTHWAVE MCAID - ALL PLANS — HEALTHWAVE MCAID - ALL PLANS: $1,924.96
HEALTHY BLUE MCAID - ALL OTHER PLANS — HEALTHY BLUE MCAID - ALL OTHER PLANS: $1,924.96
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.