Does Missouri Baptist Sullivan Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Missouri Baptist Sullivan Hospital. In a medical emergency, call 911.

Where is Missouri Baptist Sullivan Hospital?

751 Sappington Bridge Rd, Sullivan, MO 63080, in Crawford County, Missouri.

What is the phone number of Missouri Baptist Sullivan Hospital?

(573) 468-4186, as listed by Medicare (CMS).

What is the Medicare star rating of Missouri Baptist Sullivan Hospital?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Missouri Baptist Sullivan Hospital

Quick answers

Does Missouri Baptist Sullivan Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Missouri Baptist Sullivan Hospital. In a medical emergency, call 911.
Where is Missouri Baptist Sullivan Hospital?: 751 Sappington Bridge Rd, Sullivan, MO 63080, in Crawford County, Missouri.
What is the phone number of Missouri Baptist Sullivan Hospital?: (573) 468-4186, as listed by Medicare (CMS).
What is the Medicare star rating of Missouri Baptist Sullivan Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Bariatrics
Cancer
Dermatology
Diabetes & Endocrinology
Ear, Nose & Throat
General Surgery
Geriatrics
Heart & Vascular
Imaging Services
Nephrology
Neurosciences
Obstetrics & Gynecology
Ophthalmology
Orthopedics
Pain Management
Palliative Care
Podiatry
Pulmonology
Urology
Wound Care
Laboratory Services
Mother Baby Unit

Treatments^[4][6]

Hyperbaric oxygen therapy (wound care)
Surgical and minimally invasive weight-loss treatments

Programs and centers^[4][6]

Cardiac rehab
Mother Baby Unit
Therapy and Wellness Center
Cancer center
Wound Care Center (two hyperbaric chambers)
Critical care unit

Emergency care (hospital website)^[5][6]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (145)

145 doctors and other clinicians list Missouri Baptist Sullivan Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (145)

Adam D. Naylor, MDDiagnostic Radiology
Alan D. Heincker, DOOrthopedic Surgery
Alexis C. Argoudelis, MDNephrology
Amirah B. Abdullah, MDObstetrics/Gynecology
Andrea M. Schuster, MDFamily Practice
Andrew S. Grivas Jr., MDInternal Medicine
Anthony Shephard, CNACertified Registered Nurse Anesthetist (CRNA)
Anu Rijal, MDPathology
Arash Nazeri, MDDiagnostic Radiology
Arindam R. Chatterjee, MDDiagnostic Radiology
Asif S. Shahab, MDPathology
Ayman M. Nada, MDDiagnostic Radiology
Bahram Rabbani, DONeurology
Belal Firwana, MDHematology/Oncology
Benjamin W. Verdine, MDPlastic and Reconstructive Surgery
Bhaskar Y. Gowda, MDPsychiatry
Bohdan A. Lebedowicz, MDInternal Medicine
Brad C. White, MDUrology
Bradley C. Witbrodt, MDCardiovascular Disease (Cardiology)
Brent A. Huffman, MDNeurology
Brian Edwards, DOFamily Practice
Bruce L. Hedgepeth, MDDiagnostic Radiology
Bryan G. Acree, DOInternal Medicine
Carrie C. Morrison, MDDiagnostic Radiology

And 121 more: the button below opens the full list.

Other emergency rooms nearby

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

Mercy Hospital Washington26 mi · Washington, MO · Acute Care Hospital
Washington County Memorial Hospital28 mi · Potosi, MO · Critical Access Hospital
Hermann Area District Hospital38 mi · Hermann, MO · Critical Access Hospital
Phelps County Regional Medical Center38 mi · Rolla, MO · Acute Care Hospital
Parkland Health Center - Bonne Terre39 mi · Bonne Terre, MO · Rural Emergency Hospital

Other hospitals nearby

Mercy Hospital Jefferson43 mi · Crystal City, MO · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Meramec Nursing0.1 mi · Sullivan, MO · 1 of 5 stars
Life Care Center of Sullivan0.9 mi · Sullivan, MO · 4 of 5 stars
St Clair Nursing Center15 mi · Saint Clair, MO · 5 of 5 stars

All nursing homes in the state →

Home health agencies

Alternative Home Health Care24 mi · Washington, MO · 1 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Sullivan5.1 mi · Sullivan, MO · 2 of 5 stars
DaVita Washington Home Training24 mi · Washington, MO
DaVita Washington Square Dialysis24 mi · Washington, MO · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Washington Surgery Center, LLC24 mi · Washington, MO

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Compass Health0.4 mi · Sullivan, MO · Community health center
Bourbon Dental Clinic5.1 mi · Bourbon, MO · Community health center
Four Rivers Community Health Center - Cuba16 mi · Cuba, MO · Community health center

Clinics and urgent care

Mercy Clinic East Communities5.1 mi · Sullivan, MO · Rural health clinic
Sullivan Medical Office5.1 mi · Sullivan, MO · Rural health clinic
Bourbon Medical Office6.9 mi · Bourbon, MO · Rural health clinic

Pharmacies

Medley Pharmacy, Inc5.1 mi · Sullivan, MO · Pharmacy
Missouri CVS Pharmacy LLC5.1 mi · Sullivan, MO · Pharmacy
Wal-Mart Stores East LP5.1 mi · Sullivan, MO · Community/retail pharmacy

Assisted living nearby

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

Dunsford Court Memory Care5.1 mi · Sullivan, MO
Sullivan Pointe Assisted Living5.1 mi · Sullivan, MO
Barnabas Redwood Manor6.9 mi · Bourbon, MO
Crab Apple Village Senior Estates14 mi · Saint Clair, 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 Missouri Baptist Sullivan Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	77%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	85%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	307Response rate: 25%

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

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark

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

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	16.1%
Deaths within 30 days: pneumonia patients	16.9%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	12.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.2%
Readmitted within 30 days: pneumonia	18.7%
Readmitted within 30 days: COPD	20.1%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	175 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	48%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

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 45 common services exactly as Missouri Baptist Sullivan Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Level 3 Limited	$1,513	$907.80	$273.42 – $2,674
Emergency room visit (moderate): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $689.93 AETNA [200] — BJC HB AETNA NATIONAL: $1,124.16 AETNA [200] — BJC HB FIRST HEALTH RURAL: $1,124.16 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,134.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $332.86 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $332.86 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $912.34 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $1,124.16 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $877.54 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,039.43
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Level 3 Limited+Proc	$1,513	$907.80	$273.42 – $2,674
Emergency room visit (moderate): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $689.93 AETNA [200] — BJC HB AETNA NATIONAL: $1,124.16 AETNA [200] — BJC HB FIRST HEALTH RURAL: $1,124.16 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,134.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $332.86 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $332.86 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $912.34 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $1,124.16 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $877.54 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,039.43
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Level 4 Intermed	$2,132	$1,279.20	$469.04 – $3,275.55
Emergency room visit (moderately high): 10 of 47 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $469.04 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $469.04 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,236.56 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,464.68 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $497.18 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $497.18 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $497.18 BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,475.34 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,447.63 BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $1,854.84
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Level 4 Intermedate+Proc	$2,132	$1,279.20	$469.04 – $3,275.55
Emergency room visit (moderately high): 10 of 47 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $469.04 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $469.04 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,236.56 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,464.68 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $497.18 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $497.18 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $497.18 BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,475.34 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,447.63 BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $1,854.84
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Level 5 Extended	$2,987	$1,792.20	$596.49 – $5,551
Emergency room visit (high): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $1,362.07 AETNA [200] — BJC HB AETNA NATIONAL: $2,219.34 AETNA [200] — BJC HB FIRST HEALTH RURAL: $2,219.34 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $2,240.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $657.14 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $657.14 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $1,801.16 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $2,219.34 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,732.46 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $2,052.07
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Level 5 Extended+Proc	$2,987	$1,792.20	$596.49 – $5,551
Emergency room visit (high): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $1,362.07 AETNA [200] — BJC HB AETNA NATIONAL: $2,219.34 AETNA [200] — BJC HB FIRST HEALTH RURAL: $2,219.34 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $2,240.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $657.14 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $657.14 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $1,801.16 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $2,219.34 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,732.46 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $2,052.07

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel	$185	$111	$8.46 – $261
Basic metabolic panel (blood test): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $84.36 AETNA [200] — BJC HB AETNA NATIONAL: $137.46 AETNA [200] — BJC HB FIRST HEALTH RURAL: $137.46 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $138.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $40.70 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $40.70 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $111.56 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $137.46 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $107.30 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $127.10
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel	$358	$214.80	$10.56 – $359
Comprehensive metabolic panel (blood test): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $163.25 AETNA [200] — BJC HB AETNA NATIONAL: $265.99 AETNA [200] — BJC HB FIRST HEALTH RURAL: $265.99 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $268.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $78.76 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $78.76 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $215.87 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $265.99 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $207.64 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $245.95
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel\|UNUSUAL NON-OVERLAPPING SERVICE	$358	$214.80	$24.97 – $236.64
Comprehensive metabolic panel (blood test): rates for 8 insurance plans BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $236.64 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $24.97 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $236.64 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $24.97 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $236.64 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $24.97 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA MHS: $79.48 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA MHS: $79.48
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC Obstetric Panel	$392	$235.20	$47.81 – $341.04
Obstetric blood test panel: 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $178.75 AETNA [200] — BJC HB AETNA NATIONAL: $291.26 AETNA [200] — BJC HB FIRST HEALTH RURAL: $291.26 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $294 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $86.24 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $86.24 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $236.38 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $291.26 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $227.36 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $269.30
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel	$209	$125.40	$13.39 – $181.83
Cholesterol panel (lipid panel): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $95.30 AETNA [200] — BJC HB AETNA NATIONAL: $155.29 AETNA [200] — BJC HB FIRST HEALTH RURAL: $155.29 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $156.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $45.98 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $45.98 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $126.03 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $155.29 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $121.22 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $143.58
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel	$89	$53.40	$8.68 – $313
Kidney function panel: 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $40.58 AETNA [200] — BJC HB AETNA NATIONAL: $66.13 AETNA [200] — BJC HB FIRST HEALTH RURAL: $66.13 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $66.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $19.58 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $19.58 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $53.67 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $66.13 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $51.62 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $61.14
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel	$279	$167.40	$8.17 – $242.73
Liver function panel: 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $127.22 AETNA [200] — BJC HB AETNA NATIONAL: $207.30 AETNA [200] — BJC HB FIRST HEALTH RURAL: $207.30 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $209.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $61.38 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $61.38 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $168.24 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $207.30 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $161.82 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $191.67
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel\|UNUSUAL NON-OVERLAPPING SERVICE	$279	$167.40	$19.32 – $184.42
Liver function panel: rates for 6 insurance plans BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $184.42 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $19.32 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $184.42 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $19.32 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $184.42 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $19.32
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro	$53	$31.80	$3.17 – $46.11
Urine test (automated, with microscope): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $24.17 AETNA [200] — BJC HB AETNA NATIONAL: $39.38 AETNA [200] — BJC HB FIRST HEALTH RURAL: $39.38 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $39.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $11.66 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $11.66 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $31.96 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $39.38 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $30.74 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $36.41
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro\|UNUSUAL NON-OVERLAPPING SERVICE	$53	$31.80	$11.77 – $24.99
Urine test (automated, with microscope): rates for 2 insurance plans HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA MHS: $11.77 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA MHS: $11.77
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto WO Micro	$40	$24	$2.25 – $34.80
Urine test (automated, without microscope): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $18.24 AETNA [200] — BJC HB AETNA NATIONAL: $29.72 AETNA [200] — BJC HB FIRST HEALTH RURAL: $29.72 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $30 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $8.80 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $8.80 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $24.12 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $29.72 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $23.20 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $27.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto WO Micro\|UNUSUAL NON-OVERLAPPING SERVICE	$40	$24	$8.88
Urine test (automated, without microscope): rates for 2 insurance plans HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA MHS: $8.88 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA MHS: $8.88
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Prostat Spec Ag Tot Diag	$232	$139.20	$18.39 – $201.84
PSA (prostate specific antigen) blood test: 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $105.79 AETNA [200] — BJC HB AETNA NATIONAL: $172.38 AETNA [200] — BJC HB FIRST HEALTH RURAL: $172.38 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $174 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $51.04 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $51.04 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $139.90 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $172.38 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $134.56 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $159.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Stim Hormone	$244	$146.40	$16.80 – $212.28
Thyroid stimulating hormone (TSH) test: 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $111.26 AETNA [200] — BJC HB AETNA NATIONAL: $181.29 AETNA [200] — BJC HB FIRST HEALTH RURAL: $181.29 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $183 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $53.68 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $53.68 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $147.13 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $181.29 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $141.52 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $167.63
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Auto W Auto Diff	$141	$84.60	$7.77 – $154
Complete blood count (CBC) with differential: 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $64.30 AETNA [200] — BJC HB AETNA NATIONAL: $104.76 AETNA [200] — BJC HB FIRST HEALTH RURAL: $104.76 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $105.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $31.02 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $31.02 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $85.02 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $104.76 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $81.78 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $96.87
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Auto W Auto Diff\|UNUSUAL NON-OVERLAPPING SERVICE	$141	$84.60	$18.38 – $93.20
Complete blood count (CBC) with differential: rates for 9 insurance plans BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $93.20 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $18.38 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $93.20 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $18.38 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $93.20 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $18.38 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $83.90 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA MHS: $31.30 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA MHS: $31.30
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Auto WO Auto Diff	$145	$87	$6.47 – $126.15
Complete blood count (CBC), automated: 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $66.12 AETNA [200] — BJC HB AETNA NATIONAL: $107.74 AETNA [200] — BJC HB FIRST HEALTH RURAL: $107.74 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $108.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $31.90 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $31.90 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $87.44 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $107.74 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $84.10 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $99.62
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Auto WO Auto Diff\|UNUSUAL NON-OVERLAPPING SERVICE	$145	$87	$15.30 – $107.30
Complete blood count (CBC), automated: 10 of 11 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $95.85 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $15.30 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $95.85 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $15.30 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $95.85 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $15.30 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $94.25 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $107.30 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $86.28 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA MHS: $32.19
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time	$38	$22.80	$4.29 – $33.06
Blood clotting time test (prothrombin time, PT): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $17.33 AETNA [200] — BJC HB AETNA NATIONAL: $28.23 AETNA [200] — BJC HB FIRST HEALTH RURAL: $28.23 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $28.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $8.36 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $8.36 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $22.91 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $28.23 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $22.04 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $26.11
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Thrombplastin Time Prtl	$62	$37.20	$6.01 – $132
Blood clotting test (partial thromboplastin time, PTT): 10 of 75 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $28.27 AETNA [200] — BJC HB AETNA NATIONAL: $46.07 AETNA [200] — BJC HB FIRST HEALTH RURAL: $46.07 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $46.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $13.64 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $13.64 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $37.39 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $46.07 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $35.96 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $42.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Thrombplastin Time Prtl\|UNUSUAL NON-OVERLAPPING SERVICE	$62	$37.20	$13.76 – $78.54
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $40.98 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $14.21 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $40.98 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $14.21 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $40.98 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $14.21 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $36.89 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA MHS: $13.76 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA MHS: $13.76

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 · Inpatient or outpatient In the file: HC CT Head/Brain W/O Cont	$1,466	$879.60	$104.71 – $1,725
CT scan of the head or brain, without contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $668.50 AETNA [200] — BJC HB AETNA NATIONAL: $1,089.24 AETNA [200] — BJC HB FIRST HEALTH RURAL: $1,089.24 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,099.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $322.52 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $322.52 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $884 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $1,089.24 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $850.28 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,007.14
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain W/O Cont\|UNUSUAL NON-OVERLAPPING SERVICE	$1,466	$879.60	$852.63 – $872.27
CT scan of the head or brain, without contrast: rates for 1 insurance plan COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $872.27
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain/Stem W/WO Cont	$4,704	$2,822.40	$349.44 – $4,092.48
MRI of the brain, before and after contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $2,145.02 AETNA [200] — BJC HB AETNA NATIONAL: $3,495.07 AETNA [200] — BJC HB FIRST HEALTH RURAL: $3,495.07 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $3,528 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $1,034.88 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $1,034.88 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $2,836.51 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $3,495.07 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,728.32 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $3,231.65
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xray Chest 2 Views	$551	$330.60	$43.02 – $479.37
Chest X-ray, 2 views: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $251.26 AETNA [200] — BJC HB AETNA NATIONAL: $409.39 AETNA [200] — BJC HB FIRST HEALTH RURAL: $409.39 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $413.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $121.22 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $121.22 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $332.25 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $409.39 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $319.58 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $378.54
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xray Chest 2 Views\|UNUSUAL NON-OVERLAPPING SERVICE	$551	$330.60	$42.11 – $359.80
Chest X-ray, 2 views: rates for 7 insurance plans BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $42.11 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $359.80 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $42.11 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $359.80 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $42.11 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $359.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $327.85
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Spine Lumbar Min 4 Views	$921	$552.60	$72.35 – $801.27
X-ray of the lower spine, at least 4 views: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $419.98 AETNA [200] — BJC HB AETNA NATIONAL: $684.30 AETNA [200] — BJC HB FIRST HEALTH RURAL: $684.30 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $690.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $202.62 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $202.62 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $555.36 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $684.30 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $534.18 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $632.73
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumbar Spn W/O Cont	$4,398	$2,638.80	$238.99 – $3,826.26
MRI of the lower back (lumbar spine), without contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $2,005.49 AETNA [200] — BJC HB AETNA NATIONAL: $3,267.71 AETNA [200] — BJC HB FIRST HEALTH RURAL: $3,267.71 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $3,298.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $967.56 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $967.56 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $2,651.99 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $3,267.71 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,550.84 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $3,021.43
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis With Contrast	$2,235	$1,341	$175.68 – $1,944.45
CT scan of the pelvis, with contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $1,019.16 AETNA [200] — BJC HB AETNA NATIONAL: $1,660.61 AETNA [200] — BJC HB FIRST HEALTH RURAL: $1,660.61 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,676.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $491.70 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $491.70 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $1,347.71 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $1,660.61 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,296.30 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,535.45
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis With Contrast\|UNUSUAL NON-OVERLAPPING SERVICE	$2,235	$1,341	$916.30 – $1,329.83
CT scan of the pelvis, with contrast: rates for 1 insurance plan COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $1,329.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con	$3,152	$1,891.20	$267.88 – $2,742.24
MRI of a leg joint (such as the knee), without contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $1,437.31 AETNA [200] — BJC HB AETNA NATIONAL: $2,341.94 AETNA [200] — BJC HB FIRST HEALTH RURAL: $2,341.94 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $2,364 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $693.44 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $693.44 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $1,900.66 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $2,341.94 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,828.16 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $2,165.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con\|RIGHT SIDE	$3,152	$1,891.20	$1,314.50 – $2,390
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $1,733.60 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $2,048.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $1,733.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con\|LEFT SIDE	$3,152	$1,891.20	$1,314.50 – $2,390
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $1,733.60 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $2,048.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $1,733.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd & Pelvis W/Con	$5,362	$3,217.20	$349.44 – $4,732
CT scan of the abdomen and pelvis, with contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $2,445.07 AETNA [200] — BJC HB AETNA NATIONAL: $3,983.97 AETNA [200] — BJC HB FIRST HEALTH RURAL: $3,983.97 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,021.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $1,179.64 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $1,179.64 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $3,233.29 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $3,983.97 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,109.96 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $3,683.69
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC Sono Abdominal Complete	$1,700	$1,020	$104.71 – $1,479
Ultrasound of the abdomen, complete: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $775.20 AETNA [200] — BJC HB AETNA NATIONAL: $1,263.10 AETNA [200] — BJC HB FIRST HEALTH RURAL: $1,263.10 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,275 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $374 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $374 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $1,025.10 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $1,263.10 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $986 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,167.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC Sono OB >=14 Wks 1gest	$1,501	$900.60	$104.71 – $1,305.87
Pregnancy ultrasound (after the first trimester): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $684.46 AETNA [200] — BJC HB AETNA NATIONAL: $1,115.24 AETNA [200] — BJC HB FIRST HEALTH RURAL: $1,115.24 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,125.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $330.22 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $330.22 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $905.10 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $1,115.24 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $870.58 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,031.19
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC Sonography, Transvaginal	$1,159	$695.40	$104.71 – $1,008.33
Transvaginal ultrasound: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $528.50 AETNA [200] — BJC HB AETNA NATIONAL: $861.14 AETNA [200] — BJC HB FIRST HEALTH RURAL: $861.14 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $869.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $254.98 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $254.98 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $698.88 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $861.14 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $672.22 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $796.23
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Diagnostic Mamm Uni With Cad	$434	$260.40	$95.48 – $377.58
Diagnostic mammogram, one breast: 10 of 43 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $95.48 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $95.48 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $251.72 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $298.16 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $101.21 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $101.21 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $101.21 BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $163.65 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $163.47 BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $377.58
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Diagnostic Mamm Uni With Cad\|LEFT SIDE	$434	$260.40	$79.65 – $368.90
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $197.90 AETNA [200] — BJC HB AETNA NATIONAL: $322.46 AETNA [200] — BJC HB FIRST HEALTH RURAL: $322.46 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $325.50 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $261.70 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $322.46 BEECHSTREET [551] — BJC HB MULTIPLAN: $325.50 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ALLIANCE EPO: $368.90 CIGNA [202] — BJC HB CIGNA BEHAVIORAL HEALTH: $347.20 CIGNA [202] — BJC HB CIGNA LOCAL PLUS RURAL: $264.31
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Diagnostic Mamm Uni With Cad\|RIGHT SIDE	$434	$260.40	$79.65 – $368.90
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $197.90 AETNA [200] — BJC HB AETNA NATIONAL: $322.46 AETNA [200] — BJC HB FIRST HEALTH RURAL: $322.46 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $325.50 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $261.70 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $322.46 BEECHSTREET [551] — BJC HB MULTIPLAN: $325.50 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ALLIANCE EPO: $368.90 CIGNA [202] — BJC HB CIGNA BEHAVIORAL HEALTH: $347.20 CIGNA [202] — BJC HB CIGNA LOCAL PLUS RURAL: $264.31
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Diagnostic Mamm Bi With Cad	$665	$399	$102.44 – $578.55
Diagnostic mammogram, both breasts: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $303.24 AETNA [200] — BJC HB AETNA NATIONAL: $494.10 AETNA [200] — BJC HB FIRST HEALTH RURAL: $494.10 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $498.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $146.30 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $146.30 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $401 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $494.10 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $385.70 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $456.86
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Screening Mamm Bi With Cad	$457	$274.20	$84.26 – $397.59
Screening mammogram, both breasts: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $208.39 AETNA [200] — BJC HB AETNA NATIONAL: $339.55 AETNA [200] — BJC HB FIRST HEALTH RURAL: $339.55 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $342.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $100.54 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $100.54 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $275.57 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $339.55 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $265.06 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $313.96

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Poly >6yr W 4+ Para	$7,860	$4,716	$860.13 – $7,722
Sleep study (overnight, in a sleep lab): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $3,584.16 AETNA [200] — BJC HB AETNA NATIONAL: $5,839.98 AETNA [200] — BJC HB FIRST HEALTH RURAL: $5,839.98 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $5,895 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $1,729.20 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $1,729.20 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $4,739.58 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $5,839.98 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $4,558.80 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $5,399.82
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Polysomnography 4+ Para (<6hr)	$5,895	$3,537	$860.13 – $5,792
Sleep study (overnight, in a sleep lab): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $2,688.12 AETNA [200] — BJC HB AETNA NATIONAL: $4,379.99 AETNA [200] — BJC HB FIRST HEALTH RURAL: $4,379.99 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,421.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $1,296.90 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $1,296.90 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $3,554.69 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $4,379.99 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,419.10 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $4,049.87

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Theraptc Proc-Ea 15mn	$218	$130.80	$27.90 – $332
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $99.41 AETNA [200] — BJC HB AETNA NATIONAL: $161.97 AETNA [200] — BJC HB FIRST HEALTH RURAL: $161.97 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $163.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $47.96 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $47.96 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $131.45 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $161.97 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $126.44 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $149.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Theraptc Proc-Ea 15mn	$218	$130.80	$27.90 – $332
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $99.41 AETNA [200] — BJC HB AETNA NATIONAL: $161.97 AETNA [200] — BJC HB FIRST HEALTH RURAL: $161.97 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $163.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $47.96 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $47.96 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $131.45 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $161.97 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $126.44 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $149.77
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Theraptc Proc-Ea 15mn\|OP OCCUPATIONAL THERAPY SERV	$218	$130.80	$83.05 – $141.70
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $119.90 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $141.70 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $119.90
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity	$256	$153.60	$56.32 – $332
Physical therapy evaluation (low complexity): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $116.74 AETNA [200] — BJC HB AETNA NATIONAL: $190.21 AETNA [200] — BJC HB FIRST HEALTH RURAL: $190.21 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $192 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $56.32 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $56.32 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $154.37 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $190.21 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $148.48 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $175.87
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity\|OP PT SERVICES\|UNUSUAL NON-OVERLAPPING SERVICE	$256	$153.60	$129.80 – $166.40
Physical therapy evaluation (low complexity): rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $140.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $166.40 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $152.32
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity\|OP PT SERVICES\|DOCUMENTATION ON FILE	$256	$153.60	$129.80 – $166.40
Physical therapy evaluation (low complexity): rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $140.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $166.40 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $140.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity	$303	$181.80	$66.66 – $332
Physical therapy evaluation (moderate complexity): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $138.17 AETNA [200] — BJC HB AETNA NATIONAL: $225.13 AETNA [200] — BJC HB FIRST HEALTH RURAL: $225.13 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $227.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $66.66 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $66.66 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $182.71 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $225.13 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $175.74 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $208.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity\|OP PT SERVICES\|OP PT BY PT ASSISTANT	$303	$181.80	$95.18 – $224.22
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $196.95 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $224.22 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $210.59
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity	$363	$217.80	$79.86 – $332
Physical therapy evaluation (high complexity): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: $165.53 AETNA [200] — BJC HB AETNA NATIONAL: $269.71 AETNA [200] — BJC HB FIRST HEALTH RURAL: $269.71 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $272.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $79.86 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $79.86 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: $218.89 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH RURAL: $269.71 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $210.54 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $249.38
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity\|OP PT SERVICES	$363	$217.80	$168.85 – $235.95
Physical therapy evaluation (high complexity): rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $199.65 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $235.95 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $199.65
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity\|OP PT SERVICES\|DISTINCT PROCEDURAL SERVICE	$363	$217.80	$199.65 – $235.95
Physical therapy evaluation (high complexity): rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $199.65 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $235.95 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $199.65

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$5,604.75	$3,362.85	$526.34 – $4,876.13
Upper GI endoscopy (diagnostic): 10 of 75 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC Egd Endoscopy	$2,260	$1,356	$497.20 – $6,771
Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: $497.20 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: $497.20 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,310.80 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO RURAL: $1,552.62 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $527.03 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $527.03 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE MHS: $527.03 BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $1,966.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple\|UNUSUAL NON-OVERLAPPING SERVICE	$10,953.96	$6,572.38	$908.45 – $9,529.95
Upper GI endoscopy with biopsy: 10 of 75 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple\|DISTINCT PROCEDURAL SERVICE	$9,680.41	$5,808.25	$1,039.03 – $12,175.71
Upper GI endoscopy with biopsy: 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple	$10,397.01	$6,238.21	$908.45 – $9,045.40
Upper GI endoscopy with biopsy: 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION	$9,038.36	$5,423.02	$66 – $7,863.37
Colonoscopy (diagnostic): 10 of 75 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$9,910.61	$5,946.37	$258 – $8,622.23
Colonoscopy (diagnostic): 10 of 75 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd\|DISCONTINUED PROCEDURE	$7,178	$4,306.80	$1,579.16 – $6,244.86
Colonoscopy (diagnostic): 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple\|UNUSUAL NON-OVERLAPPING SERVICE\|CLRCTAL SCREEN TO DIAGN	$14,513	$8,707.80	$1,198.57 – $12,626.31
Colonoscopy with biopsy: 10 of 75 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple\|SEPARATE STRUCTURE\|CLRCTAL SCREEN TO DIAGN	$17,100.59	$10,260.35	$1,198.57 – $14,877.51
Colonoscopy with biopsy: 10 of 75 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANE	$5,882.46	$3,529.48	$1,198.57 – $5,117.74
Colonoscopy with biopsy: 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$14,513	$8,707.80	$1,198.57 – $12,626.31
Colonoscopy with removal of polyps (snare): 10 of 75 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq\|CLRCTAL SCREEN TO DIAGN	$9,973.29	$5,983.97	$1,198.57 – $8,676.76
Colonoscopy with removal of polyps (snare): 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRA	$25,079.26	$15,047.56	$1,198.57 – $21,818.96
Colonoscopy with removal of polyps (snare): 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $1,941 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $1,689 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $1,941 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $1,607 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $1,689 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $1,850 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $1,850
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|LEFT SIDE	$22,295.10	$13,377.06	$3,586.18 – $32,209.12
Groin (inguinal) hernia repair, age 5 or older: 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $7,630 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $5,558 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $7,630 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $5,558 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $4,207 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $7,630 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $5,558 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $4,207 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,697 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,697
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|RIGHT SIDE	$41,642.09	$24,985.25	$3,911 – $36,228.62
Groin (inguinal) hernia repair, age 5 or older: 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $7,630 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $5,558 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $7,630 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $5,558 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $4,207 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $7,630 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $5,558 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $4,207 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,697 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,697
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$16,617.47	$9,970.48	$3,242.35 – $18,906.28
Hysteroscopy with biopsy of the uterus lining: 10 of 74 insurance plan rates BCBS OOS [607] — BJC HB ANTHEM ACCESS RURAL: $6,208 BCBS OOS [607] — BJC HB ANTHEM CHOICE RURAL: $4,892 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS RURAL: $6,208 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE RURAL: $4,892 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM PREFERRED MHS: $4,374 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS RURAL: $6,208 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE RURAL: $4,892 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM PREFERRED MHS: $4,374 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $5,063 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $5,063
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne\|RIGHT SIDE	$11,075.70	$6,645.42	$1,955.88 – $23,928.36
Carpal tunnel release: 10 of 75 insurance plan rates CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,587 SARAH BUSH LINCOLN [636] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: 45.6% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH RURAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: 22% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: 22% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: 60.3% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne\|LEFT SIDE	$11,045.20	$6,627.12	$2,164.11 – $24,131.78
Carpal tunnel release: 10 of 74 insurance plan rates CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,587 SARAH BUSH LINCOLN [636] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: 45.6% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH RURAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: 22% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: 22% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: 60.3% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Post-Cataract Laser Surgery\|BILATERAL PROCEDURE	$1,128.90	$677.34	$248.36 – $4,587
Laser treatment of clouding after cataract surgery: 10 of 74 insurance plan rates CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,587 SARAH BUSH LINCOLN [636] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: 45.6% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH RURAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: 22% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: 22% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: 60.3% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Post-Cataract Laser Surgery\|RIGHT SIDE	$1,192.60	$715.56	$262.37 – $4,587
Laser treatment of clouding after cataract surgery: 10 of 74 insurance plan rates CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,587 SARAH BUSH LINCOLN [636] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: 45.6% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH RURAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: 22% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: 22% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: 60.3% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Post-Cataract Laser Surgery\|LEFT SIDE	$1,192.60	$715.56	$262.37 – $4,587
Laser treatment of clouding after cataract surgery: 10 of 74 insurance plan rates CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,587 SARAH BUSH LINCOLN [636] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587 AETNA [200] — BJC HB AETNA CARELINK IFP RURAL: 45.6% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH RURAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA MHS: 22% (a percentage in the contract, not a dollar amount) AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE MHS: 22% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL RURAL: 60.3% (a percentage in the contract, not a dollar amount)

Source: Missouri Baptist Sullivan Hospital’s standard charges file (bjc.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 15, 2025; 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	751 Sappington Bridge Rd, Sullivan, MO 63080
County	Crawford County
State	Missouri
Phone	(573) 468‑4186
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	261337
Name in Medicare records	MISSOURI BAPTIST SULLIVAN HOSPITAL
Profile level	Medicare data + hospital website
Official website	bjc.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Missouri Baptist Sullivan Hospital (BJC Health) — bjc.org
Emergency Room at Missouri Baptist Sullivan Hospital — bjc.org
Missouri Baptist Sullivan Hospital | BJC — bjc.org