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Children's Hospital

Shriners Hospitals for Children

Saint Louis, Missouri · St. Louis City

Summary

Shriners Hospitals for Children is a children's hospital in Saint Louis, Missouri. Medicare data does not list emergency services. Its official website lists 27 services, specialties and programs. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a children's hospital?

A hospital that treats babies, children and teenagers, with doctors and equipment made for young patients. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
27Services listed

Quick answers

Does Shriners Hospitals for Children have an emergency room?
Medicare (CMS) data does not list emergency services at Shriners Hospitals for Children. The closest hospitals that do: St Louis Childrens Hospital (0.5 mi), Barnes Jewish Hospital (0.7 mi) and SSM Health Saint Louis University Hospital (1.2 mi). In a medical emergency, call 911.
Where is Shriners Hospitals for Children?
4400 Clayton Ave, Saint Louis, MO 63110, in St. Louis City, Missouri.
What is the phone number of Shriners Hospitals for Children?
(314) 432-3600, as listed by Medicare (CMS).
What is the Medicare star rating of Shriners Hospitals for Children?
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[7][11][12]

Conditions treated[5][7][12]

Treatments[12][13]

Procedures[12]

Programs and centers[9]

  • ShrineABILITY Camp
  • Patient Ambassador Program
  • Pet Therapy
  • Therapeutic Recreation and Child Life

Visiting and practical information

VisitingParents/guardians may visit 24 hours a day; all visitors register daily at the main lobby reception desk[6]
ParkingComplimentary visitor parking 24 hours a day in the Shriners Children's surface lot, with front drop-off[10]

Nearest emergency rooms

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Shriners Hospitals for Children 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.

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot 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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot 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 replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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 attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 40 common services exactly as Shriners Hospitals for Children lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN $417.37 $417.37 $71.02 – $155.85
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • HealthChoice of Oklahoma — Commercial: $155.85
  • Soonercare — Managed Medicaid: $71.02
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Healthlink — HMO: 60% (a percentage in the contract, not a dollar amount)
  • Healthlink — PPO: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $292.40 $292.40 $71.02 – $155.85
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • HealthChoice of Oklahoma — Commercial: $155.85
  • Soonercare — Managed Medicaid: $71.02
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $292.40 $292.40 Not listed in the file
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • HealthChoice of Oklahoma — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Nat: 45.3% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN $677.22 $677.22 $115.69 – $234.30
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • HealthChoice of Oklahoma — Commercial: $234.30
  • Soonercare — Managed Medicaid: $115.69
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Healthlink — HMO: 60% (a percentage in the contract, not a dollar amount)
  • Healthlink — PPO: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $373.60 $373.60 $115.69 – $234.30
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • HealthChoice of Oklahoma — Commercial: $234.30
  • Soonercare — Managed Medicaid: $115.69
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $373.60 $373.60 Not listed in the file
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • HealthChoice of Oklahoma — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Nat: 45.3% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN $921.13 $921.13 $157.28 – $309.61
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
  • HealthChoice of Oklahoma — Commercial: $309.61
  • Soonercare — Managed Medicaid: $157.28
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Healthlink — HMO: 60% (a percentage in the contract, not a dollar amount)
  • Healthlink — PPO: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES $551.40 $551.40 $157.28 – $309.61
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • HealthChoice of Oklahoma — Commercial: $309.61
  • Soonercare — Managed Medicaid: $157.28
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES $551.40 $551.40 Not listed in the file
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • HealthChoice of Oklahoma — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Nat: 45.3% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $255 $255 $2,557.76 – $10,672.23
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • Anthem — HMO: $2,652
  • Anthem — PPO: $2,652
  • Anthem — Traditional: $2,652
  • Centene Home State Health Plan — Mgd. Medicaid: $2,557.76
  • Missouri Care — Managed Medicaid: $2,557.76
  • United Healthcare of the Midwest — Managed Medicai: $10,672.23
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $261.40 $261.40 $57.22 – $127.29
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • HealthChoice of Oklahoma — Commercial: $127.29
  • Soonercare — Managed Medicaid: $57.22
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $261.40 $261.40 Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • HealthChoice of Oklahoma — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Nat: 45.3% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN $285.30 $285.30 $2,557.76 – $10,672.23
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • Anthem — HMO: $2,652
  • Anthem — PPO: $2,652
  • Anthem — Traditional: $2,652
  • Centene Home State Health Plan — Mgd. Medicaid: $2,557.76
  • Missouri Care — Managed Medicaid: $2,557.76
  • United Healthcare of the Midwest — Managed Medicai: $10,672.23
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $292.40 $292.40 $84.24 – $179.41
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • HealthChoice of Oklahoma — Commercial: $179.41
  • Soonercare — Managed Medicaid: $84.24
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $292.40 $292.40 Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • HealthChoice of Oklahoma — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Nat: 45.3% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 $514.79 $514.79 $194.49
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
  • HealthChoice of Oklahoma — Commercial: $194.49
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 72% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Managed Medicaid: 87% (a percentage in the contract, not a dollar amount)
  • Stratose — Commercial: 85% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $66.50 $66.50 $4.10 – $14.54
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $8.46
  • Anthem — HMO: $4.10
  • Anthem — PPO: $4.10
  • Anthem — Traditional: $4.10
  • Centene Home State Health Plan — Mgd. Medicaid: $7.61
  • Centene Nebraska Total Care — Managed Medicaid: $8.46
  • Centene Sunflower State Health Plan — Mgd Medicaid: $8.46
  • Centene Wellcare of KY — Managed Medicaid: $8.46
  • Cigna — Commercial: $9.17
  • HealthChoice of Oklahoma — Commercial: $10.58
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $66.50 $66.50 $7.53 – $9.40
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • Centene Nebraska Total Care — Managed Medicaid: $8.46
  • Centene Wellcare of KY — Managed Medicaid: $8.46
  • Providence Health Plan — Commercial: $9.40
  • Soonercare — Managed Medicaid: $7.53
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 44.2% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 50% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $66.50 $66.50 Not listed in the file
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 44.2% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • HealthChoice of Oklahoma — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Healthlink — HMO: 60% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $83 $83 $5.18 – $18.16
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $10.56
  • Anthem — HMO: $5.18
  • Anthem — PPO: $5.18
  • Anthem — Traditional: $5.18
  • Centene Home State Health Plan — Mgd. Medicaid: $9.50
  • Centene Nebraska Total Care — Managed Medicaid: $10.56
  • Centene Sunflower State Health Plan — Mgd Medicaid: $10.56
  • Centene Wellcare of KY — Managed Medicaid: $10.56
  • Cigna — Commercial: $11.45
  • HealthChoice of Oklahoma — Commercial: $13.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $83 $83 $9.39 – $11.74
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • Centene Nebraska Total Care — Managed Medicaid: $10.56
  • Centene Wellcare of KY — Managed Medicaid: $10.56
  • Providence Health Plan — Commercial: $11.74
  • Soonercare — Managed Medicaid: $9.39
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 44.2% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 50% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $105.20 $105.20 $6.70 – $23.02
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $13.39
  • Anthem — HMO: $6.70
  • Anthem — PPO: $6.70
  • Anthem — Traditional: $6.70
  • Centene Home State Health Plan — Mgd. Medicaid: $12.05
  • Centene Nebraska Total Care — Managed Medicaid: $13.39
  • Centene Sunflower State Health Plan — Mgd Medicaid: $13.39
  • Centene Wellcare of KY — Managed Medicaid: $13.39
  • Cigna — Commercial: $14.50
  • HealthChoice of Oklahoma — Commercial: $16.74
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $68.20 $68.20 $4.21 – $14.92
Kidney function panel: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $8.68
  • Anthem — HMO: $4.21
  • Anthem — PPO: $4.21
  • Anthem — Traditional: $4.21
  • Centene Home State Health Plan — Mgd. Medicaid: $7.81
  • Centene Nebraska Total Care — Managed Medicaid: $8.68
  • Centene Sunflower State Health Plan — Mgd Medicaid: $8.68
  • Centene Wellcare of KY — Managed Medicaid: $8.68
  • Cigna — Commercial: $9.41
  • HealthChoice of Oklahoma — Commercial: $10.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $64.20 $64.20 $4 – $14.04
Liver function panel: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $8.17
  • Anthem — HMO: $4
  • Anthem — PPO: $4
  • Anthem — Traditional: $4
  • Centene Home State Health Plan — Mgd. Medicaid: $7.35
  • Centene Nebraska Total Care — Managed Medicaid: $8.17
  • Centene Sunflower State Health Plan — Mgd Medicaid: $8.17
  • Centene Wellcare of KY — Managed Medicaid: $8.17
  • Cigna — Commercial: $8.86
  • HealthChoice of Oklahoma — Commercial: $10.21
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $25 $25 $2.82 – $5.44
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $3.17
  • Anthem — HMO: $3.50
  • Anthem — PPO: $3.50
  • Anthem — Traditional: $3.50
  • Centene Home State Health Plan — Mgd. Medicaid: $2.85
  • Centene Nebraska Total Care — Managed Medicaid: $3.17
  • Centene Sunflower State Health Plan — Mgd Medicaid: $3.17
  • Centene Wellcare of KY — Managed Medicaid: $3.17
  • Cigna — Commercial: $3.44
  • HealthChoice of Oklahoma — Commercial: $3.96
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $20.10 $20.10 $1.90 – $4.35
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $3.01
  • Anthem — HMO: $1.90
  • Anthem — PPO: $1.90
  • Anthem — Traditional: $1.90
  • Centene Home State Health Plan — Mgd. Medicaid: $3.13
  • Centene Nebraska Total Care — Managed Medicaid: $3.48
  • Centene Sunflower State Health Plan — Mgd Medicaid: $3.01
  • Centene Wellcare of KY — Managed Medicaid: $3.48
  • Cigna — Commercial: $3.05
  • HealthChoice of Oklahoma — Commercial: $4.35
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $17.60 $17.60 $1.90 – $3.59
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $1.91
  • Anthem — HMO: $1.90
  • Anthem — PPO: $1.90
  • Anthem — Traditional: $1.90
  • Centene Home State Health Plan — Mgd. Medicaid: $2.03
  • Centene Nebraska Total Care — Managed Medicaid: $2.25
  • Centene Sunflower State Health Plan — Mgd Medicaid: $1.91
  • Centene Wellcare of KY — Managed Medicaid: $2.25
  • Cigna — Commercial: $2.43
  • HealthChoice of Oklahoma — Commercial: $2.81
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $131.90 $131.90 $9.18 – $28.88
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $15.75
  • Anthem — HMO: $9.18
  • Anthem — PPO: $9.18
  • Anthem — Traditional: $9.18
  • Centene Home State Health Plan — Mgd. Medicaid: $15.12
  • Centene Nebraska Total Care — Managed Medicaid: $16.80
  • Centene Sunflower State Health Plan — Mgd Medicaid: $15.75
  • Centene Wellcare of KY — Managed Medicaid: $16.80
  • Cigna — Commercial: $18.21
  • HealthChoice of Oklahoma — Commercial: $21
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $61.20 $61.20 $4 – $13.36
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $6.60
  • Anthem — HMO: $4
  • Anthem — PPO: $4
  • Anthem — Traditional: $4
  • Centene Home State Health Plan — Mgd. Medicaid: $6.99
  • Centene Nebraska Total Care — Managed Medicaid: $7.77
  • Centene Sunflower State Health Plan — Mgd Medicaid: $6.60
  • Centene Wellcare of KY — Managed Medicaid: $7.77
  • Cigna — Commercial: $8.41
  • HealthChoice of Oklahoma — Commercial: $9.71
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $61.20 $61.20 Not listed in the file
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 44.2% (a percentage in the contract, not a dollar amount)
  • Anthem — Traditional: 44.2% (a percentage in the contract, not a dollar amount)
  • Centene Wellcare of KY — Managed Medicaid: 25% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 50% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • HealthChoice of Oklahoma — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Healthlink — HMO: 60% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $80.20 $80.20 $3.56 – $11.11
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $6.47
  • Anthem — HMO: $3.56
  • Anthem — PPO: $3.56
  • Anthem — Traditional: $3.56
  • Centene Home State Health Plan — Mgd. Medicaid: $5.82
  • Centene Nebraska Total Care — Managed Medicaid: $6.47
  • Centene Sunflower State Health Plan — Mgd Medicaid: $6.47
  • Centene Wellcare of KY — Managed Medicaid: $6.47
  • Cigna — Commercial: $7.01
  • HealthChoice of Oklahoma — Commercial: $8.09
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $30.90 $30.90 $3.82 – $6.75
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $4.29
  • Anthem — HMO: $4.40
  • Anthem — PPO: $4.40
  • Anthem — Traditional: $4.40
  • Centene Home State Health Plan — Mgd. Medicaid: $3.86
  • Centene Nebraska Total Care — Managed Medicaid: $4.29
  • Centene Sunflower State Health Plan — Mgd Medicaid: $4.29
  • Centene Wellcare of KY — Managed Medicaid: $4.29
  • Cigna — Commercial: $4.25
  • HealthChoice of Oklahoma — Commercial: $5.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $47.20 $47.20 $5.25 – $10.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $5.25
  • Anthem — HMO: $5.45
  • Anthem — PPO: $5.45
  • Anthem — Traditional: $5.45
  • Centene Home State Health Plan — Mgd. Medicaid: $5.41
  • Centene Nebraska Total Care — Managed Medicaid: $6.01
  • Centene Sunflower State Health Plan — Mgd Medicaid: $5.25
  • Centene Wellcare of KY — Managed Medicaid: $6.01
  • Cigna — Commercial: $6.51
  • HealthChoice of Oklahoma — Commercial: $7.51

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE $1,080.30 $1,080.30 $90.39 – $265.85
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $106.88
  • Aetna National — Commercial: $143.49
  • Anthem — HMO: $225
  • Anthem — PPO: $225
  • Anthem — Traditional: $225
  • Centene Home State Health Plan — Mgd. Medicaid: $90.66
  • Centene Sunflower State Health Plan — Mgd Medicaid: $106.88
  • Cigna — Commercial: $138.77
  • HealthChoice of Oklahoma — Commercial: $265.85
  • Healthlink — HMO: $183.06
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE $2,964.90 $2,964.90 $269.20 – $892.83
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $368.43
  • Aetna National — Commercial: $431.63
  • Anthem — HMO: $325
  • Anthem — PPO: $325
  • Anthem — Traditional: $325
  • Centene Home State Health Plan — Mgd. Medicaid: $304.45
  • Centene Sunflower State Health Plan — Mgd Medicaid: $368.43
  • Cigna — Commercial: $553.29
  • HealthChoice of Oklahoma — Commercial: $892.83
  • Healthlink — HMO: $662.25
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS $298.40 $298.40 $27.93 – $176.10
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $73.85
  • Aetna National — Commercial: $44.37
  • Centene Home State Health Plan — Mgd. Medicaid: $75.06
  • Centene Sunflower State Health Plan — Mgd Medicaid: $73.85
  • Cigna — Commercial: $75.31
  • HealthChoice of Oklahoma — Commercial: $176.10
  • Missouri Care — Managed Medicaid: $75.06
  • Providence Health Plan — Commercial: $41.76
  • Soonercare — Managed Medicaid: $27.93
  • United Healthcare — Nat: $79.81
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $416.60 $416.60 $42.91 – $212.68
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $90.85
  • Aetna National — Commercial: $68.33
  • Centene Home State Health Plan — Mgd. Medicaid: $90.66
  • Centene Sunflower State Health Plan — Mgd Medicaid: $90.85
  • Cigna — Commercial: $138.77
  • HealthChoice of Oklahoma — Commercial: $212.68
  • Healthlink — HMO: $50.24
  • Healthlink — PPO: $50.24
  • Missouri Care — Managed Medicaid: $90.66
  • Providence Health Plan — Commercial: $71.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE $5,395.20 $5,395.20 $161.72 – $604.30
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $233.52
  • Aetna National — Commercial: $259.58
  • Anthem — HMO: $325
  • Anthem — PPO: $325
  • Anthem — Traditional: $325
  • Centene Home State Health Plan — Mgd. Medicaid: $206.06
  • Centene Sunflower State Health Plan — Mgd Medicaid: $233.52
  • Cigna — Commercial: $281.65
  • HealthChoice of Oklahoma — Commercial: $604.30
  • Healthlink — HMO: $448.24
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $1,644.80 $1,644.80 $151.76 – $445.05
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $153.29
  • Aetna National — Commercial: $308.77
  • Anthem — HMO: $225
  • Anthem — PPO: $225
  • Anthem — Traditional: $225
  • Centene Home State Health Plan — Mgd. Medicaid: $151.76
  • Centene Sunflower State Health Plan — Mgd Medicaid: $153.29
  • Cigna — Commercial: $306.42
  • HealthChoice of Oklahoma — Commercial: $445.05
  • Healthlink — HMO: $320.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE $1,935.50 $1,935.50 $171.28 – $483.44
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $233.52
  • Aetna National — Commercial: $274.47
  • Anthem — HMO: $325
  • Anthem — PPO: $325
  • Anthem — Traditional: $325
  • Centene Home State Health Plan — Mgd. Medicaid: $206.06
  • Centene Sunflower State Health Plan — Mgd Medicaid: $233.52
  • Cigna — Commercial: $281.65
  • HealthChoice of Oklahoma — Commercial: $483.44
  • Healthlink — HMO: $311.48
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST $3,175.30 $3,175.30 $225 – $714.26
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $252.18
  • Aetna National — Commercial: $409.69
  • Anthem — HMO: $225
  • Anthem — PPO: $225
  • Anthem — Traditional: $225
  • Centene Home State Health Plan — Mgd. Medicaid: $304.45
  • Centene Sunflower State Health Plan — Mgd Medicaid: $252.18
  • Cigna — Commercial: $306.42
  • HealthChoice of Oklahoma — Commercial: $714.26
  • Healthlink — HMO: $378.87
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $646.50 $646.50 $90.66 – $212.68
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $90.85
  • Aetna National — Commercial: $153.41
  • Centene Home State Health Plan — Mgd. Medicaid: $90.66
  • Centene Sunflower State Health Plan — Mgd Medicaid: $90.85
  • Cigna — Commercial: $138.77
  • HealthChoice of Oklahoma — Commercial: $212.68
  • Healthlink — HMO: $150.60
  • Healthlink — PPO: $150.60
  • Missouri Care — Managed Medicaid: $90.66
  • Providence Health Plan — Commercial: $164.16

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $764.50 $764.50 $22.85 – $155
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $28.04
  • Aetna National — Commercial: $39.21
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Centene Home State Health Plan — Mgd. Medicaid: $25.31
  • Centene Nebraska Total Care — Managed Medicaid: $22.85
  • Centene Sunflower State Health Plan — Mgd Medicaid: $28.04
  • Cigna — Commercial: $130
  • HealthChoice of Oklahoma — Commercial: $41.39
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISES $152.90 $152.90 $101 – $180
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Cigna — Commercial: $130
  • Healthlink — HMO: $141
  • Healthlink — PPO: $155
  • Providence Health Plan — Commercial: $139
  • United Healthcare — Nat: $180
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISES $152.90 $152.90 $101 – $167
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Cigna — Commercial: $130
  • Healthlink — HMO: $141
  • Healthlink — PPO: $155
  • Providence Health Plan — Commercial: $139
  • United Healthcare — Nat: $167
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $189.90 $189.90 $71.82 – $163
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $71.82
  • Aetna National — Commercial: $134.12
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Centene Home State Health Plan — Mgd. Medicaid: $86.18
  • Centene Nebraska Total Care — Managed Medicaid: $73.12
  • Centene Sunflower State Health Plan — Mgd Medicaid: $71.82
  • Cigna — Commercial: $130
  • HealthChoice of Oklahoma — Commercial: $140.91
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $189.90 $189.90 $101 – $167
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Cigna — Commercial: $130
  • Healthlink — HMO: $141
  • Healthlink — PPO: $155
  • Providence Health Plan — Commercial: $163
  • United Healthcare — Nat: $167
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $189.90 $189.90 $101 – $167
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Cigna — Commercial: $130
  • Healthlink — HMO: $141
  • Healthlink — PPO: $155
  • Providence Health Plan — Commercial: $163
  • United Healthcare — Nat: $167
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $285 $285 $71.82 – $163
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $71.82
  • Aetna National — Commercial: $134.12
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Centene Home State Health Plan — Mgd. Medicaid: $86.18
  • Centene Nebraska Total Care — Managed Medicaid: $73.12
  • Centene Sunflower State Health Plan — Mgd Medicaid: $71.82
  • Cigna — Commercial: $130
  • HealthChoice of Oklahoma — Commercial: $140.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $285 $285 $101 – $167
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Cigna — Commercial: $130
  • Healthlink — HMO: $141
  • Healthlink — PPO: $155
  • Providence Health Plan — Commercial: $163
  • United Healthcare — Nat: $167
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $285 $285 $101 – $167
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Cigna — Commercial: $130
  • Healthlink — HMO: $141
  • Healthlink — PPO: $155
  • Providence Health Plan — Commercial: $163
  • United Healthcare — Nat: $167
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES $416.90 $416.90 $101 – $167
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Anthem — HMO: $101
  • Anthem — PPO: $101
  • Anthem — Traditional: $101
  • Cigna — Commercial: $130
  • Healthlink — HMO: $141
  • Healthlink — PPO: $155
  • Providence Health Plan — Commercial: $163
  • United Healthcare — Nat: $167
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $6,363.45 $6,363.45 $1,664 – $6,120
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates
  • Aetna National — Commercial: $1,924
  • Anthem — HMO: $1,929
  • Anthem — PPO: $1,929
  • Anthem — Traditional: $1,929
  • Cigna — Commercial: $1,664
  • Healthlink — HMO: $1,918.43
  • Healthlink — PPO: $2,047.57
  • Providence Health Plan — Commercial: $6,120
  • United Healthcare — Nat: $2,155
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $4,018.88 $4,018.88 $95.75 – $1,513.49
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $300
  • Centene Home State Health Plan — Mgd. Medicaid: $758.96
  • Centene Sunflower State Health Plan — Mgd Medicaid: $295.27
  • HealthChoice of Oklahoma — Commercial: $1,513.49
  • Missouri Care — Managed Medicaid: $758.96
  • Soonercare — Managed Medicaid: $95.75
  • United Healthcare of the Midwest — Managed Medicai: $769.86
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO: 44.2% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY $8,477.10 $8,477.10 $300 – $3,319.71
Carpal tunnel release: 10 of 21 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $300
  • Centene Home State Health Plan — Mgd. Medicaid: $1,664.70
  • Centene Sunflower State Health Plan — Mgd Medicaid: $625.47
  • HealthChoice of Oklahoma — Commercial: $3,319.71
  • Missouri Care — Managed Medicaid: $1,664.70
  • Soonercare — Managed Medicaid: $378.09
  • United Healthcare of the Midwest — Managed Medicai: $1,642.14
  • Aetna National — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO: 44.2% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $2,557.76 – $126,440
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $42,695.55
  • Anthem — HMO: $2,652
  • Anthem — PPO: $2,652
  • Anthem — Traditional: $2,652
  • Centene Ambetter — Centene Ambetter: $106,162.10
  • Centene Home State Health Plan — Mgd. Medicaid: $2,557.76
  • Centene Sunflower State Health Plan — Mgd Medicaid: $42,695.55
  • Centene Wellcare of KY — Managed Medicaid: $51,586.38
  • HealthChoice of Oklahoma — Commercial: $126,440
  • Missouri Care — Managed Medicaid: $2,557.76
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal fusion except cervical without major comorbid conditions or complications Not listed in the file Not listed in the file $2,557.76 – $10,672.23
Spinal fusion (not neck), without major complications: 10 of 11 insurance plan rates
  • Anthem — HMO: $2,652
  • Anthem — PPO: $2,652
  • Anthem — Traditional: $2,652
  • Centene Home State Health Plan — Mgd. Medicaid: $2,557.76
  • Missouri Care — Managed Medicaid: $2,557.76
  • United Healthcare of the Midwest — Managed Medicai: $10,672.23
  • Alliance Coal Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Health Smart — Preferred Care: 85% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Sana Benefits — Commercial: 70% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY Not listed in the file Not listed in the file $2,557.76 – $24,704
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $8,176.50
  • Anthem — HMO: $2,652
  • Anthem — PPO: $2,652
  • Anthem — Traditional: $2,652
  • Centene Ambetter — Centene Ambetter: $20,740.50
  • Centene Home State Health Plan — Mgd. Medicaid: $2,557.76
  • Centene Sunflower State Health Plan — Mgd Medicaid: $8,176.50
  • Centene Wellcare of KY — Managed Medicaid: $10,078.24
  • HealthChoice of Oklahoma — Commercial: $24,704
  • Missouri Care — Managed Medicaid: $2,557.76
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $2,557.76 – $31,015
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $11,127.15
  • Anthem — HMO: $2,652
  • Anthem — PPO: $2,652
  • Anthem — Traditional: $2,652
  • Centene Ambetter — Centene Ambetter: $26,041.40
  • Centene Home State Health Plan — Mgd. Medicaid: $2,557.76
  • Centene Sunflower State Health Plan — Mgd Medicaid: $11,127.15
  • Centene Wellcare of KY — Managed Medicaid: $12,654.06
  • HealthChoice of Oklahoma — Commercial: $31,015
  • Missouri Care — Managed Medicaid: $2,557.76
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $2,557.76 – $15,704
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates
  • Aetna Better Health of KS — Managed Medicaid: $4,692.60
  • Anthem — HMO: $2,652
  • Anthem — PPO: $2,652
  • Anthem — Traditional: $2,652
  • Centene Ambetter — Centene Ambetter: $13,185.70
  • Centene Home State Health Plan — Mgd. Medicaid: $2,557.76
  • Centene Sunflower State Health Plan — Mgd Medicaid: $4,692.60
  • Centene Wellcare of KY — Managed Medicaid: $6,407.21
  • HealthChoice of Oklahoma — Commercial: $15,704
  • Missouri Care — Managed Medicaid: $2,557.76

Source: Shriners Hospitals for Children’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 18, 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 typeChildren's Hospital
Address4400 Clayton Ave, Saint Louis, MO 63110
CountySt. Louis City
StateMissouri
Phone(314) 432‑3600
Emergency servicesNot listed
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number263304
Name in Medicare recordsSHRINERS HOSPITALS FOR CHILDREN
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(314) 666‑0076[8][13]
Name on the hospital’s websiteShriners Children's St. Louis
Official websiteshrinerschildrens.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Our Care - Shriners Children's St. Louis — shrinerschildrens.org
  2. Visiting Us - Shriners Children's St. Louis — shrinerschildrens.org
  3. Shriners Children's St. Louis | Children's Hospital — shrinerschildrens.org
  4. Amenities & Services | Shriners Children's St. Louis — shrinerschildrens.org
  5. Patient Programs | Shriners Children's St. Louis — shrinerschildrens.org
  6. getting-here — shrinerschildrens.org
  7. About Us | Shriners Children's St. Louis — shrinerschildrens.org
  8. Our Treatment Approach | Shriners Children’s St. Louis — shrinerschildrens.org
  9. Contact Us | Shriners Children's St. Louis — shrinerschildrens.org