Quick answers
- Does Golden Valley Memorial Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Golden Valley Memorial Hospital. In a medical emergency, call 911.
- Where is Golden Valley Memorial Hospital?
- 1600 N 2nd St, Clinton, MO 64735, in Henry County, Missouri.
- What is the phone number of Golden Valley Memorial Hospital?
- (660) 885-5511, as listed by Medicare (CMS).
- What is the Medicare star rating of Golden Valley Memorial Hospital?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).
Specialties and care areas[5]
- Cardiology
- Dermatology
- Ear, Nose & Throat
- Endocrinology
- Gastroenterology
- Nephrology
- Neurology
- Neurosurgery
- Orthopedics
- Pain Management
- Pediatrics
- Podiatry
- Pulmonology
- Radiation Oncology
- Rheumatology
- Urology
- Medical Oncology & Hematology
- Sleep Medicine
- Women's Health
- Maternal Fetal Medicine
- Surgery
- Behavioral & Mental Health
Treatments[5]
- Chemotherapy
- Infusion therapy
- Radiation therapy for osteoarthritis
- Cardiopulmonary rehabilitation
Procedures[5]
- Robotic surgery
- Endoscopy
- Cardiac calcium scoring
Programs and centers[5]
- Birthing Center
- Cancer Care
- Diabetes Services
- Wound & Ostomy Clinic
Emergency care (hospital website)[6]
| Emergency room | Yes |
|---|
Visiting and practical information
| Patient portal | myGVMH Portal |
|---|
Doctors and clinicians (256)
256 doctors and other clinicians list Golden Valley Memorial 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
- Nurse Practitioner53
- Family Practice27
- Internal Medicine19
- Hospitalist17
- Physician Assistant16
- Certified Registered Nurse Anesthetist (CRNA)14
- General Surgery9
- Cardiovascular Disease (Cardiology)8
- Orthopedic Surgery7
- Hematology/Oncology7
- Emergency Medicine6
- Nephrology5
Doctors with a page on this site (256)
- Aaron L. Rupp, DOOrthopedic Surgery
- Aaron L. Travis, DOInternal Medicine
- Abul S. Ahsan, MDInternal Medicine
- Adam J. Swiger, DOGeneral Surgery
- Adam M. Tritsch, MDGastroenterology
- Adam P. Kramer, DOGeneral Surgery
- Alaa Kozaat, PAPhysician Assistant
- Alan Doty, DOFamily Practice
- Alec D. Weisberg, MDCardiovascular Disease (Cardiology)
- Ali Ebrahim, MDNeurology
- Amanda C. CaldwellNurse Practitioner
- Amanda M. Tucker, CNACertified Registered Nurse Anesthetist (CRNA)
- Amar Patel, MDOrthopedic Surgery
- Amber B. Campbell, DOFamily Practice
- Amber Thomas, NPNurse Practitioner
- Amie L. Etters, MDFamily Practice
- Amit Amin, MDInterventional Cardiology
- Andalib Hossain, MDInternal Medicine
- Andrew Jordan, CNACertified Registered Nurse Anesthetist (CRNA)
- Angela M. Phelps, MDFamily Practice
- Angela Reffitt, NPNurse Practitioner
- Arlene T. Oshea, NPNurse Practitioner
- Arthur C. Evensen, DPMPodiatry
- Ashley A. KrsticNurse Practitioner
And 232 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Ellett Memorial Hospital19 mi · Appleton City, MO · Critical Access Hospital
- Western Missouri Medical Center28 mi · Warrensburg, MO · Acute Care Hospital
- Bates County Memorial Hospital32 mi · Butler, MO · Acute Care Hospital
- Cedar County Memorial Hospital37 mi · El Dorado Springs, MO · Critical Access Hospital
- Bothwell Regional Health Center38 mi · Sedalia, MO · Acute Care Hospital
Other hospitals nearby
- Royal Oaks Hospital18 mi · Windsor, MO · Psychiatric Hospital
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
- Clinton Healthcare and Rehabilitation Center1.0 mi · Clinton, MO · 1 of 5 stars
- Adair Village2.2 mi · Clinton, MO · 3 of 5 stars
- Truman Lake Manor Inc15 mi · Lowry City, MO · 1 of 5 stars
All nursing homes in the state →
Hospice providers
- Novus Lifecare2.8 mi · Clinton, MO
- Benton County Hospice24 mi · Warsaw, MO
All hospice providers in the state →
Home health agencies
- Novus Lifecare2.8 mi · Clinton, MO
- Benton County Health Department Home Health Agency24 mi · Warsaw, MO
All home health agencies in the state →
Dialysis facilities
- Dialysis Clinic, Inc - Clinton2.8 mi · Clinton, MO · 2 of 5 stars
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
- Compass Health (Clinton, Missouri)2.3 mi · Clinton, MO · Community health center
- Compass Health Inc. Mobile Unit2.3 mi · Clinton, MO · Community health center
- SUD Mobile 12.3 mi · Clinton, MO · Community health center
Clinics and urgent care
- Golden Valley Medical-Clinton2.8 mi · Clinton, MO · Rural health clinic
- Golden Valley Medical-Windsor18 mi · Windsor, MO · Rural health clinic
- Ac Rural Health Clinic19 mi · Appleton City, MO · Rural health clinic
Pharmacies
- Golden Valley Memorial Hospital District2.8 mi · Clinton, MO · Community/retail pharmacy
- Kreisler Clnic Pharmacy2.8 mi · Clinton, MO · Clinic pharmacy
- Summers Pharmacy2.8 mi · Clinton, MO · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Bristol Manor of Clinton2.8 mi · Clinton, MO
- Glendale Gardens Memory Care2.8 mi · Clinton, MO
- Jefferson Gardens Assisted Living2.8 mi · Clinton, MO
- Joy Adult Care Center2.8 mi · Clinton, MO
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 Golden Valley Memorial 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) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 3 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 3 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Quiet at night | 4 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 70%National average: 72% |
| Would definitely recommend the hospital | 69%National average: 71% |
| Nurses “always” communicated well | 79%National average: 80% |
| Doctors “always” communicated well | 80%National average: 80% |
| Staff “always” explained medicines before giving them | 62%National average: 62% |
| Were given information about recovery at home | 89%National average: 86% |
| Room and bathroom “always” clean | 73%National average: 74% |
| Area around the room “always” quiet at night | 61%National average: 60% |
| Completed surveys | 408Response rate: 24% |
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 surgery | Not reported to Medicare |
| Surgical site infections after abdominal hysterectomy | Not reported to Medicare |
| MRSA bloodstream infections | Not reported to Medicare |
| Clostridioides difficile (C. diff) intestinal infections | 0.647No 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 patients | Not reported to Medicare |
|---|---|
| Deaths within 30 days: heart failure patients | 11.4% |
| Deaths within 30 days: pneumonia patients | 15.8% |
| Deaths within 30 days: COPD patients | 8.1% |
| Deaths within 30 days: stroke patients | 10.6% |
| Deaths within 30 days: coronary bypass surgery (CABG) | Not reported to Medicare |
| Serious complications (patient safety indicator PSI-90) | 0.97No different from the national rate |
| Complications after hip or knee replacement | 4.6% |
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 attack | Too few cases to report |
| Readmitted within 30 days: heart failure | 19.4% |
| Readmitted within 30 days: pneumonia | 17.2% |
| Readmitted within 30 days: COPD | 19.7% |
| Readmitted within 30 days: coronary bypass surgery | Not reported to Medicare |
| Readmitted within 30 days: hip or knee replacement | 7.7% |
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) | 166 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 2%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 47%National average: 65% |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.
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 76 common services exactly as Golden Valley Memorial 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
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN | $125 | $75 | $69.59 – $118.30 |
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $128 | $76.80 | $69.59 – $118.30 |
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
| |||
| 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 | $236.99 | $142.19 | $69.59 – $118.30 |
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN | $125 | $75 | $113.65 – $193.21 |
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $339.33 | $203.60 | $113.65 – $193.21 |
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
| |||
| 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 | $344.71 | $206.83 | $113.65 – $193.21 |
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN | $125 | $75 | $155.68 – $264.66 |
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $128 | $76.80 | $155.68 – $264.66 |
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $430.89 | $258.53 | $155.68 – $264.66 |
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $128 | $76.80 | $55.85 – $94.94 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| 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 | $125 | $75 | $55.85 – $94.94 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| 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 | $177.75 | $106.65 | $55.85 – $94.94 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| 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 | $125 | $75 | $82.22 – $139.77 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $128 | $76.80 | $82.22 – $139.77 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| 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 | $236.99 | $142.19 | $82.22 – $139.77 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | $227 | $136.20 | Not listed in the file |
Office consultation with a specialist (moderate): rates for 9 insurance plans
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| 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 | $279 | $167.40 | Not listed in the file |
Office consultation with a specialist (moderate): rates for 9 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | $263.50 | $158.10 | Not listed in the file |
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
| |||
| 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 | $394.28 | $236.57 | Not listed in the file |
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 | $270.39 | $162.23 | $100.99 |
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 | $270.39 | $162.23 | $100.99 |
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 | $318.86 | $191.32 | Not listed in the file |
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 | $318.86 | $191.32 | Not listed in the file |
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM | $328.65 | $197.19 | $255.48 – $495.38 |
Emergency room visit (moderate): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,020 | $612 | $255.48 – $685 |
Emergency room visit (moderate): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM | $745.42 | $447.25 | $255.48 – $495.38 |
Emergency room visit (moderate): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM | $533.30 | $319.98 | $396.57 – $757.21 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM | $252.07 | $151.24 | $396.57 – $757.21 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| 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 | $1,565 | $939 | $396.57 – $806 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM | $781.28 | $468.77 | $575.11 – $1,080.72 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM | $371.64 | $222.98 | $575.11 – $1,080.72 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $2,100 | $1,260 | $575.11 – $1,772 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $186.22 | $111.73 | $8.37 – $14.38 |
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $186.22 | $111.73 | $8.46 – $14.38 |
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $186.22 | $111.73 | $8.46 – $14.38 |
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $240 | $144 | $10.45 – $17.95 |
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $240 | $144 | $10.56 – $17.95 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_PO In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $240 | $144 | $10.56 – $17.95 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $279.69 | $167.81 | $13.26 – $22.76 |
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $170 | $102 | $13.39 – $22.76 |
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA_PO In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $170 | $102 | $13.39 – $22.76 |
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $206 | $123.60 | $8.59 – $14.76 |
Kidney function panel: 10 of 17 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $206 | $123.60 | $8.68 – $14.76 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $206 | $123.60 | $8.68 – $14.76 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL | $211.15 | $126.69 | $8.09 – $13.89 |
Liver function panel: 10 of 17 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: LIVER FUNCTION BLOOD TEST PANEL | $211.15 | $126.69 | $8.17 – $13.89 |
Liver function panel: 10 of 15 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: LIVER FUNCTION BLOOD TEST PANEL | $211.15 | $126.69 | $8.17 – $13.89 |
Liver function panel: 10 of 15 insurance plan rates
| |||
| 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 | $87.55 | $52.53 | $3.14 – $5.39 |
Urine test (automated, with microscope): 10 of 17 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91_XU In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $87.55 | $52.53 | $3.17 – $5.39 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO_XU In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $87.55 | $52.53 | $3.17 – $5.39 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST | $56.65 | $33.99 | $2.23 – $3.82 |
Urine test (automated, without microscope): 10 of 17 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE | $30.70 | $18.42 | $2.23 – $3.82 |
Urine test (automated, without microscope): 10 of 17 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_XU In the file: AUTOMATED URINALYSIS TEST | $56.65 | $33.99 | $2.25 – $3.82 |
Urine test (automated, without microscope): 10 of 15 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL | $75.69 | $45.41 | $18.20 – $31.26 |
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $130 | $78 | $18.20 – $31.26 |
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $130 | $78 | $18.39 – $31.26 |
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE | $58.50 | $35.10 | $16.63 – $28.56 |
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $125 | $75 | $16.63 – $28.56 |
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $125 | $75 | $16.80 – $28.56 |
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $140 | $84 | $7.69 – $13.21 |
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $140 | $84 | $7.77 – $13.21 |
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 77 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $140 | $84 | $7.77 – $13.21 |
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $97.51 | $58.51 | $6.40 – $11 |
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $97.51 | $58.51 | $6.47 – $11 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $97.51 | $58.51 | $6.47 – $11 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME | $70.04 | $42.02 | $4.25 – $7.29 |
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: BLOOD TEST; CLOTTING TIME | $70.04 | $42.02 | $4.29 – $7.29 |
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA_PO In the file: BLOOD TEST; CLOTTING TIME | $70.04 | $42.02 | $4.29 – $7.29 |
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
| |||
| 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 | $113.30 | $67.98 | $5.95 – $10.22 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL | $81.27 | $48.76 | $5.95 – $10.22 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GA In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $113.30 | $67.98 | $6.01 – $10.22 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $2,300 | $1,380 | $98.44 – $806 |
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE | $2,400 | $1,440 | $98.44 – $806 |
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $2,300 | $1,380 | $111.60 – $806 |
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
| |||
| 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 | $3,400 | $2,040 | $344.34 – $1,208 |
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE | $3,704.32 | $2,222.59 | $344.34 – $1,208 |
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $3,400 | $2,040 | $372.42 – $1,208 |
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS | $415 | $249 | $81.36 – $157.91 |
Chest X-ray, 2 views: 10 of 17 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $29.01 | $17.41 | $81.36 – $157.91 |
Chest X-ray, 2 views: 10 of 17 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 77 In the file: X-RAY OF CHEST; 2 VIEWS | $415 | $249 | $92.89 – $157.91 |
Chest X-ray, 2 views: 10 of 15 insurance plan rates
| |||
| 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 | $650 | $390 | $98.44 – $189.72 |
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $42.06 | $25.24 | $98.44 – $189.72 |
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $650 | $390 | $111.60 – $189.72 |
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE | $198.37 | $119.02 | $219.40 – $1,208 |
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
| |||
| 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 | $3,100 | $1,860 | $219.40 – $1,208 |
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
| |||
| 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 | $2,800 | $1,680 | $164.52 – $806 |
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE | $2,955.34 | $1,773.20 | $164.52 – $806 |
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN OF PELVIS WITH CONTRAST | $2,800 | $1,680 | $187.23 – $806 |
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
| |||
| 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 | $3,100 | $1,860 | $219.40 – $1,208 |
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
| |||
| 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 | $3,281.46 | $1,968.88 | $219.40 – $1,208 |
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $3,100 | $1,860 | $254.71 – $1,208 |
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
| |||
| 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 | $5,400 | $3,240 | $344.34 – $806 |
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST | $5,643.24 | $3,385.94 | $344.34 – $806 |
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $5,400 | $3,240 | $372.42 – $806 |
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,500 | $900 | $98.44 – $189.72 |
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE | $1,607.60 | $964.56 | $98.44 – $189.72 |
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,500 | $900 | $111.60 – $189.72 |
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $943.09 | $565.85 | $98.44 – $189.72 |
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS | $945 | $567 | $98.44 – $189.72 |
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
| |||
| 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 | $800 | $480 | $98.44 – $189.72 |
Transvaginal ultrasound: 10 of 17 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB | $92.59 | $55.55 | $98.44 – $189.72 |
Transvaginal ultrasound: 10 of 17 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $835 | $501 | $111.60 – $189.72 |
Transvaginal ultrasound: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $350 | $210 | $36.36 – $117.37 |
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI | $108.57 | $65.14 | $36.36 – $117.37 |
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $350 | $210 | $36.36 – $61.81 |
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $360 | $216 | $44.76 – $148.56 |
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI | $493.82 | $296.29 | $44.76 – $148.56 |
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $360 | $216 | $44.76 – $76.09 |
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY | $325 | $195 | $33.79 – $119.76 |
Screening mammogram, both breasts: 10 of 17 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD | $101.07 | $60.64 | $33.79 – $119.76 |
Screening mammogram, both breasts: 10 of 17 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SCR MAMMO BI INCL CAD | $101.07 | $60.64 | $33.79 – $119.76 |
Screening mammogram, both breasts: 10 of 17 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $4,990.90 | $2,994.54 | $916.68 – $1,558.36 |
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: POLYSOM 6/> YRS 4/> PARAM | $322.57 | $193.54 | $916.68 – $1,558.36 |
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $317 | $190.20 | $27.16 – $166 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES | $158.50 | $95.10 | $27.16 – $166 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $158.50 | $95.10 | $27.16 – $166 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $303.85 | $182.31 | $91.50 – $166 |
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | $334.24 | $200.54 | $91.50 – $166 |
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $303.85 | $182.31 | $91.50 – $166 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $358.26 | $214.96 | $91.50 – $166 |
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $358.26 | $214.96 | $91.50 – $166 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $424.36 | $254.62 | $91.50 – $166 |
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $424.36 | $254.62 | $91.50 – $166 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES | $140.45 | $84.27 | $142.76 – $322.12 |
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: PSYTX W PT 30 MINUTES | $138.66 | $83.20 | $189.48 – $322.12 |
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES | $187.42 | $112.45 | $142.76 – $322.12 |
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: PSYTX W PT 45 MINUTES | $185.58 | $111.35 | $189.48 – $322.12 |
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES | $567.42 | $340.45 | $142.76 – $322.12 |
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: PSYTX W PT 60 MINUTES | $277.31 | $166.39 | $189.48 – $322.12 |
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN | $246.45 | $147.87 | $142.76 – $322.12 |
Family psychotherapy, without the patient: 10 of 17 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $8,740.99 | $5,244.59 | $4,179.62 – $7,105.35 |
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION | $4,091.76 | $2,455.06 | $4,179.62 – $7,105.35 |
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION | $1,293.90 | $776.34 | $4,179.62 – $7,105.35 |
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $8,840.21 | $5,304.13 | $13,704.95 – $23,298.42 |
Total hip replacement: 10 of 17 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY | $3,763 | $2,257.80 | $13,704.95 – $23,298.42 |
Total hip replacement: 10 of 17 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY | $1,589.29 | $953.57 | $13,704.95 – $23,298.42 |
Total hip replacement: 10 of 17 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $4,125.07 | $2,475.04 | $13,704.95 – $23,298.42 |
Total knee replacement: 10 of 17 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY | $15,184.38 | $9,110.63 | $13,704.95 – $23,298.42 |
Total knee replacement: 10 of 17 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY | $3,598.84 | $2,159.30 | $13,704.95 – $23,298.42 |
Total knee replacement: 10 of 17 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION | $495 | $297 | $142.93 – $242.98 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION | $471.88 | $283.13 | $142.93 – $242.98 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $3,437.48 | $2,062.49 | $142.93 – $242.98 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY | $3,967.85 | $2,380.71 | $3,492.77 – $5,937.71 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY | $1,414.77 | $848.86 | $3,492.77 – $5,937.71 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $5,889.81 | $3,533.89 | $3,492.77 – $5,937.71 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $4,081.23 | $2,448.74 | $5,243.49 – $10,742.72 |
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS | $6,508.19 | $3,904.91 | $5,243.49 – $10,742.73 |
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS | $758.89 | $455.33 | $5,243.49 – $10,742.73 |
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,356.65 | $1,413.99 | $811.65 – $1,645.91 |
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH | $1,115.24 | $669.14 | $811.65 – $1,645.91 |
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH | $668.75 | $401.25 | $811.65 – $1,645.91 |
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $5,299.73 | $3,179.84 | $811.65 – $1,645.91 |
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE | $1,115.24 | $669.14 | $811.65 – $1,645.91 |
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE | $769.15 | $461.49 | $811.65 – $1,645.91 |
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,800 | $1,680 | $818.34 – $1,687.61 |
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY | $1,064.97 | $638.98 | $818.34 – $1,687.61 |
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY | $818.04 | $490.82 | $818.34 – $1,687.61 |
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,453.80 | $2,072.28 | $1,056.60 – $2,171.55 |
Colonoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY | $1,404.59 | $842.75 | $1,056.60 – $2,171.55 |
Colonoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY | $1,040.80 | $624.48 | $1,056.60 – $2,171.55 |
Colonoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,722.35 | $2,233.41 | $1,056.60 – $2,171.55 |
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL | $1,404.59 | $842.75 | $1,056.60 – $2,171.55 |
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL | $1,105.40 | $663.24 | $1,056.60 – $2,171.55 |
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $4,125.06 | $2,475.04 | $992.71 – $1,687.61 |
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,261.17 | $1,956.70 | $496.36 – $843.81 |
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $9,441.17 | $5,664.70 | $5,166.31 – $10,970.83 |
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $6,733.02 | $4,039.81 | $5,166.31 – $10,970.83 |
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $1,767.56 | $1,060.54 | $5,166.31 – $10,970.83 |
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $15,586.51 | $9,351.91 | $3,821.98 – $6,497.37 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR | $4,366.74 | $2,620.04 | $3,821.98 – $6,497.37 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR | $1,391.72 | $835.03 | $3,821.98 – $6,497.37 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE GLAND | $5,299.73 | $3,179.84 | $1,823.72 |
Prostate biopsy: 10 of 11 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE | $5,309.76 | $3,185.86 | $1,823.72 |
Prostate biopsy: 10 of 11 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF PROSTATE | $633.03 | $379.82 | $1,823.72 |
Prostate biopsy: 10 of 11 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $6,479.89 | $3,887.93 | $2,799.28 – $5,874.40 |
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY | $3,432 | $2,059.20 | $2,799.28 – $5,874.40 |
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY | $3,317.61 | $1,990.57 | $2,799.28 – $5,874.40 |
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC | $898.22 | $538.93 | $619.19 – $1,280.97 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $2,131 | $1,278.60 | $619.19 – $1,280.97 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC | $621.49 | $372.89 | $619.19 – $1,280.97 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates
| |||
| 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 | $2,558.81 | $1,535.29 | $944.15 – $1,605.06 |
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
| |||
| 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 | $1,147.26 | $688.36 | $944.15 – $1,605.06 |
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | $566.57 | $339.94 | $944.15 – $1,605.06 |
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY | $2,415.75 | $1,449.45 | $2,084.49 – $3,543.63 |
Carpal tunnel release: 10 of 17 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY | $1,121.51 | $672.91 | $2,084.49 – $3,543.63 |
Carpal tunnel release: 10 of 17 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $4,740.53 | $2,844.32 | $2,084.49 – $3,543.63 |
Carpal tunnel release: 10 of 15 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER | $1,000 | $600 | $587.11 – $998.09 |
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY | $1,030 | $618 | $587.11 – $998.09 |
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY | $837.65 | $502.59 | $587.11 – $998.09 |
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP | $2,881.64 | $1,728.98 | $2,463.54 – $4,188.02 |
Cataract removal with lens implant: 10 of 17 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP | $1,641.91 | $985.15 | $2,463.54 – $4,188.02 |
Cataract removal with lens implant: 10 of 17 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $5,299.73 | $3,179.84 | $2,463.54 – $4,188.02 |
Cataract removal with lens implant: 10 of 15 insurance plan rates
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE | $5,585.98 | $3,351.59 | $2,118.86 – $3,602.06 |
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRICAL CARE | $5,585.98 | $3,351.59 | $2,118.86 – $3,602.06 |
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY | $6,420 | $3,852 | $2,369.86 – $4,028.76 |
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY | $6,200.60 | $3,720.36 | $2,369.86 – $4,028.76 |
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: VBAC DELIVERY | $5,868.16 | $3,520.90 | $2,234.04 – $3,797.87 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance 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 | $2,909.60 – $104,332.54 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
| |||
| 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 COMORBITY | Not listed in the file | Not listed in the file | $2,909.60 – $22,121.41 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
| |||
| 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 | $2,909.60 – $27,198.25 |
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | Not listed in the file | Not listed in the file | $2,909.60 – $15,302.76 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
| |||
Source: Golden Valley Memorial Hospital’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 1, 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 type | Acute Care Hospital |
|---|---|
| Address | 1600 N 2nd St, Clinton, MO 64735 |
| County | Henry County |
| State | Missouri |
| Phone | (660) 885‑5511 |
| Emergency services | Yes |
| Ownership | Government - Hospital District or Authority |
| Medicare overall rating | 3 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 260175 |
| Name in Medicare records | GOLDEN VALLEY MEMORIAL HOSPITAL |
| Profile level | Medicare data + hospital website |
| Official website | gvmh.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Our Services — gvmh.org
- Locations — gvmh.org