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Acute Care Hospital

Nevada Regional Medical Center

Nevada, Missouri · Vernon County · Emergency services listed

Summary

Nevada Regional Medical Center is an acute care hospital in Nevada, Missouri. Medicare data lists emergency services. Its official website lists 72 services, specialties and programs. Medicare lists 95 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
YesBirthing-friendly (CMS)
71Beds (hospital website)
72Services listed

Quick answers

Does Nevada Regional Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Nevada Regional Medical Center. In a medical emergency, call 911.
Where is Nevada Regional Medical Center?
800 S Ash St, Nevada, MO 64772, in Vernon County, Missouri.
What is the phone number of Nevada Regional Medical Center?
(417) 667-3355, as listed by Medicare (CMS).
What is the Medicare star rating of Nevada Regional Medical Center?
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[5][12]

Conditions treated[11][14]

Treatments[5][11][14]

Procedures[5][13]

  • Endoscopy
  • Diagnostic Imaging
  • 3D/4D Ultrasound
  • CT scan
  • MRI
  • 3D digital mammography
  • Nuclear medicine
  • Bone densitometry
  • Fluoroscopy
  • General radiology (X-ray)
  • Laboratory testing

Programs and centers[5][7][9][10][11]

  • Swing Bed
  • Maternity Center
  • Rehabilitation services
  • Performance Therapy
  • Sleep Center
  • Social Services

Emergency care (hospital website)[6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Recognition[12]

  • Accredited by the Center for Improvement in Healthcare Quality

Doctors and clinicians (95)

95 doctors and other clinicians list Nevada Regional Medical Center 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 (95)

And 71 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Nevada Regional Medical Center 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 hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well82%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night72%National average: 60%
Completed surveys103Response rate: 18%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients15.5%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Complications after hip or knee replacementNot reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)95 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Too few cases to report

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Nevada Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: RHC OUTPT LEVEL 3 NEW-99203 $286 $128.70 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE NEW 30-44 MIN-99203 $138 $62.10 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: SPLIT OFFICE NEW 30-44 MIN-99203 $390 $175.50 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: RHC OUTPT LEVE 4 NEW-99204 $406 $182.70 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE NEW 45-59 MIN-99204 $159 $71.55 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: SPLIT OFFICE NEW 45-59 MIN-99204 $445 $200.25 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: RHC OUTPT LEVEL 5 NEW-99205 $517 $232.65 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE NEW 60-74 MIN-99205 $202 $90.90 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: SPLIT OFFICE NEW 60-74 MIN-99205 $500 $225 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: TREATMENT ROOM $325 $146.25 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OB LEVEL 3 FACILITY FEE $325 $146.25 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: RHC OFFICE VISIT 20-29 MIN-99213 $156 $70.20 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OB LEVEL 4 FACILITY FEE $375 $168.75 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: RHC OFFICE VISIT 30-39 MIN-99214 $246 $110.70 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE VISIT 30-39 MIN-99214 $339 $152.55 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: RHC CONSULT 30 MIN-99243 $364 $163.80 Not listed in the file
Office consultation with a specialist (moderate): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: RHC CONSULT 40 MIN-99244 $513 $230.85 Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: RHC INITIAL PREV E&M NEW 18-39 YR-99385 $390 $175.50 Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: INITAL PREV E&M NEW 18-39YR PF-99385 $390 $175.50 Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: RHC INITIAL PREV E&M NEW 40-64YR-99386 $459 $206.55 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: INITAL PREV E&M NEW 40-64YR PF $459 $206.55 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL 3 $952 $428.40 Not listed in the file
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL 3 PF $169 $76.05 Not listed in the file
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: ER LEVEL 3 (W/MOD 25),Sep E/M same day as procedure $952 $428.40 Not listed in the file
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4 $1,477 $664.65 Not listed in the file
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4 PF $287 $129.15 Not listed in the file
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: ER LEVEL 4 (W/MOD 25),Sep E/M same day as procedure $1,477 $664.65 Not listed in the file
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL 5 $2,142 $963.90 Not listed in the file
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL 5 PF $416 $187.20 Not listed in the file
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: ER LEVEL 5 (W/MOD 25),Sep E/M same day as procedure $2,142 $963.90 Not listed in the file
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL 10 $43 $19.35 Not listed in the file
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: VET CMP $53 $23.85 Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL 14 $53 $23.85 Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $67 $30.15 Not listed in the file
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $44 $19.80 Not listed in the file
Kidney function panel: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $41 $18.45 Not listed in the file
Liver function panel: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS MICROSCOPIC CHARGE $25 $11.25 Not listed in the file
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS WITH MICROSCOPIC 4 $25 $11.25 Not listed in the file
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINE DIPSTICK POC $25 $11.25 Not listed in the file
Urine test (manual, without microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: RHC URINE DIPSTICK POC-81002 $25 $11.25 Not listed in the file
Urine test (manual, without microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: RHC URINE DIPSTICK POC $25 $11.25 Not listed in the file
Urine test (manual, without microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS DIPSTICK CHARGE ONLY $25 $11.25 Not listed in the file
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA CHARGE $25 $11.25 Not listed in the file
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS DIPSTICK $25 $11.25 Not listed in the file
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA (FREE AND TOTAL) QST $188 $84.60 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL W/RFLX FREE QST 17569 $195 $87.75 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC $92 $41.40 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STIMULATING HORMONE $84 $37.80 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W/ AUTO DIFF 3 $39 $17.55 Not listed in the file
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: ZZZCBC WITH AUTO DIFF 8 CHARGE $39 $17.55 Not listed in the file
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE BLOOD COUNT WITH AUTO DIFF $39 $17.55 Not listed in the file
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC $33 $14.85 Not listed in the file
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HEMOGRAM CHARGE $33 $14.85 Not listed in the file
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT/INR $25 $11.25 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: NMC RHC PROTHOMBIN TIME $25 $11.25 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 ADD-ON $103 $46.35 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT $31 $13.95 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD OR BRAIN W/O CONT $524 $235.80 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT STROKE STUDY $524 $235.80 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W/WO CONT $2,083 $937.35 Not listed in the file
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 VIEWS $367 $165.15 Not listed in the file
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR SPINE LUMBOSAC MIN 4 VIEW $367 $165.15 Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINE LUMBAR W/O CONT $1,168 $525.60 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W CONT $876 $394.20 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI LE JOINT W/O CONT LT,Left $1,168 $525.60 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI LE JOINT W/O CONT RT,Right $1,168 $525.60 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN/PELVIS W CONT $1,833 $824.85 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMP $524 $235.80 Not listed in the file
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US PREG > 14 WEEKS 1ST GEST $524 $235.80 Not listed in the file
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL $524 $235.80 Not listed in the file
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MA DIAG LT,Left $384 $172.80 Not listed in the file
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MA DIAG RT,Right $384 $172.80 Not listed in the file
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA DIAG BIL $486 $218.70 Not listed in the file
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA ROUTINE SCREEN BIL $391 $175.95 Not listed in the file
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier LT In the file: MA ROUTINE SCREEN LT,Left $391 $175.95 Not listed in the file
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier RT In the file: MA ROUTINE SCREEN RT,Right $391 $175.95 Not listed in the file
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: RT SLEEP W/O CPAP PROFESSIONAL FEE $934 $420.30 Not listed in the file
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: RT POLYSOMNOGRAPHY 4 OR MORE $3,594 $1,617.30 Not listed in the file
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP,CQ In the file: PT THERAP EXER 15 MIN PTA,Physical Therapy outpatient, Physical Therapist Assistant $95 $42.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT THERAPEUTIC EXER 15 MIN,Physical Therapy outpatient $95 $42.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO,CO In the file: OT THERAP EXER 15 MIN OTA,Occupational Therapy outpatient, Occupational Therapy Assistant $95 $42.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN,Physical Therapy outpatient $302 $135.90 Not listed in the file
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN,Physical Therapy outpatient $322 $144.90 Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN,Physical Therapy outpatient $342 $153.90 Not listed in the file
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: RHC PSYTX W PT 30 MINUTES-90832 $228 $102.60 Not listed in the file
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES PF $205 $92.25 Not listed in the file
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES PF $287 $129.15 Not listed in the file
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · modifier AJ In the file: RHC PSYTX W PT 45 MINUTES-90834,Social Worker $306 $137.70 Not listed in the file
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: RHC PSYTX W PT 60 MINUTES-90837 $459 $206.55 Not listed in the file
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: BHU FAM THERAPY W/O PT 50MIN PF $292 $131.40 Not listed in the file
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYCHOTHERAPY W/O PT 50MIN PF $292 $131.40 Not listed in the file
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · modifier 95 In the file: BHU FAM THERAPY W/O PT 50MIN TELE PF,Telemedicine $292 $131.40 Not listed in the file
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYCHOTHERAPY W/PT 50MIN PF $237 $106.65 Not listed in the file
Family psychotherapy, with the patient: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION $15,596 $7,018.20 Not listed in the file
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION PF $1,338 $602.10 Not listed in the file
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY $92,193 $41,486.85 Not listed in the file
Total knee replacement: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: ARTHRP KNE CONDYL&PLATU MEDL&LAT COM PF $3,630 $1,633.50 Not listed in the file
Total knee replacement: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION $30,294 $13,632.30 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY $19,827 $8,922.15 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W $1,530 $688.50 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS $10,635 $4,785.75 Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: TONSILECTOMY/ADENOIDECTOMY <12YRS PF $825 $371.25 Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC $3,023 $1,360.35 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC PF $345 $155.25 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE $3,023 $1,360.35 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD W/ BIOPSY PF $557 $250.65 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY $3,048 $1,371.60 Not listed in the file
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY FLEX DIAG BRUSH/WASH PF $1,250 $562.50 Not listed in the file
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/ BIOPSY $3,936 $1,771.20 Not listed in the file
Colonoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/ BIOPSY PF $1,476 $664.20 Not listed in the file
Colonoscopy with biopsy: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/SNARE $3,936 $1,771.20 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/ SNARE PF $1,668 $750.60 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON SCREEN NOT HI RISK $3,048 $1,371.60 Not listed in the file
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON SCREEN NOT HI RISK PF $1,512 $680.40 Not listed in the file
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY $24,819 $11,168.55 Not listed in the file
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY PF $2,168 $975.60 Not listed in the file
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: REPAIR INIT INGUINAL HERNIA AGE >5YR PF $1,530 $688.50 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: US PROSTATE BIOPSY $3,600 $1,620 Not listed in the file
Prostate biopsy: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY PF $927 $417.15 Not listed in the file
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC $2,307 $1,038.15 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC PF $265 $119.25 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: LUMBAR TRANSFORAMINAL INJ 1 $852 $383.40 Not listed in the file
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: PM LUMBAR TRANSFORAMIL INJ 1 $3,040 $1,368 Not listed in the file
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: PM LUMBAR TRANSFORAMIL INJ 1 PF $569 $256.05 Not listed in the file
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY $10,494 $4,722.30 Not listed in the file
Carpal tunnel release: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: NPLASTY &/TRANSPOS MEDIAN NRV CARPAL PF $1,228 $552.60 Not listed in the file
Carpal tunnel release: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: YAG CAPSULOTOMY SEC MEMBRA $1,939 $872.55 Not listed in the file
Laser treatment of clouding after cataract surgery: 10 of 15 insurance plan rates
  • Aetna — Default: 76.4% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 69.4% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 35% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 56.8% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 75% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 25% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 43% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 23% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: ROUTINE OB CARE $5,411 $2,434.95 Not listed in the file
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: ROUTINE OB CARE PF $5,411 $2,434.95 Not listed in the file
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN DELIVERY W/ANTE&POST $6,131 $2,758.95 Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN DELIVERY W/ANTE&POST ASSIST $1,839 $827.55 Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN DELIVERY W/ANTE&POST PF $6,131 $2,758.95 Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: VBAC DELIVERY $4,841 $2,178.45 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: VBAC DELIVERY PF $4,841 $2,178.45 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates
  • Aetna — Default: 35% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Kansas City — Default: 35% (a percentage in the contract, not a dollar amount)
  • Coventry Health Care MCR Adv — Default: 28% (a percentage in the contract, not a dollar amount)
  • Government Employees Hospital Association (GEHA) — Default: 26.3% (a percentage in the contract, not a dollar amount)
  • Great West Healthcare — Default: 36.7% (a percentage in the contract, not a dollar amount)
  • Healthy Blue after 1/1/2021 (Missouri Care) — Default: 19% (a percentage in the contract, not a dollar amount)
  • Humana — Default: 28% (a percentage in the contract, not a dollar amount)
  • Luminare KC FMH — Default: 76% (a percentage in the contract, not a dollar amount)
  • Medicaid Missouri InfoCrossings — Default: 32% (a percentage in the contract, not a dollar amount)
  • Missouri Home State Health Care MCD Rep — Default: 21% (a percentage in the contract, not a dollar amount)

Source: Nevada Regional Medical Center’s standard charges file (nrmchealth.com, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on January 14, 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 typeAcute Care Hospital
Address800 S Ash St, Nevada, MO 64772
CountyVernon County
StateMissouri
Phone(417) 667‑3355
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall ratingNot rated by CMS
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number260061
Name in Medicare recordsNEVADA REGIONAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitenrmchealth.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Services — nrmchealth.com
  2. Emergency Department — nrmchealth.com
  3. Rehabilitation Services | NRMC | Nevada, MO — nrmchealth.com
  4. Social Services | NRMC | Nevada, MO — nrmchealth.com
  5. Maternity Care Center | NRMC | Nevada, MO — nrmchealth.com
  6. Performance Therapy | NRMC | Nevada, MO — nrmchealth.com
  7. About Us | Nevada Regional Medical Center | Nevada, MO — nrmchealth.com
  8. Diagnostic Imaging | NRMC | Nevada, MO — nrmchealth.com
  9. Performance Therapy | NRMC | Nevada, MO — nrmchealth.com