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Critical Access Hospital

Cox Barton County Hospital

Lamar, Missouri · Barton County · Emergency services listed

Summary

Cox Barton County Hospital is a critical access hospital in Lamar, Missouri. Medicare data lists emergency services. Its official website lists 21 services, specialties and programs. Medicare lists 78 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

Compare

Profile from official sources

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.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
25Beds (hospital website)
21Services listed

Quick answers

Does Cox Barton County Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Cox Barton County Hospital. In a medical emergency, call 911.
Where is Cox Barton County Hospital?
29 NW 1st Lane, Lamar, MO 64759, in Barton County, Missouri.
What is the phone number of Cox Barton County Hospital?
(417) 682-6081, as listed by Medicare (CMS).
What is the Medicare star rating of Cox Barton 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.

Specialties and care areas[4]

Treatments[4]

  • 3D mammography
  • Bone density testing
  • 64-slice CT scanning

Programs and centers[4]

  • Diabetes education
  • Pet therapy
  • Rapid response team

Emergency care (hospital website)[4][5]

Emergency roomYes
Stroke designationLevel III Stroke Center

Visiting and practical information

Interpreters and languagesInterpreting services are available for patients as needed[4]

Doctors and clinicians (78)

78 doctors and other clinicians list Cox Barton 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.

Main specialties

Doctors with a page on this site (78)

And 54 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

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.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

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 Cox Barton 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.

Summary star rating (all survey topics) 5 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well5 of 5 stars
Staff explained medicines5 of 5 stars
Information about recovery at home5 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1090%National average: 72%
Would definitely recommend the hospital86%National average: 71%
Nurses “always” communicated well90%National average: 80%
Doctors “always” communicated well89%National average: 80%
Staff “always” explained medicines before giving them80%National average: 62%
Were given information about recovery at home95%National average: 86%
Room and bathroom “always” clean93%National average: 74%
Area around the room “always” quiet at night66%National average: 60%
Completed surveys126Response rate: 32%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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 patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients14.9%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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 attackNot reported to Medicare
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia16.7%
Readmitted within 30 days: COPD19.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)91 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Cox Barton 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.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN $199.04 $63.49 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: OFFICE O/P NEW LOW 30 MIN $243.15 $77.56 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN $332.61 $106.10 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: OFFICE O/P NEW MOD 45 MIN $405.52 $129.36 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN $431.78 $137.74 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: OFFICE O/P NEW HI 60 MIN $527.16 $168.16 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN $130.80 $41.73 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $168.03 $53.60 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 52 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare — Medicare Advantage: 28.35% (a percentage in the contract, not a dollar amount)
  • City of Lebanon — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Coastal Energy Corporation — Commercial: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: OFFICE O/P EST LOW 20 MIN $159.69 $50.94 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN $204.20 $65.14 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN $232.23 $74.08 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 52 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare — Medicare Advantage: 28.35% (a percentage in the contract, not a dollar amount)
  • City of Lebanon — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Coastal Energy Corporation — Commercial: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: OFFICE O/P EST MOD 30 MIN $250.86 $80.02 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 $338.34 $107.93 Not listed in the file
Office consultation with a specialist (moderate): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 $533.62 $170.22 Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 56 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM $1,377.54 $439.44 $1,199.17 – $1,658
Emergency room visit (moderate): 10 of 59 insurance plan rates
  • Ambetter — Commercial: $1,199.17
  • United Healthcare — All Payer: $1,658
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway/Pathway X: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,377.54 $439.44 $1,199.17 – $1,658
Emergency room visit (moderate): 10 of 59 insurance plan rates
  • Ambetter — Commercial: $1,199.17
  • United Healthcare — All Payer: $1,658
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway/Pathway X: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM $277.85 $88.63 $1,658
Emergency room visit (moderate): 10 of 58 insurance plan rates
  • United Healthcare — All Payer: $1,658
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM $2,199.76 $701.72 $2,048.13 – $3,096
Emergency room visit (moderately high): 10 of 59 insurance plan rates
  • Ambetter — Commercial: $2,048.13
  • United Healthcare — All Payer: $3,096
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway/Pathway X: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,199.76 $701.72 $2,048.13 – $3,096
Emergency room visit (moderately high): 10 of 59 insurance plan rates
  • Ambetter — Commercial: $2,048.13
  • United Healthcare — All Payer: $3,096
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway/Pathway X: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $448.26 $142.99 $3,096
Emergency room visit (moderately high): 10 of 58 insurance plan rates
  • United Healthcare — All Payer: $3,096
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM $3,322.48 $1,059.87 $2,610.57 – $3,970
Emergency room visit (high): 10 of 59 insurance plan rates
  • Ambetter — Commercial: $2,610.57
  • United Healthcare — All Payer: $3,970
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway/Pathway X: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM $679.32 $216.70 $3,970
Emergency room visit (high): 10 of 58 insurance plan rates
  • United Healthcare — All Payer: $3,970
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $679.32 $216.70 $3,970
Emergency room visit (high): 10 of 58 insurance plan rates
  • United Healthcare — All Payer: $3,970
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $222.41 $70.95 $40.07 – $156
Basic metabolic panel (blood test): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $75.91
  • Anthem — Blue Preferred: $75.91
  • Anthem — Pathway/Pathway X: $56.02
  • Anthem — Traditional: $93.22
  • Healthlink — HMO: $40.07
  • Healthlink — PPO and CompManagement: $41.38
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $392.50 $125.21 $50.03 – $156
Comprehensive metabolic panel (blood test): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $94.83
  • Anthem — Blue Preferred: $94.83
  • Anthem — Pathway/Pathway X: $69.98
  • Anthem — Traditional: $116.44
  • Healthlink — HMO: $50.03
  • Healthlink — PPO and CompManagement: $51.64
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $595.37 $189.92 $133.84 – $527.03
Obstetric blood test panel: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $429.17
  • Anthem — Blue Preferred: $429.17
  • Anthem — Pathway/Pathway X: $316.76
  • Anthem — Traditional: $527.03
  • Healthlink — HMO: $133.84
  • Healthlink — PPO and CompManagement: $138.16
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $204.40 $65.20 $63.41 – $156
Cholesterol panel (lipid panel): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $120.22
  • Anthem — Blue Preferred: $120.22
  • Anthem — Pathway/Pathway X: $88.72
  • Anthem — Traditional: $147.63
  • Healthlink — HMO: $63.41
  • Healthlink — PPO and CompManagement: $65.46
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $164.23 $52.39 $63.41 – $156
Cholesterol panel (lipid panel): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $120.22
  • Anthem — Blue Preferred: $120.22
  • Anthem — Pathway/Pathway X: $88.72
  • Anthem — Traditional: $147.63
  • Healthlink — HMO: $63.41
  • Healthlink — PPO and CompManagement: $65.46
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL $215.77 $68.83 $41.09 – $156
Kidney function panel: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $77.94
  • Anthem — Blue Preferred: $77.94
  • Anthem — Pathway/Pathway X: $57.52
  • Anthem — Traditional: $95.71
  • Healthlink — HMO: $41.09
  • Healthlink — PPO and CompManagement: $42.42
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $222.41 $70.95 $38.68 – $156
Liver function panel: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $73.36
  • Anthem — Blue Preferred: $73.36
  • Anthem — Pathway/Pathway X: $54.15
  • Anthem — Traditional: $90.09
  • Healthlink — HMO: $38.68
  • Healthlink — PPO and CompManagement: $39.93
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $116.75 $37.24 $15 – $156
Urine test (automated, with microscope): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $28.46
  • Anthem — Blue Preferred: $28.46
  • Anthem — Pathway/Pathway X: $21.01
  • Anthem — Traditional: $34.96
  • Healthlink — HMO: $15
  • Healthlink — PPO and CompManagement: $15.50
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $37.26 $11.89 $9.89 – $156
Urine test (manual, without microscope): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $18.72
  • Anthem — Blue Preferred: $18.72
  • Anthem — Pathway/Pathway X: $13.82
  • Anthem — Traditional: $22.98
  • Healthlink — HMO: $9.89
  • Healthlink — PPO and CompManagement: $10.21
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $11.02 $3.52 $9.89 – $156
Urine test (automated, without microscope): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $18.72
  • Anthem — Blue Preferred: $18.72
  • Anthem — Pathway/Pathway X: $13.82
  • Anthem — Traditional: $22.98
  • Healthlink — HMO: $9.89
  • Healthlink — PPO and CompManagement: $10.21
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST $63.27 $20.18 $9.89 – $156
Urine test (automated, without microscope): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $18.72
  • Anthem — Blue Preferred: $18.72
  • Anthem — Pathway/Pathway X: $13.82
  • Anthem — Traditional: $22.98
  • Healthlink — HMO: $9.89
  • Healthlink — PPO and CompManagement: $10.21
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $185.15 $59.06 $87.06 – $202.75
PSA (prostate specific antigen) blood test: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $165.11
  • Anthem — Blue Preferred: $165.11
  • Anthem — Pathway/Pathway X: $121.86
  • Anthem — Traditional: $202.75
  • Healthlink — HMO: $87.06
  • Healthlink — PPO and CompManagement: $89.87
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $191.21 $61 $79.51 – $185.24
Thyroid stimulating hormone (TSH) test: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $150.84
  • Anthem — Blue Preferred: $150.84
  • Anthem — Pathway/Pathway X: $111.34
  • Anthem — Traditional: $185.24
  • Healthlink — HMO: $79.51
  • Healthlink — PPO and CompManagement: $82.06
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $57.65 $18.39 $36.79 – $156
Complete blood count (CBC) with differential: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $69.76
  • Anthem — Blue Preferred: $69.76
  • Anthem — Pathway/Pathway X: $51.49
  • Anthem — Traditional: $85.66
  • Healthlink — HMO: $36.79
  • Healthlink — PPO and CompManagement: $37.97
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $84.87 $27.07 $30.62 – $156
Complete blood count (CBC), automated: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $58.04
  • Anthem — Blue Preferred: $58.04
  • Anthem — Pathway/Pathway X: $42.84
  • Anthem — Traditional: $71.29
  • Healthlink — HMO: $30.62
  • Healthlink — PPO and CompManagement: $31.61
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $36.99 $11.80 $18.60 – $156
Blood clotting time test (prothrombin time, PT): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $35.27
  • Anthem — Blue Preferred: $35.27
  • Anthem — Pathway/Pathway X: $26.04
  • Anthem — Traditional: $43.32
  • Healthlink — HMO: $18.60
  • Healthlink — PPO and CompManagement: $19.20
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $82.19 $26.22 $18.60 – $156
Blood clotting time test (prothrombin time, PT): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $35.27
  • Anthem — Blue Preferred: $35.27
  • Anthem — Pathway/Pathway X: $26.04
  • Anthem — Traditional: $43.32
  • Healthlink — HMO: $18.60
  • Healthlink — PPO and CompManagement: $19.20
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $144.92 $46.23 $28.39 – $156
Blood clotting test (partial thromboplastin time, PTT): 10 of 59 insurance plan rates
  • Anthem — Blue Access: $53.92
  • Anthem — Blue Preferred: $53.92
  • Anthem — Pathway/Pathway X: $39.80
  • Anthem — Traditional: $66.22
  • Healthlink — HMO: $28.39
  • Healthlink — PPO and CompManagement: $29.30
  • United Healthcare — All Payer: $156
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $2,525.76 $805.72 $405.78 – $2,005
CT scan of the head or brain, without contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $664.27
  • Anthem — Blue Preferred: $664.27
  • Anthem — Pathway/Pathway X: $405.78
  • Anthem — Traditional: $855.99
  • Healthlink — HMO: $482.35
  • Healthlink — PPO and CompManagement: $498.98
  • United Healthcare — All Payer: $2,005
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $2,525.76 $805.72 $405.78 – $2,005
CT scan of the head or brain, without contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $664.27
  • Anthem — Blue Preferred: $664.27
  • Anthem — Pathway/Pathway X: $405.78
  • Anthem — Traditional: $855.99
  • Healthlink — HMO: $482.35
  • Healthlink — PPO and CompManagement: $498.98
  • United Healthcare — All Payer: $2,005
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT HEAD/BRAIN W/O DYE $279.02 $89.01 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $4,599.50 $1,467.24 $2,014.96 – $3,980.36
MRI of the brain, before and after contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $2,622.71
  • Anthem — Blue Preferred: $2,622.71
  • Anthem — Pathway/Pathway X: $2,014.96
  • Anthem — Traditional: $3,980.36
  • Healthlink — HMO: $2,543.40
  • Healthlink — PPO and CompManagement: $2,631.09
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $4,599.50 $1,467.24 $2,014.96 – $3,980.36
MRI of the brain, before and after contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $2,622.71
  • Anthem — Blue Preferred: $2,622.71
  • Anthem — Pathway/Pathway X: $2,014.96
  • Anthem — Traditional: $3,980.36
  • Healthlink — HMO: $2,543.40
  • Healthlink — PPO and CompManagement: $2,631.09
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI BRAIN STEM W/O & W/DYE $408.36 $130.27 Not listed in the file
MRI of the brain, before and after contrast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $467.28 $149.06 $64 – $150.22
Chest X-ray, 2 views: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $138.69
  • Anthem — Blue Preferred: $138.69
  • Anthem — Pathway/Pathway X: $102.41
  • Anthem — Traditional: $150.22
  • Healthlink — HMO: $64
  • Healthlink — PPO and CompManagement: $66.21
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: X-RAY EXAM CHEST 2 VIEWS $36 $11.48 Not listed in the file
Chest X-ray, 2 views: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $731.70 $233.41 $94.07 – $252.51
X-ray of the lower spine, at least 4 views: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $233.12
  • Anthem — Blue Preferred: $233.12
  • Anthem — Pathway/Pathway X: $172.14
  • Anthem — Traditional: $252.51
  • Healthlink — HMO: $94.07
  • Healthlink — PPO and CompManagement: $97.31
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $731.70 $233.41 $94.07 – $252.51
X-ray of the lower spine, at least 4 views: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $233.12
  • Anthem — Blue Preferred: $233.12
  • Anthem — Pathway/Pathway X: $172.14
  • Anthem — Traditional: $252.51
  • Healthlink — HMO: $94.07
  • Healthlink — PPO and CompManagement: $97.31
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: X-RAY EXAM L-2 SPINE 4/>VWS $52.68 $16.80 Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $3,362.38 $1,072.60 $1,142.45 – $2,256.79
MRI of the lower back (lumbar spine), without contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $1,487.03
  • Anthem — Blue Preferred: $1,487.03
  • Anthem — Pathway/Pathway X: $1,142.45
  • Anthem — Traditional: $2,256.79
  • Healthlink — HMO: $1,270.57
  • Healthlink — PPO and CompManagement: $1,314.39
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $3,362.38 $1,072.60 $1,142.45 – $2,256.79
MRI of the lower back (lumbar spine), without contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $1,487.03
  • Anthem — Blue Preferred: $1,487.03
  • Anthem — Pathway/Pathway X: $1,142.45
  • Anthem — Traditional: $2,256.79
  • Healthlink — HMO: $1,270.57
  • Healthlink — PPO and CompManagement: $1,314.39
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI LUMBAR SPINE W/O DYE $256.39 $81.79 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST $2,918.97 $931.15 $699.29 – $2,005
CT scan of the pelvis, with contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $1,521.69
  • Anthem — Blue Preferred: $1,521.69
  • Anthem — Pathway/Pathway X: $929.53
  • Anthem — Traditional: $1,960.88
  • Healthlink — HMO: $699.29
  • Healthlink — PPO and CompManagement: $723.40
  • United Healthcare — All Payer: $2,005
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT PELVIS W/DYE $192 $61.25 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT SCAN OF PELVIS WITH CONTRAST $201.09 $64.15 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE $3,129 $998.15 $1,123.40 – $2,558.76
MRI of a leg joint (such as the knee), without contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $1,686
  • Anthem — Blue Preferred: $1,686
  • Anthem — Pathway/Pathway X: $1,295.31
  • Anthem — Traditional: $2,558.76
  • Healthlink — HMO: $1,123.40
  • Healthlink — PPO and CompManagement: $1,162.14
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $3,129 $998.15 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $3,129 $998.15 $1,123.40 – $2,558.76
MRI of a leg joint (such as the knee), without contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $1,686
  • Anthem — Blue Preferred: $1,686
  • Anthem — Pathway/Pathway X: $1,295.31
  • Anthem — Traditional: $2,558.76
  • Healthlink — HMO: $1,123.40
  • Healthlink — PPO and CompManagement: $1,162.14
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $5,695.18 $1,816.76 $1,218.99 – $2,571.48
CT scan of the abdomen and pelvis, with contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $1,995.54
  • Anthem — Blue Preferred: $1,995.54
  • Anthem — Pathway/Pathway X: $1,218.99
  • Anthem — Traditional: $2,571.48
  • United Healthcare — All Payer: $2,005
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $5,695.18 $1,816.76 $1,218.99 – $2,571.48
CT scan of the abdomen and pelvis, with contrast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $1,995.54
  • Anthem — Blue Preferred: $1,995.54
  • Anthem — Pathway/Pathway X: $1,218.99
  • Anthem — Traditional: $2,571.48
  • United Healthcare — All Payer: $2,005
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT ABD & PELVIS W/CONTRAST $317.38 $101.24 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $1,333.68 $425.44 $202.49 – $632.24
Ultrasound of the abdomen, complete: 10 of 58 insurance plan rates
  • Anthem — Blue Access: $583.70
  • Anthem — Blue Preferred: $583.70
  • Anthem — Pathway/Pathway X: $431.02
  • Anthem — Traditional: $632.24
  • Healthlink — HMO: $202.49
  • Healthlink — PPO and CompManagement: $209.46
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $1,333.68 $425.44 $202.49 – $632.24
Ultrasound of the abdomen, complete: 10 of 58 insurance plan rates
  • Anthem — Blue Access: $583.70
  • Anthem — Blue Preferred: $583.70
  • Anthem — Pathway/Pathway X: $431.02
  • Anthem — Traditional: $632.24
  • Healthlink — HMO: $202.49
  • Healthlink — PPO and CompManagement: $209.46
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: US EXAM ABDOM COMPLETE $155.87 $49.72 Not listed in the file
Ultrasound of the abdomen, complete: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $354.04 $112.94 $216.07 – $710.91
Pregnancy ultrasound (after the first trimester): 10 of 58 insurance plan rates
  • Anthem — Blue Access: $656.33
  • Anthem — Blue Preferred: $656.33
  • Anthem — Pathway/Pathway X: $484.65
  • Anthem — Traditional: $710.91
  • Healthlink — HMO: $216.07
  • Healthlink — PPO and CompManagement: $223.53
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: OB US >= 14 WKS SNGL FETUS $128.13 $40.87 Not listed in the file
Pregnancy ultrasound (after the first trimester): 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $398.88 $127.24 $157.11 – $675.68
Transvaginal ultrasound: 10 of 58 insurance plan rates
  • Anthem — Blue Access: $623.80
  • Anthem — Blue Preferred: $623.80
  • Anthem — Pathway/Pathway X: $460.64
  • Anthem — Traditional: $675.68
  • Healthlink — HMO: $157.11
  • Healthlink — PPO and CompManagement: $162.53
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $886.40 $282.76 $157.11 – $675.68
Transvaginal ultrasound: 10 of 58 insurance plan rates
  • Anthem — Blue Access: $623.80
  • Anthem — Blue Preferred: $623.80
  • Anthem — Pathway/Pathway X: $460.64
  • Anthem — Traditional: $675.68
  • Healthlink — HMO: $157.11
  • Healthlink — PPO and CompManagement: $162.53
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $886.40 $282.76 $157.11 – $675.68
Transvaginal ultrasound: 10 of 58 insurance plan rates
  • Anthem — Blue Access: $623.80
  • Anthem — Blue Preferred: $623.80
  • Anthem — Pathway/Pathway X: $460.64
  • Anthem — Traditional: $675.68
  • Healthlink — HMO: $157.11
  • Healthlink — PPO and CompManagement: $162.53
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $408.26 $130.23 $490.20 – $719.04
Diagnostic mammogram, one breast: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $663.84
  • Anthem — Blue Preferred: $663.84
  • Anthem — Pathway/Pathway X: $490.20
  • Anthem — Traditional: $719.04
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD UNI $94.80 $30.24 Not listed in the file
Diagnostic mammogram, one breast: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $612.39 $195.35 $627.06 – $919.81
Diagnostic mammogram, both breasts: 10 of 59 insurance plan rates
  • Anthem — Blue Access: $849.19
  • Anthem — Blue Preferred: $849.19
  • Anthem — Pathway/Pathway X: $627.06
  • Anthem — Traditional: $919.81
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD BI $160.80 $51.30 Not listed in the file
Diagnostic mammogram, both breasts: 10 of 58 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY $678.66 $216.49 $517.98 – $759.80
Screening mammogram, both breasts: 10 of 57 insurance plan rates
  • Anthem — Blue Access: $701.46
  • Anthem — Blue Preferred: $701.46
  • Anthem — Pathway/Pathway X: $517.98
  • Anthem — Traditional: $759.80
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREENING MAMMOGRAPHY $678.66 $216.49 $517.98 – $759.80
Screening mammogram, both breasts: 10 of 57 insurance plan rates
  • Anthem — Blue Access: $701.46
  • Anthem — Blue Preferred: $701.46
  • Anthem — Pathway/Pathway X: $517.98
  • Anthem — Traditional: $759.80
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: SCR MAMMO BI INCL CAD $83.53 $26.65 Not listed in the file
Screening mammogram, both breasts: 10 of 57 insurance plan rates
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • BJC Health Solutions — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Blu Current Credit Union — Commercial: 90% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $4,231.96 $1,350 $1,192 – $1,321
Sleep study (overnight, in a sleep lab): 10 of 59 insurance plan rates
  • Healthlink — HMO: $1,192
  • Healthlink — PPO and CompManagement: $1,321
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway/Pathway X: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM $690 $220.11 $1,192 – $1,321
Sleep study (overnight, in a sleep lab): 10 of 56 insurance plan rates
  • Healthlink — HMO: $1,192
  • Healthlink — PPO and CompManagement: $1,321
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 88% (a percentage in the contract, not a dollar amount)
  • Architectural Systems Inc — Commercial: 90% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $156.68 $49.98 $88 – $375
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 60 insurance plan rates
  • Anthem — Pathway/Pathway X: $135
  • Cigna — Commercial: $375
  • Healthlink — HMO: $88
  • Healthlink — PPO and CompManagement: $99
  • MedRisk LLC — Commercial: $120
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $310 $98.89 $88 – $326
Physical therapy evaluation (low complexity): 10 of 60 insurance plan rates
  • Anthem — Pathway/Pathway X: $135
  • Cigna — Commercial: $326
  • Healthlink — HMO: $88
  • Healthlink — PPO and CompManagement: $99
  • MedRisk LLC — Commercial: $100
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN $326.56 $104.17 $88 – $326
Physical therapy evaluation (moderate complexity): 10 of 60 insurance plan rates
  • Anthem — Pathway/Pathway X: $135
  • Cigna — Commercial: $326
  • Healthlink — HMO: $88
  • Healthlink — PPO and CompManagement: $99
  • MedRisk LLC — Commercial: $100
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $422.24 $134.69 $88 – $326
Physical therapy evaluation (high complexity): 10 of 60 insurance plan rates
  • Anthem — Pathway/Pathway X: $135
  • Cigna — Commercial: $326
  • Healthlink — HMO: $88
  • Healthlink — PPO and CompManagement: $99
  • MedRisk LLC — Commercial: $100
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • Ambetter — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $2,909.83 $928.24 $1,779 – $6,335
Spinal injection, lower back (epidural), with imaging guidance: 10 of 59 insurance plan rates
  • Ambetter — Commercial: $3,714.23
  • Cigna — Commercial: $3,468
  • Healthlink — HMO: $1,779
  • Healthlink — PPO and CompManagement: $1,839
  • United Healthcare — All Payer: $6,335
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $3,458.73 $1,103.33 $941 – $6,335
Nerve root injection, lower back, with imaging guidance: 10 of 59 insurance plan rates
  • Ambetter — Commercial: $3,714.23
  • Cigna — Commercial: $3,468
  • Healthlink — HMO: $941
  • Healthlink — PPO and CompManagement: $973
  • United Healthcare — All Payer: $6,335
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $3,458.73 $1,103.33 $941 – $6,335
Nerve root injection, lower back, with imaging guidance: 10 of 59 insurance plan rates
  • Ambetter — Commercial: $3,714.23
  • Cigna — Commercial: $3,468
  • Healthlink — HMO: $941
  • Healthlink — PPO and CompManagement: $973
  • United Healthcare — All Payer: $6,335
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: NJX AA&/STRD TFRM EPI L/S 1 $5,188.10 $1,655 $941 – $6,335
Nerve root injection, lower back, with imaging guidance: 10 of 59 insurance plan rates
  • Ambetter — Commercial: $3,714.23
  • Cigna — Commercial: $3,468
  • Healthlink — HMO: $941
  • Healthlink — PPO and CompManagement: $973
  • United Healthcare — All Payer: $6,335
  • Advanced Concrete Technology — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Premier Network: 62.8% (a percentage in the contract, not a dollar amount)
  • AMPROD — Commercial: 90% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Access: 88% (a percentage in the contract, not a dollar amount)
  • Anthem — Blue Preferred: 68% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $975 – $116,842.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 50 insurance plan rates
  • Ambetter — Commercial: $3,223.92
  • Anthem — Medicare Advantage: $2,460.36
  • Centene Wellcare — Medicare Advantage: $2,545.20
  • Cox HealthPlans — ACA Marketplace: $116,842.23
  • Cox HealthPlans — BJC Consortium: $84,369.05
  • Cox HealthPlans — Employee Plan: $85,738.04
  • Cox HealthPlans — EPO: $59,129.68
  • Cox HealthPlans — Medicare Advantage: $2,545.20
  • Cox HealthPlans — PPO: $975
  • Humana — Medicare Advantage: $2,424
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $975 – $26,453.15
Hip or knee replacement (major joint of the leg), without major complications: 10 of 50 insurance plan rates
  • Ambetter — Commercial: $3,223.92
  • Anthem — Medicare Advantage: $2,460.36
  • Centene Wellcare — Medicare Advantage: $2,545.20
  • Cox HealthPlans — ACA Marketplace: $26,453.15
  • Cox HealthPlans — BJC Consortium: $18,250.79
  • Cox HealthPlans — Employee Plan: $16,750.33
  • Cox HealthPlans — EPO: $11,551.95
  • Cox HealthPlans — Medicare Advantage: $2,545.20
  • Cox HealthPlans — PPO: $975
  • Humana — Medicare Advantage: $2,424
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $975 – $27,679.48
Neck (cervical) spinal fusion, without complications: 10 of 50 insurance plan rates
  • Ambetter — Commercial: $3,223.92
  • Anthem — Medicare Advantage: $2,460.36
  • Centene Wellcare — Medicare Advantage: $2,545.20
  • Cox HealthPlans — ACA Marketplace: $27,679.48
  • Cox HealthPlans — BJC Consortium: $20,360.69
  • Cox HealthPlans — Employee Plan: $21,031.41
  • Cox HealthPlans — EPO: $14,504.42
  • Cox HealthPlans — Medicare Advantage: $2,545.20
  • Cox HealthPlans — PPO: $975
  • Humana — Medicare Advantage: $2,424
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $975 – $12,205.45
Uterus and ovary surgery (not for cancer), without complications: 10 of 50 insurance plan rates
  • Ambetter — Commercial: $3,223.92
  • Anthem — Medicare Advantage: $2,460.36
  • Centene Wellcare — Medicare Advantage: $2,545.20
  • Cox HealthPlans — ACA Marketplace: $12,205.45
  • Cox HealthPlans — BJC Consortium: $9,545.60
  • Cox HealthPlans — Employee Plan: $10,648.96
  • Cox HealthPlans — EPO: $7,344.11
  • Cox HealthPlans — Medicare Advantage: $2,545.20
  • Cox HealthPlans — PPO: $975
  • Humana — Medicare Advantage: $2,424

Source: Cox Barton County Hospital’s standard charges file (cdn.coxhealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 24, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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.

Hospital information

Hospital typeCritical Access Hospital
Address29 NW 1st Lane, Lamar, MO 64759
CountyBarton County
StateMissouri
Phone(417) 682‑6081
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall ratingNot rated by CMS
CMS Certification Number261325
Name in Medicare recordsCOX BARTON COUNTY HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(417) 681‑5100[4]
Official websitecoxhealth.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

  1. CoxHealth | Cox Barton County Hospital — coxhealth.com
  2. CoxHealth | Cox Barton County Hospital Awards & Recognitions — coxhealth.com