Does Pike County Memorial Hospital have an emergency room?

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

Where is Pike County Memorial Hospital?

2305 West Georgia Street, Louisiana, MO 63353, in Pike County, Missouri.

What is the phone number of Pike County Memorial Hospital?

(573) 754-5531, as listed by Medicare (CMS).

What is the Medicare star rating of Pike County Memorial Hospital?

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.

Pike County Memorial Hospital — Louisiana, MO

Quick answers

Does Pike County Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Pike County Memorial Hospital. In a medical emergency, call 911.
Where is Pike County Memorial Hospital?: 2305 West Georgia Street, Louisiana, MO 63353, in Pike County, Missouri.
What is the phone number of Pike County Memorial Hospital?: (573) 754-5531, as listed by Medicare (CMS).
What is the Medicare star rating of Pike County Memorial Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][6][7][10][14]}

Conditions treated^{[8][9][10][11]}

Stroke
Heart attack
Obstructive sleep apnea
Breast cancer
Gastrointestinal cancers
Genitourinary cancers
Head and neck cancers
Lung cancer
Leukemia and lymphoma
Melanoma
Women's cancers
Lymphedema
Musculoskeletal injuries

Treatments^{[4][6][7][10][11][12]}

Wound care
Opioid treatment
Cardiopulmonary services
Chemotherapy
Infusion therapy
Epidural steroid injections
Blood transfusions
Therapeutic phlebotomy
Cardiac rehabilitation
Pulmonary function testing
Treadmill stress test
Nuclear stress test
Stress echocardiogram
Holter monitor
EKG
Mammography
CT scan
MRI
Ultrasound
DEXA bone densitometry
Fluoroscopy
General radiography
Cataract removal
Knee arthroscopy
Carpal tunnel release
Trigger finger release

Procedures^{[4][6][7][8][14]}

Inpatient and outpatient surgery
Laparoscopic surgery
Endoscopy
Abdominal paracentesis
Port-a-cath flushes
Hand therapy
Lab collection and testing

Programs and centers^{[4][6][8][9][10][11]}

Swing bed program
Emergency department
Oncology center
Cardiac rehabilitation
Sleep lab
Vascular clinic
Physical therapy
Occupational therapy
Sports therapy
Post-surgical rehabilitation
Lymphedema clinic
Wound care clinic
Opioid treatment

Emergency care (hospital website)^[6][9]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Level III Stroke Center (recognized by the State of Missouri)

Visiting and practical information

Visiting	Normal hours are daylight until 8:00 pm, adjustable by charge nurse; ER and outpatient surgery limit visitors to one at a time^[13]
Patient portal	Patient Portal

Recognition^[12][14]

Accreditation by the American College of Radiology (radiology)
Laboratory accreditation by the College of American Pathologists

Doctors and clinicians (103)

103 doctors and other clinicians list Pike County 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

Doctors with a page on this site (103)

Aakash Kaushik, MDHospitalist
Aaron M. Trone, DOGeneral Practice
Adam Lang, MDPathology
Adam Rafi, MDCardiovascular Disease (Cardiology)
Adam W. Taves, MDDiagnostic Radiology
Adedapo A. Oduye, MDFamily Practice
Alyssa Crowe, NPNurse Practitioner
Amanda Holcomb, DPMPodiatry
Amanda L. JenningsNurse Practitioner
Andrew Milian, MDFamily Practice
Arif Bari, MDMedical Oncology
Arun Venkat, MDCardiovascular Disease (Cardiology)
Austin G. Hake, MDNeurology
Babak Rejaie, MDDiagnostic Radiology
Blake M. Kramer, DODiagnostic Radiology
Brandon C. Brown, MDFamily Practice
Brooke Colbert, MDInternal Medicine
Casey A. Jennings, DOFamily Practice
Charles H. Tillman Jr., MDCardiovascular Disease (Cardiology)
Christina Remmert, DOInternal Medicine
Cole J. Scherder, MDFamily Practice
Curtis D. Burton, MDOrthopedic Surgery
Dale B. Johnson, MDDiagnostic Radiology
David A. Coffey, MDInternal Medicine

And 79 more: the button below opens the full list.

Other emergency rooms nearby

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

Illini Community Hospital18 mi · Pittsfield, IL · Critical Access Hospital
Hannibal Regional Hospital28 mi · Hannibal, MO · Acute Care Hospital
Mercy Hospital Lincoln32 mi · Troy, MO · Critical Access Hospital
Thomas H Boyd Memorial Hospital36 mi · Carrollton, IL · Critical Access Hospital
Blessing Hospital39 mi · Quincy, IL · Acute Care Hospital

Other hospitals nearby

Jersey Community Hospital45 mi · Jerseyville, IL · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Avenir at Maple Grove0.1 mi · Louisiana, MO · 1 of 5 stars
Country View Nursing11 mi · Bowling Green, MO · 1 of 5 stars
Pittsfield Manor17 mi · Pittsfield, IL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Pike County Health Department, Home Health & Hospice11 mi · Bowling Green, MO

All hospice providers in the state →

Home health agencies

Pike County Health Dept/Home Health & Hospice11 mi · Bowling Green, MO · 2 of 5 stars
Pike County Health Department19 mi · Pittsfield, IL · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

Dialysis Clinics, Inc - Bowling Green11 mi · Bowling Green, MO · 2 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clarity Healthcare8.6 mi · Bowling Green, MO · Community health center
Clarity Healthcare10 mi · Bowling Green, MO · Community health center
SIU Center for Family Medicine-Pittsfield18 mi · Pittsfield, IL · Community health center

Clinics and urgent care

Eastern Missouri Health Services2.8 mi · Louisiana, MO · Rural health clinic
Pike Medical Clinic2.8 mi · Louisiana, MO · Rural health clinic
Quincy Medical Group Pleasant Hill Affiliate8.9 mi · Pleasant Hill, IL · Rural health clinic

Pharmacies

Best Buy Pharmacy2.8 mi · Louisiana, MO · Community/retail pharmacy

Assisted living nearby

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

Lynn's Heritage House, Inc2.8 mi · Louisiana, MO
Bowling Green Residential Care11 mi · Bowling Green, MO
Parkside Manor, LLC11 mi · Bowling Green, 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 Pike County Memorial Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	87%National average: 80%
Doctors “always” communicated well	86%National average: 80%
Staff “always” explained medicines before giving them	80%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	93%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	45Response rate: 33%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not 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 attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17.1%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not 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)	131 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	31%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Missouri Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Pike County Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: 99203 - Provider Outpatient Visit, NEW PT Level 3, 30 min-PIKE	$195	$156	$156 – $195
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Commercial: $195 Ambetter — Commercial: $195 Americas Health Plan — Commercial: $195 BCBS FEP — Commercial: $195 Beech Street — Commercial: $195 Cigna — Commercial: $195 Healthy Alliance — Commercial: $195 Healthy Blue Missouri — Commercial: $195 UHC — Commercial: $195
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: 99203 NEW PATIENT VISIT 3 CHARGE	$500	$400	$400 – $500
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Commercial: $500 Ambetter — Commercial: $500 Americas Health Plan — Commercial: $500 BCBS FEP — Commercial: $500 Beech Street — Commercial: $500 Cigna — Commercial: $500 Healthy Alliance — Commercial: $500 Healthy Blue Missouri — Commercial: $500 UHC — Commercial: $500
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: 99203 Office/Outpatient Visit - New Patient, Level 3 (30-44 min)	$150	$120	$120 – $150
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Commercial: $150 Ambetter — Commercial: $150 Americas Health Plan — Commercial: $150 BCBS FEP — Commercial: $150 Beech Street — Commercial: $150 Cigna — Commercial: $150 Healthy Alliance — Commercial: $150 Healthy Blue Missouri — Commercial: $150 UHC — Commercial: $150
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: 99204 - Provider Outpatient Visit, NEW PT Level 4, 45 min-PIKE	$230	$184	$184 – $230
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Commercial: $230 Ambetter — Commercial: $230 Americas Health Plan — Commercial: $230 BCBS FEP — Commercial: $230 Beech Street — Commercial: $230 Cigna — Commercial: $230 Healthy Alliance — Commercial: $230 Healthy Blue Missouri — Commercial: $230 UHC — Commercial: $230
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: 99204 NEW PATIENT VISIT 4 CHARGE	$650	$520	$520 – $650
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Commercial: $650 Ambetter — Commercial: $650 Americas Health Plan — Commercial: $650 BCBS FEP — Commercial: $650 Beech Street — Commercial: $650 Cigna — Commercial: $650 Healthy Alliance — Commercial: $650 Healthy Blue Missouri — Commercial: $650 UHC — Commercial: $650
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: 99204 Office/Outpatient Visit - New Patient, Level 4 (45-59 min)	$185	$148	$148 – $185
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Commercial: $185 Ambetter — Commercial: $185 Americas Health Plan — Commercial: $185 BCBS FEP — Commercial: $185 Beech Street — Commercial: $185 Cigna — Commercial: $185 Healthy Alliance — Commercial: $185 Healthy Blue Missouri — Commercial: $185 UHC — Commercial: $185
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: 99205 - Provider Outpatient Visit, NEW PT Level 5, 60 min-PIKE	$300	$240	$240 – $300
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Commercial: $300 Ambetter — Commercial: $300 Americas Health Plan — Commercial: $300 BCBS FEP — Commercial: $300 Beech Street — Commercial: $300 Cigna — Commercial: $300 Healthy Alliance — Commercial: $300 Healthy Blue Missouri — Commercial: $300 UHC — Commercial: $300
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: 99205 FACILITY ROOM CHARGE NEW PT	$109	$87.20	$87.20 – $109
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Commercial: $109 Ambetter — Commercial: $109 Americas Health Plan — Commercial: $109 BCBS FEP — Commercial: $109 Beech Street — Commercial: $109 Cigna — Commercial: $109 Healthy Alliance — Commercial: $109 Healthy Blue Missouri — Commercial: $109 UHC — Commercial: $109
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: 99205 LHI Disability	$260	$208	$208 – $260
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Commercial: $260 Ambetter — Commercial: $260 Americas Health Plan — Commercial: $260 BCBS FEP — Commercial: $260 Beech Street — Commercial: $260 Cigna — Commercial: $260 Healthy Alliance — Commercial: $260 Healthy Blue Missouri — Commercial: $260 UHC — Commercial: $260
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 - Provider Outpatient Visit, EST PT Level 3, 20 min-PIKE	$170	$136	$136 – $170
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Commercial: $170 Ambetter — Commercial: $170 Americas Health Plan — Commercial: $170 BCBS FEP — Commercial: $170 Beech Street — Commercial: $170 Cigna — Commercial: $170 Healthy Alliance — Commercial: $170 Healthy Blue Missouri — Commercial: $170 UHC — Commercial: $170
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 ESTABLISHED PATIENT VISIT 3 CHARGE	$430	$344	$344 – $430
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Commercial: $430 Ambetter — Commercial: $430 Americas Health Plan — Commercial: $430 BCBS FEP — Commercial: $430 Beech Street — Commercial: $430 Cigna — Commercial: $430 Healthy Alliance — Commercial: $430 Healthy Blue Missouri — Commercial: $430 UHC — Commercial: $430
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 Office/Outpatient Visit - Established Patient, Level 3	$135	$108	$108 – $135
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Commercial: $135 Ambetter — Commercial: $135 Americas Health Plan — Commercial: $135 BCBS FEP — Commercial: $135 Beech Street — Commercial: $135 Cigna — Commercial: $135 Healthy Alliance — Commercial: $135 Healthy Blue Missouri — Commercial: $135 UHC — Commercial: $135
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 - Provider Outpatient Visit, EST PT Level 4, 30 min-PIKE	$205	$164	$164 – $205
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Commercial: $205 Ambetter — Commercial: $205 Americas Health Plan — Commercial: $205 BCBS FEP — Commercial: $205 Beech Street — Commercial: $205 Cigna — Commercial: $205 Healthy Alliance — Commercial: $205 Healthy Blue Missouri — Commercial: $205 UHC — Commercial: $205
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 ESTABLISHED PATIENT VISIT 4 CHARGE	$550	$440	$440 – $550
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Commercial: $550 Ambetter — Commercial: $550 Americas Health Plan — Commercial: $550 BCBS FEP — Commercial: $550 Beech Street — Commercial: $550 Cigna — Commercial: $550 Healthy Alliance — Commercial: $550 Healthy Blue Missouri — Commercial: $550 UHC — Commercial: $550
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 Office/Outpatient Visit - Established Patient, Level 4	$165	$132	$132 – $165
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Commercial: $165 Ambetter — Commercial: $165 Americas Health Plan — Commercial: $165 BCBS FEP — Commercial: $165 Beech Street — Commercial: $165 Cigna — Commercial: $165 Healthy Alliance — Commercial: $165 Healthy Blue Missouri — Commercial: $165 UHC — Commercial: $165
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: 99243 LEVEL 3 OUTPT CONSULT ProFee	$277	$221.60	$221.60 – $277
Office consultation with a specialist (moderate): rates for 9 insurance plans Aetna — Commercial: $277 Ambetter — Commercial: $277 Americas Health Plan — Commercial: $277 BCBS FEP — Commercial: $277 Beech Street — Commercial: $277 Cigna — Commercial: $277 Healthy Alliance — Commercial: $277 Healthy Blue Missouri — Commercial: $277 UHC — Commercial: $277
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: 99243 Office Consultation, Level 3	$277	$221.60	$221.60 – $277
Office consultation with a specialist (moderate): rates for 9 insurance plans Aetna — Commercial: $277 Ambetter — Commercial: $277 Americas Health Plan — Commercial: $277 BCBS FEP — Commercial: $277 Beech Street — Commercial: $277 Cigna — Commercial: $277 Healthy Alliance — Commercial: $277 Healthy Blue Missouri — Commercial: $277 UHC — Commercial: $277
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: 99244 LEVEL 4 OUTPT CONSULT ProFee	$334	$267.20	$267.20 – $334
Office consultation with a specialist (moderate to high): rates for 9 insurance plans Aetna — Commercial: $334 Ambetter — Commercial: $334 Americas Health Plan — Commercial: $334 BCBS FEP — Commercial: $334 Beech Street — Commercial: $334 Cigna — Commercial: $334 Healthy Alliance — Commercial: $334 Healthy Blue Missouri — Commercial: $334 UHC — Commercial: $334
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: 99244 Office Consultation, Level 4	$334	$267.20	$267.20 – $334
Office consultation with a specialist (moderate to high): rates for 9 insurance plans Aetna — Commercial: $334 Ambetter — Commercial: $334 Americas Health Plan — Commercial: $334 BCBS FEP — Commercial: $334 Beech Street — Commercial: $334 Cigna — Commercial: $334 Healthy Alliance — Commercial: $334 Healthy Blue Missouri — Commercial: $334 UHC — Commercial: $334
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: 99385 Preventive Evaluation, New Pt; 18-39 Yrs	$150	$120	$120 – $150
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans Aetna — Commercial: $150 Ambetter — Commercial: $150 Americas Health Plan — Commercial: $150 BCBS FEP — Commercial: $150 Beech Street — Commercial: $150 Cigna — Commercial: $150 Healthy Alliance — Commercial: $150 Healthy Blue Missouri — Commercial: $150 UHC — Commercial: $150
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: 99386 Preventive Evaluation, New Pt; 40-64 Yrs	$150	$120	$120 – $150
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans Aetna — Commercial: $150 Ambetter — Commercial: $150 Americas Health Plan — Commercial: $150 BCBS FEP — Commercial: $150 Beech Street — Commercial: $150 Cigna — Commercial: $150 Healthy Alliance — Commercial: $150 Healthy Blue Missouri — Commercial: $150 UHC — Commercial: $150
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC	$450	$360	$360 – $450
Emergency room visit (moderate): rates for 9 insurance plans Aetna — Commercial: $450 Ambetter — Commercial: $450 Americas Health Plan — Commercial: $450 BCBS FEP — Commercial: $450 Beech Street — Commercial: $450 Cigna — Commercial: $450 Healthy Alliance — Commercial: $450 Healthy Blue Missouri — Commercial: $450 UHC — Commercial: $450
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC	$650	$520	$520 – $650
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — Commercial: $650 Ambetter — Commercial: $650 Americas Health Plan — Commercial: $650 BCBS FEP — Commercial: $650 Beech Street — Commercial: $650 Cigna — Commercial: $650 Healthy Alliance — Commercial: $650 Healthy Blue Missouri — Commercial: $650 UHC — Commercial: $650
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC	$850	$680	$680 – $850
Emergency room visit (high): rates for 9 insurance plans Aetna — Commercial: $850 Ambetter — Commercial: $850 Americas Health Plan — Commercial: $850 BCBS FEP — Commercial: $850 Beech Street — Commercial: $850 Cigna — Commercial: $850 Healthy Alliance — Commercial: $850 Healthy Blue Missouri — Commercial: $850 UHC — Commercial: $850

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel	$158	$126.40	$126.40 – $158
Basic metabolic panel (blood test): rates for 9 insurance plans Aetna — Commercial: $158 Ambetter — Commercial: $158 Americas Health Plan — Commercial: $158 BCBS FEP — Commercial: $158 Beech Street — Commercial: $158 Cigna — Commercial: $158 Healthy Alliance — Commercial: $158 Healthy Blue Missouri — Commercial: $158 UHC — Commercial: $158
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP	$186	$148.80	$148.80 – $186
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Aetna — Commercial: $186 Ambetter — Commercial: $186 Americas Health Plan — Commercial: $186 BCBS FEP — Commercial: $186 Beech Street — Commercial: $186 Cigna — Commercial: $186 Healthy Alliance — Commercial: $186 Healthy Blue Missouri — Commercial: $186 UHC — Commercial: $186
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel	$95	$76	$76 – $95
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — Commercial: $95 Ambetter — Commercial: $95 Americas Health Plan — Commercial: $95 BCBS FEP — Commercial: $95 Beech Street — Commercial: $95 Cigna — Commercial: $95 Healthy Alliance — Commercial: $95 Healthy Blue Missouri — Commercial: $95 UHC — Commercial: $95
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Pnl	$173	$138.40	$138.40 – $173
Kidney function panel: rates for 9 insurance plans Aetna — Commercial: $173 Ambetter — Commercial: $173 Americas Health Plan — Commercial: $173 BCBS FEP — Commercial: $173 Beech Street — Commercial: $173 Cigna — Commercial: $173 Healthy Alliance — Commercial: $173 Healthy Blue Missouri — Commercial: $173 UHC — Commercial: $173
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel	$127	$101.60	$101.60 – $127
Liver function panel: rates for 9 insurance plans Aetna — Commercial: $127 Ambetter — Commercial: $127 Americas Health Plan — Commercial: $127 BCBS FEP — Commercial: $127 Beech Street — Commercial: $127 Cigna — Commercial: $127 Healthy Alliance — Commercial: $127 Healthy Blue Missouri — Commercial: $127 UHC — Commercial: $127
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA w Micro	$43	$34.40	$34.40 – $43
Urine test (automated, with microscope): rates for 9 insurance plans Aetna — Commercial: $43 Ambetter — Commercial: $43 Americas Health Plan — Commercial: $43 BCBS FEP — Commercial: $43 Beech Street — Commercial: $43 Cigna — Commercial: $43 Healthy Alliance — Commercial: $43 Healthy Blue Missouri — Commercial: $43 UHC — Commercial: $43
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Ketones Urine	$34	$27.20	$27.20 – $34
Urine test (manual, without microscope): rates for 9 insurance plans Aetna — Commercial: $34 Ambetter — Commercial: $34 Americas Health Plan — Commercial: $34 BCBS FEP — Commercial: $34 Beech Street — Commercial: $34 Cigna — Commercial: $34 Healthy Alliance — Commercial: $34 Healthy Blue Missouri — Commercial: $34 UHC — Commercial: $34
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urine Dipstick POC	$25	$20	$20 – $25
Urine test (automated, without microscope): rates for 9 insurance plans Aetna — Commercial: $25 Ambetter — Commercial: $25 Americas Health Plan — Commercial: $25 BCBS FEP — Commercial: $25 Beech Street — Commercial: $25 Cigna — Commercial: $25 Healthy Alliance — Commercial: $25 Healthy Blue Missouri — Commercial: $25 UHC — Commercial: $25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier 25 In the file: UA w Micro if Ind & Cult if Ind	$25	$20	$20 – $25
Urine test (automated, without microscope): rates for 9 insurance plans Aetna — Commercial: $25 Ambetter — Commercial: $25 Americas Health Plan — Commercial: $25 BCBS FEP — Commercial: $25 Beech Street — Commercial: $25 Cigna — Commercial: $25 Healthy Alliance — Commercial: $25 Healthy Blue Missouri — Commercial: $25 UHC — Commercial: $25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Diagnostic	$97	$77.60	$77.60 – $97
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — Commercial: $97 Ambetter — Commercial: $97 Americas Health Plan — Commercial: $97 BCBS FEP — Commercial: $97 Beech Street — Commercial: $97 Cigna — Commercial: $97 Healthy Alliance — Commercial: $97 Healthy Blue Missouri — Commercial: $97 UHC — Commercial: $97
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Total QST	$97	$77.60	$77.60 – $97
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — Commercial: $97 Ambetter — Commercial: $97 Americas Health Plan — Commercial: $97 BCBS FEP — Commercial: $97 Beech Street — Commercial: $97 Cigna — Commercial: $97 Healthy Alliance — Commercial: $97 Healthy Blue Missouri — Commercial: $97 UHC — Commercial: $97
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone	$93	$74.40	$74.40 – $93
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — Commercial: $93 Ambetter — Commercial: $93 Americas Health Plan — Commercial: $93 BCBS FEP — Commercial: $93 Beech Street — Commercial: $93 Cigna — Commercial: $93 Healthy Alliance — Commercial: $93 Healthy Blue Missouri — Commercial: $93 UHC — Commercial: $93
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH w/ Rflx to Free T4	$93	$74.40	$74.40 – $93
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — Commercial: $93 Ambetter — Commercial: $93 Americas Health Plan — Commercial: $93 BCBS FEP — Commercial: $93 Beech Street — Commercial: $93 Cigna — Commercial: $93 Healthy Alliance — Commercial: $93 Healthy Blue Missouri — Commercial: $93 UHC — Commercial: $93
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Differential	$71	$56.80	$56.80 – $71
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — Commercial: $71 Ambetter — Commercial: $71 Americas Health Plan — Commercial: $71 BCBS FEP — Commercial: $71 Beech Street — Commercial: $71 Cigna — Commercial: $71 Healthy Alliance — Commercial: $71 Healthy Blue Missouri — Commercial: $71 UHC — Commercial: $71
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC without Differential	$34	$27.20	$27.20 – $34
Complete blood count (CBC), automated: rates for 9 insurance plans Aetna — Commercial: $34 Ambetter — Commercial: $34 Americas Health Plan — Commercial: $34 BCBS FEP — Commercial: $34 Beech Street — Commercial: $34 Cigna — Commercial: $34 Healthy Alliance — Commercial: $34 Healthy Blue Missouri — Commercial: $34 UHC — Commercial: $34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT/INR POC	$33	$26.40	$26.40 – $33
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Aetna — Commercial: $33 Ambetter — Commercial: $33 Americas Health Plan — Commercial: $33 BCBS FEP — Commercial: $33 Beech Street — Commercial: $33 Cigna — Commercial: $33 Healthy Alliance — Commercial: $33 Healthy Blue Missouri — Commercial: $33 UHC — Commercial: $33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 25 In the file: PT (INR)	$33	$26.40	$26.40 – $33
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Aetna — Commercial: $33 Ambetter — Commercial: $33 Americas Health Plan — Commercial: $33 BCBS FEP — Commercial: $33 Beech Street — Commercial: $33 Cigna — Commercial: $33 Healthy Alliance — Commercial: $33 Healthy Blue Missouri — Commercial: $33 UHC — Commercial: $33
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Partial Thromboplastin Time	$43	$34.40	$34.40 – $43
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — Commercial: $43 Ambetter — Commercial: $43 Americas Health Plan — Commercial: $43 BCBS FEP — Commercial: $43 Beech Street — Commercial: $43 Cigna — Commercial: $43 Healthy Alliance — Commercial: $43 Healthy Blue Missouri — Commercial: $43 UHC — Commercial: $43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT LA Screen QST	$43	$34.40	$34.40 – $43
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — Commercial: $43 Ambetter — Commercial: $43 Americas Health Plan — Commercial: $43 BCBS FEP — Commercial: $43 Beech Street — Commercial: $43 Cigna — Commercial: $43 Healthy Alliance — Commercial: $43 Healthy Blue Missouri — Commercial: $43 UHC — Commercial: $43

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 · modifier TC In the file: CT Head w/o Contrast	$1,005	$804	$804 – $1,005
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — Commercial: $1,005 Ambetter — Commercial: $1,005 Americas Health Plan — Commercial: $1,005 BCBS FEP — Commercial: $1,005 Beech Street — Commercial: $1,005 Cigna — Commercial: $1,005 Healthy Alliance — Commercial: $1,005 Healthy Blue Missouri — Commercial: $1,005 UHC — Commercial: $1,005
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier TC In the file: PIKE CT Head w/o Contrast	$1,005	$804	$804 – $1,005
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — Commercial: $1,005 Ambetter — Commercial: $1,005 Americas Health Plan — Commercial: $1,005 BCBS FEP — Commercial: $1,005 Beech Street — Commercial: $1,005 Cigna — Commercial: $1,005 Healthy Alliance — Commercial: $1,005 Healthy Blue Missouri — Commercial: $1,005 UHC — Commercial: $1,005
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier TC In the file: MRI Brain w/ + w/o Contrast	$2,851	$2,280.80	$2,280.80 – $2,851
MRI of the brain, before and after contrast: rates for 9 insurance plans Aetna — Commercial: $2,851 Ambetter — Commercial: $2,851 Americas Health Plan — Commercial: $2,851 BCBS FEP — Commercial: $2,851 Beech Street — Commercial: $2,851 Cigna — Commercial: $2,851 Healthy Alliance — Commercial: $2,851 Healthy Blue Missouri — Commercial: $2,851 UHC — Commercial: $2,851
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: XR Chest 2 Views	$190	$152	$152 – $190
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Commercial: $190 Ambetter — Commercial: $190 Americas Health Plan — Commercial: $190 BCBS FEP — Commercial: $190 Beech Street — Commercial: $190 Cigna — Commercial: $190 Healthy Alliance — Commercial: $190 Healthy Blue Missouri — Commercial: $190 UHC — Commercial: $190
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: XR Chest 2 Views charge	$190	$152	$152 – $190
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Commercial: $190 Ambetter — Commercial: $190 Americas Health Plan — Commercial: $190 BCBS FEP — Commercial: $190 Beech Street — Commercial: $190 Cigna — Commercial: $190 Healthy Alliance — Commercial: $190 Healthy Blue Missouri — Commercial: $190 UHC — Commercial: $190
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: XR Spine Lumbosacral 4+ Views	$310	$248	$248 – $310
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — Commercial: $310 Ambetter — Commercial: $310 Americas Health Plan — Commercial: $310 BCBS FEP — Commercial: $310 Beech Street — Commercial: $310 Cigna — Commercial: $310 Healthy Alliance — Commercial: $310 Healthy Blue Missouri — Commercial: $310 UHC — Commercial: $310
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier TC In the file: MRI Spine Lumbar w/o Contrast	$2,287	$1,829.60	$1,829.60 – $2,287
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans Aetna — Commercial: $2,287 Ambetter — Commercial: $2,287 Americas Health Plan — Commercial: $2,287 BCBS FEP — Commercial: $2,287 Beech Street — Commercial: $2,287 Cigna — Commercial: $2,287 Healthy Alliance — Commercial: $2,287 Healthy Blue Missouri — Commercial: $2,287 UHC — Commercial: $2,287
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier TC In the file: CT Pelvis w/ Contrast	$1,097	$877.60	$877.60 – $1,097
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — Commercial: $1,097 Ambetter — Commercial: $1,097 Americas Health Plan — Commercial: $1,097 BCBS FEP — Commercial: $1,097 Beech Street — Commercial: $1,097 Cigna — Commercial: $1,097 Healthy Alliance — Commercial: $1,097 Healthy Blue Missouri — Commercial: $1,097 UHC — Commercial: $1,097
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier TC In the file: MRI Ankle w/o Contrast Left	$1,830	$1,464	$1,464 – $1,830
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Aetna — Commercial: $1,830 Ambetter — Commercial: $1,830 Americas Health Plan — Commercial: $1,830 BCBS FEP — Commercial: $1,830 Beech Street — Commercial: $1,830 Cigna — Commercial: $1,830 Healthy Alliance — Commercial: $1,830 Healthy Blue Missouri — Commercial: $1,830 UHC — Commercial: $1,830
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier TC In the file: MRI Ankle w/o Contrast Right	$1,830	$1,464	$1,464 – $1,830
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Aetna — Commercial: $1,830 Ambetter — Commercial: $1,830 Americas Health Plan — Commercial: $1,830 BCBS FEP — Commercial: $1,830 Beech Street — Commercial: $1,830 Cigna — Commercial: $1,830 Healthy Alliance — Commercial: $1,830 Healthy Blue Missouri — Commercial: $1,830 UHC — Commercial: $1,830
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier TC In the file: MRI Hip w/o Contrast Left	$1,830	$1,464	$1,464 – $1,830
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Aetna — Commercial: $1,830 Ambetter — Commercial: $1,830 Americas Health Plan — Commercial: $1,830 BCBS FEP — Commercial: $1,830 Beech Street — Commercial: $1,830 Cigna — Commercial: $1,830 Healthy Alliance — Commercial: $1,830 Healthy Blue Missouri — Commercial: $1,830 UHC — Commercial: $1,830
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: 74177 CT ABDOMEN AND PELVIS W/ CONTRAST	$2,194	$1,755.20	$1,755.20 – $2,194
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Commercial: $2,194 Ambetter — Commercial: $2,194 Americas Health Plan — Commercial: $2,194 BCBS FEP — Commercial: $2,194 Beech Street — Commercial: $2,194 Cigna — Commercial: $2,194 Healthy Alliance — Commercial: $2,194 Healthy Blue Missouri — Commercial: $2,194 UHC — Commercial: $2,194
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: CT Abdomen and Pelvis w/ Contrast	$2,194	$1,755.20	$1,755.20 – $2,194
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Commercial: $2,194 Ambetter — Commercial: $2,194 Americas Health Plan — Commercial: $2,194 BCBS FEP — Commercial: $2,194 Beech Street — Commercial: $2,194 Cigna — Commercial: $2,194 Healthy Alliance — Commercial: $2,194 Healthy Blue Missouri — Commercial: $2,194 UHC — Commercial: $2,194
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: CT Enterography w/ Contrast	$1,153	$922.40	$922.40 – $1,153
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Commercial: $1,153 Ambetter — Commercial: $1,153 Americas Health Plan — Commercial: $1,153 BCBS FEP — Commercial: $1,153 Beech Street — Commercial: $1,153 Cigna — Commercial: $1,153 Healthy Alliance — Commercial: $1,153 Healthy Blue Missouri — Commercial: $1,153 UHC — Commercial: $1,153
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete	$695	$556	$556 – $695
Ultrasound of the abdomen, complete: rates for 9 insurance plans Aetna — Commercial: $695 Ambetter — Commercial: $695 Americas Health Plan — Commercial: $695 BCBS FEP — Commercial: $695 Beech Street — Commercial: $695 Cigna — Commercial: $695 Healthy Alliance — Commercial: $695 Healthy Blue Missouri — Commercial: $695 UHC — Commercial: $695
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB Greater Than 14 Weeks	$664	$531.20	$531.20 – $664
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Aetna — Commercial: $664 Ambetter — Commercial: $664 Americas Health Plan — Commercial: $664 BCBS FEP — Commercial: $664 Beech Street — Commercial: $664 Cigna — Commercial: $664 Healthy Alliance — Commercial: $664 Healthy Blue Missouri — Commercial: $664 UHC — Commercial: $664
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non-OB	$598	$478.40	$478.40 – $598
Transvaginal ultrasound: rates for 9 insurance plans Aetna — Commercial: $598 Ambetter — Commercial: $598 Americas Health Plan — Commercial: $598 BCBS FEP — Commercial: $598 Beech Street — Commercial: $598 Cigna — Commercial: $598 Healthy Alliance — Commercial: $598 Healthy Blue Missouri — Commercial: $598 UHC — Commercial: $598
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MG Mammo Digital Diagnostic Left.	$250	$200	$200 – $250
Diagnostic mammogram, one breast: rates for 9 insurance plans Aetna — Commercial: $250 Ambetter — Commercial: $250 Americas Health Plan — Commercial: $250 BCBS FEP — Commercial: $250 Beech Street — Commercial: $250 Cigna — Commercial: $250 Healthy Alliance — Commercial: $250 Healthy Blue Missouri — Commercial: $250 UHC — Commercial: $250
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MG Mammo Digital Diagnostic Right.	$250	$200	$200 – $250
Diagnostic mammogram, one breast: rates for 9 insurance plans Aetna — Commercial: $250 Ambetter — Commercial: $250 Americas Health Plan — Commercial: $250 BCBS FEP — Commercial: $250 Beech Street — Commercial: $250 Cigna — Commercial: $250 Healthy Alliance — Commercial: $250 Healthy Blue Missouri — Commercial: $250 UHC — Commercial: $250
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG Mammo Digital Diagnostic Bilat.	$335	$268	$268 – $335
Diagnostic mammogram, both breasts: rates for 9 insurance plans Aetna — Commercial: $335 Ambetter — Commercial: $335 Americas Health Plan — Commercial: $335 BCBS FEP — Commercial: $335 Beech Street — Commercial: $335 Cigna — Commercial: $335 Healthy Alliance — Commercial: $335 Healthy Blue Missouri — Commercial: $335 UHC — Commercial: $335
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Digital Screening Bilateral	$285	$228	$228 – $285
Screening mammogram, both breasts: rates for 9 insurance plans Aetna — Commercial: $285 Ambetter — Commercial: $285 Americas Health Plan — Commercial: $285 BCBS FEP — Commercial: $285 Beech Street — Commercial: $285 Cigna — Commercial: $285 Healthy Alliance — Commercial: $285 Healthy Blue Missouri — Commercial: $285 UHC — Commercial: $285
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Digital Screening Bilateral.	$285	$228	$228 – $285
Screening mammogram, both breasts: rates for 9 insurance plans Aetna — Commercial: $285 Ambetter — Commercial: $285 Americas Health Plan — Commercial: $285 BCBS FEP — Commercial: $285 Beech Street — Commercial: $285 Cigna — Commercial: $285 Healthy Alliance — Commercial: $285 Healthy Blue Missouri — Commercial: $285 UHC — Commercial: $285
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Digital Screening Left.	$285	$228	$228 – $285
Screening mammogram, both breasts: rates for 9 insurance plans Aetna — Commercial: $285 Ambetter — Commercial: $285 Americas Health Plan — Commercial: $285 BCBS FEP — Commercial: $285 Beech Street — Commercial: $285 Cigna — Commercial: $285 Healthy Alliance — Commercial: $285 Healthy Blue Missouri — Commercial: $285 UHC — Commercial: $285

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysomnography	$2,295	$1,836	$1,836 – $2,295
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans Aetna — Commercial: $2,295 Ambetter — Commercial: $2,295 Americas Health Plan — Commercial: $2,295 BCBS FEP — Commercial: $2,295 Beech Street — Commercial: $2,295 Cigna — Commercial: $2,295 Healthy Alliance — Commercial: $2,295 Healthy Blue Missouri — Commercial: $2,295 UHC — Commercial: $2,295
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: RT Polysomnography CHARGE	$2,295	$1,836	$1,836 – $2,295
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans Aetna — Commercial: $2,295 Ambetter — Commercial: $2,295 Americas Health Plan — Commercial: $2,295 BCBS FEP — Commercial: $2,295 Beech Street — Commercial: $2,295 Cigna — Commercial: $2,295 Healthy Alliance — Commercial: $2,295 Healthy Blue Missouri — Commercial: $2,295 UHC — Commercial: $2,295

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 · modifier GO In the file: 97110 OT THER EXERCISE 15 CHARGE	$110	$88	$88 – $110
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — Commercial: $110 Ambetter — Commercial: $110 Americas Health Plan — Commercial: $110 BCBS FEP — Commercial: $110 Beech Street — Commercial: $110 Cigna — Commercial: $110 Healthy Alliance — Commercial: $110 Healthy Blue Missouri — Commercial: $110 UHC — Commercial: $110
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: 97110 THERAPEUTIC EXERCISE PLUS EA 15 MIN CHARGE	$110	$88	$88 – $110
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — Commercial: $110 Ambetter — Commercial: $110 Americas Health Plan — Commercial: $110 BCBS FEP — Commercial: $110 Beech Street — Commercial: $110 Cigna — Commercial: $110 Healthy Alliance — Commercial: $110 Healthy Blue Missouri — Commercial: $110 UHC — Commercial: $110
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO CO In the file: OT Therapeutic Exercise Assistant units	$110	$88	$88 – $110
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — Commercial: $110 Ambetter — Commercial: $110 Americas Health Plan — Commercial: $110 BCBS FEP — Commercial: $110 Beech Street — Commercial: $110 Cigna — Commercial: $110 Healthy Alliance — Commercial: $110 Healthy Blue Missouri — Commercial: $110 UHC — Commercial: $110
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: 97161 PHYSICAL THERAPY EVAL LOW COMPLEX CHARGE	$204	$163.20	$163.20 – $204
Physical therapy evaluation (low complexity): rates for 9 insurance plans Aetna — Commercial: $204 Ambetter — Commercial: $204 Americas Health Plan — Commercial: $204 BCBS FEP — Commercial: $204 Beech Street — Commercial: $204 Cigna — Commercial: $204 Healthy Alliance — Commercial: $204 Healthy Blue Missouri — Commercial: $204 UHC — Commercial: $204
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Low Complex Units	$204	$163.20	$163.20 – $204
Physical therapy evaluation (low complexity): rates for 9 insurance plans Aetna — Commercial: $204 Ambetter — Commercial: $204 Americas Health Plan — Commercial: $204 BCBS FEP — Commercial: $204 Beech Street — Commercial: $204 Cigna — Commercial: $204 Healthy Alliance — Commercial: $204 Healthy Blue Missouri — Commercial: $204 UHC — Commercial: $204
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: 97162 PHYSICAL THERAPY EVAL MOD COMPLEX CHARGE	$215	$172	$172 – $215
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Aetna — Commercial: $215 Ambetter — Commercial: $215 Americas Health Plan — Commercial: $215 BCBS FEP — Commercial: $215 Beech Street — Commercial: $215 Cigna — Commercial: $215 Healthy Alliance — Commercial: $215 Healthy Blue Missouri — Commercial: $215 UHC — Commercial: $215
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Moderate Complex Units	$215	$172	$172 – $215
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Aetna — Commercial: $215 Ambetter — Commercial: $215 Americas Health Plan — Commercial: $215 BCBS FEP — Commercial: $215 Beech Street — Commercial: $215 Cigna — Commercial: $215 Healthy Alliance — Commercial: $215 Healthy Blue Missouri — Commercial: $215 UHC — Commercial: $215
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: 97163 PHYSICAL THERAPY EVAL HIGH COMPLEX CHARGE	$239	$191.20	$191.20 – $239
Physical therapy evaluation (high complexity): rates for 9 insurance plans Aetna — Commercial: $239 Ambetter — Commercial: $239 Americas Health Plan — Commercial: $239 BCBS FEP — Commercial: $239 Beech Street — Commercial: $239 Cigna — Commercial: $239 Healthy Alliance — Commercial: $239 Healthy Blue Missouri — Commercial: $239 UHC — Commercial: $239
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT High Complex Units	$239	$191.20	$191.20 – $239
Physical therapy evaluation (high complexity): rates for 9 insurance plans Aetna — Commercial: $239 Ambetter — Commercial: $239 Americas Health Plan — Commercial: $239 BCBS FEP — Commercial: $239 Beech Street — Commercial: $239 Cigna — Commercial: $239 Healthy Alliance — Commercial: $239 Healthy Blue Missouri — Commercial: $239 UHC — Commercial: $239
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 Psychotherapy, 30 minutes with patient and/or family member	$315	$252	$252 – $315
Psychotherapy, 30 minutes: rates for 9 insurance plans Aetna — Commercial: $315 Ambetter — Commercial: $315 Americas Health Plan — Commercial: $315 BCBS FEP — Commercial: $315 Beech Street — Commercial: $315 Cigna — Commercial: $315 Healthy Alliance — Commercial: $315 Healthy Blue Missouri — Commercial: $315 UHC — Commercial: $315
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 Psychotherapy, 45 minutes with patient and/or family member	$330	$264	$264 – $330
Psychotherapy, 45 minutes: rates for 9 insurance plans Aetna — Commercial: $330 Ambetter — Commercial: $330 Americas Health Plan — Commercial: $330 BCBS FEP — Commercial: $330 Beech Street — Commercial: $330 Cigna — Commercial: $330 Healthy Alliance — Commercial: $330 Healthy Blue Missouri — Commercial: $330 UHC — Commercial: $330
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 Psychotherapy, 60 minutes with patient and/or family member	$350	$280	$280 – $350
Psychotherapy, 60 minutes: rates for 9 insurance plans Aetna — Commercial: $350 Ambetter — Commercial: $350 Americas Health Plan — Commercial: $350 BCBS FEP — Commercial: $350 Beech Street — Commercial: $350 Cigna — Commercial: $350 Healthy Alliance — Commercial: $350 Healthy Blue Missouri — Commercial: $350 UHC — Commercial: $350
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 Family psychotherapy without the patient present	$140	$112	$112 – $140
Family psychotherapy, without the patient: rates for 9 insurance plans Aetna — Commercial: $140 Ambetter — Commercial: $140 Americas Health Plan — Commercial: $140 BCBS FEP — Commercial: $140 Beech Street — Commercial: $140 Cigna — Commercial: $140 Healthy Alliance — Commercial: $140 Healthy Blue Missouri — Commercial: $140 UHC — Commercial: $140
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 Family psychotherapy, conjoint psychotherapy, with patient present	$160	$128	$128 – $160
Family psychotherapy, with the patient: rates for 9 insurance plans Aetna — Commercial: $160 Ambetter — Commercial: $160 Americas Health Plan — Commercial: $160 BCBS FEP — Commercial: $160 Beech Street — Commercial: $160 Cigna — Commercial: $160 Healthy Alliance — Commercial: $160 Healthy Blue Missouri — Commercial: $160 UHC — Commercial: $160
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 Group psychotherapy (other than of a multiple-family group)	$53	$42.40	$42.40 – $53
Group psychotherapy: rates for 9 insurance plans Aetna — Commercial: $53 Ambetter — Commercial: $53 Americas Health Plan — Commercial: $53 BCBS FEP — Commercial: $53 Beech Street — Commercial: $53 Cigna — Commercial: $53 Healthy Alliance — Commercial: $53 Healthy Blue Missouri — Commercial: $53 UHC — Commercial: $53

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: 19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue	$766	$612.80	$612.80 – $766
Removal of breast growth (open surgery): rates for 9 insurance plans Aetna — Commercial: $766 Ambetter — Commercial: $766 Americas Health Plan — Commercial: $766 BCBS FEP — Commercial: $766 Beech Street — Commercial: $766 Cigna — Commercial: $766 Healthy Alliance — Commercial: $766 Healthy Blue Missouri — Commercial: $766 UHC — Commercial: $766
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement	$2,834	$2,267.20	$2,267.20 – $2,834
Total hip replacement: rates for 9 insurance plans Aetna — Commercial: $2,834 Ambetter — Commercial: $2,834 Americas Health Plan — Commercial: $2,834 BCBS FEP — Commercial: $2,834 Beech Street — Commercial: $2,834 Cigna — Commercial: $2,834 Healthy Alliance — Commercial: $2,834 Healthy Blue Missouri — Commercial: $2,834 UHC — Commercial: $2,834
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments	$3,028	$2,422.40	$2,422.40 – $3,028
Total knee replacement: rates for 9 insurance plans Aetna — Commercial: $3,028 Ambetter — Commercial: $3,028 Americas Health Plan — Commercial: $3,028 BCBS FEP — Commercial: $3,028 Beech Street — Commercial: $3,028 Cigna — Commercial: $3,028 Healthy Alliance — Commercial: $3,028 Healthy Blue Missouri — Commercial: $3,028 UHC — Commercial: $3,028
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: 27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATEL	$27,000	$21,600	$21,600 – $27,000
Total knee replacement: rates for 9 insurance plans Aetna — Commercial: $27,000 Ambetter — Commercial: $27,000 Americas Health Plan — Commercial: $27,000 BCBS FEP — Commercial: $27,000 Beech Street — Commercial: $27,000 Cigna — Commercial: $27,000 Healthy Alliance — Commercial: $27,000 Healthy Blue Missouri — Commercial: $27,000 UHC — Commercial: $27,000
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: 29826 Arthroscopy, shoulder, surgical; decompress subacromial space w/ part acromioplasty w/ release	$1,282	$1,025.60	$1,025.60 – $1,282
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans Aetna — Commercial: $1,282 Ambetter — Commercial: $1,282 Americas Health Plan — Commercial: $1,282 BCBS FEP — Commercial: $1,282 Beech Street — Commercial: $1,282 Cigna — Commercial: $1,282 Healthy Alliance — Commercial: $1,282 Healthy Blue Missouri — Commercial: $1,282 UHC — Commercial: $1,282
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: 29826 SHOULDER ARTHROSCOPY DECOMPRESSION	$537	$429.60	$429.60 – $537
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans Aetna — Commercial: $537 Ambetter — Commercial: $537 Americas Health Plan — Commercial: $537 BCBS FEP — Commercial: $537 Beech Street — Commercial: $537 Cigna — Commercial: $537 Healthy Alliance — Commercial: $537 Healthy Blue Missouri — Commercial: $537 UHC — Commercial: $537
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral) including chondroplasty	$1,097	$877.60	$877.60 – $1,097
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans Aetna — Commercial: $1,097 Ambetter — Commercial: $1,097 Americas Health Plan — Commercial: $1,097 BCBS FEP — Commercial: $1,097 Beech Street — Commercial: $1,097 Cigna — Commercial: $1,097 Healthy Alliance — Commercial: $1,097 Healthy Blue Missouri — Commercial: $1,097 UHC — Commercial: $1,097
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: 29881 KNEE ARTHRO W/MENISCECTMY MED OR LAT	$3,306	$2,644.80	$2,644.80 – $3,306
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans Aetna — Commercial: $3,306 Ambetter — Commercial: $3,306 Americas Health Plan — Commercial: $3,306 BCBS FEP — Commercial: $3,306 Beech Street — Commercial: $3,306 Cigna — Commercial: $3,306 Healthy Alliance — Commercial: $3,306 Healthy Blue Missouri — Commercial: $3,306 UHC — Commercial: $3,306
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: 42820 TONSILLECTOMY AND ADENOIDECTOMY YOUNGER THAN AGE 12	$12,650	$10,120	$10,120 – $12,650
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans Aetna — Commercial: $12,650 Ambetter — Commercial: $12,650 Americas Health Plan — Commercial: $12,650 BCBS FEP — Commercial: $12,650 Beech Street — Commercial: $12,650 Cigna — Commercial: $12,650 Healthy Alliance — Commercial: $12,650 Healthy Blue Missouri — Commercial: $12,650 UHC — Commercial: $12,650
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: 42820 TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 ProFee	$448	$358.40	$358.40 – $448
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans Aetna — Commercial: $448 Ambetter — Commercial: $448 Americas Health Plan — Commercial: $448 BCBS FEP — Commercial: $448 Beech Street — Commercial: $448 Cigna — Commercial: $448 Healthy Alliance — Commercial: $448 Healthy Blue Missouri — Commercial: $448 UHC — Commercial: $448
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: 43235 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC INCLUDING COLLECTION OF S ProFee	$348	$278.40	$278.40 – $348
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Commercial: $348 Ambetter — Commercial: $348 Americas Health Plan — Commercial: $348 BCBS FEP — Commercial: $348 Beech Street — Commercial: $348 Cigna — Commercial: $348 Healthy Alliance — Commercial: $348 Healthy Blue Missouri — Commercial: $348 UHC — Commercial: $348
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: 43235 GASTROSCOPY INTO DUODENUM	$1,019	$815.20	$815.20 – $1,019
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Commercial: $1,019 Ambetter — Commercial: $1,019 Americas Health Plan — Commercial: $1,019 BCBS FEP — Commercial: $1,019 Beech Street — Commercial: $1,019 Cigna — Commercial: $1,019 Healthy Alliance — Commercial: $1,019 Healthy Blue Missouri — Commercial: $1,019 UHC — Commercial: $1,019
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: 43239 EGD W/BIOPSY	$1,017	$813.60	$813.60 – $1,017
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Commercial: $1,017 Ambetter — Commercial: $1,017 Americas Health Plan — Commercial: $1,017 BCBS FEP — Commercial: $1,017 Beech Street — Commercial: $1,017 Cigna — Commercial: $1,017 Healthy Alliance — Commercial: $1,017 Healthy Blue Missouri — Commercial: $1,017 UHC — Commercial: $1,017
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: 43239 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE ProFee	$391	$312.80	$312.80 – $391
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Commercial: $391 Ambetter — Commercial: $391 Americas Health Plan — Commercial: $391 BCBS FEP — Commercial: $391 Beech Street — Commercial: $391 Cigna — Commercial: $391 Healthy Alliance — Commercial: $391 Healthy Blue Missouri — Commercial: $391 UHC — Commercial: $391
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: 45378 Colonoscopy Surgery Charge	$1,245	$996	$996 – $1,245
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — Commercial: $1,245 Ambetter — Commercial: $1,245 Americas Health Plan — Commercial: $1,245 BCBS FEP — Commercial: $1,245 Beech Street — Commercial: $1,245 Cigna — Commercial: $1,245 Healthy Alliance — Commercial: $1,245 Healthy Blue Missouri — Commercial: $1,245 UHC — Commercial: $1,245
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: 45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee	$498	$398.40	$398.40 – $498
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — Commercial: $498 Ambetter — Commercial: $498 Americas Health Plan — Commercial: $498 BCBS FEP — Commercial: $498 Beech Street — Commercial: $498 Cigna — Commercial: $498 Healthy Alliance — Commercial: $498 Healthy Blue Missouri — Commercial: $498 UHC — Commercial: $498
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: 45380 COLONOSCOPY W/BIOPSY	$1,400	$1,120	$1,120 – $1,400
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Commercial: $1,400 Ambetter — Commercial: $1,400 Americas Health Plan — Commercial: $1,400 BCBS FEP — Commercial: $1,400 Beech Street — Commercial: $1,400 Cigna — Commercial: $1,400 Healthy Alliance — Commercial: $1,400 Healthy Blue Missouri — Commercial: $1,400 UHC — Commercial: $1,400
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: 45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ProFee	$557	$445.60	$445.60 – $557
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Commercial: $557 Ambetter — Commercial: $557 Americas Health Plan — Commercial: $557 BCBS FEP — Commercial: $557 Beech Street — Commercial: $557 Cigna — Commercial: $557 Healthy Alliance — Commercial: $557 Healthy Blue Missouri — Commercial: $557 UHC — Commercial: $557
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: 45385 COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE ProFee	$759	$607.20	$607.20 – $759
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Commercial: $759 Ambetter — Commercial: $759 Americas Health Plan — Commercial: $759 BCBS FEP — Commercial: $759 Beech Street — Commercial: $759 Cigna — Commercial: $759 Healthy Alliance — Commercial: $759 Healthy Blue Missouri — Commercial: $759 UHC — Commercial: $759
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: 45385 COLONSCOPY W/SNARE	$1,592	$1,273.60	$1,273.60 – $1,592
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Commercial: $1,592 Ambetter — Commercial: $1,592 Americas Health Plan — Commercial: $1,592 BCBS FEP — Commercial: $1,592 Beech Street — Commercial: $1,592 Cigna — Commercial: $1,592 Healthy Alliance — Commercial: $1,592 Healthy Blue Missouri — Commercial: $1,592 UHC — Commercial: $1,592
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	$498	$398.40	$398.40 – $498
Screening colonoscopy (not high risk): rates for 9 insurance plans Aetna — Commercial: $498 Ambetter — Commercial: $498 Americas Health Plan — Commercial: $498 BCBS FEP — Commercial: $498 Beech Street — Commercial: $498 Cigna — Commercial: $498 Healthy Alliance — Commercial: $498 Healthy Blue Missouri — Commercial: $498 UHC — Commercial: $498
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: 47562 LAP CHOLECY	$4,928	$3,942.40	$3,942.40 – $4,928
Gallbladder removal by laparoscope: rates for 9 insurance plans Aetna — Commercial: $4,928 Ambetter — Commercial: $4,928 Americas Health Plan — Commercial: $4,928 BCBS FEP — Commercial: $4,928 Beech Street — Commercial: $4,928 Cigna — Commercial: $4,928 Healthy Alliance — Commercial: $4,928 Healthy Blue Missouri — Commercial: $4,928 UHC — Commercial: $4,928
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY ProFee	$1,200	$960	$960 – $1,200
Gallbladder removal by laparoscope: rates for 9 insurance plans Aetna — Commercial: $1,200 Ambetter — Commercial: $1,200 Americas Health Plan — Commercial: $1,200 BCBS FEP — Commercial: $1,200 Beech Street — Commercial: $1,200 Cigna — Commercial: $1,200 Healthy Alliance — Commercial: $1,200 Healthy Blue Missouri — Commercial: $1,200 UHC — Commercial: $1,200
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: 49505 INGUINAL HERNIA	$3,257	$2,605.60	$2,605.60 – $3,257
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Commercial: $3,257 Ambetter — Commercial: $3,257 Americas Health Plan — Commercial: $3,257 BCBS FEP — Commercial: $3,257 Beech Street — Commercial: $3,257 Cigna — Commercial: $3,257 Healthy Alliance — Commercial: $3,257 Healthy Blue Missouri — Commercial: $3,257 UHC — Commercial: $3,257
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ProFee	$779	$623.20	$623.20 – $779
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Commercial: $779 Ambetter — Commercial: $779 Americas Health Plan — Commercial: $779 BCBS FEP — Commercial: $779 Beech Street — Commercial: $779 Cigna — Commercial: $779 Healthy Alliance — Commercial: $779 Healthy Blue Missouri — Commercial: $779 UHC — Commercial: $779
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 EPIDURAL STEROID INJ W IMAGE	$955	$764	$764 – $955
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Aetna — Commercial: $955 Ambetter — Commercial: $955 Americas Health Plan — Commercial: $955 BCBS FEP — Commercial: $955 Beech Street — Commercial: $955 Cigna — Commercial: $955 Healthy Alliance — Commercial: $955 Healthy Blue Missouri — Commercial: $955 UHC — Commercial: $955
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC ProFee	$220	$176	$176 – $220
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Aetna — Commercial: $220 Ambetter — Commercial: $220 Americas Health Plan — Commercial: $220 BCBS FEP — Commercial: $220 Beech Street — Commercial: $220 Cigna — Commercial: $220 Healthy Alliance — Commercial: $220 Healthy Blue Missouri — Commercial: $220 UHC — Commercial: $220
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483 INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMAGING G ProFee	$326	$260.80	$260.80 – $326
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans Aetna — Commercial: $326 Ambetter — Commercial: $326 Americas Health Plan — Commercial: $326 BCBS FEP — Commercial: $326 Beech Street — Commercial: $326 Cigna — Commercial: $326 Healthy Alliance — Commercial: $326 Healthy Blue Missouri — Commercial: $326 UHC — Commercial: $326
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483 TRANSFORAMINAL ESI	$927	$741.60	$741.60 – $927
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans Aetna — Commercial: $927 Ambetter — Commercial: $927 Americas Health Plan — Commercial: $927 BCBS FEP — Commercial: $927 Beech Street — Commercial: $927 Cigna — Commercial: $927 Healthy Alliance — Commercial: $927 Healthy Blue Missouri — Commercial: $927 UHC — Commercial: $927
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: 64721 CARPAL TUN.DECOMPRES	$2,687	$2,149.60	$2,149.60 – $2,687
Carpal tunnel release: rates for 9 insurance plans Aetna — Commercial: $2,687 Ambetter — Commercial: $2,687 Americas Health Plan — Commercial: $2,687 BCBS FEP — Commercial: $2,687 Beech Street — Commercial: $2,687 Cigna — Commercial: $2,687 Healthy Alliance — Commercial: $2,687 Healthy Blue Missouri — Commercial: $2,687 UHC — Commercial: $2,687
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee	$722	$577.60	$577.60 – $722
Carpal tunnel release: rates for 9 insurance plans Aetna — Commercial: $722 Ambetter — Commercial: $722 Americas Health Plan — Commercial: $722 BCBS FEP — Commercial: $722 Beech Street — Commercial: $722 Cigna — Commercial: $722 Healthy Alliance — Commercial: $722 Healthy Blue Missouri — Commercial: $722 UHC — Commercial: $722
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: 66821 YAG/LASER CAPSULOTOM	$888	$710.40	$710.40 – $888
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans Aetna — Commercial: $888 Ambetter — Commercial: $888 Americas Health Plan — Commercial: $888 BCBS FEP — Commercial: $888 Beech Street — Commercial: $888 Cigna — Commercial: $888 Healthy Alliance — Commercial: $888 Healthy Blue Missouri — Commercial: $888 UHC — Commercial: $888
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: 66984 CATARACT EXTRACT W/IOL	$3,319	$2,655.20	$2,655.20 – $3,319
Cataract removal with lens implant: rates for 9 insurance plans Aetna — Commercial: $3,319 Ambetter — Commercial: $3,319 Americas Health Plan — Commercial: $3,319 BCBS FEP — Commercial: $3,319 Beech Street — Commercial: $3,319 Cigna — Commercial: $3,319 Healthy Alliance — Commercial: $3,319 Healthy Blue Missouri — Commercial: $3,319 UHC — Commercial: $3,319

Source: Pike County Memorial Hospital’s standard charges file (pcmh-mo.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 5, 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	2305 West Georgia Street, Louisiana, MO 63353
County	Pike County
State	Missouri
Phone	(573) 754‑5531
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	Not rated by CMS
CMS Certification Number	261333
Name in Medicare records	PIKE COUNTY MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	pcmh-mo.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Pike County Memorial Hospital — pcmh-mo.org
Our Services — pcmh-mo.org
Surgical Center Near You in Lousiana, Missouri - PCMH — pcmh-mo.org
Physical Therapy and Rehab Near You in Lousiana, Missouri - PCMH — pcmh-mo.org
Emergency Room Near You in Lousiana, Missouri - PCMH — pcmh-mo.org
Cancer Care Near You in Lousiana, Missouri - PCMH — pcmh-mo.org
Pulmonologist Near You in Lousiana, Missouri - PCMH — pcmh-mo.org
Radiology - CT Scan, MRI, Mammograms Near You in Lousiana, Missouri - PCMH — pcmh-mo.org
Visitation Policy - Pike County Memorial Hospital — pcmh-mo.org
Blood Tests & Medical Lab Services Near You in Lousiana, Missouri - PCMH — pcmh-mo.org

Pike County Memorial Hospital

Summary

Profile from official sources

At a glance