Does Pershing Memorial Hospital have an emergency room?

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

Where is Pershing Memorial Hospital?

130 East Lockling, Brookfield, MO 64628, in Linn County, Missouri.

What is the phone number of Pershing Memorial Hospital?

(660) 258-2222, as listed by Medicare (CMS).

What is the Medicare star rating of Pershing Memorial Hospital?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Pershing Memorial Hospital — Phone, Address & ER

Quick answers

Does Pershing Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Pershing Memorial Hospital. In a medical emergency, call 911.
Where is Pershing Memorial Hospital?: 130 East Lockling, Brookfield, MO 64628, in Linn County, Missouri.
What is the phone number of Pershing Memorial Hospital?: (660) 258-2222, as listed by Medicare (CMS).
What is the Medicare star rating of Pershing Memorial Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^{[4][5][7][10][12][13][14][15]}

Emergency Room
Rehabilitation Services
Respiratory Therapy
Imaging Services (Radiology)
Laboratory Services
Emergency Medicine
Diagnostic Imaging
Sleep Medicine
Physical Therapy
Occupational Therapy
Speech Therapy
Clinical Nutrition
Geriatric Mental Health
Social Work

Conditions treated^{[7][8][10][13][15]}

Heart attack
Chronic lung conditions
Asthma
COPD
Shortness of breath
Sleep apnea
Insomnia
Snoring
Restless legs syndrome
Excessive daytime sleepiness
Depression
Anxiety
Osteoporosis
Stroke-related impairments
Orthopedic injuries
Sports injuries
Balance difficulties
Dizziness and vestibular disorders
Parkinson's disease
Multiple sclerosis
Spinal cord injuries
Post-concussion syndrome
Swallowing difficulties
Speech and language difficulties
Cognitive and memory challenges
Developmental delays

Treatments^{[4][8][10][12][13][15]}

Cardiac and pulmonary rehab
Swing bed care
Physical therapy
Occupational therapy
Speech therapy
Cardiac rehabilitation
Pulmonary rehabilitation
Oxygen therapy
Breathing treatments
Pulse oximetry
Medication education and management
Medically prescribed diets
Home safety assessment
Adaptive equipment training

Procedures^{[7][9][11][13]}

Screening mammography (3D)
DXA bone density scan
CT scan
MRI
Ultrasound
Digital X-ray
Bedside portable X-ray
Pulmonary function testing
DLCO testing
Arterial blood gas testing
In-lab sleep study
Home sleep study
Hematology testing
Chemistry and immunology testing
Coagulation testing
Urinalysis
Blood bank services

Programs and centers^{[4][8][13][14]}

Senior Life Solutions
In-patient and swing bed care
Cardiac & Pulmonary Rehabilitation
Sleep Lab
Social Services

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

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	https://phsmo.org/patients-visitors/patient-portal

Recognition^[13]

Sleep Lab accredited by the Accreditation Commission for Health Care (ACHC)

Doctors and clinicians (128)

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

Main specialties

And 104 more: the button below opens the full list.

Other emergency rooms nearby

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

Hedrick Medical Center26 mi · Chillicothe, MO · Critical Access Hospital
Sullivan County Memorial Hospital30 mi · Milan, MO · Critical Access Hospital
Macon County Samaritan Memorial Hospital32 mi · Macon, MO · Critical Access Hospital
Wright Memorial Hospital34 mi · Trenton, MO · Critical Access Hospital
Carroll County Memorial Hospital36 mi · Carrollton, MO · Critical Access Hospital

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

Other hospitals near Brookfield

Northeast Regional Medical Center38 mi · Kirksville, MO · Acute Care Hospital

Hospitals in Linn County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Life Care Center of Brookfield0.6 mi · Brookfield, MO · 2 of 5 stars
Brookfield Health Care Center1.5 mi · Brookfield, MO · 1 of 5 stars
Pioneer Skilled Nursing Center7.6 mi · Marceline, MO · 3 of 5 stars

All nursing homes in the state →

Community care nearby

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

Community health centers

Compass Health Inc.7.5 mi · Marceline, MO · Community health center

Clinics and urgent care

Community Medical Associates1.7 mi · Brookfield, MO · Rural health clinic
Meadville Medical Clinic12 mi · Meadville, MO · Rural health clinic
Jefferson Medical Group Hale Clinic20 mi · Hale, MO · Rural health clinic

Pharmacies

Gardner Pharmacy Services Inc1.7 mi · Brookfield, MO · Community/retail pharmacy
Wal-Mart Stores East LP1.7 mi · Brookfield, MO · Community/retail pharmacy

Assisted living nearby

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

Bristol Manor of Brookfield1.7 mi · Brookfield, MO
Bristol Manor of Marceline11 mi · Marceline, MO

About the Medicare star rating

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

Medicare quality data

What Pershing Memorial Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

Complications and deaths

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

Deaths within 30 days: pneumonia patients	17.1%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.7%
Readmitted within 30 days: pneumonia	17.4%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	86 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Too few cases to report	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: the patient survey, infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Missouri Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Pershing Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 48 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99203 Office Visit New Pt Level 3	$186	$186	$134.28 – $187.32
New patient office visit (about 30–44 minutes): rates for 5 insurance plans AETNA - Commercial-PPO — Aetna: $177.26 ANTHEM MO - Medicare Part A — Medicare Advantage: $134.28 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $186 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $187.32 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $186
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Level Three New Visit	$301	$301	$144.48 – $192.16
New patient office visit (about 30–44 minutes): rates for 2 insurance plans AETNA - Commercial-PPO — Aetna: $144.48 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $192.16
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99204 Office Visit New Pt Level 4	$302	$302	$126.12 – $302
New patient office visit (about 45–59 minutes): rates for 7 insurance plans AETNA - Commercial-HMO — Aetna: $126.12 AETNA - Commercial-POS — Aetna: $281.51 AETNA - Commercial-PPO — Aetna: $281.51 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $302 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $187.32 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $187.32 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $261.77
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99205 Office Visit New Pt Level 5	$583	$583	$252.92
New patient office visit (about 60–74 minutes): rates for 1 insurance plan HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $252.92
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 Office Visit Established Pt Level 3	$155	$155	$115.13 – $281.52
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans AETNA - Commercial-HMO — Aetna: $126.12 AETNA - Commercial-PPO — Aetna: $281.52 ANTHEM MO - Medicare Part A — Medicare Advantage: $128.08 BCBS MO FEP - Medicare Part A — Medicare Advantage: $128.08 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $155 HUMANA INC. - Medicare-HMO — Medicare Advantage: $115.13 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $123.83 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $187.32 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $187.32 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $155
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Level Three Follow Up	$255	$255	$117.30 – $174.98
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans AETNA - Commercial-POS — Aetna: $122.40 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $174.98 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $117.30 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $117.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214 Office Visit Established Pt Level 4	$270	$270	$124.11 – $391.20
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans AETNA - Commercial-HMO — Aetna: $124.11 AETNA - Commercial-PPO — Aetna: $282.66 ANTHEM MO - Medicare Part A — Medicare Advantage: $305.60 BCBS MO FEP - Medicare Part A — Medicare Advantage: $391.20 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $261.77 HUMANA INC. - Medicare-HMO — Medicare Advantage: $346.16 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $187.32 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $187.32 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $187.32 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $261.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Level Four Follow Up	$328	$328	$147.60 – $225.07
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans AETNA - Commercial-POS — Aetna: $157.44 AETNA - Commercial-PPO — Aetna: $157.44 ANTHEM MO - Medicare Part A — Medicare Advantage: $154.16 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $225.07 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $150.88 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $147.60 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $150.88
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: 99386 Preventive Evaluation, New Pt; 40-64 Yrs	$423	$423	$252.92
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $252.92
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC	$524	$524	$217.77 – $524
Emergency room visit (moderate): 10 of 19 insurance plan rates AETNA - Commercial-EPO — Aetna: $251.52 AETNA - Commercial-HMO — Aetna: $251.52 AETNA - Commercial-POS — Aetna: $251.52 AETNA - Commercial-PPO — Aetna: $251.52 AETNA - Medicare Part A — Medicare Advantage: $233.18 ANTHEM MO - Medicare Part A — Medicare Advantage: $217.77 BCBS MO FEP - Medicare Part A — Medicare Advantage: $233.18 CIGNA CHOICE FUND - Commercial-POS — Cigna: $393 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $243.45 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $393
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC	$708	$708	$315.06 – $708
Emergency room visit (moderately high): 10 of 14 insurance plan rates AETNA - Commercial-EPO — Aetna: $708 AETNA - Commercial-HMO — Aetna: $339.84 AETNA - Commercial-POS — Aetna: $339.84 AETNA - Commercial-PPO — Aetna: $339.84 ANTHEM MO - Medicare Part A — Medicare Advantage: $330.63 BCBS MO FEP - Medicare Part A — Medicare Advantage: $315.06 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $328.94 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $531 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $550.55 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $555.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC	$1,071	$1,071	$445.11 – $854.66
Emergency room visit (high): 10 of 16 insurance plan rates AETNA - Commercial-EPO — Aetna: $457.75 AETNA - Commercial-HMO — Aetna: $514.08 AETNA - Commercial-POS — Aetna: $514.08 AETNA - Commercial-PPO — Aetna: $514.08 AETNA - Medicare Part A — Medicare Advantage: $476.59 ANTHEM MO - Medicare Part A — Medicare Advantage: $445.11 BCBS MO FEP - Medicare Part A — Medicare Advantage: $497.59 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $497.59 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $803.25 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $803.25
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC	$1,071	$1,071	$445.11 – $854.66
Emergency room visit (high): rates for 1 insurance plan UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $469.20

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel	$291	$291	$11.72 – $218.25
Basic metabolic panel (blood test): 10 of 14 insurance plan rates AETNA - Commercial-EPO — Aetna: $124.37 AETNA - Commercial-POS — Aetna: $139.68 AETNA - Commercial-PPO — Aetna: $139.68 ANTHEM MO - Medicare Part A — Medicare Advantage: $128.33 BCBS MO FEP - Medicare Part A — Medicare Advantage: $134.03 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $134.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $218.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $185.77 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $199.69 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $11.72
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: i-Stat BMP	$291	$291	$11.72 – $218.25
Basic metabolic panel (blood test): 10 of 14 insurance plan rates AETNA - Commercial-EPO — Aetna: $124.37 AETNA - Commercial-POS — Aetna: $139.68 AETNA - Commercial-PPO — Aetna: $139.68 ANTHEM MO - Medicare Part A — Medicare Advantage: $128.33 BCBS MO FEP - Medicare Part A — Medicare Advantage: $134.03 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $134.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $218.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $185.77 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $199.69 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $11.72
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP	$20	$20	$14.63 – $303
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates AETNA - Commercial-EPO — Aetna: $303 AETNA - Commercial-HMO — Aetna: $145.44 AETNA - Commercial-POS — Aetna: $145.44 AETNA - Commercial-PPO — Aetna: $145.44 AETNA - Medicare Part A — Medicare Advantage: $133.62 ANTHEM MO - Medicare Part A — Medicare Advantage: $124.71 BCBS MO FEP - Medicare Part A — Medicare Advantage: $139.56 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $139.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $227.25 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $227.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel QST	$303	$303	$14.63 – $303
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates AETNA - Commercial-EPO — Aetna: $303 AETNA - Commercial-HMO — Aetna: $145.44 AETNA - Commercial-POS — Aetna: $145.44 AETNA - Commercial-PPO — Aetna: $145.44 AETNA - Medicare Part A — Medicare Advantage: $133.62 ANTHEM MO - Medicare Part A — Medicare Advantage: $124.71 BCBS MO FEP - Medicare Part A — Medicare Advantage: $139.56 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $139.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $227.25 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $227.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel BHL	$303	$303	$14.63 – $303
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates AETNA - Commercial-EPO — Aetna: $303 AETNA - Commercial-HMO — Aetna: $145.44 AETNA - Commercial-POS — Aetna: $145.44 AETNA - Commercial-PPO — Aetna: $145.44 AETNA - Medicare Part A — Medicare Advantage: $133.62 ANTHEM MO - Medicare Part A — Medicare Advantage: $124.71 BCBS MO FEP - Medicare Part A — Medicare Advantage: $139.56 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $139.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $227.25 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $227.25
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Pnl	$10	$10	$18.56 – $188.18
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates AETNA - Commercial-HMO — Aetna: $116.16 AETNA - Commercial-POS — Aetna: $116.16 AETNA - Commercial-PPO — Aetna: $116.16 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $111.47 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $181.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $181.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $154.49 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $188.18 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $166.07 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $18.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel QST	$242	$242	$18.56 – $188.18
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates AETNA - Commercial-HMO — Aetna: $116.16 AETNA - Commercial-POS — Aetna: $116.16 AETNA - Commercial-PPO — Aetna: $116.16 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $111.47 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $181.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $181.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $154.49 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $188.18 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $166.07 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $18.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel BHL	$242	$242	$18.56 – $188.18
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates AETNA - Commercial-HMO — Aetna: $116.16 AETNA - Commercial-POS — Aetna: $116.16 AETNA - Commercial-PPO — Aetna: $116.16 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $111.47 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $181.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $181.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $154.49 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $188.18 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $166.07 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $18.56
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Pnl	$441	$441	$12.03 – $374.85
Kidney function panel: rates for 7 insurance plans AETNA - Commercial-POS — Aetna: $374.85 AETNA - Commercial-PPO — Aetna: $211.68 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $203.12 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $202.86 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $202.86 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $198.45 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $12.03
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Pnl QST	$441	$441	$12.03 – $374.85
Kidney function panel: rates for 7 insurance plans AETNA - Commercial-POS — Aetna: $374.85 AETNA - Commercial-PPO — Aetna: $211.68 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $203.12 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $202.86 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $202.86 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $198.45 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $12.03
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel BHL	$441	$441	$12.03 – $374.85
Kidney function panel: rates for 7 insurance plans AETNA - Commercial-POS — Aetna: $374.85 AETNA - Commercial-PPO — Aetna: $211.68 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $203.12 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $202.86 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $202.86 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $198.45 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $12.03
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hep Fnct Pnl	$246	$246	$11.32 – $184.50
Liver function panel: rates for 8 insurance plans AETNA - Commercial-POS — Aetna: $118.08 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $113.31 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $184.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $157.05 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $184.50 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $11.32 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $113.16 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $113.16
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Pnl QST	$246	$246	$11.32 – $184.50
Liver function panel: rates for 8 insurance plans AETNA - Commercial-POS — Aetna: $118.08 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $113.31 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $184.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $157.05 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $184.50 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $11.32 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $113.16 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $113.16
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Panel BHL	$246	$246	$11.32 – $184.50
Liver function panel: rates for 8 insurance plans AETNA - Commercial-POS — Aetna: $118.08 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $113.31 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $184.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $157.05 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $184.50 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $11.32 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $113.16 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $113.16
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: UA w Micro	$72	$72	$4.39 – $72
Urine test (automated, with microscope): 10 of 16 insurance plan rates AETNA - Commercial-EPO — Aetna: $72 AETNA - Commercial-POS — Aetna: $34.56 AETNA - Commercial-PPO — Aetna: $34.56 AETNA - Medicare Part A — Medicare Advantage: $33.16 ANTHEM MO - Medicare Part A — Medicare Advantage: $31.78 BCBS MO FEP - Medicare Part A — Medicare Advantage: $33.16 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $33.16 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $54 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $54 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $57.46
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Complete with Culture if Indicated	$72	$72	$4.39 – $72
Urine test (automated, with microscope): 10 of 16 insurance plan rates AETNA - Commercial-EPO — Aetna: $72 AETNA - Commercial-POS — Aetna: $34.56 AETNA - Commercial-PPO — Aetna: $34.56 AETNA - Medicare Part A — Medicare Advantage: $33.16 ANTHEM MO - Medicare Part A — Medicare Advantage: $31.78 BCBS MO FEP - Medicare Part A — Medicare Advantage: $33.16 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $33.16 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $54 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $54 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $57.46
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Dipstick POC auto w/ micro	$37	$37	$3.12 – $17.76
Urine test (automated, without microscope): rates for 8 insurance plans AETNA - Commercial-POS — Aetna: $17.76 AETNA - Commercial-PPO — Aetna: $17.76 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $17.04 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $3.12 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $17.02 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $17.02 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $16.65 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $3.12
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick POC	$37	$37	$3.12 – $17.76
Urine test (automated, without microscope): rates for 8 insurance plans AETNA - Commercial-POS — Aetna: $17.76 AETNA - Commercial-PPO — Aetna: $17.76 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $17.04 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $3.12 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $17.02 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $17.02 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $16.65 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $3.12
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Dipstick	$29	$29	$3.12 – $20.01
Urine test (automated, without microscope): rates for 5 insurance plans ANTHEM MO - Medicare Part A — Medicare Advantage: $13.36 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $13.34 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $13.34 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $20.01 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $3.12
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA Total	$180	$180	$25.49 – $123.52
PSA (prostate specific antigen) blood test: rates for 5 insurance plans AETNA - Commercial-HMO — Aetna: $86.40 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $123.52 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $82.80 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $82.80 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $25.49
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA (Free and Total) QST	$180	$180	$25.49 – $123.52
PSA (prostate specific antigen) blood test: rates for 5 insurance plans AETNA - Commercial-HMO — Aetna: $86.40 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $123.52 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $82.80 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $82.80 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $25.49
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA, Total QST	$180	$180	$25.49 – $123.52
PSA (prostate specific antigen) blood test: rates for 5 insurance plans AETNA - Commercial-HMO — Aetna: $86.40 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $123.52 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $82.80 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $82.80 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $25.49
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$15	$15	$23.28 – $269
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates AETNA - Commercial-EPO — Aetna: $269 AETNA - Commercial-HMO — Aetna: $129.12 AETNA - Commercial-POS — Aetna: $129.12 AETNA - Commercial-PPO — Aetna: $129.12 ANTHEM MO - Medicare Part A — Medicare Advantage: $118.63 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $123.90 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $201.75 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $201.75 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $171.73 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $184.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH QST	$269	$269	$23.28 – $269
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates AETNA - Commercial-EPO — Aetna: $269 AETNA - Commercial-HMO — Aetna: $129.12 AETNA - Commercial-POS — Aetna: $129.12 AETNA - Commercial-PPO — Aetna: $129.12 ANTHEM MO - Medicare Part A — Medicare Advantage: $118.63 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $123.90 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $201.75 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $201.75 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $171.73 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $184.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone BHL	$269	$269	$23.28 – $269
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates AETNA - Commercial-EPO — Aetna: $269 AETNA - Commercial-HMO — Aetna: $129.12 AETNA - Commercial-POS — Aetna: $129.12 AETNA - Commercial-PPO — Aetna: $129.12 ANTHEM MO - Medicare Part A — Medicare Advantage: $118.63 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $123.90 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $201.75 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $201.75 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $171.73 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $184.59
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Diff	$15	$15	$10.77 – $138
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates AETNA - Commercial-EPO — Aetna: $138 AETNA - Commercial-HMO — Aetna: $66.24 AETNA - Commercial-POS — Aetna: $66.24 AETNA - Commercial-PPO — Aetna: $66.24 AETNA - Medicare Part A — Medicare Advantage: $63.56 ANTHEM MO - Medicare Part A — Medicare Advantage: $60.86 BCBS MO FEP - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $103.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $103.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC (Includes Diff/Plt) QST	$138	$138	$10.77 – $138
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates AETNA - Commercial-EPO — Aetna: $138 AETNA - Commercial-HMO — Aetna: $66.24 AETNA - Commercial-POS — Aetna: $66.24 AETNA - Commercial-PPO — Aetna: $66.24 AETNA - Medicare Part A — Medicare Advantage: $63.56 ANTHEM MO - Medicare Part A — Medicare Advantage: $60.86 BCBS MO FEP - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $103.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $103.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count Auto Diff BHL	$138	$138	$10.77 – $138
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates AETNA - Commercial-EPO — Aetna: $138 AETNA - Commercial-HMO — Aetna: $66.24 AETNA - Commercial-POS — Aetna: $66.24 AETNA - Commercial-PPO — Aetna: $66.24 AETNA - Medicare Part A — Medicare Advantage: $63.56 ANTHEM MO - Medicare Part A — Medicare Advantage: $60.86 BCBS MO FEP - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $103.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $103.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Man Diff	$138	$138	$8.96 – $103.50
Complete blood count (CBC), automated: 10 of 13 insurance plan rates AETNA - Commercial-HMO — Aetna: $66.24 AETNA - Commercial-POS — Aetna: $66.24 AETNA - Commercial-PPO — Aetna: $66.24 AETNA - Medicare Part A — Medicare Advantage: $60.86 ANTHEM MO - Medicare Part A — Medicare Advantage: $56.80 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $103.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $94.70 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $8.97 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $63.48
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Man Diff	$60	$60	$8.96 – $103.50
Complete blood count (CBC), automated: 10 of 13 insurance plan rates AETNA - Commercial-HMO — Aetna: $66.24 AETNA - Commercial-POS — Aetna: $66.24 AETNA - Commercial-PPO — Aetna: $66.24 AETNA - Medicare Part A — Medicare Advantage: $60.86 ANTHEM MO - Medicare Part A — Medicare Advantage: $56.80 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $103.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $94.70 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $8.97 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $63.48
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC (H/H,RBC,WBC,PLT) QST	$138	$138	$8.96 – $103.50
Complete blood count (CBC), automated: 10 of 13 insurance plan rates AETNA - Commercial-HMO — Aetna: $66.24 AETNA - Commercial-POS — Aetna: $66.24 AETNA - Commercial-PPO — Aetna: $66.24 AETNA - Medicare Part A — Medicare Advantage: $60.86 ANTHEM MO - Medicare Part A — Medicare Advantage: $56.80 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $63.56 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $103.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $94.70 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $8.97 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $63.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time and INR	$79	$79	$5.94 – $61.44
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AETNA - Commercial-HMO — Aetna: $37.92 AETNA - Commercial-POS — Aetna: $37.92 AETNA - Commercial-PPO — Aetna: $37.92 ANTHEM MO - Medicare Part A — Medicare Advantage: $32.52 BCBS MO FEP - Medicare Part A — Medicare Advantage: $36.39 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $36.39 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $59.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $61.44 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $54.21 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $5.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR QST	$79	$79	$5.94 – $61.44
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AETNA - Commercial-HMO — Aetna: $37.92 AETNA - Commercial-POS — Aetna: $37.92 AETNA - Commercial-PPO — Aetna: $37.92 ANTHEM MO - Medicare Part A — Medicare Advantage: $32.52 BCBS MO FEP - Medicare Part A — Medicare Advantage: $36.39 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $36.39 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $59.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $61.44 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $54.21 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $5.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time INR BHL	$79	$79	$5.94 – $61.44
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates AETNA - Commercial-HMO — Aetna: $37.92 AETNA - Commercial-POS — Aetna: $37.92 AETNA - Commercial-PPO — Aetna: $37.92 ANTHEM MO - Medicare Part A — Medicare Advantage: $32.52 BCBS MO FEP - Medicare Part A — Medicare Advantage: $36.39 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $36.39 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $59.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $61.44 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $54.21 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $5.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Partial Thromboplastin Time	$98	$98	$8.33 – $73.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates AETNA - Commercial-HMO — Aetna: $47.04 AETNA - Commercial-POS — Aetna: $47.04 AETNA - Commercial-PPO — Aetna: $47.04 ANTHEM MO - Medicare Part A — Medicare Advantage: $40.34 BCBS MO FEP - Medicare Part A — Medicare Advantage: $45.14 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $41.92 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $73.50 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $8.33 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $45.08 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $45.08

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Brain/Head w/o Contrast	$1,764	$1,764	$137.82 – $1,764
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates AETNA - Commercial-EPO — Aetna: $1,764 AETNA - Commercial-HMO — Aetna: $423.36 AETNA - Commercial-POS — Aetna: $846.72 AETNA - Commercial-PPO — Aetna: $846.72 ANTHEM MO - Medicare Part A — Medicare Advantage: $780.53 BCBS MO FEP - Medicare Part A — Medicare Advantage: $819.55 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $819.55 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,323 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $685.85 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $921.64
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Brain/Head Stroke Protocol	$1,764	$1,764	$137.82 – $1,764
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates AETNA - Commercial-EPO — Aetna: $1,764 AETNA - Commercial-HMO — Aetna: $423.36 AETNA - Commercial-POS — Aetna: $846.72 AETNA - Commercial-PPO — Aetna: $846.72 ANTHEM MO - Medicare Part A — Medicare Advantage: $780.53 BCBS MO FEP - Medicare Part A — Medicare Advantage: $819.55 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $819.55 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,323 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $685.85 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $921.64
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: 70450 CT Brain/Head w/o Contrast Rad Charge	$1,764	$1,764	$137.82 – $1,764
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates AETNA - Commercial-EPO — Aetna: $1,764 AETNA - Commercial-HMO — Aetna: $423.36 AETNA - Commercial-POS — Aetna: $846.72 AETNA - Commercial-PPO — Aetna: $846.72 ANTHEM MO - Medicare Part A — Medicare Advantage: $780.53 BCBS MO FEP - Medicare Part A — Medicare Advantage: $819.55 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $819.55 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,323 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $685.85 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $921.64
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast	$3,392	$3,392	$468.85 – $3,167.84
MRI of the brain, before and after contrast: rates for 4 insurance plans CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,544 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $3,167.84 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $468.85 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,560.32
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views	$437	$437	$113.89 – $327.75
Chest X-ray, 2 views: 10 of 14 insurance plan rates AETNA - Commercial-EPO — Aetna: $186.78 AETNA - Commercial-POS — Aetna: $209.76 AETNA - Commercial-PPO — Aetna: $209.76 ANTHEM MO - Medicare Part A — Medicare Advantage: $203.03 BCBS MO FEP - Medicare Part A — Medicare Advantage: $203.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $327.75 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $327.75 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $278.98 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $299.87 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $113.89
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views charge	$437	$437	$113.89 – $327.75
Chest X-ray, 2 views: 10 of 14 insurance plan rates AETNA - Commercial-EPO — Aetna: $186.78 AETNA - Commercial-POS — Aetna: $209.76 AETNA - Commercial-PPO — Aetna: $209.76 ANTHEM MO - Medicare Part A — Medicare Advantage: $203.03 BCBS MO FEP - Medicare Part A — Medicare Advantage: $203.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $327.75 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $327.75 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $278.98 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $299.87 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $113.89
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: 71046 XR Chest 2 Views	$437	$437	$113.89 – $327.75
Chest X-ray, 2 views: 10 of 14 insurance plan rates AETNA - Commercial-EPO — Aetna: $186.78 AETNA - Commercial-POS — Aetna: $209.76 AETNA - Commercial-PPO — Aetna: $209.76 ANTHEM MO - Medicare Part A — Medicare Advantage: $203.03 BCBS MO FEP - Medicare Part A — Medicare Advantage: $203.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $327.75 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $327.75 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $278.98 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $299.87 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $113.89
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral 4+ Views	$526	$526	$137.82 – $335.80
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans AETNA - Commercial-POS — Aetna: $252.48 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $244.38 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $335.80 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $137.82 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $241.96 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $241.96 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $241.96 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $139.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast	$2,040	$2,040	$307.15 – $2,034.70
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans AETNA - Commercial-PPO — Aetna: $979.20 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $947.78 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $2,034.70 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $307.15 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $938.40 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $938.40 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $307.16
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LE Joint w/o Contrast Lt	$2,379	$2,379	$307.15 – $2,266
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,784.25 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,784.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $2,036.71 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $307.15 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,094.34 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $1,094.34 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $1,094.34 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $2,266
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LE Joint w/o Contrast Rt	$2,379	$2,379	$307.15 – $2,266
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,784.25 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,784.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $2,036.71 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $307.15 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,094.34 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $1,094.34 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $1,094.34 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $2,266
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen and Pelvis w/ Contrast	$4,054	$4,054	$468.85 – $3,152.40
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates AETNA - Commercial-HMO — Aetna: $1,945.92 AETNA - Commercial-POS — Aetna: $1,945.92 AETNA - Commercial-PPO — Aetna: $1,945.92 ANTHEM MO - Medicare Part A — Medicare Advantage: $1,883.49 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,040.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $1,492.27 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $3,152.40 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $1,492.27 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $468.85 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,864.84
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Chest/Abd/Pelvis w/ Contrast	$4,054	$4,054	$468.85 – $3,152.40
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates AETNA - Commercial-HMO — Aetna: $1,945.92 AETNA - Commercial-POS — Aetna: $1,945.92 AETNA - Commercial-PPO — Aetna: $1,945.92 ANTHEM MO - Medicare Part A — Medicare Advantage: $1,883.49 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,040.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $1,492.27 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $3,152.40 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $1,492.27 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $468.85 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,864.84
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Complete	$883	$883	$137.82 – $605.91
Ultrasound of the abdomen, complete: rates for 7 insurance plans ANTHEM MO - Medicare Part A — Medicare Advantage: $366.97 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $605.91 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $137.82 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $406.18 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $406.18 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $406.18 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $137.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks	$604	$604	$137.82
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $137.82
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal Non-OB	$726	$726	$137.82 – $498.19
Transvaginal ultrasound: rates for 2 insurance plans HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $498.19 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $137.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Diagnostic Left w/ Tomo.	$254	$254	$101.66 – $254
Diagnostic mammogram, one breast: rates for 7 insurance plans AETNA - Commercial-PPO — Aetna: $121.92 BCBS MO FEP - Medicare Part A — Medicare Advantage: $113.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $190.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $174.29 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $254 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $116.84 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $101.66
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Diagnostic Right w/ Tomo.	$254	$254	$101.66 – $254
Diagnostic mammogram, one breast: rates for 7 insurance plans AETNA - Commercial-PPO — Aetna: $121.92 BCBS MO FEP - Medicare Part A — Medicare Advantage: $113.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $190.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $174.29 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $254 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $116.84 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $101.66
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Diagnostic Left.	$221	$221	$101.66 – $254
Diagnostic mammogram, one breast: rates for 7 insurance plans AETNA - Commercial-PPO — Aetna: $121.92 BCBS MO FEP - Medicare Part A — Medicare Advantage: $113.03 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $190.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $174.29 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $254 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $116.84 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $101.66
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral w/ Tomo.	$310	$310	$128.84 – $232.50
Diagnostic mammogram, both breasts: rates for 7 insurance plans ANTHEM MO - Medicare Part A — Medicare Advantage: $128.84 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $232.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $197.90 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $212.72 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $205.01 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $142.60 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $207.98
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral.	$254	$254	$128.84 – $232.50
Diagnostic mammogram, both breasts: rates for 7 insurance plans ANTHEM MO - Medicare Part A — Medicare Advantage: $128.84 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $232.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $197.90 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $212.72 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $205.01 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $142.60 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $207.98
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Digital Screening Left.	$162	$162	$108.42 – $190.50
Screening mammogram, both breasts: 10 of 12 insurance plan rates AETNA - Commercial-HMO — Aetna: $121.92 AETNA - Commercial-POS — Aetna: $121.92 AETNA - Commercial-PPO — Aetna: $121.92 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $190.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $190.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $166.37 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $174.30 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $166.05 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $108.42 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $108.42
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Digital Screening Right.	$162	$162	$108.42 – $190.50
Screening mammogram, both breasts: 10 of 12 insurance plan rates AETNA - Commercial-HMO — Aetna: $121.92 AETNA - Commercial-POS — Aetna: $121.92 AETNA - Commercial-PPO — Aetna: $121.92 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $190.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $190.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $166.37 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $174.30 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $166.05 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $108.42 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $108.42
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG Mammo Screening Bilateral w/ Tomo.	$254	$254	$108.42 – $190.50
Screening mammogram, both breasts: 10 of 12 insurance plan rates AETNA - Commercial-HMO — Aetna: $121.92 AETNA - Commercial-POS — Aetna: $121.92 AETNA - Commercial-PPO — Aetna: $121.92 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $190.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $190.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-EPO — Healthy Alliance: $166.37 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $174.30 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $166.05 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $108.42 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $108.42

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study	$3,726	$3,726	$1,335.66
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $1,335.66

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exercise Charges	$175	$175	$34.33 – $131.25
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates AETNA - Commercial-HMO — Aetna: $84 AETNA - Commercial-POS — Aetna: $84 AETNA - Commercial-PPO — Aetna: $84 AETNA - Medicare Part A — Medicare Advantage: $81.31 ANTHEM MO - Medicare Part A — Medicare Advantage: $77.87 BCBS MO FEP - Medicare Part A — Medicare Advantage: $72.73 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $81.31 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $131.25 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $131.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $34.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: OT Therapeutic Exercise Charges	$175	$175	$51.50 – $131.25
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $131.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $51.50 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $80.50 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $80.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Low Complex Units	$194	$194	$86.33 – $145.50
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates AETNA - Commercial-HMO — Aetna: $93.12 AETNA - Commercial-POS — Aetna: $93.12 AETNA - Commercial-PPO — Aetna: $93.12 ANTHEM MO - Medicare Part A — Medicare Advantage: $86.33 BCBS MO FEP - Medicare Part A — Medicare Advantage: $90.13 CIGNA HEALTH & LIFE INS. CO. - Medicare Part A — Medicare Advantage: $90.13 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $145.50 GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $145.50 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $103 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $133.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Moderate Complex Units	$291	$291	$133.86 – $218.25
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $218.25 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $138.38 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $133.86
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Pyschotherapy, 30 min with patient	$625	$625	$259.75
Psychotherapy, 30 minutes: rates for 1 insurance plan ANTHEM MO - Medicare Part A — Medicare Advantage: $259.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: ENDOSCOPY PROCEDURE	$861	$861	$1,487.18
Upper GI endoscopy (diagnostic): rates for 1 insurance plan UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,487.18
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: ENDOSCOPY PROC W/BIOPSY	$3,329	$3,329	$874 – $1,230.85
Upper GI endoscopy with biopsy: rates for 6 insurance plans AETNA - Commercial-PPO — Aetna: $912 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $1,230.85 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $874 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $874 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $874 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $1,230.85
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: 43239 UPPER GI ENDOSCOPY, BIOPSY	$880	$880	$874 – $1,230.85
Upper GI endoscopy with biopsy: rates for 6 insurance plans AETNA - Commercial-PPO — Aetna: $912 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $1,230.85 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $874 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $874 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $874 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $1,230.85
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY PROCEDURE	$704	$704	$920 – $1,961.25
Colonoscopy (diagnostic): rates for 6 insurance plans AETNA - Commercial-POS — Aetna: $1,255.20 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,961.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $1,475 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $1,145.68 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $920 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $1,145.69
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: 45378 DIAGNOSTIC COLONOSCOPY	$670	$670	$920 – $1,961.25
Colonoscopy (diagnostic): rates for 6 insurance plans AETNA - Commercial-POS — Aetna: $1,255.20 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,961.25 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $1,475 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $1,145.68 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $920 UNITEDHEALTHCARE OF THE MIDWEST INC - Medicaid — Medicaid Managed Care: $1,145.69
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY PROCEDURE	$704	$704	$920 – $1,961.25
Colonoscopy (diagnostic): rates for 1 insurance plan AETNA - Commercial-PPO — Aetna: $960
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONSCOPY PROC W/BIOPSY	$2,733	$2,733	$1,248
Colonoscopy with biopsy: rates for 1 insurance plan AETNA - Commercial-POS — Aetna: $1,248
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: 45380 COLONOSCOPY AND BIOPSY	$820	$820	$1,248
Colonoscopy with biopsy: rates for 1 insurance plan AETNA - Commercial-POS — Aetna: $1,248
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniq	$880	$880	$1,122.21 – $2,099.52
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans AETNA - Commercial-POS — Aetna: $1,296 AETNA - Commercial-PPO — Aetna: $1,296 ANTHEM MO - Medicare Part A — Medicare Advantage: $1,122.21 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,025 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $2,099.52 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $1,475 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $1,547.93 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,242 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $1,242 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $1,242
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONSCOPY W/POLYPECTOMY	$2,810	$2,810	$1,122.21 – $2,099.52
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans AETNA - Commercial-POS — Aetna: $1,296 AETNA - Commercial-PPO — Aetna: $1,296 ANTHEM MO - Medicare Part A — Medicare Advantage: $1,122.21 CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,025 HEALTHY ALLIANCE LIFE INS CO - Commercial-Indemnity — Healthy Alliance: $2,099.52 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $1,475 HEALTHY BLUE MISSOURI - Medicaid — Medicaid Managed Care: $1,547.93 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,242 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $1,242 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $1,242
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniq	$880	$880	$1,122.21 – $2,099.52
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,242
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	$350	$350	$920 – $1,372.40
Screening colonoscopy (not high risk): rates for 6 insurance plans AETNA - Commercial-POS — Aetna: $960 ANTHEM MO - Medicare Part A — Medicare Advantage: $921.20 HEALTHY ALLIANCE LIFE INS CO - Commercial-PPO — Healthy Alliance: $1,372.40 UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $920 UNITEDHEALTHCARE - Commercial-HMO — UnitedHealthcare: $920 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $920
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Injection Interlaminar Epidural Lumbar/Sacral	$1,862	$1,862	$856.52
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $856.52
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Capsulotomy Laser Eye	$1,356	$1,356	$603.42 – $651.08
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans AETNA - Commercial-PPO — Aetna: $651.08 ANTHEM MO - Medicare Part A — Medicare Advantage: $603.42
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: 2100133 CAPSULOTOMY YAG LASER-BILATERAL EYES	$2,712.82	$2,712.82	$603.42 – $651.08
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans AETNA - Commercial-PPO — Aetna: $651.08 ANTHEM MO - Medicare Part A — Medicare Advantage: $603.42
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Capsulotomy Laser Eye	$1,356	$1,356	$603.42 – $651.08
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $623.95 UNITEDHEALTHCARE - Commercial-PPO — UnitedHealthcare: $623.95

Source: Pershing Memorial Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 22, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	130 East Lockling, Brookfield, MO 64628
County	Linn County
State	Missouri
Phone	(660) 258‑2222
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	261307
Name in Medicare records	PERSHING MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Pershing Health System
Official website	phsmo.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Pershing Health System — phsmo.org
Emergency Room – Pershing Health System — phsmo.org
Imaging Services (Radiology) – Pershing Health System — phsmo.org
Cardiac & Pulmonary Rehab – Pershing Health System — phsmo.org
No More Waiting: Experience High-Quality MRI Imaging at Pershing Health System – Pershing Health System — phsmo.org
Rehabilitation Services – Pershing Health System — phsmo.org
Laboratory Services – Pershing Health System — phsmo.org
Nutritional Services – Pershing Health System — phsmo.org
Respiratory Therapy – Pershing Health System — phsmo.org
Social Services – Pershing Health System — phsmo.org
Senior Life Solutions – Pershing Health System — phsmo.org

Pershing Memorial Hospital

Summary

Profile from official sources

At a glance