Does St Louis Childrens Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Louis Childrens Hospital. In a medical emergency, call 911.

Where is St Louis Childrens Hospital?

One Childrens Place, Saint Louis, MO 63110, in St. Louis City, Missouri.

What is the phone number of St Louis Childrens Hospital?

(314) 454-6000, as listed by Medicare (CMS).

What is the Medicare star rating of St Louis Childrens 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.

St Louis Childrens Hospital — Saint Louis, MO

Quick answers

Does St Louis Childrens Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Louis Childrens Hospital. In a medical emergency, call 911.
Where is St Louis Childrens Hospital?: One Childrens Place, Saint Louis, MO 63110, in St. Louis City, Missouri.
What is the phone number of St Louis Childrens Hospital?: (314) 454-6000, as listed by Medicare (CMS).
What is the Medicare star rating of St Louis Childrens 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^{[5][8][22][23]}

Cancer (Oncology)
Heart Center
Neurology
Neurosurgery
Orthopedics
Pediatric oncology

Conditions treated^{[5][8][10][14][17][18][21][22]}

Anomalous coronary artery
Aortic stenosis
Arrhythmias
Atrial septal defect
Scoliosis
Sickle cell disease
Arachnoid cyst
Astrocytomas
Brachial plexus palsy
Brain tumors
Chiari malformation
Craniosynostosis
Ependymoma
Epilepsy
Hydrocephalus
Medulloblastoma
Moyamoya
Spina bifida
Seizures
Sturge-Weber disease
Syringomyelia
Tethered cord
Spastic diplegia
Spastic hemiplegia
Spastic quadriplegia
Spastic triplegia
Acute leukemia
Cancer predisposition syndrome

Treatments^{[10][12][17][20][22][23]}

Gamma Knife radiosurgery
Endoscopic third ventriculostomy
Ventriculoperitoneal shunt insertion
Ventriculopleural shunt insertion
Ventriculoatrial shunt insertion
Ventricular reservoir insertion
Selective dorsal rhizotomy
Endoscopic craniosynostosis repair
Stem cell and bone marrow transplant
Cellular therapy
MIBG therapy
Clinical trials
Telemedicine neurosurgery visits

Procedures^{[5][8][11][14]}

Cardiac catheterization
Selective dorsal rhizotomy
Brachial plexus repair
Cerebral angiogram

Programs and centers^{[5][10][11][13][14][17][23]}

Advanced Cardiac Support Program
Cardiac Critical Care
Cardio-Oncology Clinic
Pediatric Epilepsy Center
Pediatric Neuro-Oncology Center
Brain tumor (neuro-oncology) program
Brachial Plexus Center
Center for Cerebral Palsy Spasticity
Craniosynostosis program
Cleft Palate and Craniofacial Institute
Skeletal dysplasia services
Spina bifida clinic
Hydrocephalus Clinic
Spinal Disorders Center
Moyamoya program
Neurorehabilitation program
Cancer Predisposition Program
Childhood Cancer Survivorship Program
Melanoma and Nevus Clinic
Stem Cell Transplant and Cellular Therapy Program

Emergency care (hospital website)^[7]

Emergency room	Yes

Visiting and practical information

Visiting	Parents, guardians and grandparents 24 hours; other guests 9 a.m.-9 p.m.; visitors need a photo badge and a designated visitor list^[6]
Parking	Visitor garage at Kingshighway and Children's Place (fee); parents, grandparents and clergy of inpatients park free with validation^[6][7]
Interpreters and languages	Free interpreter and translation services; interpreters available 24 hours for foreign and sign language^[9][15]

Doctors and clinicians (55)

55 doctors and other clinicians list St Louis Childrens 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 (55)

Abby M. Green, MDPediatric Medicine
Ali Y. Mian, MDDiagnostic Radiology
Alicia M. Kamsheh, MDPediatric Medicine
Amy E. Antalick, CNACertified Registered Nurse Anesthetist (CRNA)
Andrew Landes, MDDiagnostic Radiology
Ankita Aggarwal, MDDiagnostic Radiology
Anthony G. Pompa, MDPediatric Medicine
Austin J. Ostermeier, MDPediatric Medicine
Brian R. Stotter, MDPediatric Medicine
Cadence A. Kuklinski, DOAllergy/Immunology
Carmen M. HalabiNephrology
Celeste C. Brancato, MDCritical Care (Intensivists)
Christine M. Hrach, MDHospitalist
Colin A. MartinPediatric Medicine
Cori L. Grant, MDPediatric Medicine
Eileen A. Ciccia, MDPediatric Medicine
Elisabeth B. Cole, MDPediatric Medicine
Georgeann Groh, MDPediatric Medicine
Hoanh T. Nguyen, MDMedical Genetics and Genomics
Houman Alizadeh, MDDiagnostic Radiology
James Cameron, MDDiagnostic Radiology
James R. Duncan, MDInterventional Radiology
Jennifer N. Silva, MDCardiovascular Disease (Cardiology)
Jessica L. Bean, CNACertified Registered Nurse Anesthetist (CRNA)

And 31 more: the button below opens the full list.

Other emergency rooms nearby

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

Barnes Jewish Hospital0.8 mi · Saint Louis, MO · Acute Care Hospital
SSM Health Saint Louis University Hospital1.8 mi · Saint Louis, MO · Acute Care Hospital
St Louis-John Cochran VA Medical Center1.9 mi · St. Louis, MO · Federal/VA Acute Care Hospital
SSM Health St Mary's Hospital - St Louis2.4 mi · Saint Louis, MO · Acute Care Hospital
Gateway Regional Medical Center7.8 mi · Granite City, IL · Acute Care Hospital

Other hospitals nearby

The Rehabilitation Institute of St. Louis, An Affi…0.3 mi · Saint Louis, MO · Inpatient Rehabilitation Hospital
Shriners Hospitals for Children0.5 mi · Saint Louis, MO · Children's Hospital
St Louis Forensic Treatment Center2.3 mi · Saint Louis, MO · Psychiatric 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

Bernard Care Center0.7 mi · Saint Louis, MO · 1 of 5 stars
Delhaven Manor1.3 mi · Saint Louis, MO · 3 of 5 stars
Life Care Center of St Louis1.9 mi · Saint Louis, MO · 4 of 5 stars

All nursing homes in the state →

Hospice providers

ACG Hospice0.8 mi · Saint Louis, MO
Medi-Plex Hospice, LLC0.8 mi · Saint Louis, MO
Unity Hospice GSL, LLC2.4 mi · Saint Louis, MO · 2 of 5 stars

All hospice providers in the state →

Home health agencies

Cooperative Home Care, Inc0.8 mi · Saint Louis, MO · 4 of 5 stars
Medi-Plex Healthcare Professionals, LLC0.8 mi · Saint Louis, MO · 2 of 5 stars
Aw Health Care3.8 mi · Saint Louis, MO

All home health agencies in the state →

Dialysis facilities

DaVita Forest Park St Louis Dialysis0.8 mi · Saint Louis, MO · 2 of 5 stars
FMC - Chouteau0.8 mi · Saint Louis, MO · 1 of 5 stars
FMC - Saint Louis Grand0.8 mi · Saint Louis, MO · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

314 Surgery Center, LLC2.6 mi · St. Louis, MO
Gateway Surgery Center9.3 mi · St. Louis, MO
Kirkwood Vascular and Surgical Institute, LLC9.3 mi · Kirkwood, MO

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Forest Park Southeast0.8 mi · Saint Louis, MO · Community health center
Health Care for Kids1.6 mi · Saint Louis, MO · Community health center
Adult Services1.6 mi · Saint Louis, MO · Community health center

Clinics and urgent care

American Current Care P.A.2.4 mi · St Louis, MO · Urgent care center
Total Access Urgent Care P.C.2.4 mi · Saint Louis, MO · Urgent care center
Veterans Advantage Urgent Care, Inc2.6 mi · Saint Louis, MO · Urgent care center

Pharmacies

Barnes Jewish Hospital0.8 mi · Saint Louis, MO · Community/retail pharmacy
Dalpoas Group Inc0.8 mi · St Louis, MO · Community/retail pharmacy
F R Haefner Inc0.8 mi · Saint Louis, MO · Community/retail pharmacy

Assisted living nearby

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

Akins Health Care, Inc0.8 mi · Saint Louis, MO
Care Network at Waterman0.8 mi · Saint Louis, MO
Cooper House0.8 mi · Saint Louis, MO
Living Life Long Residential Care, LLC0.8 mi · Saint Louis, 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 St Louis Childrens 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.

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 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	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
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.

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	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
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.

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.

ER wait times in Saint Louis Best hospitals in Saint Louis

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as St Louis Childrens 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)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: HC Child Protection Eval Intermed	$255	$153	$46.41 – $1,530
Office consultation with a specialist (moderate to high): 10 of 68 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $201.45 AETNA [200] — BJC HB AETNA NATIONAL: $189.47 AETNA [200] — BJC HB FIRST HEALTH: $189.47 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $191.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $52.53 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $46.41 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $201.45 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $189.47 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $147.90 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $1,530
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: HC Consult Visit Intermed	$255	$153	$46.41 – $1,530
Office consultation with a specialist (moderate to high): 10 of 68 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $201.45 AETNA [200] — BJC HB AETNA NATIONAL: $189.47 AETNA [200] — BJC HB FIRST HEALTH: $189.47 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $191.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $52.53 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $46.41 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $201.45 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $189.47 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $147.90 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $1,530
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Level 3 Limited (Peds)	$1,951	$1,170.60	$268.67 – $2,674
Emergency room visit (moderate): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $1,270.10 AETNA [200] — BJC HB AETNA NATIONAL: $1,449.59 AETNA [200] — BJC HB FIRST HEALTH: $1,449.59 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,463.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $268.67 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $268.67 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $1,270.10 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,449.59 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,131.58 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $1,059.39
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Level 3 Limited+Proc (Peds)	$1,951	$1,170.60	$268.67 – $2,674
Emergency room visit (moderate): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $1,270.10 AETNA [200] — BJC HB AETNA NATIONAL: $1,449.59 AETNA [200] — BJC HB FIRST HEALTH: $1,449.59 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,463.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $268.67 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $268.67 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $1,270.10 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,449.59 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,131.58 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $1,059.39
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Level 4 Intermed (Peds)	$3,751	$2,250.60	$1,727 – $3,275.55
Emergency room visit (moderately high): 10 of 37 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $2,441.90 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $2,441.90 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,175.58 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $2,036.79 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $2,460.66 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $2,284.36 BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL SLC: $3,098.33 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS SLC: $2,460.66 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ALLIANCE EPO: $3,188.35 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE SLC: $2,284.36
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Level 4 Intermedate+Proc	$3,751	$2,250.60	$1,727 – $3,275.55
Emergency room visit (moderately high): 10 of 37 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $2,441.90 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $2,441.90 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,175.58 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $2,036.79 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $2,460.66 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $2,284.36 BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL SLC: $3,098.33 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS SLC: $2,460.66 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ALLIANCE EPO: $3,188.35 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE SLC: $2,284.36
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Level 5 Extended (Peds)	$4,958	$2,974.80	$586.12 – $5,551
Emergency room visit (high): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $3,227.66 AETNA [200] — BJC HB AETNA NATIONAL: $3,683.79 AETNA [200] — BJC HB FIRST HEALTH: $3,683.79 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $3,718.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $586.12 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $586.12 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $3,227.66 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $3,683.79 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,875.64 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $2,692.19
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Level 5 Extended+Proc (Peds)	$4,958	$2,974.80	$586.12 – $5,551
Emergency room visit (high): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $3,227.66 AETNA [200] — BJC HB AETNA NATIONAL: $3,683.79 AETNA [200] — BJC HB FIRST HEALTH: $3,683.79 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $3,718.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $586.12 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $586.12 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $3,227.66 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $3,683.79 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,875.64 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $2,692.19

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel	$111	$66.60	$8.46 – $261
Basic metabolic panel (blood test): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $87.69 AETNA [200] — BJC HB AETNA NATIONAL: $82.47 AETNA [200] — BJC HB FIRST HEALTH: $82.47 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $83.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $8.46 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $8.46 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $87.69 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $82.47 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $64.38 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $60.27
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel/Esrd	$111	$66.60	$8.46 – $94.35
Basic metabolic panel (blood test): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $87.69 AETNA [200] — BJC HB AETNA NATIONAL: $82.47 AETNA [200] — BJC HB FIRST HEALTH: $82.47 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $83.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $8.46 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $8.46 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $87.69 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $82.47 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $64.38 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $60.27
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel\|UNUSUAL NON-OVERLAPPING SERVICE	$111	$66.60	$61.05 – $72.15
Basic metabolic panel (blood test): rates for 4 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $61.05 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $72.15 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $66.05 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $67.71
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel	$350	$210	$10.56 – $359
Comprehensive metabolic panel (blood test): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $276.50 AETNA [200] — BJC HB AETNA NATIONAL: $260.05 AETNA [200] — BJC HB FIRST HEALTH: $260.05 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $262.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $10.56 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $10.56 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $276.50 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $260.05 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $203 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $190.05
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel/Esrd	$350	$210	$10.56 – $297.50
Comprehensive metabolic panel (blood test): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $276.50 AETNA [200] — BJC HB AETNA NATIONAL: $260.05 AETNA [200] — BJC HB FIRST HEALTH: $260.05 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $262.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $10.56 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $10.56 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $276.50 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $260.05 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $203 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $190.05
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel	$308	$184.80	$13.39 – $261.80
Cholesterol panel (lipid panel): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $243.32 AETNA [200] — BJC HB AETNA NATIONAL: $228.84 AETNA [200] — BJC HB FIRST HEALTH: $228.84 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $231 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $13.39 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $13.39 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $243.32 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $228.84 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $178.64 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $167.24
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel/Esrd	$308	$184.80	$13.39 – $261.80
Cholesterol panel (lipid panel): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $243.32 AETNA [200] — BJC HB AETNA NATIONAL: $228.84 AETNA [200] — BJC HB FIRST HEALTH: $228.84 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $231 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $13.39 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $13.39 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $243.32 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $228.84 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $178.64 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $167.24
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel	$78	$46.80	$8.68 – $313
Kidney function panel: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $61.62 AETNA [200] — BJC HB AETNA NATIONAL: $57.95 AETNA [200] — BJC HB FIRST HEALTH: $57.95 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $58.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $8.68 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $8.68 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $61.62 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $57.95 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $45.24 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $42.35
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel/Esrd	$78	$46.80	$8.68 – $66.30
Kidney function panel: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $61.62 AETNA [200] — BJC HB AETNA NATIONAL: $57.95 AETNA [200] — BJC HB FIRST HEALTH: $57.95 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $58.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $8.68 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $8.68 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $61.62 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $57.95 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $45.24 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $42.35
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel	$364	$218.40	$8.17 – $309.40
Liver function panel: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $287.56 AETNA [200] — BJC HB AETNA NATIONAL: $270.45 AETNA [200] — BJC HB FIRST HEALTH: $270.45 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $273 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $8.17 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $8.17 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $287.56 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $270.45 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $211.12 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $197.65
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel/Esrd	$364	$218.40	$8.17 – $309.40
Liver function panel: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $287.56 AETNA [200] — BJC HB AETNA NATIONAL: $270.45 AETNA [200] — BJC HB FIRST HEALTH: $270.45 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $273 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $8.17 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $8.17 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $287.56 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $270.45 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $211.12 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $197.65
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro	$26	$15.60	$3.17 – $46.11
Urine test (automated, with microscope): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $20.54 AETNA [200] — BJC HB AETNA NATIONAL: $19.32 AETNA [200] — BJC HB FIRST HEALTH: $19.32 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $19.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $3.17 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $3.17 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $20.54 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $19.32 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $15.08 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $14.12
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro/Esrd	$26	$15.60	$3.17 – $22.10
Urine test (automated, with microscope): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $20.54 AETNA [200] — BJC HB AETNA NATIONAL: $19.32 AETNA [200] — BJC HB FIRST HEALTH: $19.32 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $19.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $3.17 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $3.17 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $20.54 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $19.32 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $15.08 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $14.12
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro\|UNUSUAL NON-OVERLAPPING SERVICE	$26	$15.60	$18.54 – $24.99
Urine test (automated, with microscope): rates for 2 insurance plans HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $18.54 UNITED HEALTHCARE [201] — BJC HB UNITED HEALTH CARE SLC: $18.54
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Nonaut WO MCR	$18	$10.80	$3.48 – $41
Urine test (manual, without microscope): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $14.22 AETNA [200] — BJC HB AETNA NATIONAL: $13.37 AETNA [200] — BJC HB FIRST HEALTH: $13.37 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $13.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $3.48 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $3.48 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $14.22 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $13.37 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $10.44 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $9.77
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Nonaut WO MCR\|UNUSUAL NON-OVERLAPPING SERVICE	$18	$10.80	$8.80 – $11.70
Urine test (manual, without microscope): rates for 4 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $9.90 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $11.70 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $9.90 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $10.98
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto WO Micro	$21	$12.60	$2.25 – $34.80
Urine test (automated, without microscope): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $16.59 AETNA [200] — BJC HB AETNA NATIONAL: $15.60 AETNA [200] — BJC HB FIRST HEALTH: $15.60 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $15.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $2.25 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $2.25 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $16.59 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $15.60 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $12.18 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $11.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto WO Micro/Esrd	$21	$12.60	$2.25 – $17.85
Urine test (automated, without microscope): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $16.59 AETNA [200] — BJC HB AETNA NATIONAL: $15.60 AETNA [200] — BJC HB FIRST HEALTH: $15.60 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $15.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $2.25 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $2.25 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $16.59 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $15.60 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $12.18 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $11.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto WO Micro\|UNUSUAL NON-OVERLAPPING SERVICE	$21	$12.60	$2.30 – $14.97
Urine test (automated, without microscope): rates for 2 insurance plans HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $14.97 UNITED HEALTHCARE [201] — BJC HB UNITED HEALTH CARE SLC: $14.97
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Prostat Spec Ag Tot Diag	$47	$28.20	$18.39 – $201.84
PSA (prostate specific antigen) blood test: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $37.13 AETNA [200] — BJC HB AETNA NATIONAL: $34.92 AETNA [200] — BJC HB FIRST HEALTH: $34.92 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $35.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $18.39 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $18.39 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $37.13 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $34.92 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $27.26 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $25.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Stim Hormone	$278	$166.80	$16.80 – $236.30
Thyroid stimulating hormone (TSH) test: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $219.62 AETNA [200] — BJC HB AETNA NATIONAL: $206.55 AETNA [200] — BJC HB FIRST HEALTH: $206.55 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $208.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $16.80 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $16.80 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $219.62 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $206.55 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $161.24 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $150.95
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Auto W Auto Diff	$43	$25.80	$7.77 – $154
Complete blood count (CBC) with differential: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $33.97 AETNA [200] — BJC HB AETNA NATIONAL: $31.95 AETNA [200] — BJC HB FIRST HEALTH: $31.95 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $32.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $7.77 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $7.77 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $33.97 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $31.95 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $24.94 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $23.35
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Auto W Auto Diff/Esrd	$43	$25.80	$7.77 – $36.55
Complete blood count (CBC) with differential: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $33.97 AETNA [200] — BJC HB AETNA NATIONAL: $31.95 AETNA [200] — BJC HB FIRST HEALTH: $31.95 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $32.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $7.77 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $7.77 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $33.97 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $31.95 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $24.94 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $23.35
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Auto W Auto Diff\|UNUSUAL NON-OVERLAPPING SERVICE	$43	$25.80	$7.93 – $93.20
Complete blood count (CBC) with differential: rates for 6 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $23.65 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $27.95 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $25.59 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $26.23 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $9.32 UNITED HEALTHCARE [201] — BJC HB UNITED HEALTH CARE SLC: $9.32
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Auto WO Auto Diff	$32	$19.20	$6.47 – $126.15
Complete blood count (CBC), automated: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $25.28 AETNA [200] — BJC HB AETNA NATIONAL: $23.78 AETNA [200] — BJC HB FIRST HEALTH: $23.78 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $24 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $6.47 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $6.47 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $25.28 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $23.78 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $18.56 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $17.38
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Auto WO Auto Diff/Esrd	$32	$19.20	$6.47 – $27.20
Complete blood count (CBC), automated: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $25.28 AETNA [200] — BJC HB AETNA NATIONAL: $23.78 AETNA [200] — BJC HB FIRST HEALTH: $23.78 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $24 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $6.47 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $6.47 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $25.28 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $23.78 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $18.56 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $17.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time	$41	$24.60	$4.29 – $34.85
Blood clotting time test (prothrombin time, PT): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $32.39 AETNA [200] — BJC HB AETNA NATIONAL: $30.46 AETNA [200] — BJC HB FIRST HEALTH: $30.46 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $30.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $4.29 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $4.29 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $32.39 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $30.46 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $23.78 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $22.26
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Thrombplastin Time Prtl	$40	$24	$6.01 – $132
Blood clotting test (partial thromboplastin time, PTT): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $31.60 AETNA [200] — BJC HB AETNA NATIONAL: $29.72 AETNA [200] — BJC HB FIRST HEALTH: $29.72 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $30 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $6.01 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $6.01 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $31.60 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $29.72 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $23.20 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $21.72

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain W/O Cont	$1,232	$739.20	$102.89 – $1,725
CT scan of the head or brain, without contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $973.28 AETNA [200] — BJC HB AETNA NATIONAL: $915.38 AETNA [200] — BJC HB FIRST HEALTH: $915.38 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $924 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $102.89 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $102.89 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $973.28 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $915.38 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $714.56 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $668.98
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain W/O Cont\|UNUSUAL NON-OVERLAPPING SERVICE	$1,232	$739.20	$677.60 – $872.27
CT scan of the head or brain, without contrast: rates for 4 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $677.60 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $800.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $733.04 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $751.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain/Stem W/WO Cont	$7,752	$4,651.20	$343.36 – $6,589.20
MRI of the brain, before and after contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $6,124.08 AETNA [200] — BJC HB AETNA NATIONAL: $5,759.74 AETNA [200] — BJC HB FIRST HEALTH: $5,759.74 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $5,814 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $343.36 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $343.36 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $6,124.08 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $5,759.74 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $4,496.16 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $4,209.34
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain/Stem W/WO Cont\|REDUCED SERVICES	$7,752	$4,651.20	$343.36 – $5,038.80
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $343.36 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $343.36 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $343.36 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $343.36 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $343.36 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $343.36 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $360.53 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $4,263.60 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $5,038.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $4,612.44
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain/Stem W/WO Cont\|UNUSUAL NON-OVERLAPPING SERVICE	$7,752	$4,651.20	$4,263.60 – $5,038.80
MRI of the brain, before and after contrast: rates for 4 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $4,263.60 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $5,038.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $4,612.44 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $4,728.72
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xray Chest 2 Views	$568	$340.80	$43.02 – $482.80
Chest X-ray, 2 views: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $448.72 AETNA [200] — BJC HB AETNA NATIONAL: $422.02 AETNA [200] — BJC HB FIRST HEALTH: $422.02 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $426 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $85.65 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $85.65 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $448.72 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $422.02 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $329.44 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $308.42
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xray Chest 2 Views\|UNUSUAL NON-OVERLAPPING SERVICE	$568	$340.80	$42.11 – $369.20
Chest X-ray, 2 views: rates for 4 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $312.40 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $369.20 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $337.96 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $346.48
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Spine Lumbar Min 4 Views	$971	$582.60	$72.35 – $825.35
X-ray of the lower spine, at least 4 views: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $767.09 AETNA [200] — BJC HB AETNA NATIONAL: $721.45 AETNA [200] — BJC HB FIRST HEALTH: $721.45 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $728.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $102.89 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $102.89 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $767.09 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $721.45 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $563.18 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $527.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Spine Lumbar Min 4 Views\|UNUSUAL NON-OVERLAPPING SERVICE	$971	$582.60	$109.02 – $631.15
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $534.05 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $631.15 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $534.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumbar Spn W/O Cont	$5,794	$3,476.40	$234.83 – $4,924.90
MRI of the lower back (lumbar spine), without contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $4,577.26 AETNA [200] — BJC HB AETNA NATIONAL: $4,304.94 AETNA [200] — BJC HB FIRST HEALTH: $4,304.94 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,345.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $234.83 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $234.83 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $4,577.26 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $4,304.94 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,360.52 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $3,146.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumbar Spn W/O Cont\|REDUCED SERVICES	$5,794	$3,476.40	$234.83 – $3,766.10
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $234.83 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $234.83 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $234.83 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $234.83 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $234.83 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $234.83 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $246.58 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $3,186.70 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $3,766.10 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $3,447.43
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis With Contrast	$1,273	$763.80	$172.63 – $2,252.20
CT scan of the pelvis, with contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $1,005.67 AETNA [200] — BJC HB AETNA NATIONAL: $945.84 AETNA [200] — BJC HB FIRST HEALTH: $945.84 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $954.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $172.63 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $172.63 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $1,005.67 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $945.84 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $738.34 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $691.24
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con	$5,545	$3,327	$279.42 – $5,545
MRI of a leg joint (such as the knee), without contrast: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $4,380.55 AETNA [200] — BJC HB AETNA NATIONAL: $4,119.94 AETNA [200] — BJC HB FIRST HEALTH: $4,119.94 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,158.75 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $4,380.55 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $4,119.94 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,216.10 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $3,010.94 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $3,637.52 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $3,376.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con\|LEFT SIDE	$5,545	$3,327	$247.81 – $5,545
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con\|RIGHT SIDE	$5,545	$3,327	$247.81 – $5,545
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd & Pelvis W/Con	$2,800	$1,680	$343.36 – $4,732
CT scan of the abdomen and pelvis, with contrast: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $2,212 AETNA [200] — BJC HB AETNA NATIONAL: $2,080.40 AETNA [200] — BJC HB FIRST HEALTH: $2,080.40 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $2,100 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $343.36 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $343.36 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $2,212 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $2,080.40 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,624 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $1,520.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC Sono Abdominal Complete	$1,807	$1,084.20	$102.89 – $1,535.95
Ultrasound of the abdomen, complete: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $1,427.53 AETNA [200] — BJC HB AETNA NATIONAL: $1,342.60 AETNA [200] — BJC HB FIRST HEALTH: $1,342.60 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,355.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $102.89 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $102.89 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $1,427.53 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,342.60 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,048.06 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $981.20
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC Sono Abdominal Complete\|REDUCED SERVICES\|UNUSUAL NON-OVERLAPPING SERVICE	$1,807	$1,084.20	$102.89 – $108.04
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $102.89 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $102.89 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $102.89 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $102.89 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $102.89 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $102.89 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $108.04 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $102.89 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $102.89 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA SLC: $102.89
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC Sonography, Transvaginal	$530	$318	$102.89 – $1,008.33
Transvaginal ultrasound: 10 of 73 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $418.70 AETNA [200] — BJC HB AETNA NATIONAL: $393.79 AETNA [200] — BJC HB FIRST HEALTH: $393.79 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $397.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $102.89 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $102.89 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $418.70 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $393.79 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $307.40 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $287.79

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC Left Heart Cath W/Vent	$9,877	$5,926.20	$4,795.44 – $10,875
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $5,728.66 BLUE CROSS BLUE SHIELD [205] — BJC HB WASH U STUDENT HEALTH: $5,432.35 CIGNA [202] — BJC HB CIGNA LOCAL PLUS SLC: $4,859.48 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE SLC: $5,353.33 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E SLC: $5,353.33 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $5,432.35 HEALTH ALLIANCE [224] — BJC HB HEALTH ALLIANCE SLC: $6,913.90 HEALTHCARE SOL MERCY [609] — BJC HB ST JOHNS HEALTH SYSTEM: $7,407.75 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE EGYPTIAN TRUST SLC: $7,901.60 HOPE TRUST [806] — BJC HB HOPE TRUST: $5,728.66
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC Comp Ep Eval W/O Induct	$12,461	$7,476.60	$6,130.81 – $9,968.80
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $9,844.19 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $9,844.19 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $7,227.38 BLUE CROSS BLUE SHIELD [205] — BJC HB WASH U STUDENT HEALTH: $6,853.55 CIGNA [202] — BJC HB CIGNA LOCAL PLUS SLC: $6,130.81 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE SLC: $6,753.86 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E SLC: $6,753.86 CORESOURCE [497] — BJC HB AETNA COMMERCIAL SLC: $9,844.19 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $6,853.55 FMH BENEFIT SERVICE INC [222] — BJC HB AETNA COMMERCIAL SLC: $9,844.19
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$46,108.58	$27,665.15	$22,362.66 – $58,344
Heart rhythm study with ablation for atrial fibrillation: 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $58,344 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $25,725.02 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $25,725.02 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $58,344 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $25,785 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $25,725.02 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $25,725.02 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $25,725.02 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $38,129 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $39,459
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC Intracardiac Ablation Afib	$60,675	$36,405	$29,852.10 – $48,540
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $35,191.50 BLUE CROSS BLUE SHIELD [205] — BJC HB WASH U STUDENT HEALTH: $33,371.25 CIGNA [202] — BJC HB CIGNA LOCAL PLUS SLC: $29,852.10 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE SLC: $32,885.85 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E SLC: $32,885.85 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $33,371.25 HEALTH ALLIANCE [224] — BJC HB HEALTH ALLIANCE SLC: $42,472.50 HEALTHCARE SOL MERCY [609] — BJC HB ST JOHNS HEALTH SYSTEM: $45,506.25 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE EGYPTIAN TRUST SLC: $48,540 HOPE TRUST [806] — BJC HB HOPE TRUST: $35,191.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Poly >6yr W 4+ Para	$8,345	$5,007	$845.18 – $7,093.25
Sleep study (overnight, in a sleep lab): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $6,592.55 AETNA [200] — BJC HB AETNA NATIONAL: $6,200.34 AETNA [200] — BJC HB FIRST HEALTH: $6,200.34 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $6,258.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $845.18 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $845.18 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $6,592.55 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $6,200.34 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $4,840.10 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $4,531.34
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Polysomnography 4+ Para (<6hr)	$6,259	$3,755.40	$845.18 – $5,320.15
Sleep study (overnight, in a sleep lab): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $4,944.61 AETNA [200] — BJC HB AETNA NATIONAL: $4,650.44 AETNA [200] — BJC HB FIRST HEALTH: $4,650.44 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,694.25 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $845.18 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $845.18 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $4,944.61 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $4,650.44 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,630.22 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $3,398.64
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Poly >6yr W 4+ Para\|REDUCED SERVICES	$8,345	$5,007	$845.18 – $887.44
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $845.18 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $845.18 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $845.18 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $845.18 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $845.18 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $845.18 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $887.44 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $845.18 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $845.18 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA SLC: $845.18

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Theraptc Proc-Ea 15mn	$221	$132.60	$28.12 – $332
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $174.59 AETNA [200] — BJC HB AETNA NATIONAL: $164.20 AETNA [200] — BJC HB FIRST HEALTH: $164.20 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $165.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $28.12 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $28.12 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $174.59 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $164.20 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $128.18 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $120
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Ther Proc-Ea 15mn 60d	$221	$132.60	$28.12 – $187.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $174.59 AETNA [200] — BJC HB AETNA NATIONAL: $164.20 AETNA [200] — BJC HB FIRST HEALTH: $164.20 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $165.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $28.12 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $28.12 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $174.59 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $164.20 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $128.18 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $120
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Theraptc Proc-Ea 15mn	$221	$132.60	$28.12 – $332
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $174.59 AETNA [200] — BJC HB AETNA NATIONAL: $164.20 AETNA [200] — BJC HB FIRST HEALTH: $164.20 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $165.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $28.12 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $28.12 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $174.59 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $164.20 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $128.18 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $120
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity	$332	$199.20	$95.75 – $332
Physical therapy evaluation (low complexity): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $262.28 AETNA [200] — BJC HB AETNA NATIONAL: $246.68 AETNA [200] — BJC HB FIRST HEALTH: $246.68 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $249 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $95.75 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $95.75 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $262.28 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $246.68 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $192.56 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $180.28
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity\|OP PT SERVICES\|OP PT BY PT ASSISTANT	$332	$199.20	$95.75 – $301
Physical therapy evaluation (low complexity): rates for 10 insurance plans AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $95.75 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $95.75 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $100.54 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $95.75 MEDICA [662] — BJC HB MEDICARE WELLFIRST SLC: $100.54 UNITED HEALTHCARE MEDICARE [251] — BJC HB MEDICARE UHC SLC: $95.75
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity\|OP PT SERVICES\|UNUSUAL NON-OVERLAPPING SERVICE	$332	$199.20	$182.60 – $215.80
Physical therapy evaluation (low complexity): rates for 4 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $182.60 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $215.80 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $197.54 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $202.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity	$341	$204.60	$95.75 – $341
Physical therapy evaluation (moderate complexity): 10 of 73 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $269.39 AETNA [200] — BJC HB AETNA NATIONAL: $253.36 AETNA [200] — BJC HB FIRST HEALTH: $253.36 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $255.75 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $95.75 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $95.75 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $269.39 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $253.36 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $197.78 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $185.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity\|OP PT SERVICES\|OP PT BY PT ASSISTANT	$341	$204.60	$95.75 – $341
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $95.75 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $95.75 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $100.54 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $221.65 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $252.34 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $237
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity\|OP PT SERVICES	$341	$204.60	$221.65 – $255.75
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $221.65 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $252.34 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $237 HEALTHSCOPE BENEFITS [258] — BJC HB HEALTHSCOPE ORSCHELN BJH SLC: $255.75
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity	$426	$255.60	$95.75 – $383
Physical therapy evaluation (high complexity): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $336.54 AETNA [200] — BJC HB AETNA NATIONAL: $316.52 AETNA [200] — BJC HB FIRST HEALTH: $316.52 AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $319.50 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $95.75 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $95.75 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $336.54 ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $316.52 ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $247.08 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $231.32
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity\|OP PT SERVICES\|OP PT BY PT ASSISTANT	$426	$255.60	$95.75 – $383
Physical therapy evaluation (high complexity): rates for 10 insurance plans AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $95.75 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $95.75 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $95.75 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $100.54 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $95.75 MEDICA [662] — BJC HB MEDICARE WELLFIRST SLC: $100.54 UNITED HEALTHCARE MEDICARE [251] — BJC HB MEDICARE UHC SLC: $95.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$10,823.90	$6,494.34	$892.66 – $9,200.32
Upper GI endoscopy (diagnostic): 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $892.66 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $892.66 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $937.29 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $892.66 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $892.66
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic\|UNUSUAL NON-OVERLAPPING SERVICE	$11,347.20	$6,808.32	$892.66 – $9,645.12
Upper GI endoscopy (diagnostic): 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $892.66 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $892.66 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $937.29 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $892.66 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $892.66
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic\|SEPARATE PRACTITIONER	$60,238.51	$36,143.11	$5,476.60 – $58,344
Upper GI endoscopy (diagnostic): 10 of 74 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $58,344 AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $5,476.60 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $5,476.60 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $58,344 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $25,785 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $5,476.60 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $5,476.60 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $5,476.60 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $38,129 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $39,459
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple	$9,490.68	$5,694.41	$892.66 – $8,067.08
Upper GI endoscopy with biopsy: 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $892.66 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $892.66 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $892.66 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $937.29 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $892.66 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $892.66
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple\|UNUSUAL NON-OVERLAPPING SERVICE	$14,553.17	$8,731.90	$1,581 – $12,370.19
Upper GI endoscopy with biopsy: 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $1,888.60 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $1,888.60 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $1,983.03 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $1,888.60 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $1,888.60
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple\|SEPARATE STRUCTURE	$14,605.45	$8,763.27	$908.45 – $12,414.63
Upper GI endoscopy with biopsy: 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $1,888.60 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $1,888.60 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,888.60 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $1,983.03 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $1,888.60 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $1,888.60
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$14,459.48	$8,675.69	$366.11 – $12,290.56
Colonoscopy (diagnostic): 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $366.11 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $366.11 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $915.27 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $915.27 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $915.27 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $915.27 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $384.41 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $915.27 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $915.27
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC Colonoscopy	$4,759	$2,855.40	$1,581 – $4,587
Colonoscopy (diagnostic): 10 of 20 insurance plan rates ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,760.22 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $2,584.14 BLUE CROSS BLUE SHIELD [205] — BJC HB WASH U STUDENT HEALTH: $2,617.45 CIGNA [202] — BJC HB CIGNA HMO/PPO SLC: $2,584.14 CIGNA [202] — BJC HB CIGNA LOCAL PLUS SLC: $2,341.43 CIGNA [202] — BJC HB CIGNA SPECIAL SLC: $2,450.89 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE SLC: $2,579.38 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E SLC: $2,579.38 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $2,617.45 HEALTH ALLIANCE [224] — BJC HB HEALTH ALLIANCE SLC: $3,331.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANE	$10,495.66	$6,297.40	$1,177.74 – $10,984.91
Colonoscopy with biopsy: 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $1,177.74 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $1,177.74 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $1,236.63 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $1,177.74 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $1,177.74
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple\|CLRCTAL SCREEN TO DIAGN	$13,294.28	$7,976.57	$471.10 – $11,300.14
Colonoscopy with biopsy: 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $471.10 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $471.10 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $494.65 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $1,177.74 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $1,177.74
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple\|REDUCED SERVICES	$15,925.09	$9,555.05	$1,177.74 – $13,536.33
Colonoscopy with biopsy: 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $1,177.74 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $1,177.74 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $1,236.63 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $1,177.74 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $1,177.74
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$18,130.34	$10,878.20	$1,177.74 – $15,410.79
Colonoscopy with removal of polyps (snare): 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $1,177.74 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $1,177.74 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $1,177.74 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $1,236.63 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $1,177.74 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $6,278 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $1,177.74
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC Add on Colon Rem Snare	$3,261	$1,956.60	$1,458.60 – $4,587
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,891.38 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $1,770.72 BLUE CROSS BLUE SHIELD [205] — BJC HB WASH U STUDENT HEALTH: $1,793.55 CIGNA [202] — BJC HB CIGNA HMO/PPO SLC: $1,770.72 CIGNA [202] — BJC HB CIGNA LOCAL PLUS SLC: $1,604.41 CIGNA [202] — BJC HB CIGNA SPECIAL SLC: $1,679.42 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE SLC: $1,767.46 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E SLC: $1,767.46 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $1,793.55 HEALTH ALLIANCE [224] — BJC HB HEALTH ALLIANCE SLC: $2,282.70
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC Colon Rem Snare	$6,522	$3,913.20	$1,581 – $5,217.60
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,782.76 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $3,541.45 BLUE CROSS BLUE SHIELD [205] — BJC HB WASH U STUDENT HEALTH: $3,587.10 CIGNA [202] — BJC HB CIGNA HMO/PPO SLC: $3,541.45 CIGNA [202] — BJC HB CIGNA LOCAL PLUS SLC: $3,208.82 CIGNA [202] — BJC HB CIGNA SPECIAL SLC: $3,358.83 CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE SLC: $3,534.92 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E SLC: $3,534.92 COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $3,587.10 HEALTH ALLIANCE [224] — BJC HB HEALTH ALLIANCE SLC: $4,565.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|RIGHT SIDE	$11,304.60	$6,782.76	$3,617.93 – $19,277.98
Groin (inguinal) hernia repair, age 5 or older: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB HOPE TRUST: 58% (a percentage in the contract, not a dollar amount) APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: 54.3% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: 65.6% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: 60.9% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|RIGHT SIDE\|EXCEPTED OFF-CAMPUS SERVICE	$11,545.30	$6,927.18	$5,599.47 – $11,545.30
Groin (inguinal) hernia repair, age 5 or older: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB HOPE TRUST: 58% (a percentage in the contract, not a dollar amount) APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: 54.3% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: 65.6% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: 60.9% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|LEFT SIDE	$12,102.30	$7,261.38	$3,586.18 – $24,138.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB HOPE TRUST: 58% (a percentage in the contract, not a dollar amount) APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: 54.3% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: 65.6% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: 60.9% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$11,559.66	$6,935.80	$694.73 – $9,825.71
Spinal injection, lower back (epidural), with imaging guidance: 10 of 74 insurance plan rates AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA SLC: $694.73 AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE SLC: $694.73 BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $694.73 BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $694.73 BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $694.73 BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE SLC: $694.73 COX HEALTH [757] — BJC HB MEDICARE COXHEALTH SLC: $729.47 ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE SLC: $694.73 HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA SLC: $694.73 HUMANA MEDICARE ALT [672] — BJC HB MEDICARE HUMANA SLC: $694.73
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inj Lumb/Caud W/ Imaging	$2,467	$1,480.20	$686.95 – $4,587
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,430.86 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $1,339.58 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $1,618.35 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $1,502.40 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS SLC: $1,618.35 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE SLC: $1,502.40 BLUE CROSS BLUE SHIELD [205] — BJC HB WASH U STUDENT HEALTH: $1,356.85 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS SLC: $1,618.35 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE SLC: $1,502.40 CIGNA [202] — BJC HB CIGNA HMO/PPO SLC: $1,339.58
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne\|RIGHT SIDE	$11,400.75	$6,840.45	$1,955.88 – $24,439.36
Carpal tunnel release: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB HOPE TRUST: 58% (a percentage in the contract, not a dollar amount) APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: 54.3% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: 65.6% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: 60.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne\|LEFT SIDE	$21,281.93	$12,769.16	$1,955.88 – $21,281.93
Carpal tunnel release: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB HOPE TRUST: 58% (a percentage in the contract, not a dollar amount) APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: 54.3% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: 65.6% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: 60.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne\|RIGHT SIDE\|UNUSUAL NON-OVERLAPPING SERVICE	$39,298.75	$23,579.25	$19,059.89 – $39,298.75
Carpal tunnel release: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB HOPE TRUST: 58% (a percentage in the contract, not a dollar amount) APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: 54.3% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: 65.6% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: 60.9% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Post-Cataract Laser Surgery\|RIGHT SIDE	$14,121.70	$8,473.02	$562.42 – $14,121.70
Laser treatment of clouding after cataract surgery: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 79% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB HOPE TRUST: 58% (a percentage in the contract, not a dollar amount) APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: 54.3% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: 65.6% (a percentage in the contract, not a dollar amount) BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: 60.9% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Post-Cataract Laser Surgery\|LEFT SIDE\|UNUSUAL NON-OVERLAPPING SERVICE	$22,105.72	$13,263.43	$9,256 – $22,105.72
Laser treatment of clouding after cataract surgery: 10 of 62 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $14,935 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $14,935 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $10,254 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $10,188 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $10,335 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS SLC: $10,188 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE SLC: $10,335 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS SLC: $10,188 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE SLC: $10,335 CIGNA [202] — BJC HB CIGNA HMO/PPO SLC: $10,254

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$1,577,968.08	$946,780.85	$10,481 – $1,577,968.08
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 62 insurance plan rates CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE SLC: $77,137 CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E SLC: $77,137 HEALTHSCOPE BENEFITS [258] — BJC HB UNITED HEALTH CARE SLC: $10,481 SARAH BUSH LINCOLN [636] — BJC HB CONSOCIATE CARE COE SLC: $77,137 UNITED HEALTHCARE [201] — BJC HB UNITED HEALTH CARE SLC: $10,481 AETNA [200] — BJC HB AETNA COMMERCIAL SLC: 72% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB AETNA NATIONAL: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB FIRST HEALTH: 74.3% (a percentage in the contract, not a dollar amount) AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: 75% (a percentage in the contract, not a dollar amount) ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: 72% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$88,398.20	$53,038.92	$6,027 – $128,611
Neck (cervical) spinal fusion, without complications: 10 of 61 insurance plan rates AETNA [200] — BJC HB AETNA COMMERCIAL SLC: $127,936 ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL SLC: $127,936 APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $10,114 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $128,611 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $58,011 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS SLC: $128,611 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE SLC: $58,011 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS SLC: $128,611 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE SLC: $58,011 CIGNA [202] — BJC HB CIGNA HMO/PPO SLC: $10,114
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$27,266.70	$16,360.02	$6,027 – $47,444.78
Uterus and ovary surgery (not for cancer), without complications: 10 of 56 insurance plan rates APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO SLC: $10,114 BCBS OOS [607] — BJC HB ANTHEM ACCESS SLC: $7,682 BCBS OOS [607] — BJC HB ANTHEM CHOICE SLC: $6,680 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS SLC: $7,682 BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE SLC: $6,680 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS SLC: $7,682 BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE SLC: $6,680 CIGNA [202] — BJC HB CIGNA HMO/PPO SLC: $10,114 CIGNA [202] — BJC HB CIGNA LOCAL PLUS SLC: $6,027 CIGNA [202] — BJC HB CIGNA SPECIAL SLC: $9,657

Source: St Louis Childrens Hospital’s standard charges file (bjc.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 15, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (stlouischildrens.org), because the hospital has no cms-hpt.txt file; both are 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	Children's Hospital
Address	One Childrens Place, Saint Louis, MO 63110
County	St. Louis City
State	Missouri
Phone	(314) 454‑6000
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	Not rated by CMS
CMS Certification Number	263301
Name in Medicare records	ST LOUIS CHILDRENS HOSPITAL
Profile level	Medicare data + hospital website
Official website	stlouischildrens.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.

Heart Center - St. Louis Children's Hospital — stlouischildrens.org
Visiting Guidelines — stlouischildrens.org
Parking — stlouischildrens.org
St. Louis Children's Hospital — stlouischildrens.org
Language and Interpreting Services at St. Louis Children's Hospital — stlouischildrens.org
Pediatric Neurosurgery Program | St. Louis Children's Hospital — stlouischildrens.org
Brachial Plexus Center | St. Louis Children's Hospital — stlouischildrens.org
Gamma Knife Radiosurgery | St. Louis Children's Hospital — stlouischildrens.org
Neurosurgery Programs and Services | St. Louis Children's Hospital — stlouischildrens.org
Moyamoya Program | St. Louis Children's Hospital — stlouischildrens.org
Support Services | St. Louis Children's Hospital — stlouischildrens.org
Hydrocephalus Clinic | St. Louis Children's Hospital — stlouischildrens.org
Conditions Treated by Neurosurgery | St. Louis Children's Hospital — stlouischildrens.org
Telemedicine Appointment for Neurosurgery | St. Louis Children's Hospital — stlouischildrens.org
Need a Second Opinion? | St. Louis Children's Hospital — stlouischildrens.org
Oncology Services | St. Louis Children's Hospital — stlouischildrens.org
Pediatric Cancer Programs | St. Louis Children's Hospital — stlouischildrens.org

St Louis Childrens Hospital

Summary

Profile from official sources

At a glance