Does University of Missouri Health Care have an emergency room?

Yes. Medicare (CMS) data lists emergency services at University of Missouri Health Care. In a medical emergency, call 911.

Where is University of Missouri Health Care?

One Hospital Drive, Columbia, MO 65212, in Boone County, Missouri.

What is the phone number of University of Missouri Health Care?

(573) 882-4141, as listed by Medicare (CMS).

What is the Medicare star rating of University of Missouri Health Care?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

University of Missouri Health Care

Quick answers

Does University of Missouri Health Care have an emergency room?: Yes. Medicare (CMS) data lists emergency services at University of Missouri Health Care. In a medical emergency, call 911.
Where is University of Missouri Health Care?: One Hospital Drive, Columbia, MO 65212, in Boone County, Missouri.
What is the phone number of University of Missouri Health Care?: (573) 882-4141, as listed by Medicare (CMS).
What is the Medicare star rating of University of Missouri Health Care?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[3]

Heart and vascular care
Neurosciences
Neurosurgery
Neurology
Orthopaedics
Plastic surgery
Vascular surgery
Infectious diseases
Hospital medicine
Interventional radiology
Acute care surgery
Ophthalmology

Conditions treated^[3][5]

Coronary artery disease
Type 1 diabetes
Heart valve disease
Chest pain
Carotid artery disease
Congestive heart failure
Congenital heart disease
Peripheral artery disease (PAD)
Heart attack
Chronic total occlusion (CTO)
Stroke
Hernia
Gastroesophageal reflux disease (GERD)
Vein disease
Benign prostate hyperplasia (BPH)
Erectile dysfunction
UPJ obstruction
Buried penis
Peyronie's disease
Osteoporosis
Osteoarthritis
Uterine fibroids
Parkinson's disease
Liver disease
Measles
Burns
Gunshot wounds
Traumatic brain injuries
Spinal cord injuries
Motor vehicle accidents
Falls
Fractures (broken bones)

Treatments^[3]

Transcatheter aortic valve replacement (TAVR)
Gastric bypass surgery
Gastric sleeve surgery
Lap band management
Weight loss revision surgery
Biliopancreatic diversion with duodenal switch
Weight loss medications
Vasectomy
Kidney transplant
Feeding tubes for children
Electrodiagnostic testing
ECMO heart and lung life support
Cochlear implant

Programs and centers^{[3][5][6][7][8]}

Emergency department (24 hours)
Level I trauma center
Limb Preservation Program
Helicopter (air medical) transport service
SameDay Surgery Center
Living Kidney Donor Program
Bone Health Program
Structural Heart Program
Cardiovascular and pulmonary rehabilitation
Wound care and hyperbaric medicine center
Sleep disorders center
Diabetes center
Ophthalmology institute
Endoscopy center
Cochlear implant center

Emergency care (hospital website)^[3][5][6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level I

Visiting and practical information

Parking	Free. Garages A and B and Tiger Avenue Parking Structure; adult ER patients park in the University Hospital ER lot on Hospital Drive^[9]
Interpreters and languages	24/7 language services; onsite interpreters for Arabic, Spanish and ASL; phone access to interpreters in 130 languages^[4]

Recognition^[5]

Level I trauma center verified by the American College of Surgeons

Doctors and clinicians (1,499)

1,499 doctors and other clinicians list University of Missouri Health Care as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,475 more: the button below opens the full list.

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	75%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	65%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	1,680Response rate: 27%

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)	0.471Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.433Better than the national benchmark
Surgical site infections after colon surgery	0.765No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.673No different from the national benchmark
MRSA bloodstream infections	0.759No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.409Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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	11.3%
Deaths within 30 days: heart failure patients	13.2%
Deaths within 30 days: pneumonia patients	13.3%
Deaths within 30 days: COPD patients	9.7%
Deaths within 30 days: stroke patients	12.4%
Deaths within 30 days: coronary bypass surgery (CABG)	3.6%
Serious complications (patient safety indicator PSI-90)	0.79No different from the national rate
Complications after hip or knee replacement	6.4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	22.4%
Readmitted within 30 days: pneumonia	16.8%
Readmitted within 30 days: COPD	21.2%
Readmitted within 30 days: coronary bypass surgery	11.7%
Readmitted within 30 days: hip or knee replacement	5.6%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	222 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	39%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Columbia Best hospitals in Columbia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as University of Missouri Health Care 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 →

$ 91 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$136.94
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Medica with MU Health — Exchange: $136.94
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$222.74
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Medica with MU Health — Exchange: $222.74
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$302.86
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Medica with MU Health — Exchange: $302.86
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$109.97
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Medica with MU Health — Exchange: $109.97
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$162.13
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Medica with MU Health — Exchange: $162.13
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$147.12
Office consultation with a specialist (moderate): rates for 1 insurance plan Medica with MU Health — Exchange: $147.12
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$223.89
Office consultation with a specialist (moderate to high): rates for 1 insurance plan Medica with MU Health — Exchange: $223.89
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$156.15
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Medica with MU Health — Exchange: $156.15
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier EP In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$137.72 – $146.90
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans Healthy Blue — Managed Medicaid: $137.72 Home State — Managed Medicaid: $146.90 United Community — Managed Medicaid: $137.72
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$189.28
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Medica with MU Health — Exchange: $189.28
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL III-EC	$1,696	$1,017.60	$263.28 – $273.50
Emergency room visit (moderate): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $268.39 Aetna — Missouri Preferred PPO: $848 Aetna — PPO: $1,305.92 American Health Management — Medicare Advantage: $268.39 Anthem — Exchange: $1,087.14 Anthem — HMO EPO: $1,087.14 Anthem — Medicare Advantage: $268.39 Anthem — PPO: $1,117.66 Cigna — PPO: $1,441.60 Coventry Health Plan — PPO: $825
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL III-JER	$1,696	$1,017.60	$263.28 – $273.50
Emergency room visit (moderate): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $268.39 Aetna — Missouri Preferred PPO: $848 Aetna — PPO: $1,305.92 American Health Management — Medicare Advantage: $268.39 Anthem — Exchange: $1,087.14 Anthem — HMO EPO: $1,087.14 Anthem — Medicare Advantage: $268.39 Anthem — PPO: $1,117.66 Cigna — PPO: $1,441.60 Coventry Health Plan — PPO: $825
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER VISIT LEVEL III-EC	$1,696	$1,017.60	$593.60 – $1,492.48
Emergency room visit (moderate): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $1,102.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL IV-EC	$2,520	$1,512	$404.88 – $420.61
Emergency room visit (moderately high): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $412.75 Aetna — Missouri Preferred PPO: $1,260 Aetna — PPO: $1,940.40 American Health Management — Medicare Advantage: $412.75 Anthem — Exchange: $1,285 Anthem — HMO EPO: $1,615.32 Anthem — Medicare Advantage: $412.75 Anthem — PPO: $1,633 Cigna — PPO: $2,142 Coventry Health Plan — PPO: $825
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL IV-JER	$2,520	$1,512	$404.88 – $420.61
Emergency room visit (moderately high): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $412.75 Aetna — Missouri Preferred PPO: $1,260 Aetna — PPO: $1,940.40 American Health Management — Medicare Advantage: $412.75 Anthem — Exchange: $1,285 Anthem — HMO EPO: $1,615.32 Anthem — Medicare Advantage: $412.75 Anthem — PPO: $1,633 Cigna — PPO: $2,142 Coventry Health Plan — PPO: $825
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER VISIT LEVEL IV-EC	$2,520	$1,512	$882 – $2,217.60
Emergency room visit (moderately high): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $1,638
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL V-EC	$3,813	$2,287.80	$582.96 – $605.60
Emergency room visit (high): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $594.28 Aetna — Missouri Preferred PPO: $1,906.50 Aetna — PPO: $2,936.01 American Health Management — Medicare Advantage: $594.28 Anthem — Exchange: $1,285 Anthem — HMO EPO: $1,625 Anthem — Medicare Advantage: $594.28 Anthem — PPO: $1,633 Cigna — PPO: $3,241.05 Coventry Health Plan — PPO: $1,378
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL V-JER	$3,813	$2,287.80	$582.96 – $605.60
Emergency room visit (high): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $594.28 Aetna — Missouri Preferred PPO: $1,906.50 Aetna — PPO: $2,936.01 American Health Management — Medicare Advantage: $594.28 Anthem — Exchange: $1,285 Anthem — HMO EPO: $1,625 Anthem — Medicare Advantage: $594.28 Anthem — PPO: $1,633 Cigna — PPO: $3,241.05 Coventry Health Plan — PPO: $1,378
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER VISIT LEVEL V-EC	$3,813	$2,287.80	$1,285 – $3,355.44
Emergency room visit (high): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $2,478.45

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL P28620007	$128.70	$77.22	$35.01 – $113.26
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $35.01 Aetna — Missouri Preferred PPO: $70.79 Aetna — PPO: $99.10 Anthem — Exchange: $26.59 Anthem — HMO EPO: $26.59 Anthem — PPO: $26.59 Cigna — PPO: $109.40 Coventry Health Plan — PPO: $15.08 Coventry Health Plan National — PPO: $96.53 Cox Health Network — PPO: $102.96
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL P31020007	$128.70	$77.22	$35.01 – $113.26
Basic metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $35.01 Aetna — Missouri Preferred PPO: $70.79 Aetna — PPO: $99.10 Anthem — Exchange: $26.59 Anthem — HMO EPO: $26.59 Anthem — PPO: $26.59 Cigna — PPO: $109.40 Coventry Health Plan — PPO: $15.08 Coventry Health Plan National — PPO: $96.53 Cox Health Network — PPO: $102.96
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL P28620007	$128.70	$77.22	$35.01 – $113.26
Basic metabolic panel (blood test): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $83.66
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL P28620939	$143.50	$86.10	$39.03 – $126.28
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $39.03 Aetna — Missouri Preferred PPO: $78.93 Aetna — PPO: $110.50 Anthem — Exchange: $33.19 Anthem — HMO EPO: $33.19 Anthem — PPO: $33.19 Cigna — PPO: $121.98 Coventry Health Plan — PPO: $18.84 Coventry Health Plan National — PPO: $107.63 Cox Health Network — PPO: $114.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL, S (CMAMA) P28637206	$1,383.10	$829.86	$376.20 – $1,217.13
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $376.20 Aetna — Missouri Preferred PPO: $760.71 Aetna — PPO: $1,064.99 Anthem — Exchange: $33.19 Anthem — HMO EPO: $33.19 Anthem — PPO: $33.19 Cigna — PPO: $1,175.64 Coventry Health Plan — PPO: $18.84 Coventry Health Plan National — PPO: $1,037.33 Cox Health Network — PPO: $1,106.48
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL P31020939	$143.50	$86.10	$39.03 – $126.28
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $39.03 Aetna — Missouri Preferred PPO: $78.93 Aetna — PPO: $110.50 Anthem — Exchange: $33.19 Anthem — HMO EPO: $33.19 Anthem — PPO: $33.19 Cigna — PPO: $121.98 Coventry Health Plan — PPO: $18.84 Coventry Health Plan National — PPO: $107.63 Cox Health Network — PPO: $114.80
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL P28629089	$327.50	$196.50	$89.08 – $288.20
Obstetric blood test panel: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $89.08 Aetna — Missouri Preferred PPO: $180.13 Aetna — PPO: $252.18 Anthem — Exchange: $131.67 Anthem — HMO EPO: $131.67 Anthem — PPO: $131.67 Cigna — PPO: $278.38 Coventry Health Plan — PPO: $60 Coventry Health Plan National — PPO: $245.63 Cox Health Network — PPO: $262
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL P31029089	$327.50	$196.50	$89.08 – $288.20
Obstetric blood test panel: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $89.08 Aetna — Missouri Preferred PPO: $180.13 Aetna — PPO: $252.18 Anthem — Exchange: $131.67 Anthem — HMO EPO: $131.67 Anthem — PPO: $131.67 Cigna — PPO: $278.38 Coventry Health Plan — PPO: $60 Coventry Health Plan National — PPO: $245.63 Cox Health Network — PPO: $262
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL P28629089	$327.50	$196.50	$89.08 – $288.20
Obstetric blood test panel: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $212.88
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE P28620281	$117.20	$70.32	$31.88 – $103.14
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $31.88 Aetna — Missouri Preferred PPO: $64.46 Aetna — PPO: $90.24 Anthem — Exchange: $42.09 Anthem — HMO EPO: $42.09 Anthem — PPO: $42.09 Cigna — PPO: $99.62 Coventry Health Plan — PPO: $23.88 Coventry Health Plan National — PPO: $87.90 Cox Health Network — PPO: $93.76
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL P28630476	$138.85	$83.31	$37.77 – $122.19
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $37.77 Aetna — Missouri Preferred PPO: $76.37 Aetna — PPO: $106.91 Anthem — Exchange: $42.09 Anthem — HMO EPO: $42.09 Anthem — PPO: $42.09 Cigna — PPO: $118.02 Coventry Health Plan — PPO: $23.88 Coventry Health Plan National — PPO: $104.14 Cox Health Network — PPO: $111.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE P31020281	$117.20	$70.32	$31.88 – $103.14
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $31.88 Aetna — Missouri Preferred PPO: $64.46 Aetna — PPO: $90.24 Anthem — Exchange: $42.09 Anthem — HMO EPO: $42.09 Anthem — PPO: $42.09 Cigna — PPO: $99.62 Coventry Health Plan — PPO: $23.88 Coventry Health Plan National — PPO: $87.90 Cox Health Network — PPO: $93.76
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL P28620312	$80.35	$48.21	$21.86 – $70.71
Kidney function panel: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $21.86 Aetna — Missouri Preferred PPO: $44.19 Aetna — PPO: $61.87 Anthem — Exchange: $27.30 Anthem — HMO EPO: $27.30 Anthem — PPO: $27.30 Cigna — PPO: $68.30 Coventry Health Plan — PPO: $15.47 Coventry Health Plan National — PPO: $60.26 Cox Health Network — PPO: $64.28
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL P31020312	$80.35	$48.21	$21.86 – $70.71
Kidney function panel: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $21.86 Aetna — Missouri Preferred PPO: $44.19 Aetna — PPO: $61.87 Anthem — Exchange: $27.30 Anthem — HMO EPO: $27.30 Anthem — PPO: $27.30 Cigna — PPO: $68.30 Coventry Health Plan — PPO: $15.47 Coventry Health Plan National — PPO: $60.26 Cox Health Network — PPO: $64.28
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL P28620312	$80.35	$48.21	$21.86 – $70.71
Kidney function panel: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $52.23
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL P28620249	$61.60	$36.96	$16.76 – $54.21
Liver function panel: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $16.76 Aetna — Missouri Preferred PPO: $33.88 Aetna — PPO: $47.43 Anthem — Exchange: $25.66 Anthem — HMO EPO: $25.66 Anthem — PPO: $25.66 Cigna — PPO: $52.36 Coventry Health Plan — PPO: $14.55 Coventry Health Plan National — PPO: $46.20 Cox Health Network — PPO: $49.28
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL P31020249	$61.60	$36.96	$16.76 – $54.21
Liver function panel: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $16.76 Aetna — Missouri Preferred PPO: $33.88 Aetna — PPO: $47.43 Anthem — Exchange: $25.66 Anthem — HMO EPO: $25.66 Anthem — PPO: $25.66 Cigna — PPO: $52.36 Coventry Health Plan — PPO: $14.55 Coventry Health Plan National — PPO: $46.20 Cox Health Network — PPO: $49.28
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL P28620249	$61.60	$36.96	$16.76 – $54.21
Liver function panel: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $40.04
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC P28621002	$31.75	$19.05	$8.64 – $27.94
Urine test (automated, with microscope): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $8.64 Aetna — Missouri Preferred PPO: $17.46 Aetna — PPO: $24.45 Anthem — Exchange: $9.96 Anthem — HMO EPO: $9.96 Anthem — PPO: $9.96 Cigna — PPO: $26.99 Coventry Health Plan — PPO: $5.65 Coventry Health Plan National — PPO: $23.81 Cox Health Network — PPO: $25.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC P28625144	$31.75	$19.05	$8.64 – $27.94
Urine test (automated, with microscope): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $8.64 Aetna — Missouri Preferred PPO: $17.46 Aetna — PPO: $24.45 Anthem — Exchange: $9.96 Anthem — HMO EPO: $9.96 Anthem — PPO: $9.96 Cigna — PPO: $26.99 Coventry Health Plan — PPO: $5.65 Coventry Health Plan National — PPO: $23.81 Cox Health Network — PPO: $25.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC P31025144	$31.75	$19.05	$8.64 – $27.94
Urine test (automated, with microscope): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $8.64 Aetna — Missouri Preferred PPO: $17.46 Aetna — PPO: $24.45 Anthem — Exchange: $9.96 Anthem — HMO EPO: $9.96 Anthem — PPO: $9.96 Cigna — PPO: $26.99 Coventry Health Plan — PPO: $5.65 Coventry Health Plan National — PPO: $23.81 Cox Health Network — PPO: $25.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NON AUTO POC P31025046	$33.60	$20.16	$9.14 – $29.57
Urine test (manual, without microscope): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $9.14 Aetna — Missouri Preferred PPO: $18.48 Aetna — PPO: $25.87 Anthem — Exchange: $6.56 Anthem — HMO EPO: $6.56 Anthem — PPO: $6.56 Cigna — PPO: $28.56 Coventry Health Plan — PPO: $3.72 Coventry Health Plan National — PPO: $25.20 Cox Health Network — PPO: $26.88
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS NON AUTO POC P31025046	$33.60	$20.16	$9.14 – $29.57
Urine test (manual, without microscope): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $21.84
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE KETONES P28620361	$22.55	$13.53	$6.13 – $19.84
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $6.13 Aetna — Missouri Preferred PPO: $12.40 Aetna — PPO: $17.36 Anthem — Exchange: $6.56 Anthem — HMO EPO: $6.56 Anthem — PPO: $6.56 Cigna — PPO: $19.17 Coventry Health Plan — PPO: $3.72 Coventry Health Plan National — PPO: $16.91 Cox Health Network — PPO: $18.04
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIP STICK ONLY P28625145	$22.55	$13.53	$6.13 – $19.84
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $6.13 Aetna — Missouri Preferred PPO: $12.40 Aetna — PPO: $17.36 Anthem — Exchange: $6.56 Anthem — HMO EPO: $6.56 Anthem — PPO: $6.56 Cigna — PPO: $19.17 Coventry Health Plan — PPO: $3.72 Coventry Health Plan National — PPO: $16.91 Cox Health Network — PPO: $18.04
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA BY DIPSTICK FOR PH AUTOMATED WITHOUT MICROSCOPY P28625805	$22.55	$13.53	$6.13 – $19.84
Urine test (automated, without microscope): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $6.13 Aetna — Missouri Preferred PPO: $12.40 Aetna — PPO: $17.36 Anthem — Exchange: $6.56 Anthem — HMO EPO: $6.56 Anthem — PPO: $6.56 Cigna — PPO: $19.17 Coventry Health Plan — PPO: $3.72 Coventry Health Plan National — PPO: $16.91 Cox Health Network — PPO: $18.04
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN TOTAL P28620308	$143.40	$86.04	$39 – $126.19
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $39 Aetna — Missouri Preferred PPO: $78.87 Aetna — PPO: $110.42 Anthem — Exchange: $57.82 Anthem — HMO EPO: $57.82 Anthem — PPO: $57.82 Cigna — PPO: $121.89 Coventry Health Plan — PPO: $32.76 Coventry Health Plan National — PPO: $107.55 Cox Health Network — PPO: $114.72
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA; TOTAL P28632140	$176.55	$105.93	$48.02 – $155.36
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $48.02 Aetna — Missouri Preferred PPO: $97.10 Aetna — PPO: $135.94 Anthem — Exchange: $57.82 Anthem — HMO EPO: $57.82 Anthem — PPO: $57.82 Cigna — PPO: $150.07 Coventry Health Plan — PPO: $32.76 Coventry Health Plan National — PPO: $132.41 Cox Health Network — PPO: $141.24
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN TOTAL P31020308	$143.40	$86.04	$39 – $126.19
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $39 Aetna — Missouri Preferred PPO: $78.87 Aetna — PPO: $110.42 Anthem — Exchange: $57.82 Anthem — HMO EPO: $57.82 Anthem — PPO: $57.82 Cigna — PPO: $121.89 Coventry Health Plan — PPO: $32.76 Coventry Health Plan National — PPO: $107.55 Cox Health Network — PPO: $114.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION P28620677	$144.25	$86.55	$39.24 – $126.94
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $39.24 Aetna — Missouri Preferred PPO: $79.34 Aetna — PPO: $111.07 Anthem — Exchange: $52.83 Anthem — HMO EPO: $52.83 Anthem — PPO: $52.83 Cigna — PPO: $122.61 Coventry Health Plan — PPO: $29.93 Coventry Health Plan National — PPO: $108.19 Cox Health Network — PPO: $115.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE P28630077	$161.30	$96.78	$43.87 – $141.94
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $43.87 Aetna — Missouri Preferred PPO: $88.72 Aetna — PPO: $124.20 Anthem — Exchange: $52.83 Anthem — HMO EPO: $52.83 Anthem — PPO: $52.83 Cigna — PPO: $137.11 Coventry Health Plan — PPO: $29.93 Coventry Health Plan National — PPO: $120.98 Cox Health Network — PPO: $129.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE P28632987	$161.30	$96.78	$43.87 – $141.94
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $43.87 Aetna — Missouri Preferred PPO: $88.72 Aetna — PPO: $124.20 Anthem — Exchange: $52.83 Anthem — HMO EPO: $52.83 Anthem — PPO: $52.83 Cigna — PPO: $137.11 Coventry Health Plan — PPO: $29.93 Coventry Health Plan National — PPO: $120.98 Cox Health Network — PPO: $129.04
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO DIFF P28620289	$68	$40.80	$18.50 – $59.84
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $18.50 Aetna — Missouri Preferred PPO: $37.40 Aetna — PPO: $52.36 Anthem — Exchange: $24.44 Anthem — HMO EPO: $24.44 Anthem — PPO: $24.44 Cigna — PPO: $57.80 Coventry Health Plan — PPO: $13.85 Coventry Health Plan National — PPO: $51 Cox Health Network — PPO: $54.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO DIFF P31020289	$68	$40.80	$18.50 – $59.84
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $18.50 Aetna — Missouri Preferred PPO: $37.40 Aetna — PPO: $52.36 Anthem — Exchange: $24.44 Anthem — HMO EPO: $24.44 Anthem — PPO: $24.44 Cigna — PPO: $57.80 Coventry Health Plan — PPO: $13.85 Coventry Health Plan National — PPO: $51 Cox Health Network — PPO: $54.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC AUTO DIFF P28620289	$68	$40.80	$18.50 – $59.84
Complete blood count (CBC) with differential: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $44.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED P28620288	$53.80	$32.28	$14.63 – $47.34
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $14.63 Aetna — Missouri Preferred PPO: $29.59 Aetna — PPO: $41.43 Anthem — Exchange: $20.35 Anthem — HMO EPO: $20.35 Anthem — PPO: $20.35 Cigna — PPO: $45.73 Coventry Health Plan — PPO: $11.53 Coventry Health Plan National — PPO: $40.35 Cox Health Network — PPO: $43.04
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH MANUAL DIFF P28620290	$53.80	$32.28	$14.63 – $47.34
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $14.63 Aetna — Missouri Preferred PPO: $29.59 Aetna — PPO: $41.43 Anthem — Exchange: $20.35 Anthem — HMO EPO: $20.35 Anthem — PPO: $20.35 Cigna — PPO: $45.73 Coventry Health Plan — PPO: $11.53 Coventry Health Plan National — PPO: $40.35 Cox Health Network — PPO: $43.04
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH MANUAL DIFF P31020290	$53.80	$32.28	$14.63 – $47.34
Complete blood count (CBC), automated: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $14.63 Aetna — Missouri Preferred PPO: $29.59 Aetna — PPO: $41.43 Anthem — Exchange: $20.35 Anthem — HMO EPO: $20.35 Anthem — PPO: $20.35 Cigna — PPO: $45.73 Coventry Health Plan — PPO: $11.53 Coventry Health Plan National — PPO: $40.35 Cox Health Network — PPO: $43.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME P28620746	$36.40	$21.84	$9.90 – $32.03
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $9.90 Aetna — Missouri Preferred PPO: $20.02 Aetna — PPO: $28.03 Anthem — Exchange: $12.36 Anthem — HMO EPO: $12.36 Anthem — PPO: $12.36 Cigna — PPO: $30.94 Coventry Health Plan — PPO: $7 Coventry Health Plan National — PPO: $27.30 Cox Health Network — PPO: $29.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC PT INR CAPILLARY OR VENOUS P28625414	$45.60	$27.36	$12.40 – $40.13
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $12.40 Aetna — Missouri Preferred PPO: $25.08 Aetna — PPO: $35.11 Anthem — Exchange: $12.36 Anthem — HMO EPO: $12.36 Anthem — PPO: $12.36 Cigna — PPO: $38.76 Coventry Health Plan — PPO: $7 Coventry Health Plan National — PPO: $34.20 Cox Health Network — PPO: $36.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME LUPUS PANEL P28629019	$36.40	$21.84	$9.90 – $32.03
Blood clotting time test (prothrombin time, PT): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $9.90 Aetna — Missouri Preferred PPO: $20.02 Aetna — PPO: $28.03 Anthem — Exchange: $12.36 Anthem — HMO EPO: $12.36 Anthem — PPO: $12.36 Cigna — PPO: $30.94 Coventry Health Plan — PPO: $7 Coventry Health Plan National — PPO: $27.30 Cox Health Network — PPO: $29.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME P28620747	$50	$30	$13.60 – $44
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $13.60 Aetna — Missouri Preferred PPO: $27.50 Aetna — PPO: $38.50 Anthem — Exchange: $18.87 Anthem — HMO EPO: $18.87 Anthem — PPO: $18.87 Cigna — PPO: $42.50 Coventry Health Plan — PPO: $10.69 Coventry Health Plan National — PPO: $37.50 Cox Health Network — PPO: $40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT LUPUS PANEL P28629020	$50	$30	$13.60 – $44
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $13.60 Aetna — Missouri Preferred PPO: $27.50 Aetna — PPO: $38.50 Anthem — Exchange: $18.87 Anthem — HMO EPO: $18.87 Anthem — PPO: $18.87 Cigna — PPO: $42.50 Coventry Health Plan — PPO: $10.69 Coventry Health Plan National — PPO: $37.50 Cox Health Network — PPO: $40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL; PLASMA /WHOLE BLOOD P28631744	$63.45	$38.07	$17.26 – $55.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates Aetna — Medicare Advantage: $17.26 Aetna — Missouri Preferred PPO: $34.90 Aetna — PPO: $48.86 Anthem — Exchange: $18.87 Anthem — HMO EPO: $18.87 Anthem — PPO: $18.87 Cigna — PPO: $53.93 Coventry Health Plan — PPO: $10.69 Coventry Health Plan National — PPO: $47.59 Cox Health Network — PPO: $50.76

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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST-JCT	$1,165	$699	$407.75 – $1,025.20
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $897.05 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $261.24 Anthem — HMO EPO: $261.24 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $261.24 Cigna — PPO: $990.25 Coventry Health Plan — PPO: $338.31
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST-CM	$1,165	$699	$407.75 – $1,025.20
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $897.05 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $261.24 Anthem — HMO EPO: $261.24 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $261.24 Cigna — PPO: $990.25 Coventry Health Plan — PPO: $338.31
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST-AM	$1,165	$699	$101.11 – $105.04
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $897.05 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $261.24 Anthem — HMO EPO: $261.24 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $261.24 Cigna — PPO: $990.25 Coventry Health Plan — PPO: $338.31
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WOW CONTRAST-DINM	$4,410	$2,646	$1,543.50 – $3,880.80
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $346.17 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $3,395.70 American Health Management — Medicare Advantage: $346.17 Anthem — Exchange: $1,059.82 Anthem — HMO EPO: $1,059.82 Anthem — Medicare Advantage: $346.17 Anthem — PPO: $1,059.82 Cigna — PPO: $3,748.50 Coventry Health Plan — PPO: $1,420.62
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WOW CONTRAST-MOI	$4,410	$2,646	$339.57 – $352.76
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $346.17 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $3,395.70 American Health Management — Medicare Advantage: $346.17 Anthem — Exchange: $1,059.82 Anthem — HMO EPO: $1,059.82 Anthem — Medicare Advantage: $346.17 Anthem — PPO: $1,059.82 Cigna — PPO: $3,748.50 Coventry Health Plan — PPO: $1,420.62
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WOW CONTRAST-JMRI	$4,410	$2,646	$339.57 – $352.76
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $346.17 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $3,395.70 American Health Management — Medicare Advantage: $346.17 Anthem — Exchange: $1,059.82 Anthem — HMO EPO: $1,059.82 Anthem — Medicare Advantage: $346.17 Anthem — PPO: $1,059.82 Cigna — PPO: $3,748.50 Coventry Health Plan — PPO: $1,420.62
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY CHEST 2 VIEWS-MUCX	$569	$341.40	$199.15 – $500.72
Chest X-ray, 2 views: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $85.35 Aetna — Missouri Preferred PPO: $312.95 Aetna — PPO: $438.13 American Health Management — Medicare Advantage: $85.35 Anthem — Exchange: $51.05 Anthem — HMO EPO: $51.05 Anthem — Medicare Advantage: $85.35 Anthem — PPO: $51.05 Cigna — PPO: $483.65 Coventry Health Plan — PPO: $369.85
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY; CHEST; 2 VIEWS-JUTR	$569	$341.40	$199.15 – $500.72
Chest X-ray, 2 views: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $85.35 Aetna — Missouri Preferred PPO: $312.95 Aetna — PPO: $438.13 American Health Management — Medicare Advantage: $85.35 Anthem — Exchange: $51.05 Anthem — HMO EPO: $51.05 Anthem — Medicare Advantage: $85.35 Anthem — PPO: $51.05 Cigna — PPO: $483.65 Coventry Health Plan — PPO: $369.85
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY, CHEST, 2 VIEWS-FAY	$474	$284.40	$83.72 – $86.97
Chest X-ray, 2 views: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $85.35 Aetna — Missouri Preferred PPO: $260.70 Aetna — PPO: $364.98 American Health Management — Medicare Advantage: $85.35 Anthem — Exchange: $51.05 Anthem — HMO EPO: $51.05 Anthem — Medicare Advantage: $85.35 Anthem — PPO: $51.05 Cigna — PPO: $402.90 Coventry Health Plan — PPO: $308.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS-MUCX	$956	$573.60	$101.11 – $105.04
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $525.80 Aetna — PPO: $736.12 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $82.72 Anthem — HMO EPO: $82.72 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $82.72 Cigna — PPO: $812.60 Coventry Health Plan — PPO: $73.33
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MINIMUM 4 VIEWS-JUTR	$956	$573.60	$101.11 – $105.04
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $525.80 Aetna — PPO: $736.12 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $82.72 Anthem — HMO EPO: $82.72 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $82.72 Cigna — PPO: $812.60 Coventry Health Plan — PPO: $73.33
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM LOWER SPINE COMP-FAY	$796	$477.60	$278.60 – $700.48
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $437.80 Aetna — PPO: $612.92 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $82.72 Anthem — HMO EPO: $82.72 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $82.72 Cigna — PPO: $676.60 Coventry Health Plan — PPO: $73.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTRAST-DINM	$2,440	$1,464	$229.84 – $238.76
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $234.30 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $1,878.80 American Health Management — Medicare Advantage: $234.30 Anthem — Exchange: $595.03 Anthem — HMO EPO: $595.03 Anthem — Medicare Advantage: $234.30 Anthem — PPO: $595.03 Cigna — PPO: $2,074 Coventry Health Plan — PPO: $876.71
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTRAST-MOI	$2,440	$1,464	$229.84 – $238.76
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $234.30 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $1,878.80 American Health Management — Medicare Advantage: $234.30 Anthem — Exchange: $595.03 Anthem — HMO EPO: $595.03 Anthem — Medicare Advantage: $234.30 Anthem — PPO: $595.03 Cigna — PPO: $2,074 Coventry Health Plan — PPO: $876.71
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTRAST-JMRI	$2,440	$1,464	$229.84 – $238.76
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $234.30 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $1,878.80 American Health Management — Medicare Advantage: $234.30 Anthem — Exchange: $595.03 Anthem — HMO EPO: $595.03 Anthem — Medicare Advantage: $234.30 Anthem — PPO: $595.03 Cigna — PPO: $2,074 Coventry Health Plan — PPO: $876.71
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST-JCT	$2,215	$1,329	$169.27 – $175.84
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $172.55 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $1,705.55 American Health Management — Medicare Advantage: $172.55 Anthem — Exchange: $597.83 Anthem — HMO EPO: $597.83 Anthem — Medicare Advantage: $172.55 Anthem — PPO: $597.83 Cigna — PPO: $1,882.75 Coventry Health Plan — PPO: $513.11
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST-CM	$2,215	$1,329	$775.25 – $1,949.20
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $172.55 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $1,705.55 American Health Management — Medicare Advantage: $172.55 Anthem — Exchange: $597.83 Anthem — HMO EPO: $597.83 Anthem — Medicare Advantage: $172.55 Anthem — PPO: $597.83 Cigna — PPO: $1,882.75 Coventry Health Plan — PPO: $513.11
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST-XS	$2,215	$1,329	$169.27 – $175.84
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $172.55 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $1,705.55 American Health Management — Medicare Advantage: $172.55 Anthem — Exchange: $597.83 Anthem — HMO EPO: $597.83 Anthem — Medicare Advantage: $172.55 Anthem — PPO: $597.83 Cigna — PPO: $1,882.75 Coventry Health Plan — PPO: $513.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LE JOINT WO CONTRAST-DINM	$2,396	$1,437.60	$229.84 – $238.76
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $234.30 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $1,844.92 American Health Management — Medicare Advantage: $234.30 Anthem — Exchange: $674.64 Anthem — HMO EPO: $674.64 Anthem — Medicare Advantage: $234.30 Anthem — PPO: $674.64 Cigna — PPO: $2,036.60 Coventry Health Plan — PPO: $910.26
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LE JOINT WO CONTRAST-MOI	$2,396	$1,437.60	$229.84 – $238.76
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $234.30 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $1,844.92 American Health Management — Medicare Advantage: $234.30 Anthem — Exchange: $674.64 Anthem — HMO EPO: $674.64 Anthem — Medicare Advantage: $234.30 Anthem — PPO: $674.64 Cigna — PPO: $2,036.60 Coventry Health Plan — PPO: $910.26
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LE JOINT WO CONTRAST-JMRI	$2,396	$1,437.60	$838.60 – $2,108.48
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $234.30 Aetna — Missouri Preferred PPO: $1,082 Aetna — PPO: $1,844.92 American Health Management — Medicare Advantage: $234.30 Anthem — Exchange: $674.64 Anthem — HMO EPO: $674.64 Anthem — Medicare Advantage: $234.30 Anthem — PPO: $674.64 Cigna — PPO: $2,036.60 Coventry Health Plan — PPO: $910.26
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PELVIS W CONTRAST-JCT	$3,697	$2,218.20	$1,293.95 – $3,253.36
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $346.17 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $2,846.69 American Health Management — Medicare Advantage: $346.17 Anthem — Exchange: $784.69 Anthem — HMO EPO: $784.69 Anthem — Medicare Advantage: $346.17 Anthem — PPO: $784.69 Cigna — PPO: $3,142.45 Coventry Health Plan — PPO: $534.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PELVIS W CONTRAST CM	$3,697	$2,218.20	$1,293.95 – $3,253.36
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $346.17 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $2,846.69 American Health Management — Medicare Advantage: $346.17 Anthem — Exchange: $784.69 Anthem — HMO EPO: $784.69 Anthem — Medicare Advantage: $346.17 Anthem — PPO: $784.69 Cigna — PPO: $3,142.45 Coventry Health Plan — PPO: $534.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PELVIS W CONTRAST-AM	$3,697	$2,218.20	$339.57 – $352.76
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $346.17 Aetna — Missouri Preferred PPO: $973 Aetna — PPO: $2,846.69 American Health Management — Medicare Advantage: $346.17 Anthem — Exchange: $784.69 Anthem — HMO EPO: $784.69 Anthem — Medicare Advantage: $346.17 Anthem — PPO: $784.69 Cigna — PPO: $3,142.45 Coventry Health Plan — PPO: $534.93
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE-PESC	$1,061	$636.60	$101.11 – $105.04
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $583.55 Aetna — PPO: $816.97 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $210.78 Anthem — HMO EPO: $210.78 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $210.78 Cigna — PPO: $901.85 Coventry Health Plan — PPO: $183.08
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE-JUTR	$1,274	$764.40	$445.90 – $1,121.12
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $700.70 Aetna — PPO: $980.98 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $210.78 Anthem — HMO EPO: $210.78 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $210.78 Cigna — PPO: $1,082.90 Coventry Health Plan — PPO: $183.08
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE-SC	$1,061	$636.60	$371.35 – $933.68
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $583.55 Aetna — PPO: $816.97 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $210.78 Anthem — HMO EPO: $210.78 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $210.78 Cigna — PPO: $901.85 Coventry Health Plan — PPO: $183.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND PREG UTER AFTR 1ST TRIMESTER;SINGLE/1ST GEST-LAD	$951	$570.60	$332.85 – $836.88
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $523.05 Aetna — PPO: $732.27 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $234.38 Anthem — HMO EPO: $234.38 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $234.38 Cigna — PPO: $808.35 Coventry Health Plan — PPO: $185.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND PREG UTER AFTR 1ST TRIMESTER;SINGLE/1ST GEST-JOB	$951	$570.60	$332.85 – $836.88
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $523.05 Aetna — PPO: $732.27 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $234.38 Anthem — HMO EPO: $234.38 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $234.38 Cigna — PPO: $808.35 Coventry Health Plan — PPO: $185.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND PREG UTER AFTR 1ST TRIMESTER;SINGLE/1ST GEST-MFCC	$951	$570.60	$101.11 – $105.04
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $523.05 Aetna — PPO: $732.27 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $234.38 Anthem — HMO EPO: $234.38 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $234.38 Cigna — PPO: $808.35 Coventry Health Plan — PPO: $185.30
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND TRANSVAGINAL NON-OBSTETRICAL-IVF	$863	$517.80	$101.11 – $105.04
Transvaginal ultrasound: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $474.65 Aetna — PPO: $664.51 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $223.50 Anthem — HMO EPO: $223.50 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $223.50 Cigna — PPO: $733.55 Coventry Health Plan — PPO: $163.61
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND TRANSVAGINAL NON-OBSTETRICAL-JOB	$863	$517.80	$302.05 – $759.44
Transvaginal ultrasound: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $474.65 Aetna — PPO: $664.51 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $223.50 Anthem — HMO EPO: $223.50 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $223.50 Cigna — PPO: $733.55 Coventry Health Plan — PPO: $163.61
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND TRANSVAGINAL NON-OBSTETRICAL-MFCC	$863	$517.80	$101.11 – $105.04
Transvaginal ultrasound: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $103.08 Aetna — Missouri Preferred PPO: $474.65 Aetna — PPO: $664.51 American Health Management — Medicare Advantage: $103.08 Anthem — Exchange: $223.50 Anthem — HMO EPO: $223.50 Anthem — Medicare Advantage: $103.08 Anthem — PPO: $223.50 Cigna — PPO: $733.55 Coventry Health Plan — PPO: $163.61
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAG MAMMOGRAPHY INCL CAD UNILAT-BE	$388	$232.80	$105.54 – $341.44
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $105.54 Aetna — Missouri Preferred PPO: $213.40 Aetna — PPO: $298.76 Anthem — Exchange: $242.72 Anthem — HMO EPO: $242.72 Anthem — PPO: $242.72 Cigna — PPO: $329.80 Coventry Health Plan — PPO: $252.20 Coventry Health Plan National — PPO: $291 Cox Health Network — PPO: $310.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAG MAMMOGRAPHY INCL CAD UNILAT-JMAM	$388	$232.80	$105.54 – $341.44
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $105.54 Aetna — Missouri Preferred PPO: $213.40 Aetna — PPO: $298.76 Anthem — Exchange: $242.72 Anthem — HMO EPO: $242.72 Anthem — PPO: $242.72 Cigna — PPO: $329.80 Coventry Health Plan — PPO: $252.20 Coventry Health Plan National — PPO: $291 Cox Health Network — PPO: $310.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAG MAMMOGRAPHY INCL CAD UNILAT-BE	$388	$232.80	$105.54 – $341.44
Diagnostic mammogram, one breast: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $252.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAG MAMMOGRAPHY INCL CAD BILAT-BE	$501	$300.60	$136.27 – $440.88
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $136.27 Aetna — Missouri Preferred PPO: $275.55 Aetna — PPO: $385.77 Anthem — Exchange: $310.46 Anthem — HMO EPO: $310.46 Anthem — PPO: $310.46 Cigna — PPO: $425.85 Coventry Health Plan — PPO: $325.65 Coventry Health Plan National — PPO: $375.75 Cox Health Network — PPO: $400.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAG MAMMOGRAPHY INCL CAD BILAT-JMAM	$501	$300.60	$136.27 – $440.88
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $136.27 Aetna — Missouri Preferred PPO: $275.55 Aetna — PPO: $385.77 Anthem — Exchange: $310.46 Anthem — HMO EPO: $310.46 Anthem — PPO: $310.46 Cigna — PPO: $425.85 Coventry Health Plan — PPO: $325.65 Coventry Health Plan National — PPO: $375.75 Cox Health Network — PPO: $400.80
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAG MAMMOGRAPHY INCL CAD BILAT-BE	$501	$300.60	$136.27 – $440.88
Diagnostic mammogram, both breasts: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $325.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMM BILAT 2 VIEW INCL CAD-BE	$382	$229.20	$103.90 – $336.16
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $103.90 Aetna — Missouri Preferred PPO: $210.10 Aetna — PPO: $294.14 Anthem — Exchange: $256.46 Anthem — HMO EPO: $256.46 Anthem — PPO: $256.46 Cigna — PPO: $324.70 Coventry Health Plan — PPO: $248.30 Coventry Health Plan National — PPO: $286.50 Cox Health Network — PPO: $305.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMM BILAT 2 VIEW INCL CAD-JMAM	$382	$229.20	$103.90 – $336.16
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $103.90 Aetna — Missouri Preferred PPO: $210.10 Aetna — PPO: $294.14 Anthem — Exchange: $256.46 Anthem — HMO EPO: $256.46 Anthem — PPO: $256.46 Cigna — PPO: $324.70 Coventry Health Plan — PPO: $248.30 Coventry Health Plan National — PPO: $286.50 Cox Health Network — PPO: $305.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMM BILAT 2 VIEW INCL CAD-BV	$382	$229.20	$103.90 – $336.16
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Medicare Advantage: $103.90 Aetna — Missouri Preferred PPO: $210.10 Aetna — PPO: $294.14 Anthem — Exchange: $256.46 Anthem — HMO EPO: $256.46 Anthem — PPO: $256.46 Cigna — PPO: $324.70 Coventry Health Plan — PPO: $248.30 Coventry Health Plan National — PPO: $286.50 Cox Health Network — PPO: $305.60

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$23.79
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Medica with MU Health — Exchange: $23.79
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATH/ANGIO LEFT HEART INJ LV	$12,313	$7,387.80	$3,058.27 – $11,830
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,117.66 Aetna — Missouri Preferred PPO: $6,279.63 Aetna — PPO: $9,481.01 American Health Management — Medicare Advantage: $3,117.66 Anthem — Exchange: $9,317 Anthem — HMO EPO: $11,776 Anthem — Medicare Advantage: $3,117.66 Anthem — PPO: $11,830 Cigna — PPO: $10,466.05 Coventry Health Plan — PPO: $7,880.32
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATH/ANGIO LEFT HEART INJ LV-JCLB	$12,313	$7,387.80	$3,058.27 – $11,830
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,117.66 Aetna — Missouri Preferred PPO: $6,279.63 Aetna — PPO: $9,481.01 American Health Management — Medicare Advantage: $3,117.66 Anthem — Exchange: $9,317 Anthem — HMO EPO: $11,776 Anthem — Medicare Advantage: $3,117.66 Anthem — PPO: $11,830 Cigna — PPO: $10,466.05 Coventry Health Plan — PPO: $7,880.32
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CATH/ANGIO LEFT HEART INJ LV	$12,313	$7,387.80	$4,309.55 – $10,835.44
Left heart catheterization (diagnostic): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $8,003.45
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EPS COMPREHENSIVE	$15,196	$9,117.60	$5,318.60 – $13,372.48
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $7,355.12 Aetna — Missouri Preferred PPO: $8,357.80 Aetna — PPO: $11,700.92 American Health Management — Medicare Advantage: $7,355.12 Anthem — Exchange: $9,317 Anthem — HMO EPO: $11,776 Anthem — Medicare Advantage: $7,355.12 Anthem — PPO: $11,830 Cigna — PPO: $12,916.60 Coventry Health Plan — PPO: $9,877.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EPS COMPREHENSIVE	$15,196	$9,117.60	$5,318.60 – $13,372.48
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $9,877.40
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRHNSVE ELECTRPHYSILOGIC EVAL ABLTION PVI W/3D MAPG-CARD	$51,419	$30,851.40	$9,317 – $27,000
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $23,779.08 Aetna — Missouri Preferred PPO: $26,223.69 Aetna — PPO: $39,592.63 American Health Management — Medicare Advantage: $23,779.08 Anthem — Exchange: $9,317 Anthem — HMO EPO: $11,776 Anthem — Medicare Advantage: $23,779.08 Anthem — PPO: $11,830 Cigna — PPO: $43,706.15 Coventry Health Plan — PPO: $32,908.16
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPRHNSVE ELECTRPHYSILOGIC EVAL ABLTION PVI W/3D MAPG-CARD	$51,419	$30,851.40	$17,996.65 – $45,248.72
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $33,422.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 4+ PARAMETERS 6YO OR OLDER-JSDC	$5,251	$3,150.60	$1,837.85 – $4,620.88
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $986.15 Aetna — Missouri Preferred PPO: $2,888.05 Aetna — PPO: $4,043.27 American Health Management — Medicare Advantage: $986.15 Anthem — Exchange: $3,213.61 Anthem — HMO EPO: $3,213.61 Anthem — Medicare Advantage: $986.15 Anthem — PPO: $3,460.41 Cigna — PPO: $4,463.35 Coventry Health Plan — PPO: $3,413.15
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABORTED POLYSOMN 4+ (LESS THAN 6HRS), AGE 6 OR OLDER-SDRC	$5,251	$3,150.60	$1,428.27 – $4,620.88
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $3,413.15
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMN 4+ PARAMETERS, AGE 6 YEARS OR OLDER-SDRC	$5,251	$3,150.60	$1,428.27 – $4,620.88
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $3,413.15

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED PT THERAPEUTIC EXERCISE EA 15 MIN-EFCR	$157	$94.20	$42.70 – $138.16
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $102.05
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED OT THERAPEUTIC EXERCISE EA 15 MIN-EFCR	$157	$94.20	$42.70 – $138.16
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $102.05
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O.T. THERAPEUTIC PROCEDURE 15 MINUTES (EFCR)	$157	$94.20	$42.70 – $138.16
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $102.05
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED PT EVAL LOW COMPLEXITY-EFCR	$343	$205.80	$93.30 – $301.84
Physical therapy evaluation (low complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $222.95
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY-EFCR	$343	$205.80	$93.30 – $301.84
Physical therapy evaluation (low complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $222.95
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED PT EVAL LOW COMPLEXITY-MTR	$343	$205.80	$93.30 – $301.84
Physical therapy evaluation (low complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $222.95
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED PT EVAL MOD COMPLEXITY-EFCR	$393	$235.80	$106.90 – $345.84
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $255.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY-EFCR	$393	$235.80	$106.90 – $345.84
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $255.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED PT EVAL MOD COMPLEXITY-MTR	$393	$235.80	$106.90 – $345.84
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $255.45
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED PT EVAL HIGH COMPLEXITY-EFCR	$453	$271.80	$123.22 – $398.64
Physical therapy evaluation (high complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $294.45
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY-EFCR	$453	$271.80	$123.22 – $398.64
Physical therapy evaluation (high complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $294.45
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TELEMED PT EVAL HIGH COMPLEXITY-MTR	$453	$271.80	$123.22 – $398.64
Physical therapy evaluation (high complexity): rates for 1 insurance plan Aetna — Missouri Preferred PPO: $294.45
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 30 MINS WITH PATIENT-MCLN	$271	$162.60	$152.77 – $158.70
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $149.05 Aetna — PPO: $208.67 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $165.85 Anthem — HMO EPO: $165.85 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $178.59 Cigna — PPO: $230.35 Coventry Health Plan — PPO: $176.15
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 30 MINS WITH PATIENT-ACM	$271	$162.60	$94.85 – $238.48
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $149.05 Aetna — PPO: $208.67 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $165.85 Anthem — HMO EPO: $165.85 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $178.59 Cigna — PPO: $230.35 Coventry Health Plan — PPO: $176.15
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MINS WITH PATIENT-WMM	$271	$162.60	$152.77 – $158.70
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $149.05 Aetna — PPO: $208.67 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $165.85 Anthem — HMO EPO: $165.85 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $178.59 Cigna — PPO: $230.35 Coventry Health Plan — PPO: $176.15
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 45 MINS WITH PATIENT AND/OR FAMILY-MCLN	$277	$166.20	$152.77 – $158.70
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $152.35 Aetna — PPO: $213.29 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $169.52 Anthem — HMO EPO: $169.52 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $182.54 Cigna — PPO: $235.45 Coventry Health Plan — PPO: $180.05
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 45 MINS WITH PATIENT-ACM	$277	$166.20	$96.95 – $243.76
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $152.35 Aetna — PPO: $213.29 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $169.52 Anthem — HMO EPO: $169.52 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $182.54 Cigna — PPO: $235.45 Coventry Health Plan — PPO: $180.05
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MINS WITH PATIENT-WMM	$277	$166.20	$152.77 – $158.70
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $152.35 Aetna — PPO: $213.29 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $169.52 Anthem — HMO EPO: $169.52 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $182.54 Cigna — PPO: $235.45 Coventry Health Plan — PPO: $180.05
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 60 MINS WITH PATIENT AND/OR FAMILY-MCLN	$308	$184.80	$152.77 – $158.70
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $169.40 Aetna — PPO: $237.16 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $188.50 Anthem — HMO EPO: $188.50 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $202.97 Cigna — PPO: $261.80 Coventry Health Plan — PPO: $200.20
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 60 MINS WITH PATIENT-ACM	$308	$184.80	$107.80 – $271.04
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $169.40 Aetna — PPO: $237.16 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $188.50 Anthem — HMO EPO: $188.50 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $202.97 Cigna — PPO: $261.80 Coventry Health Plan — PPO: $200.20
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60 MINS WITH PATIENT-WMM	$308	$184.80	$152.77 – $158.70
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $169.40 Aetna — PPO: $237.16 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $188.50 Anthem — HMO EPO: $188.50 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $202.97 Cigna — PPO: $261.80 Coventry Health Plan — PPO: $200.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT, 50 MIN-MCLN	$296	$177.60	$152.77 – $158.70
Family psychotherapy, without the patient: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $162.80 Aetna — PPO: $227.92 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $181.15 Anthem — HMO EPO: $181.15 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $195.06 Cigna — PPO: $251.60 Coventry Health Plan — PPO: $192.40
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT, 50 MIN-ACM	$296	$177.60	$103.60 – $260.48
Family psychotherapy, without the patient: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $162.80 Aetna — PPO: $227.92 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $181.15 Anthem — HMO EPO: $181.15 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $195.06 Cigna — PPO: $251.60 Coventry Health Plan — PPO: $192.40
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT 50 MIN-WMM	$296	$177.60	$152.77 – $158.70
Family psychotherapy, without the patient: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $162.80 Aetna — PPO: $227.92 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $181.15 Anthem — HMO EPO: $181.15 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $195.06 Cigna — PPO: $251.60 Coventry Health Plan — PPO: $192.40
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/ PATIENT, 50 MIN-ACM	$313	$187.80	$109.55 – $275.44
Family psychotherapy, with the patient: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $172.15 Aetna — PPO: $241.01 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $191.56 Anthem — HMO EPO: $191.56 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $206.27 Cigna — PPO: $266.05 Coventry Health Plan — PPO: $203.45
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/ PATIENT 50 MIN-WMM	$313	$187.80	$152.77 – $158.70
Family psychotherapy, with the patient: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $172.15 Aetna — PPO: $241.01 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $191.56 Anthem — HMO EPO: $191.56 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $206.27 Cigna — PPO: $266.05 Coventry Health Plan — PPO: $203.45
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/ PATIENT/ 50 MIN-JNC	$313	$187.80	$152.77 – $158.70
Family psychotherapy, with the patient: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $155.74 Aetna — Missouri Preferred PPO: $172.15 Aetna — PPO: $241.01 American Health Management — Medicare Advantage: $155.74 Anthem — Exchange: $191.56 Anthem — HMO EPO: $191.56 Anthem — Medicare Advantage: $155.74 Anthem — PPO: $206.27 Cigna — PPO: $266.05 Coventry Health Plan — PPO: $203.45
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY-ACM	$219	$131.40	$76.65 – $192.72
Group psychotherapy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $89.66 Aetna — Missouri Preferred PPO: $120.45 Aetna — PPO: $168.63 American Health Management — Medicare Advantage: $89.66 Anthem — Exchange: $134.03 Anthem — HMO EPO: $134.03 Anthem — Medicare Advantage: $89.66 Anthem — PPO: $144.32 Cigna — PPO: $186.15 Coventry Health Plan — PPO: $142.35
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY-WMM	$219	$131.40	$87.95 – $91.37
Group psychotherapy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $89.66 Aetna — Missouri Preferred PPO: $120.45 Aetna — PPO: $168.63 American Health Management — Medicare Advantage: $89.66 Anthem — Exchange: $134.03 Anthem — HMO EPO: $134.03 Anthem — Medicare Advantage: $89.66 Anthem — PPO: $144.32 Cigna — PPO: $186.15 Coventry Health Plan — PPO: $142.35
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY-JPED	$219	$131.40	$87.95 – $91.37
Group psychotherapy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $89.66 Aetna — Missouri Preferred PPO: $120.45 Aetna — PPO: $168.63 American Health Management — Medicare Advantage: $89.66 Anthem — Exchange: $134.03 Anthem — HMO EPO: $134.03 Anthem — Medicare Advantage: $89.66 Anthem — PPO: $144.32 Cigna — PPO: $186.15 Coventry Health Plan — PPO: $142.35

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC CYST FIBRD /BEN/MAL TUMOR TIS DUCT NIP L M/F 1/MOR-CHPC	$7,310	$4,386	$1,017 – $5,200
Removal of breast growth (open surgery): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,711.71 Aetna — Missouri Preferred PPO: $3,728.10 Aetna — PPO: $5,628.70 American Health Management — Medicare Advantage: $3,711.71 Anthem — Exchange: $1,017 Anthem — HMO EPO: $1,292 Anthem — Medicare Advantage: $3,711.71 Anthem — PPO: $1,353 Cigna — PPO: $6,213.50 Coventry Health Plan — PPO: $4,678.40
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC CYST FIBRD /BEN/MAL TUMOR TIS DUCT NIP L M/F 1/MOR-CBCC	$7,310	$4,386	$2,558.50 – $6,432.80
Removal of breast growth (open surgery): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,711.71 Aetna — Missouri Preferred PPO: $3,728.10 Aetna — PPO: $5,628.70 American Health Management — Medicare Advantage: $3,711.71 Anthem — Exchange: $1,017 Anthem — HMO EPO: $1,292 Anthem — Medicare Advantage: $3,711.71 Anthem — PPO: $1,353 Cigna — PPO: $6,213.50 Coventry Health Plan — PPO: $4,678.40
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC CYST,FIBROAD,OR BEN/MAL TUMOR,TIS,DUCT,NIP L M/F ONE/MOR	$7,310	$4,386	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Removal of breast growth (open surgery): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,711.71 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $3,711.71 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $3,711.71 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$4,052 – $27,250
Total hip replacement: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $12,471.77 American Health Management — Medicare Advantage: $12,471.77 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $12,471.77 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $16,453.08 Home State — Managed Medicaid: $17,549.95 Humana — Medicare Advantage: $12,471.77 Medica with MU Health — Exchange: $12,581
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$24,679.62 – $26,324.93
Total hip replacement: rates for 3 insurance plans Healthy Blue — Managed Medicaid: $24,679.62 Home State — Managed Medicaid: $26,324.93 United Community — Managed Medicaid: $24,679.62
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$4,052 – $27,250
Total knee replacement: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $12,471.77 American Health Management — Medicare Advantage: $12,471.77 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $12,471.77 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $16,453.08 Home State — Managed Medicaid: $17,549.95 Humana — Medicare Advantage: $12,471.77 Medica with MU Health — Exchange: $12,581
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$24,679.62 – $26,324.93
Total knee replacement: rates for 3 insurance plans Healthy Blue — Managed Medicaid: $24,679.62 Home State — Managed Medicaid: $26,324.93 United Community — Managed Medicaid: $24,679.62
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$943 – $5,404
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — PPO: $5,404 Medica with MU Health — Exchange: $943 United Healthcare — Custom: $1,450 United Healthcare — Customer Specific: $1,655 United Healthcare — Direct PPO: $1,667 United Healthcare — Exchange: $1,391 United Healthcare — PPO/HMO: $1,795
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$3,085.09 – $5,900
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates Aetna — Medicare Advantage: $3,144.99 American Health Management — Medicare Advantage: $3,144.99 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $3,144.99 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $4,148.96 Home State — Managed Medicaid: $4,425.55 Humana — Medicare Advantage: $3,144.99 Medica with MU Health — Exchange: $4,194
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$6,223.44 – $6,638.34
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Healthy Blue — Managed Medicaid: $6,223.44 Home State — Managed Medicaid: $6,638.34 United Community — Managed Medicaid: $6,223.44
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$3,145 – $5,843.25
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates Aetna — Medicare Advantage: $5,734.03 American Health Management — Medicare Advantage: $5,734.03 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $5,734.03 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $7,564.49 Home State — Managed Medicaid: $8,068.78 Humana — Medicare Advantage: $5,734.03 Medica with MU Health — Exchange: $3,145
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, TRANSORAL, DIAGNOSTIC-EC	$2,977	$1,786.20	$1,041.95 – $2,619.76
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $908.77 Aetna — Missouri Preferred PPO: $1,488.50 Aetna — PPO: $2,292.29 American Health Management — Medicare Advantage: $908.77 Anthem — Exchange: $1,285 Anthem — HMO EPO: $1,625 Anthem — Medicare Advantage: $908.77 Anthem — PPO: $1,633 Cigna — PPO: $2,530.45 Coventry Health Plan — PPO: $1,935.05
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UGI DIAGNOSTIC.	$2,480	$1,488	$868 – $2,182.40
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $908.77 Aetna — Missouri Preferred PPO: $1,264.80 Aetna — PPO: $1,909.60 American Health Management — Medicare Advantage: $908.77 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $908.77 Anthem — PPO: $1,628 Cigna — PPO: $2,108 Coventry Health Plan — PPO: $1,587.20
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UGI DIAGNOSTIC. -FVGI	$2,480	$1,488	$868 – $2,182.40
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $908.77 Aetna — Missouri Preferred PPO: $1,264.80 Aetna — PPO: $1,909.60 American Health Management — Medicare Advantage: $908.77 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $908.77 Anthem — PPO: $1,628 Cigna — PPO: $2,108 Coventry Health Plan — PPO: $1,587.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UGI BIOPSY SPECIMEN.	$2,254	$1,352.40	$788.90 – $1,983.52
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $908.77 Aetna — Missouri Preferred PPO: $1,149.54 Aetna — PPO: $1,735.58 American Health Management — Medicare Advantage: $908.77 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $908.77 Anthem — PPO: $1,628 Cigna — PPO: $1,915.90 Coventry Health Plan — PPO: $1,442.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UGI BIOPSY SPECIMEN. -FVGI	$2,254	$1,352.40	$788.90 – $1,983.52
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $908.77 Aetna — Missouri Preferred PPO: $1,149.54 Aetna — PPO: $1,735.58 American Health Management — Medicare Advantage: $908.77 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $908.77 Anthem — PPO: $1,628 Cigna — PPO: $1,915.90 Coventry Health Plan — PPO: $1,442.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY UGI BIOPSY SPECIMEN.-JEGC	$2,254	$1,352.40	$788.90 – $1,983.52
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $908.77 Aetna — Missouri Preferred PPO: $1,149.54 Aetna — PPO: $1,735.58 American Health Management — Medicare Advantage: $908.77 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $908.77 Anthem — PPO: $1,628 Cigna — PPO: $1,915.90 Coventry Health Plan — PPO: $1,442.56
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF DIAGNOSTIC	$2,108	$1,264.80	$737.80 – $1,855.04
Colonoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $883.72 Aetna — Missouri Preferred PPO: $1,075.08 Aetna — PPO: $1,623.16 American Health Management — Medicare Advantage: $883.72 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $883.72 Anthem — PPO: $1,628 Cigna — PPO: $1,791.80 Coventry Health Plan — PPO: $1,349.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF DIAGNOSTIC -FVGI	$2,108	$1,264.80	$866.89 – $2,650
Colonoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $883.72 Aetna — Missouri Preferred PPO: $1,075.08 Aetna — PPO: $1,623.16 American Health Management — Medicare Advantage: $883.72 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $883.72 Anthem — PPO: $1,628 Cigna — PPO: $1,791.80 Coventry Health Plan — PPO: $1,349.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF DIAGNOSTIC-JEGC	$2,108	$1,264.80	$737.80 – $1,855.04
Colonoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $883.72 Aetna — Missouri Preferred PPO: $1,075.08 Aetna — PPO: $1,623.16 American Health Management — Medicare Advantage: $883.72 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $883.72 Anthem — PPO: $1,628 Cigna — PPO: $1,791.80 Coventry Health Plan — PPO: $1,349.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF BIOPSY SPECIMEN.	$2,485	$1,491	$869.75 – $2,186.80
Colonoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,267.35 Aetna — PPO: $1,913.45 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,112.25 Coventry Health Plan — PPO: $1,590.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF BIOPSY SPECIMEN. -FVGI	$2,485	$1,491	$869.75 – $2,186.80
Colonoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,267.35 Aetna — PPO: $1,913.45 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,112.25 Coventry Health Plan — PPO: $1,590.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF BIOPSY SPECIMEN.-JEGC	$2,485	$1,491	$869.75 – $2,186.80
Colonoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,267.35 Aetna — PPO: $1,913.45 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,112.25 Coventry Health Plan — PPO: $1,590.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF RMVE POLYP SNARE	$2,750	$1,650	$962.50 – $2,420
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,402.50 Aetna — PPO: $2,117.50 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,337.50 Coventry Health Plan — PPO: $1,760
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF RMVE POLYP SNARE -FVGI	$2,750	$1,650	$962.50 – $2,420
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,402.50 Aetna — PPO: $2,117.50 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,337.50 Coventry Health Plan — PPO: $1,760
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FF RMVE POLYP SNARE-JEGC	$2,750	$1,650	$962.50 – $2,420
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,402.50 Aetna — PPO: $2,117.50 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,337.50 Coventry Health Plan — PPO: $1,760
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GIL LOWER ULTRASOUND	$2,605	$1,563	$911.75 – $2,292.40
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,328.55 Aetna — PPO: $2,005.85 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,214.25 Coventry Health Plan — PPO: $1,667.20
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GIL LOWER ULTRASOUND-JEGC	$2,605	$1,563	$1,121.11 – $2,650
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,328.55 Aetna — PPO: $2,005.85 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,214.25 Coventry Health Plan — PPO: $1,667.20
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GIL LOWER ULTRASOUND-GIKC	$2,605	$1,563	$911.75 – $2,292.40
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,142.88 Aetna — Missouri Preferred PPO: $1,328.55 Aetna — PPO: $2,005.85 American Health Management — Medicare Advantage: $1,142.88 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $1,142.88 Anthem — PPO: $1,628 Cigna — PPO: $2,214.25 Coventry Health Plan — PPO: $1,667.20
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY CA SCRN NON HIGH RISK PT	$2,336	$1,401.60	$866.89 – $1,980
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates Aetna — Medicare Advantage: $883.72 Aetna — Missouri Preferred PPO: $1,191.36 Aetna — PPO: $1,798.72 American Health Management — Medicare Advantage: $883.72 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $883.72 Anthem — PPO: $1,628 Cigna — PPO: $1,985.60 Coventry Health Plan — PPO: $1,495.04
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY CA SCRN NON HIGH RISK PT -FVGI	$2,336	$1,401.60	$817.60 – $2,055.68
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates Aetna — Medicare Advantage: $883.72 Aetna — Missouri Preferred PPO: $1,191.36 Aetna — PPO: $1,798.72 American Health Management — Medicare Advantage: $883.72 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $883.72 Anthem — PPO: $1,628 Cigna — PPO: $1,985.60 Coventry Health Plan — PPO: $1,495.04
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY CA SCRN NON HIGH RISK PT-JEGC	$2,336	$1,401.60	$866.89 – $1,980
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates Aetna — Medicare Advantage: $883.72 Aetna — Missouri Preferred PPO: $1,191.36 Aetna — PPO: $1,798.72 American Health Management — Medicare Advantage: $883.72 Anthem — Exchange: $1,281 Anthem — HMO EPO: $1,619 Anthem — Medicare Advantage: $883.72 Anthem — PPO: $1,628 Cigna — PPO: $1,985.60 Coventry Health Plan — PPO: $1,495.04
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$4,052 – $7,900
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $5,655.23 American Health Management — Medicare Advantage: $5,655.23 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $5,655.23 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $7,460.54 Home State — Managed Medicaid: $7,957.90 Humana — Medicare Advantage: $5,655.23 Medica with MU Health — Exchange: $7,864
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,355.55 – $5,740
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $3,420.71 American Health Management — Medicare Advantage: $3,420.71 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $3,420.71 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $4,512.69 Home State — Managed Medicaid: $4,813.54 Humana — Medicare Advantage: $3,420.71 Medica with MU Health — Exchange: $4,194
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$6,769.04 – $7,220.30
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Healthy Blue — Managed Medicaid: $6,769.04 Home State — Managed Medicaid: $7,220.30 United Community — Managed Medicaid: $6,769.04
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE BIOPSY, NEEDLE/PUNCH, SINGLE/MULTI, ANY APPROACH	$2,984	$1,790.40	$1,947.79 – $2,023.44
Prostate biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,985.61 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $1,985.61 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $1,985.61 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE BIOPSY, NEEDLE/PUNCH, SINGLE/MULTI, ANY APPROACH-EF	$2,984	$1,790.40	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Prostate biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,985.61 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $1,985.61 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $1,985.61 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE BIOPSY, NEEDLE/PUNCH, SINGLE/MULTI, ANY APPROACH-CM	$2,984	$1,790.40	$1,017 – $2,650
Prostate biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,985.61 Aetna — Missouri Preferred PPO: $1,521.84 Aetna — PPO: $2,297.68 American Health Management — Medicare Advantage: $1,985.61 Anthem — Exchange: $1,017 Anthem — HMO EPO: $1,292 Anthem — Medicare Advantage: $1,985.61 Anthem — PPO: $1,353 Cigna — PPO: $2,536.40 Coventry Health Plan — PPO: $1,909.76
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$4,052 – $12,581
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates Aetna — Medicare Advantage: $10,091.56 American Health Management — Medicare Advantage: $10,091.56 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $10,091.56 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $13,313.06 Home State — Managed Medicaid: $14,200.59 Humana — Medicare Advantage: $10,091.56 Medica with MU Health — Exchange: $12,581
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C-IVF	$6,928	$4,156.80	$1,017 – $5,200
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,081.91 Aetna — Missouri Preferred PPO: $3,533.28 Aetna — PPO: $5,334.56 American Health Management — Medicare Advantage: $3,081.91 Anthem — Exchange: $1,017 Anthem — HMO EPO: $1,292 Anthem — Medicare Advantage: $3,081.91 Anthem — PPO: $1,353 Cigna — PPO: $5,888.80 Coventry Health Plan — PPO: $4,433.92
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY SURG W/BX ENDOMETRIUM /POLYPECTOMY W/WO DC-OBC	$6,928	$4,156.80	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,081.91 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $3,081.91 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $3,081.91 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C-IVF	$6,928	$4,156.80	$2,424.80 – $6,096.64
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $4,503.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ(S) DX/THER SBST INTRLMNR LMBR/SAC W IMG GUID-CPCR	$2,030	$1,218	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $671.26 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $671.26 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $671.26 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ(S) DX/THER SBST INTRLMNR LMBR/SAC W IMG GUID-JPMC	$2,030	$1,218	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $671.26 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $671.26 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $671.26 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ(S) DX/THER SBST INTRLMNR LMBR/SAC W IMG GUID-CSJC	$2,030	$1,218	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $671.26 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $671.26 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $671.26 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION ANES/STEROID; EPIDURAL, LUMBAR/SACRAL, SINGLE-MCLN	$2,460	$1,476	$846.52 – $879.39
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $862.96 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $862.96 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $862.96 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION ANES/STEROID; EPIDURAL, LUMBAR/SACRAL, SINGLE-CPCR	$2,460	$1,476	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $862.96 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $862.96 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $862.96 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION ANES/STEROID; EPIDURAL, LUMBAR/SACRAL, SINGLE-XO	$2,460	$1,476	$846.52 – $1,980
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $862.96 Aetna — Missouri Preferred PPO: $1,254.60 Aetna — PPO: $1,894.20 American Health Management — Medicare Advantage: $862.96 Anthem — Exchange: $1,017 Anthem — HMO EPO: $1,292 Anthem — Medicare Advantage: $862.96 Anthem — PPO: $1,353 Cigna — PPO: $2,091 Coventry Health Plan — PPO: $1,574.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY/TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL-MCLN	$5,061	$3,036.60	$1,856.76 – $5,200
Carpal tunnel release: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,892.81 Aetna — Missouri Preferred PPO: $2,581.11 Aetna — PPO: $3,896.97 American Health Management — Medicare Advantage: $1,892.81 Anthem — Exchange: $3,097.33 Anthem — HMO EPO: $3,097.33 Anthem — Medicare Advantage: $1,892.81 Anthem — PPO: $3,335.20 Cigna — PPO: $4,301.85 Coventry Health Plan — PPO: $3,239.04
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY/TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL-OCJC	$5,061	$3,036.60	$1,856.76 – $5,200
Carpal tunnel release: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,892.81 Aetna — Missouri Preferred PPO: $2,581.11 Aetna — PPO: $3,896.97 American Health Management — Medicare Advantage: $1,892.81 Anthem — Exchange: $3,097.33 Anthem — HMO EPO: $3,097.33 Anthem — Medicare Advantage: $1,892.81 Anthem — PPO: $3,335.20 Cigna — PPO: $4,301.85 Coventry Health Plan — PPO: $3,239.04
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY/TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL	$5,061	$3,036.60	$1,771.35 – $4,453.68
Carpal tunnel release: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,892.81 Aetna — Missouri Preferred PPO: $2,581.11 Aetna — PPO: $3,896.97 American Health Management — Medicare Advantage: $1,892.81 Anthem — Exchange: $3,097.33 Anthem — HMO EPO: $3,097.33 Anthem — Medicare Advantage: $1,892.81 Anthem — PPO: $3,335.20 Cigna — PPO: $4,301.85 Coventry Health Plan — PPO: $3,239.04
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DISCISSION SECNDRY MEM CATARACT LASER SURGERY 1+ STAGES-MEE	$1,277	$766.20	$521.63 – $541.89
Laser treatment of clouding after cataract surgery: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $531.76 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $531.76 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $531.76 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LASER SURGERY (ONE OR MORE STAGES)	$1,277	$766.20	$521.63 – $541.89
Laser treatment of clouding after cataract surgery: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $531.76 Aetna — Missouri Preferred PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) American Health Management — Medicare Advantage: $531.76 Anthem — Exchange: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — HMO EPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $531.76 Anthem — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Coventry Health Plan — PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DISCISSION SECNDRY MEM CATARACT LASER SURGERY 1+ STAGES-MEE	$1,277	$766.20	$446.95 – $1,123.76
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan Aetna — Missouri Preferred PPO: $830.05
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,168.60 – $5,404
Cataract removal with lens implant: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $2,210.70 American Health Management — Medicare Advantage: $2,210.70 Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — Medicare Advantage: $2,210.70 Anthem — PPO: $5,404 Healthy Blue — Managed Medicaid: $2,916.42 Home State — Managed Medicaid: $3,110.85 Humana — Medicare Advantage: $2,210.70 Medica with MU Health — Exchange: $3,145
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$4,374.63 – $4,666.27
Cataract removal with lens implant: rates for 3 insurance plans Healthy Blue — Managed Medicaid: $4,374.63 Home State — Managed Medicaid: $4,666.27 United Community — Managed Medicaid: $4,374.63

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$3,875 – $5,404
Vaginal delivery, with care before and after: rates for 9 insurance plans Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — PPO: $5,404 Medica with MU Health — Exchange: $4,078.09 United Healthcare — Custom: $3,983 United Healthcare — Customer Specific: $4,600 United Healthcare — Direct PPO: $4,581 United Healthcare — Exchange: $3,875 United Healthcare — PPO/HMO: $5,000
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$4,052 – $5,404
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — PPO: $5,404 Medica with MU Health — Exchange: $4,537.10
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$3,875 – $5,404
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans Anthem — Exchange: $4,052 Anthem — HMO EPO: $5,154 Anthem — PPO: $5,404 Medica with MU Health — Exchange: $4,278.07 United Healthcare — Custom: $3,983 United Healthcare — Customer Specific: $4,600 United Healthcare — Direct PPO: $4,581 United Healthcare — Exchange: $3,875 United Healthcare — PPO/HMO: $5,000

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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$39,657 – $121,266.07
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates Aetna — Medicare Advantage: $85,999.59 Aetna — Missouri Preferred PPO: $39,657 American Health Management — Medicare Advantage: $85,999.59 Anthem — Exchange: $79,139.02 Anthem — HMO EPO: $101,095.27 Anthem — Medicare Advantage: $85,999.59 Anthem — PPO: $103,508.05 Coventry Health Plan — PPO: $92,688 Coventry Health Plan National — PPO: $47,250 Healthlink — PPO/HMO/WC: $51,646
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$15,461.10 – $29,579
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates Aetna — Missouri Preferred PPO: $21,973 Anthem — Exchange: $15,461.10 Anthem — HMO EPO: $19,750.61 Anthem — PPO: $20,221.99 Coventry Health Plan National — PPO: $26,200 Healthlink — PPO/HMO/WC: $29,579 Medica with MU Health — Exchange: $22,527.95 United Healthcare — Custom: $25,000 United Healthcare — Customer Specific: $22,150.85 United Healthcare — Direct PPO: $28,750
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$15,461.10 – $29,579
Hip or knee replacement (major joint of the leg), without major complications: rates for 8 insurance plans Aetna — Medicare Advantage: $18,281.43 American Health Management — Medicare Advantage: $18,281.43 Anthem — Medicare Advantage: $18,281.43 Coventry Health Plan — PPO: $18,737.21 Humana — Medicare Advantage: $18,281.43 Provider Partners Health Plan — Medicare Advantage: $18,629.65 United Healthcare — Medicare Advantage: $17,933.22 Wellcare — Medicare Advantage: $18,281.43
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$18,209.99 – $36,688
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates Aetna — Medicare Advantage: $22,483.73 Aetna — Missouri Preferred PPO: $21,973 American Health Management — Medicare Advantage: $22,483.73 Anthem — Exchange: $19,412.68 Anthem — HMO EPO: $24,798.52 Anthem — Medicare Advantage: $22,483.73 Anthem — PPO: $25,390.37 Coventry Health Plan — PPO: $18,209.99 Coventry Health Plan National — PPO: $26,200 Healthlink — PPO/HMO/WC: $21,740
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,987.38 – $15,061.67
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $12,292.35 American Health Management — Medicare Advantage: $12,292.35 Anthem — Exchange: $9,829.34 Anthem — HMO EPO: $12,556.38 Anthem — Medicare Advantage: $12,292.35 Anthem — PPO: $12,856.06 Coventry Health Plan — PPO: $7,987.38 Healthlink — PPO/HMO/WC: $13,994 Humana — Medicare Advantage: $12,292.35 Medica with MU Health — Exchange: $14,322.07

Source: University of Missouri Health Care’s standard charges file (muhealth.org, CSV, 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 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	Acute Care Hospital
Address	One Hospital Drive, Columbia, MO 65212
County	Boone County
State	Missouri
Phone	(573) 882‑4141
Emergency services	Yes
Ownership	Government - State
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	260141
Name in Medicare records	UNIVERSITY OF MISSOURI HEALTH CARE
Profile level	Medicare data + hospital website
Name on the hospital’s website	University Hospital
Official website	muhealth.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

From the hospital’s website

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

University Hospital — muhealth.org
Language Services - MU Health Care — muhealth.org
Trauma Care - MU Health Care — muhealth.org
University Hospital Emergency Room - MU Health Care — muhealth.org
Cardiovascular and Pulmonary Rehabilitation - MU Health Care — muhealth.org
Helicopter Service - MU Health Care — muhealth.org
Parking at MU Health Care - MU Health Care — muhealth.org

University of Missouri Health Care

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[3]

Conditions treated^[3][5]

Treatments^[3]

Programs and centers^{[3][5][6][7][8]}

Emergency care (hospital website)^[3][5][6]

Visiting and practical information

Recognition^[5]

Doctors and clinicians (1,499)

Main specialties

Doctors with a page on this site (1,499)

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

University of Missouri Health Care

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[3]

Conditions treated[3][5]

Treatments[3]

Programs and centers[3][5][6][7][8]

Emergency care (hospital website)[3][5][6]

Visiting and practical information

Recognition[5]

Doctors and clinicians (1,499)

Main specialties

Doctors with a page on this site (1,499)

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[3]

Conditions treated^[3][5]

Treatments^[3]

Programs and centers^{[3][5][6][7][8]}

Emergency care (hospital website)^[3][5][6]

Recognition^[5]