Does Mercy Hospital Aurora have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mercy Hospital Aurora. In a medical emergency, call 911.

Where is Mercy Hospital Aurora?

500 Porter Avenue, Aurora, MO 65605, in Lawrence County, Missouri.

What is the phone number of Mercy Hospital Aurora?

(417) 678-2122, as listed by Medicare (CMS).

What is the Medicare star rating of Mercy Hospital Aurora?

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.

Mercy Hospital Aurora — Phone, Address, ER & Ratings

Quick answers

Does Mercy Hospital Aurora have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mercy Hospital Aurora. In a medical emergency, call 911.
Where is Mercy Hospital Aurora?: 500 Porter Avenue, Aurora, MO 65605, in Lawrence County, Missouri.
What is the phone number of Mercy Hospital Aurora?: (417) 678-2122, as listed by Medicare (CMS).
What is the Medicare star rating of Mercy Hospital Aurora?: 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][5][6][7]

Treatments^[4][6]

Wound care
IV infusions
Pain care
Physical therapy
Occupational therapy
Speech therapy
Cardiac rehabilitation
Pulmonary rehabilitation
Skilled care
Stress testing
Nuclear medicine
Mammography
Bone mineral density testing
CT scan
MRI (mobile unit)
Ultrasound, including echocardiograms
Fluoroscopy
Speech pathology

Procedures^[4]

Outpatient surgery (including ophthalmology)
Stress and nuclear medicine testing
3D mammography
CT (16-slice)
Sleep lab testing

Programs and centers^[4][5]

Birthplace (24-hour obstetric services)
Cardiac and pulmonary rehabilitation
Sleep lab
Virtual visits with stroke specialists and critical care doctors (telemedicine)
Ambulance and Life Line air transport from the emergency department

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

Emergency room	Yes
Open 24/7	Yes

Recognition^[4]

Cardiac and pulmonary rehab programs certified by American Association of Cardiovascular and Pulmonary Rehabilitation

Doctors and clinicians (187)

187 doctors and other clinicians list Mercy Hospital Aurora 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

And 163 more: the button below opens the full list.

Other emergency rooms nearby

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

Cox Monett Hospital14 mi · Monett, MO · Critical Access Hospital
Mercy Hospital - Cassville22 mi · Cassville, MO · Critical Access Hospital
Cox Medical Centers27 mi · Springfield, MO · Acute Care Hospital
Mercy Hospital Springfield28 mi · Springfield, MO · Acute Care Hospital
Lakeland Behavioral Health System28 mi · Springfield, MO · Psychiatric Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Aurora

Select Specialty Hospital Springfield, Inc27 mi · Springfield, MO · Long-Term Acute Care Hospital
Coxhealth Rehabilitation Hospital28 mi · Ozark, MO · Inpatient Rehabilitation Hospital
Mercy Rehabilitation Hospital Springfield28 mi · Springfield, MO · Inpatient Rehabilitation Hospital

Hospitals in Lawrence County · Hospitals near me

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

Ascend at Aurora0.9 mi · Aurora, MO · 1 of 5 stars
The Ozarks Methodist Manor4.3 mi · Marionville, MO · 1 of 5 stars
Mt Vernon Nursing10 mi · Mount Vernon, MO · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Three Rivers Hospice West11 mi · Mount Vernon, MO · 5 of 5 stars
Terrace Hospice24 mi · Springfield, MO

All hospice providers in the state →

Home health agencies

Terrace Home Health24 mi · Springfield, MO · 2.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Ozarks Dialysis Services - Monett12 mi · Monett, MO · 1 of 5 stars
FMC - Nixa22 mi · Nixa, MO · 3 of 5 stars

All dialysis facilities 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

ACCESS Family Care- Aurora Clinic1.7 mi · Aurora, MO · Community health center
ACCESS Family Care Monett12 mi · Monett, MO · Community health center
Republic R-III - McCulloch Elementary School17 mi · Republic, MO · Community health center

Clinics and urgent care

Coxhealth Center Aurora2.1 mi · Aurora, MO · Rural health clinic
Coxhealth Center Crane11 mi · Crane, MO · Rural health clinic
Coxhealth Center Mt Vernon11 mi · Mount Vernon, MO · Rural health clinic

Pharmacies

Aurora Professional Pharmacy Inc2.1 mi · Aurora, MO · Community/retail pharmacy
Wal-Mart Stores East LP2.1 mi · Aurora, MO · Community/retail pharmacy
Marionville Pharmacy LLC9.7 mi · Marionville, MO · Community/retail pharmacy

Assisted living nearby

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

Bristol Manor of Aurora2.1 mi · Aurora, MO
Hudson House2.1 mi · Aurora, MO
Popa Good Samaritan Services, LLC6.0 mi · Verona, MO
The Ozarks Methodist Manor9.7 mi · Marionville, 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 Mercy Hospital Aurora 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	5 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	5 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	5 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	79%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	90%National average: 80%
“Always” got help as soon as they wanted	71%National average: 64%
Staff “always” explained medicines before giving them	69%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	70%National average: 73%
Completed surveys	165Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Clostridioides difficile (C. diff) intestinal infections	0.574No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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: pneumonia patients	16.6%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	14.3%
Readmitted within 30 days: heart failure	19.3%
Readmitted within 30 days: pneumonia	16%
Readmitted within 30 days: COPD	18.9%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)	129 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 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.

ER wait times in Missouri Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 57 common services exactly as Mercy Hospital Aurora 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 →

$ 6 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 57 common services

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: CAH OP Visit Level III New Pt Mlp	$236	$153.40	$72.10 – $157.70
New patient office visit (about 30–44 minutes): 10 of 116 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $60.20 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $106.20 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $106.20 AETNA CONTRACTED [320008] — HB AURA AETNA: $129.89 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $84.16 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $200.60 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $200.60 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $103.79 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $188.80 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $200.60
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level III New Pt Pf	$277	$180.05	$5
New patient office visit (about 30–44 minutes): 10 of 116 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $70.66 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $124.65 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $124.65 AETNA CONTRACTED [320008] — HB AURA AETNA: $129.89 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $84.16 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $235.45 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $235.45 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $103.79 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $221.60 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $235.45
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level III New Pt	$252	$163.80	$72.10 – $157.70
New patient office visit (about 30–44 minutes): 10 of 115 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $64.29 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $113.40 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $113.40 AETNA CONTRACTED [320008] — HB AURA AETNA: $129.89 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $64.29 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $214.20 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $214.20 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $103.79 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $201.60 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $214.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH OP Visit Level IV New Pt Mlp	$302	$196.30	$5
New patient office visit (about 45–59 minutes): 10 of 116 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $77.04 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $135.90 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $135.90 AETNA CONTRACTED [320008] — HB AURA AETNA: $211.46 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $142.37 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $256.70 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $256.70 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $175.65 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $241.60 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $256.70
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV New Pt Pf	$354	$230.10	$117.76 – $225.12
New patient office visit (about 45–59 minutes): 10 of 116 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $90.31 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $159.30 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $159.30 AETNA CONTRACTED [320008] — HB AURA AETNA: $211.46 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $142.37 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $300.90 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $300.90 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $175.65 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $283.20 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $300.90
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV New Pt	$328	$213.20	$82 – $288.64
New patient office visit (about 45–59 minutes): 10 of 115 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $83.67 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $147.60 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $147.60 AETNA CONTRACTED [320008] — HB AURA AETNA: $211.46 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $83.67 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $278.80 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $278.80 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $175.65 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $262.40 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $278.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH OP Visit Level V New Pt Mlp	$365	$237.25	$91.25 – $321.20
New patient office visit (about 60–74 minutes): 10 of 118 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $93.11 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $164.25 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $164.25 AETNA CONTRACTED [320008] — HB AURA AETNA: $286.87 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $185.12 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $310.25 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $310.25 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $229.19 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $292 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $310.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level V New Pt Pf	$430	$279.50	$107.50 – $378.40
New patient office visit (about 60–74 minutes): 10 of 118 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $109.69 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $193.50 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $193.50 AETNA CONTRACTED [320008] — HB AURA AETNA: $286.87 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $185.12 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $365.50 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $365.50 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $229.19 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $344 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $365.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level V New Pt	$398	$258.70	$12 – $286.87
New patient office visit (about 60–74 minutes): 10 of 118 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $101.53 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $179.10 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $179.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $286.87 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $101.53 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $338.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $338.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $229.19 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $318.40 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $338.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH OP Visit Level III Est Pt Mlp	$160	$104	$40 – $160
Established patient office visit (about 20–29 minutes): 10 of 117 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $136 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $55.51 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $72 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $72 AETNA CONTRACTED [320008] — HB AURA AETNA: $142.40 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $55.51 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $136 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $136 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $81.12 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $136
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L&D Level II, 18-24 Hrs	$1,352	$878.80	$57.87
Established patient office visit (about 20–29 minutes): 10 of 117 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $1,149.20 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $344.90 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $608.40 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $608.40 AETNA CONTRACTED [320008] — HB AURA AETNA: $1,203.28 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $344.90 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,149.20 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,149.20 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $685.46 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,149.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L&D Level II, 12-18 Hrs	$1,133	$736.45	$283.25 – $1,133
Established patient office visit (about 20–29 minutes): 10 of 117 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $963.05 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $289.03 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $509.85 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $509.85 AETNA CONTRACTED [320008] — HB AURA AETNA: $1,008.37 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $289.03 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $963.05 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $963.05 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $574.43 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $963.05
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAH OP Visit Level IV Est Pt Mlp	$214	$139.10	$5
Established patient office visit (about 30–39 minutes): 10 of 117 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $181.90 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $85.83 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $96.30 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $96.30 AETNA CONTRACTED [320008] — HB AURA AETNA: $190.46 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $85.83 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $181.90 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $181.90 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $108.50 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $181.90
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV Est Pt Pf	$252	$163.80	$85.19 – $87
Established patient office visit (about 30–39 minutes): 10 of 117 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $214.20 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $85.83 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $113.40 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $113.40 AETNA CONTRACTED [320008] — HB AURA AETNA: $224.28 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $85.83 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $214.20 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $214.20 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $127.76 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $214.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV Est Pt	$245	$159.25	$85.19
Established patient office visit (about 30–39 minutes): 10 of 109 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $208.25 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $62.50 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $110.25 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $110.25 AETNA CONTRACTED [320008] — HB AURA AETNA: $218.05 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $62.50 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $208.25 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $208.25 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $124.22 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $208.25
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Low 30-39 Min Pf	$323	$209.95	$5
Office consultation with a specialist (moderate): 10 of 116 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $274.55 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $82.40 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $145.35 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $145.35 AETNA CONTRACTED [320008] — HB AURA AETNA: $287.47 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $82.40 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $274.55 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $274.55 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $163.76 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $274.55
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Fit for Duty Pf	$388	$252.20	$97 – $388
Office consultation with a specialist (moderate to high): 10 of 116 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $329.80 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $98.98 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $174.60 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $174.60 AETNA CONTRACTED [320008] — HB AURA AETNA: $345.32 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $98.98 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $329.80 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $329.80 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $196.72 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $329.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Mod 40-54 Min Pf	$445	$289.25	$111.25 – $445
Office consultation with a specialist (moderate to high): 10 of 116 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $378.25 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $113.52 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $200.25 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $200.25 AETNA CONTRACTED [320008] — HB AURA AETNA: $396.05 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $113.52 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $378.25 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $378.25 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $225.62 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $378.25
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 3	$1,504	$977.60	$281.89
Emergency room visit (moderate): 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $363.50 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE: $7,536 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM PATHWAY EXCHANGE: $5,372 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $343.67 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $105 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $105 MC ANTHEM [20455] — HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE: $7,536 MEDICAID [20240] — HB AURA ARKANSAS MEDICAID: $51 MEDICAID [20240] — HB AURA MO MEDICAID: $330.46 MO MEDICAID BH CARVE OUT [320315] — HB AURA MO MEDICAID: $330.46
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 3 Mlp	$298	$193.70	$281.89
Emergency room visit (moderate): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $253.30 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $69.07 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $134.10 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $134.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $265.22 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $69.07 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $253.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $253.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $151.09 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $253.30
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 3 Pf	$350	$227.50	$69.07 – $363.50
Emergency room visit (moderate): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $297.50 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $69.07 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $157.50 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $157.50 AETNA CONTRACTED [320008] — HB AURA AETNA: $311.50 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $69.07 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $297.50 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $297.50 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $177.45 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $297.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 4	$1,155	$750.75	$294.64 – $1,120.35
Emergency room visit (moderately high): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $981.75 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $294.64 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $519.75 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $519.75 AETNA CONTRACTED [320008] — HB AURA AETNA: $1,027.95 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $294.64 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $981.75 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $981.75 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $585.59 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $981.75
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 4 Mlp	$381	$247.65	$105 – $559.02
Emergency room visit (moderately high): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $323.85 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $131.54 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $171.45 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $171.45 AETNA CONTRACTED [320008] — HB AURA AETNA: $339.09 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $131.54 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $323.85 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $323.85 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $193.17 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $323.85
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 4 Pf	$448	$291.20	$105 – $559.02
Emergency room visit (moderately high): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $380.80 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $131.54 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $201.60 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $201.60 AETNA CONTRACTED [320008] — HB AURA AETNA: $398.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $131.54 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $380.80 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $380.80 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $227.14 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $380.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 5	$5,909.66	$3,841.28	$614.98
Emergency room visit (high): 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $804.90 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE: $7,536 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM PATHWAY EXCHANGE: $5,372 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $760.99 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $105 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $105 MC ANTHEM [20455] — HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE: $7,536 MEDICAID [20240] — HB AURA ARKANSAS MEDICAID: $51 MEDICAID [20240] — HB AURA MO MEDICAID: $731.72 MO MEDICAID BH CARVE OUT [320315] — HB AURA MO MEDICAID: $731.72
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 5 Mlp	$496	$322.40	$105 – $804.90
Emergency room visit (high): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $421.60 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $194.89 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $223.20 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $223.20 AETNA CONTRACTED [320008] — HB AURA AETNA: $441.44 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $194.89 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $421.60 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $421.60 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $251.47 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $421.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Phys Care Level 5 Pf	$585	$380.25	$614.98
Emergency room visit (high): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $497.25 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $194.89 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $263.25 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $263.25 AETNA CONTRACTED [320008] — HB AURA AETNA: $520.65 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $194.89 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $497.25 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $497.25 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $296.60 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $497.25

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: Basic Metabolic Pnl Calcium Total	$219	$142.35	$55.87 – $219
Basic metabolic panel (blood test): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $186.15 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $55.87 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $98.55 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $98.55 AETNA CONTRACTED [320008] — HB AURA AETNA: $194.91 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $55.87 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $186.15 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $186.15 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $111.03 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $186.15
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$279	$181.35	$10.56 – $15.10
Comprehensive metabolic panel (blood test): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $237.15 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $71.17 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $125.55 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $125.55 AETNA CONTRACTED [320008] — HB AURA AETNA: $248.31 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $71.17 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $237.15 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $237.15 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $141.45 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $237.15
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel	$393	$255.45	$100.25 – $393
Obstetric blood test panel: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $334.05 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $100.25 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $176.85 AETNA CONTRACTED [320008] — HB AURA AETNA: $349.77 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $100.25 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $334.05 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $334.05 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $199.25 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $334.05 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $334.05
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel	$182	$118.30	$13.39 – $18.56
Cholesterol panel (lipid panel): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $154.70 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $46.43 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $81.90 AETNA CONTRACTED [320008] — HB AURA AETNA: $161.98 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $46.43 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $154.70 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $154.70 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $92.27 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $154.70 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $154.70
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Lipid Panel	$182	$118.30	$13.39 – $18.56
Cholesterol panel (lipid panel): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $154.70 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $46.43 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $81.90 AETNA CONTRACTED [320008] — HB AURA AETNA: $161.98 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $46.43 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $154.70 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $154.70 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $92.27 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $154.70 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $154.70
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$267	$173.55	$8.68 – $12.40
Kidney function panel: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $226.95 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $68.11 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $120.15 AETNA CONTRACTED [320008] — HB AURA AETNA: $237.63 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $68.11 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $226.95 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $226.95 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $135.37 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $226.95 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $226.95
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$248	$161.20	$8.17 – $11.67
Liver function panel: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $210.80 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $63.26 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $111.60 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $111.60 AETNA CONTRACTED [320008] — HB AURA AETNA: $220.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $63.26 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $210.80 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $210.80 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $125.74 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $210.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Automated W Micro	$73	$47.45	$3.17 – $4.52
Urine test (automated, with microscope): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $62.05 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $18.62 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $32.85 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $32.85 AETNA CONTRACTED [320008] — HB AURA AETNA: $64.97 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $18.62 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $62.05 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $62.05 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $37.01 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $62.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Urinalysis Non-Auto	$43	$27.95	$10.97 – $43
Urine test (manual, without microscope): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $36.55 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $10.97 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $19.35 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $19.35 AETNA CONTRACTED [320008] — HB AURA AETNA: $38.27 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $10.97 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $36.55 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $36.55 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $21.80 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $36.55
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Non Automated WO Micro	$43	$27.95	$10.97 – $43
Urine test (manual, without microscope): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $36.55 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $10.97 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $19.35 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $19.35 AETNA CONTRACTED [320008] — HB AURA AETNA: $38.27 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $10.97 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $36.55 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $36.55 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $21.80 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $36.55
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ph Automated	$60	$39	$1.91 – $3.20
Urine test (automated, without microscope): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $51 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $15.31 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $27 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $27 AETNA CONTRACTED [320008] — HB AURA AETNA: $53.40 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $15.31 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $51 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $51 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $30.42 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $51
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Automated W/O Micro	$57	$37.05	$14.54 – $57
Urine test (automated, without microscope): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $48.45 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $14.54 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $25.65 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $25.65 AETNA CONTRACTED [320008] — HB AURA AETNA: $50.73 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $14.54 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $48.45 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $48.45 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $28.90 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $48.45
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ketones Automated	$60	$39	$1.91 – $3.20
Urine test (automated, without microscope): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $51 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $15.31 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $27 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $27 AETNA CONTRACTED [320008] — HB AURA AETNA: $53.40 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $15.31 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $51 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $51 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $30.42 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $51
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Total Diagnostic	$178	$115.70	$18.39 – $26.27
PSA (prostate specific antigen) blood test: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $151.30 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $45.41 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $80.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $158.42 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $45.41 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $151.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $151.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $90.25 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $151.30 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $151.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Ultrasensitive	$178	$115.70	$45.41 – $178
PSA (prostate specific antigen) blood test: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $151.30 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $45.41 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $80.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $158.42 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $45.41 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $151.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $151.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $90.25 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $151.30 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $151.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh Newborn	$23	$14.95	$15.75 – $23.98
Thyroid stimulating hormone (TSH) test: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $19.55 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $5.87 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $10.35 AETNA CONTRACTED [320008] — HB AURA AETNA: $20.47 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $5.87 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $19.55 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $19.55 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $11.66 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $19.55 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $19.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh Thyroid Stimulating Hormone	$186	$120.90	$15.75 – $23.98
Thyroid stimulating hormone (TSH) test: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $158.10 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $47.45 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $83.70 AETNA CONTRACTED [320008] — HB AURA AETNA: $165.54 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $47.45 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $158.10 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $158.10 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $94.30 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $158.10 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $158.10
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc W Auto Diff	$102	$66.30	$26.02 – $102
Complete blood count (CBC) with differential: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $86.70 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $26.02 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $45.90 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $45.90 AETNA CONTRACTED [320008] — HB AURA AETNA: $90.78 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $26.02 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $86.70 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $86.70 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $51.71 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $86.70
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc Automated WO Diff	$101	$65.65	$6.47 – $9.25
Complete blood count (CBC), automated: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $85.85 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $25.77 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $45.45 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $45.45 AETNA CONTRACTED [320008] — HB AURA AETNA: $89.89 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $25.77 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $85.85 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $85.85 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $51.21 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $85.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time	$82	$53.30	$20.92 – $82
Blood clotting time test (prothrombin time, PT): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $69.70 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $20.92 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $36.90 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $36.90 AETNA CONTRACTED [320008] — HB AURA AETNA: $72.98 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $20.92 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $69.70 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $69.70 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $41.57 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $69.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ptt Partial Thromboplastin Time	$113	$73.45	$28.83 – $113
Blood clotting test (partial thromboplastin time, PTT): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $96.05 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $28.83 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $50.85 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $50.85 AETNA CONTRACTED [320008] — HB AURA AETNA: $100.57 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $28.83 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $96.05 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $96.05 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $57.29 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $96.05

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 Head/Brain WO Cont	$1,936	$1,258.40	$493.87 – $1,936
CT scan of the head or brain, without contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $1,645.60 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $493.87 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $871.20 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $871.20 AETNA CONTRACTED [320008] — HB AURA AETNA: $1,723.04 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $493.87 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,645.60 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,645.60 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $981.55 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,645.60
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain W/WO Cont	$3,561	$2,314.65	$206.69 – $578
MRI of the brain, before and after contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $3,026.85 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $908.41 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,602.45 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,602.45 AETNA CONTRACTED [320008] — HB AURA AETNA: $3,169.29 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $908.41 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $3,026.85 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $3,026.85 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $1,805.43 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $3,026.85
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xr Chest 2 Views	$318	$206.70	$89.87
Chest X-ray, 2 views: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $270.30 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $81.12 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $143.10 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $143.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $283.02 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $81.12 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $270.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $270.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $161.23 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $270.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xr Spine Lumbar Min 4 Views	$675	$438.75	$107.96
X-ray of the lower spine, at least 4 views: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $573.75 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $172.19 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $303.75 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $303.75 AETNA CONTRACTED [320008] — HB AURA AETNA: $600.75 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $172.19 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $573.75 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $573.75 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $342.23 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $573.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine WO Cont	$3,074	$1,998.10	$246.40
MRI of the lower back (lumbar spine), without contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $2,612.90 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $784.18 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,383.30 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,383.30 AETNA CONTRACTED [320008] — HB AURA AETNA: $2,735.86 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $784.18 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $2,612.90 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $2,612.90 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $1,558.52 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $2,612.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W Cont	$2,501	$1,625.65	$181.13
CT scan of the pelvis, with contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $2,125.85 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $638.01 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,125.45 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,125.45 AETNA CONTRACTED [320008] — HB AURA AETNA: $2,225.89 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $638.01 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $2,125.85 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $2,125.85 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $1,268.01 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $2,125.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Extr Lwr Jt WO Cont Rt	$3,084	$2,004.60	$246.40
MRI of a leg joint (such as the knee), without contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $2,621.40 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $786.73 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,387.80 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,387.80 AETNA CONTRACTED [320008] — HB AURA AETNA: $2,744.76 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $786.73 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $2,621.40 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $2,621.40 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $1,563.59 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $2,621.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Extr Lwr Jt WO Cont Bi	$4,658	$3,027.70	$246.40
MRI of a leg joint (such as the knee), without contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $3,959.30 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $1,188.26 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $2,096.10 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $2,096.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $4,145.62 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $1,188.26 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $3,959.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $3,959.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $2,361.61 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $3,959.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Extr Lwr Jt WO Cont Lt	$3,084	$2,004.60	$246.40
MRI of a leg joint (such as the knee), without contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $2,621.40 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $786.73 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,387.80 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,387.80 AETNA CONTRACTED [320008] — HB AURA AETNA: $2,744.76 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $786.73 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $2,621.40 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $2,621.40 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $1,563.59 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $2,621.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abd Pelvis With Contrast	$4,723	$3,069.95	$360.27
CT scan of the abdomen and pelvis, with contrast: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $4,014.55 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $1,204.84 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $2,125.35 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $2,125.35 AETNA CONTRACTED [320008] — HB AURA AETNA: $4,203.47 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $1,204.84 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $4,014.55 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $4,014.55 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $2,394.56 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $4,014.55
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete	$1,241	$806.65	$56 – $139.62
Ultrasound of the abdomen, complete: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $1,054.85 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $316.58 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $558.45 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $558.45 AETNA CONTRACTED [320008] — HB AURA AETNA: $1,104.49 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $316.58 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,054.85 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,054.85 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $629.19 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,054.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg Uter 14 Wks Or>	$887	$576.55	$226.27 – $887
Pregnancy ultrasound (after the first trimester): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $753.95 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $226.27 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $399.15 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $399.15 AETNA CONTRACTED [320008] — HB AURA AETNA: $789.43 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $226.27 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $753.95 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $753.95 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $449.71 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $753.95
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB	$755	$490.75	$107.96
Transvaginal ultrasound: 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $641.75 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $192.60 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $339.75 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $339.75 AETNA CONTRACTED [320008] — HB AURA AETNA: $671.95 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $192.60 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $641.75 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $641.75 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $382.79 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $641.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diagnostic Unilat Lt W Cad	$315	$204.75	$80.36 – $315
Diagnostic mammogram, one breast: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $267.75 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $80.36 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $141.75 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $141.75 AETNA CONTRACTED [320008] — HB AURA AETNA: $280.35 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $80.36 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $267.75 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $267.75 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $159.71 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $267.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diagnostic Unilat Rt W Cad	$315	$204.75	$48.20 – $162.76
Diagnostic mammogram, one breast: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $267.75 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $80.36 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $141.75 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $141.75 AETNA CONTRACTED [320008] — HB AURA AETNA: $280.35 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $80.36 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $267.75 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $267.75 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $159.71 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $267.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diagnostic Bilat W Cad	$348	$226.20	$59.88 – $205
Diagnostic mammogram, both breasts: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $295.80 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $88.77 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $156.60 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $156.60 AETNA CONTRACTED [320008] — HB AURA AETNA: $309.72 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $88.77 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $295.80 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $295.80 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $176.44 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $295.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Scrn Bilat Implant W Cad	$304	$197.60	$77.55 – $304
Screening mammogram, both breasts: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $258.40 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $77.55 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $136.80 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $136.80 AETNA CONTRACTED [320008] — HB AURA AETNA: $270.56 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $77.55 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $258.40 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $258.40 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $154.13 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $258.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Scrn Bilateral W Cad	$270	$175.50	$68.88 – $270
Screening mammogram, both breasts: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $229.50 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $68.88 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $121.50 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $121.50 AETNA CONTRACTED [320008] — HB AURA AETNA: $240.30 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $68.88 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $229.50 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $229.50 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $136.89 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $229.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Scrn Left W Cad	$238	$154.70	$60.71 – $238
Screening mammogram, both breasts: 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $202.30 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $60.71 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $107.10 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $107.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $211.82 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $60.71 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $202.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $202.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $120.67 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $202.30

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: Polysom Attended >3 Interp 6/> Yrs Pf	$936	$608.40	$122 – $1,335.66
Sleep study (overnight, in a sleep lab): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $795.60 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $619.27 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $421.20 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $421.20 AETNA CONTRACTED [320008] — HB AURA AETNA: $833.04 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $619.27 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $795.60 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $795.60 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $474.55 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $795.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom Attended >3 Chn 6/> Yrs	$4,050	$2,632.50	$1,033.16 – $4,050
Sleep study (overnight, in a sleep lab): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $3,442.50 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $1,033.16 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,822.50 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,822.50 AETNA CONTRACTED [320008] — HB AURA AETNA: $3,604.50 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $1,033.16 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $3,442.50 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $3,442.50 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $2,053.35 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $3,442.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom Attended >3 Chn 6/> Yrs <6hrs	$3,037	$1,974.05	$886.79
Sleep study (overnight, in a sleep lab): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $2,581.45 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $774.74 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,366.65 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,366.65 AETNA CONTRACTED [320008] — HB AURA AETNA: $2,702.93 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $774.74 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $2,581.45 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $2,581.45 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $1,539.76 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $2,581.45

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: Ot Ther Exer 1 or > Area Ea 15m	$106	$68.90	$21.76 – $38.98
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $90.10 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $27.04 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $47.70 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $47.70 AETNA CONTRACTED [320008] — HB AURA AETNA: $94.34 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $27.04 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $90.10 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $90.10 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $53.74 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $90.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Ther Exer 1 or > Area Ea 15m	$106	$68.90	$21.76 – $38.98
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 122 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $90.10 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $27.04 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $47.70 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $47.70 AETNA CONTRACTED [320008] — HB AURA AETNA: $94.34 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $27.04 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $90.10 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $90.10 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $53.74 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $90.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 60 Min	$225	$146.25	$57.40 – $225
Physical therapy evaluation (low complexity): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $191.25 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $57.40 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $101.25 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $101.25 AETNA CONTRACTED [320008] — HB AURA AETNA: $200.25 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $57.40 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $191.25 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $191.25 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $114.08 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $191.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 75 Min	$266	$172.90	$71.82 – $132.72
Physical therapy evaluation (low complexity): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $226.10 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $67.86 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $119.70 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $119.70 AETNA CONTRACTED [320008] — HB AURA AETNA: $236.74 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $67.86 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $226.10 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $226.10 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $134.86 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $226.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 105 Min	$350	$227.50	$89.29 – $350
Physical therapy evaluation (low complexity): 10 of 121 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $297.50 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $89.29 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $157.50 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $157.50 AETNA CONTRACTED [320008] — HB AURA AETNA: $311.50 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $89.29 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $297.50 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $297.50 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $177.45 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $297.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 90 Min	$329	$213.85	$83.93 – $329
Physical therapy evaluation (moderate complexity): 10 of 120 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $279.65 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $83.93 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $148.05 AETNA CONTRACTED [320008] — HB AURA AETNA: $292.81 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $83.93 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $279.65 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $279.65 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $166.80 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $279.65 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $279.65
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 105 Min	$372	$241.80	$94.90 – $372
Physical therapy evaluation (moderate complexity): 10 of 120 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $316.20 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $94.90 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $167.40 AETNA CONTRACTED [320008] — HB AURA AETNA: $331.08 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $94.90 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $316.20 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $316.20 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $188.60 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $316.20 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $316.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 15 Min	$116	$75.40	$29.59 – $116
Physical therapy evaluation (moderate complexity): 10 of 120 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $98.60 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $29.59 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $52.20 AETNA CONTRACTED [320008] — HB AURA AETNA: $103.24 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $29.59 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $98.60 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $98.60 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $58.81 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $98.60 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $98.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 60 Min	$268	$174.20	$57.45 – $132.72
Physical therapy evaluation (high complexity): 10 of 120 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $227.80 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $68.37 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $120.60 AETNA CONTRACTED [320008] — HB AURA AETNA: $238.52 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $68.37 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $227.80 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $227.80 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $135.88 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $227.80 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $227.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 90 Min	$350	$227.50	$57.45 – $132.72
Physical therapy evaluation (high complexity): 10 of 120 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $297.50 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $89.29 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $157.50 AETNA CONTRACTED [320008] — HB AURA AETNA: $311.50 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $89.29 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $297.50 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $297.50 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $177.45 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $297.50 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $297.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 150 Min	$520	$338	$132.65 – $520
Physical therapy evaluation (high complexity): 10 of 120 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $442 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $132.65 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $234 AETNA CONTRACTED [320008] — HB AURA AETNA: $462.80 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $132.65 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $442 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $442 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $263.64 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $442 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $442

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: Exc Breast Lesion Open 1 or >Pf	$1,675	$1,088.75	$359.70 – $1,330.69
Removal of breast growth (open surgery): 10 of 118 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $427.29 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $753.75 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $753.75 AETNA CONTRACTED [320008] — HB AURA AETNA: $640.79 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $427.29 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,423.75 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,423.75 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $574.29 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,340 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $1,423.75
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Upper Endoscopy Complex	$4,559.95	$2,963.97	$250 – $799.25
Upper GI endoscopy (diagnostic): 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $799.25 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $471.45 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $799.25 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $471.45 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $293.65 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $293.65 MEDICAID [20240] — HB AURA ARKANSAS MEDICAID: $250 MEDICAID [20240] — HB AURA MO MEDICAID: $799.25 MO MEDICAID BH CARVE OUT [320315] — HB AURA MO MEDICAID: $799.25 NHC ADVANTAGE MEDICARE CONTRACTED [320282] — HB SPRG NHC ADVANTAGE MCR 105%: $936.61
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd Flex Transoral Dx, Incl Spec Coll Pf	$887	$576.55	$936.61
Upper GI endoscopy (diagnostic): 10 of 117 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $226.27 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $399.15 AETNA CONTRACTED [320008] — HB AURA AETNA: $189.32 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $146.50 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $753.95 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $753.95 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $172.49 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $709.60 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $753.95 AUXIANT CONTRACTED [320462] — HB AURA DEC CITY OF JACKSON: $753.95
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Egd W/Biopsy Pf	$5,284.69	$3,435.05	$293.65 – $799.25
Upper GI endoscopy with biopsy: 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $799.25 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $471.45 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $799.25 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $471.45 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $293.65 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $293.65 MEDICAID [20240] — HB AURA ARKANSAS MEDICAID: $297 MEDICAID [20240] — HB AURA MO MEDICAID: $799.25 MO MEDICAID BH CARVE OUT [320315] — HB AURA MO MEDICAID: $799.25 NHC ADVANTAGE MEDICARE CONTRACTED [320282] — HB SPRG NHC ADVANTAGE MCR 105%: $936.61
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colonoscopy	$4,461.69	$2,900.10	$960.33
Colonoscopy (diagnostic): 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $777.21 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $484.89 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $777.21 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $484.89 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $296.08 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $296.08 MEDICAID [20240] — HB AURA ARKANSAS MEDICAID: $250 MEDICAID [20240] — HB AURA MO MEDICAID: $777.21 MO MEDICAID BH CARVE OUT [320315] — HB AURA MO MEDICAID: $777.21 NHC ADVANTAGE MEDICARE CONTRACTED [320282] — HB SPRG NHC ADVANTAGE MCR 105%: $960.33
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colonoscopy Pf	$1,399	$909.35	$960.33
Colonoscopy (diagnostic): 10 of 117 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $356.88 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $629.55 AETNA CONTRACTED [320008] — HB AURA AETNA: $287.14 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $238.36 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,189.15 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,189.15 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $261.02 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,119.20 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $1,189.15 AUXIANT CONTRACTED [320462] — HB AURA DEC CITY OF JACKSON: $1,189.15
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colo Biopsy Cold Pf	$1,667	$1,083.55	$5 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy with biopsy: 10 of 122 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $425.25 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $750.15 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,416.95 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,416.95 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,333.60 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $1,416.95 AUXIANT CONTRACTED [320462] — HB AURA DEC CITY OF JACKSON: $1,416.95 AUXIANT CONTRACTED [320462] — HB AURO DEC FCB BANKS: $1,416.95 AUXIANT CONTRACTED [320462] — HB AURO DEC HYDROMAT DEUTSCHE: $1,416.95 BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $1,005.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colo Biopsy Snare Pf	$1,662	$1,080.30	$5 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy with removal of polyps (snare): 10 of 122 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $423.98 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $747.90 AETNA CONTRACTED [320008] — HB AURA AETNA: $393.94 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $338.47 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,412.70 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,412.70 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $359.51 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,329.60 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $1,412.70 AUXIANT CONTRACTED [320462] — HB AURA DEC CITY OF JACKSON: $1,412.70
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon Ca Scrn Not Hi Rsk Ind Pf	$938	$609.70	$186.51 – $567.46
Screening colonoscopy (not high risk): 10 of 113 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $239.28 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $422.10 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $422.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $287.61 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $224.94 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $797.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $797.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $261.02 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $750.40 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $797.30
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lap,Cholecystectomy Pf	$15,082.60	$9,803.69	$6,243
Gallbladder removal by laparoscope: 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $701.65 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM ALLIANCE: $814.98 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE: $1,417.44 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM PATHWAY EXCHANGE: $1,417.44 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $2,389.74 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $691.63 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $2,389.74 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $1,869.18 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $1,869.18 MC ANTHEM [20455] — HB AURA ANTHEM ALLIANCE: $814.98
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rx Ing Hernia,5+Y/O,Reducibl Pf	$2,001	$1,300.65	$5 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Groin (inguinal) hernia repair, age 5 or older: 10 of 117 insurance plan rates ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $510.46 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $900.45 AETNA CONTRACTED [320008] — HB AURA AETNA: $810.51 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $573.84 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $1,700.85 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $1,700.85 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $727.57 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $1,600.80 AUXIANT CONTRACTED [320462] — HB AURA CTHG DEC BUCHHEIT: $1,700.85 AUXIANT CONTRACTED [320462] — HB AURA DEC CITY OF JACKSON: $1,700.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inject Interlaminar Lumbar or Sacral W Imag	$2,891.01	$1,879.16	$728.94
Spinal injection, lower back (epidural), with imaging guidance: 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $590.36 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $1,394.40 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $590.36 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $1,394.40 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $435.75 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $435.75 MEDICAID [20240] — HB AURA ARKANSAS MEDICAID: $297 MEDICAID [20240] — HB AURA MO MEDICAID: $590.36 MO MEDICAID BH CARVE OUT [320315] — HB AURA MO MEDICAID: $590.36 NHC ADVANTAGE MEDICARE CONTRACTED [320282] — HB SPRG NHC ADVANTAGE MCR 105%: $728.94
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Transforminal Epi/Lumb/Sacral Sngl Level	$3,139.01	$2,040.36	$250 – $1,753.20
Nerve root injection, lower back, with imaging guidance: 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $1,138.44 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $849.90 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $1,657.57 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $849.90 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $295.27 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $295.27 MEDICAID [20240] — HB AURA ARKANSAS MEDICAID: $250 MEDICAID [20240] — HB AURA MO MEDICAID: $758.96 MO MEDICAID BH CARVE OUT [320315] — HB AURA MO MEDICAID: $1,138.44 NHC ADVANTAGE MEDICARE CONTRACTED [320282] — HB SPRG NHC ADVANTAGE MCR 105%: $913.36
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bilat Inj Epi/Lumb/Sacral Sngl Level	$3,358	$2,182.70	$297
Nerve root injection, lower back, with imaging guidance: 10 of 116 insurance plan rates 90 DEGREE BENEFITS CONTRACTED [320436] — HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM): $2,854.30 ACENTRA HEALTH CONTRACTED [320527] — HB AURA MANAGED MEDICARE: $856.63 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV AMISH (MT VERNON MO/VERONA MEDICAL): $1,511.10 ADMINISTRATIVE PAYOR CONTRACTED [320005] — HB AURA BRYV CASV MTNV MENNONITES: $1,511.10 AETNA CONTRACTED [320008] — HB AURA AETNA: $2,988.62 AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB AURA MANAGED MEDICARE: $856.63 AITHER HEALTH CONTRACTED [320449] — HB AURA CTHG WOODARD DEC NEW 040124: $2,854.30 AITHER HEALTH CONTRACTED [320449] — HB AURA DEC LACLEDE CHAIN: $2,854.30 AMBETTER CONTRACTED [320452] — HB AURA AMBETTER EXCHANGE MO: $1,702.51 AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] — HB AURA AMERICAN HEALTHCARE ALLIANCE: $2,854.30
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplas/ Tranposit Median Nerve at Carp Tiunn Pf	$9,119.79	$5,927.86	$320 – $2,563.64
Carpal tunnel release: 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $1,664.70 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM ALLIANCE: $23,158 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE: $25,348 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM PATHWAY EXCHANGE: $17,732 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $875.16 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $2,423.80 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $875.16 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $625.47 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $625.47 MC ANTHEM [20455] — HB AURA ANTHEM ALLIANCE: $23,158
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$10,615.98	$6,900.39	$17,732 – $25,348
Cataract removal with lens implant: 10 of 122 insurance plan rates BCBS MEDICAID CONTRACTED [320046] — HB AURA MO CARE/HEALTHY BLUE: $1,944.28 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM ALLIANCE: $23,158 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM BLUE ACCESS/BLUE ACCESS CHOICE: $25,348 BLUE CROSS AND BLUE SHIELD [20053] — HB AURA ANTHEM PATHWAY EXCHANGE: $17,732 HEALTH SYSTEMS INC CONTRACTED [320174] — HB AURA HEALTH SYSTEMS: $1,546.32 HOME STATE MEDICAID CONTRACTED [320189] — HB AURA HOME STATE: $2,830.87 INSURANCE SYSTEM INC CONTRACTED [320465] — HB AURA HEALTH SYSTEMS: $1,546.32 KANCARE [20213] — HB AURA AETNA BETTER HEALTH (KANCARE): $754.92 KANCARE CONTRACTED [320213] — HB AURA AETNA BETTER HEALTH (KANCARE): $754.92 MC ANTHEM [20455] — HB AURA ANTHEM ALLIANCE: $23,158

Source: Mercy Hospital Aurora’s standard charges file (mercy.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 10, 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	Critical Access Hospital
Address	500 Porter Avenue, Aurora, MO 65605
County	Lawrence County
State	Missouri
Phone	(417) 678‑2122
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	261316
Name in Medicare records	MERCY HOSPITAL AURORA
Profile level	Medicare data + hospital website
Official website	mercy.net
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Mercy Hospital Aurora Quick Facts — mercy.net
Mercy Emergency Department - Aurora | Mercy — mercy.net
Mercy Imaging Services - Aurora | Mercy — mercy.net
Mercy Therapy Services - Aurora | Mercy — mercy.net

Mercy Hospital Aurora

Summary

Profile from official sources

At a glance