Quick answers
- Does Sullivan County Memorial Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Sullivan County Memorial Hospital. In a medical emergency, call 911.
- Where is Sullivan County Memorial Hospital?
- 630 West Third Street, Milan, MO 63556, in Sullivan County, Missouri.
- What is the phone number of Sullivan County Memorial Hospital?
- (660) 265-4212, as listed by Medicare (CMS).
- What is the Medicare star rating of Sullivan County Memorial Hospital?
- CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Specialties and care areas[7][9]
- Diagnostic radiology
- Clinical laboratory
Procedures[7][9]
- X-ray
- CT scan
- MRI
- Ultrasound
- Echocardiography
- Hematology testing
- Chemistry testing
- Blood bank services (type and screen, crossmatching)
- Microbiology testing (limited)
Programs and centers[4]
- Cardiac rehab
Emergency care (hospital website)[4][6]
| Emergency room | Yes |
|---|
Visiting and practical information
Doctors and clinicians (24)
24 doctors and other clinicians list Sullivan County Memorial Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Nurse Practitioner10
- Family Practice3
- Internal Medicine2
- Orthopedic Surgery1
- Hematology/Oncology1
- Certified Registered Nurse Anesthetist (CRNA)1
- Cardiovascular Disease (Cardiology)1
- Dermatology1
- Podiatry1
- Interventional Cardiology1
- Nephrology1
- Emergency Medicine1
Doctors with a page on this site (24)
- Amy L. CreasonNurse Practitioner
- Azhar AssadiInternal Medicine
- Baydon E. Hilton, DODermatology
- Charles Sutherland, DOFamily Practice
- Connie L. BarkerNurse Practitioner
- Dale W. Essmyer, DOFamily Practice
- Dawn Y. Stout, NPNurse Practitioner
- Deborah A. Holte, DPMPodiatry
- Elangovan Balakrishnan, MDHematology/Oncology
- Hannah GleasonNurse Practitioner
- Hillary N. Burks, NPNurse Practitioner
- John Bailey, DOOrthopedic Surgery
- Joshua Delozier, CNACertified Registered Nurse Anesthetist (CRNA)
- Katelin R. SprattNurse Practitioner
- Larry R. Handlin, DOCardiovascular Disease (Cardiology)
- Megan L. DuffyNurse Practitioner
- Myra J. Watson, DONephrology
- Naser M. Almasalmeh, MDInternal Medicine
- Rita J. LutzNurse Practitioner
- Ryan P. Williams, MDFamily Practice
- Sherri L. Hedges, NPNurse Practitioner
- Thomas E. Williams, DOEmergency Medicine
- Tonia M. NeriniNurse Practitioner
- Trung Tran, MDInterventional Cardiology
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Putnam County Memorial Hospital20 mi · Unionville, MO · Critical Access Hospital
- Wright Memorial Hospital25 mi · Trenton, MO · Critical Access Hospital
- Northeast Regional Medical Center29 mi · Kirksville, MO · Acute Care Hospital
- Pershing Memorial Hospital30 mi · Brookfield, MO · Critical Access Hospital
- Hedrick Medical Center35 mi · Chillicothe, MO · Critical Access Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Milan
- MercyOne Centerville Medical Center37 mi · Centerville, IA · Critical Access 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
- Milan Health Care Center0.9 mi · Milan, MO · 1 of 5 stars
- Putnam County Care Center21 mi · Unionville, MO · 2 of 5 stars
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
- Northeast Family Health1.3 mi · Milan, MO · Community health center
Clinics and urgent care
- Sullivan County Memorial Hospital2.1 mi · Milan, MO · Rural health clinic
- Sullivan County Memorial Hospital Milan Family Practice2.1 mi · Milan, MO · Rural health clinic
- Sullivan County Memorial Hospital Green City Clinic9.7 mi · Green City, MO · Rural health clinic
Pharmacies
- Sullivan County Memorial Hospital2.1 mi · Milan, MO · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Stover's Residential Care Facility2.1 mi · Milan, MO
- Tessland Residential Care Facility LLC2.1 mi · Milan, 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 Sullivan County Memorial Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
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) | 15.9% |
|---|---|
| Not reported to Medicare | Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement |
| Too few cases to report | Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Low (under 20,000) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 111 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 1%National average: 2% |
| Not reported to Medicare | Sepsis patients who got all the recommended early care (SEP-1) |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 38 common services exactly as Sullivan County Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 38 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: NEW PAIN MAN PATIENT LEVEL 3 | $100 | $100 | Not listed in the file |
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier AF In the file: NEW PAIN MAN PATIENT LEVEL 3 PRO,Professional Component | $180 | $180 | Not listed in the file |
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PAIN MAN PATIENT LEVEL 4 | $100 | $100 | Not listed in the file |
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier AF In the file: NEW PAIN MAN PATIENT LEVEL 4 PRO,Professional Component | $220 | $220 | Not listed in the file |
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP TREATMENT ROOM LEVEL 3 | $206 | $206 | Not listed in the file |
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: EST PAIN MAN PATIENT LEVEL 3 | $100 | $100 | Not listed in the file |
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier AF In the file: EST PAIN MAN PATIENT LEVEL 3 PRO,Professional Component | $120 | $120 | Not listed in the file |
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP TREATMENT ROOM LEVEL 4 | $278 | $278 | Not listed in the file |
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: EST PAIN MAN PATIENT LEVEL 4 | $100 | $100 | Not listed in the file |
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: CARDIAC REHAB INITIAL EVAL | $250 | $250 | Not listed in the file |
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER PHYSICIAN FEE - MODERATE | $420 | $420 | Not listed in the file |
Emergency room visit (moderate): rates for 5 insurance plans
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| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER MODERATE | $735 | $735 | Not listed in the file |
Emergency room visit (moderate): rates for 5 insurance plans
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| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: ER MODERATE W/ PROCEDURE,SEPARATE SERVICE | $735 | $735 | Not listed in the file |
Emergency room visit (moderate): rates for 5 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER PHYSICIAN FEE - URGENT | $560 | $560 | Not listed in the file |
Emergency room visit (moderately high): rates for 5 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER URGENT | $1,145 | $1,145 | Not listed in the file |
Emergency room visit (moderately high): rates for 5 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: ER URGENT W/ PROCEDURE,SEPARATE SERVICE | $1,145 | $1,145 | Not listed in the file |
Emergency room visit (moderately high): rates for 5 insurance plans
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| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER PHYSICIAN FEE - MAJOR | $700 | $700 | Not listed in the file |
Emergency room visit (high): rates for 5 insurance plans
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| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER MAJOR | $1,644 | $1,644 | Not listed in the file |
Emergency room visit (high): rates for 5 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: ER MAJOR W/ PROCEDURE,SEPARATE SERVICE | $1,644 | $1,644 | Not listed in the file |
Emergency room visit (high): rates for 5 insurance plans
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL | $71 | $71 | Not listed in the file |
Basic metabolic panel (blood test): rates for 5 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL | $89 | $89 | Not listed in the file |
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
| |||
| Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC (OB) PANEL W/O HIV | $213 | $213 | Not listed in the file |
Obstetric blood test panel: rates for 5 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE | $113 | $113 | Not listed in the file |
Cholesterol panel (lipid panel): rates for 5 insurance plans
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL | $52 | $52 | Not listed in the file |
Kidney function panel: rates for 5 insurance plans
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL | $49 | $49 | Not listed in the file |
Liver function panel: rates for 5 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: .URINALYSIS W/ MICRO | $27 | $27 | Not listed in the file |
Urine test (automated, with microscope): rates for 5 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE AUTOMATED W/O MICROSCOPY | $19 | $19 | Not listed in the file |
Urine test (automated, without microscope): rates for 5 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: SPECIFIC GRAVITY URINE | $3 | $3 | Not listed in the file |
Urine test (automated, without microscope): rates for 5 insurance plans
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| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL (DIAGNOSTIC | $190 | $190 | Not listed in the file |
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA ULTRA SENSITIVE | $160 | $160 | Not listed in the file |
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH WITH REFLEX TO FREE T4 | $150 | $150 | Not listed in the file |
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH (THYROID STIMULATING HORMO) | $141 | $141 | Not listed in the file |
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH (THYROID STIMULATING HORMO)W/HAMA | $84 | $84 | Not listed in the file |
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HEMOGRAM W/ PLATELET COUNT | $23 | $23 | Not listed in the file |
Complete blood count (CBC) with differential: rates for 5 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .CBC WITH AUTOMATED DIFF | $66 | $66 | Not listed in the file |
Complete blood count (CBC) with differential: rates for 5 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W/ DIFF AND PLATELETS -REFL | $23 | $23 | Not listed in the file |
Complete blood count (CBC) with differential: rates for 5 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC WITHOUT DIFF (HEMOGRAM) | $32 | $32 | Not listed in the file |
Complete blood count (CBC), automated: rates for 5 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: .HEMOGRAM CHARGE ONLY | $66 | $66 | Not listed in the file |
Complete blood count (CBC), automated: rates for 5 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME (PROTIME) | $33 | $33 | Not listed in the file |
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: MIXING PLASMA CORRECTION STUDY TEST 1 | $20 | $20 | Not listed in the file |
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT LUPUS ANTICOAGULANT | $54 | $54 | Not listed in the file |
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PARTIAL THROMBOPLASTIN TIME | $51 | $51 | Not listed in the file |
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: MIXING PLASMA CORRECTION STUDY TEST 3 | $78 | $78 | Not listed in the file |
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
| |||
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: CT HEAD WITHOUT | $641 | $641 | Not listed in the file |
CT scan of the head or brain, without contrast: rates for 5 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN WITH AND WITHOUT CONTRAST | $2,211 | $2,211 | Not listed in the file |
MRI of the brain, before and after contrast: rates for 5 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 VIEW | $261 | $261 | Not listed in the file |
Chest X-ray, 2 views: rates for 5 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR LAT DECUB CHEST 2 VIEW | $261 | $261 | Not listed in the file |
Chest X-ray, 2 views: rates for 5 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR LORDOTIC CHEST TWO VIEW | $261 | $261 | Not listed in the file |
Chest X-ray, 2 views: rates for 5 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR LUMBAR W/OBLIQUES | $321 | $321 | Not listed in the file |
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE WITHOUT CONTRAST | $1,401 | $1,401 | Not listed in the file |
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIC WITH | $1,082 | $1,082 | Not listed in the file |
CT scan of the pelvis, with contrast: rates for 5 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI LOW RT EXTREM ANY JOINT W/O CONTRAST,RIGHT | $1,401 | $1,401 | Not listed in the file |
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI LOW LT EXTREM ANY JOINT W/O CONTRAST,LEFT | $1,401 | $1,401 | Not listed in the file |
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS WITH CONTRAST | $2,211 | $2,211 | Not listed in the file |
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE | $428 | $428 | Not listed in the file |
Ultrasound of the abdomen, complete: rates for 5 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US PREG COMP>14 WEEKS 1ST BABY | $428 | $428 | Not listed in the file |
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US MOLAR OR ECTOPIC PREG | $428 | $428 | Not listed in the file |
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL NON OB PELVIS | $428 | $428 | Not listed in the file |
Transvaginal ultrasound: rates for 5 insurance plans
| |||
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: PT THERAPEUTIC EXERCISE 15 MIN | $50 | $50 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: OT PER 15 MIN THERAPY | $60 | $60 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT PHYSICAL THERAPY EVALUATION 20 MIN | $150 | $150 | Not listed in the file |
Physical therapy evaluation (low complexity): rates for 5 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT PHYSICAL THERAPY EVALUATION 30 MIN | $160 | $160 | Not listed in the file |
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT PHYSICAL THERAPY EVALUATION 45 MIN | $200 | $200 | Not listed in the file |
Physical therapy evaluation (high complexity): rates for 5 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: LESI W FLURO PROCEDURE ROOM | $1,500 | $1,500 | Not listed in the file |
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier AF In the file: LESI W FLURO PRO FEE,PROFESSIONAL COMPONENT | $287 | $287 | Not listed in the file |
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: LUMBAR LEVEL 1 PROCEDURE ROOM | $1,500 | $1,500 | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier AF In the file: LUMBAR LEVEL 1 PRO FEE,PROFESSIONAL COMPONENT | $322 | $322 | Not listed in the file |
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans
| |||
Source: Sullivan County Memorial Hospital’s standard charges file (scmhospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Critical Access Hospital |
|---|---|
| Address | 630 West Third Street, Milan, MO 63556 |
| County | Sullivan County |
| State | Missouri |
| Phone | (660) 265‑4212 |
| Emergency services | Yes |
| Ownership | Government - Local |
| Medicare overall rating | Not rated by CMS |
| CMS Certification Number | 261306 |
| Name in Medicare records | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| Profile level | Medicare data + hospital website |
| Official website | scmhospital.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Sullivan County Memorial Hospital — scmhospital.org
- Home - Sullivan County Memorial Hospital — scmhospital.org
- Emergency Room - Sullivan County Memorial Hospital — scmhospital.org
- Laboratory Services - Sullivan County Memorial Hospital — scmhospital.org
- Visitor Policy - Sullivan County Memorial Hospital — scmhospital.org
- Radiology - Sullivan County Memorial Hospital — scmhospital.org