Does Wright Memorial Hospital have an emergency room?

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

Where is Wright Memorial Hospital?

191 Iowa Boulevard, Trenton, MO 64683, in Grundy County, Missouri.

What is the phone number of Wright Memorial Hospital?

(660) 358-5700, as listed by Medicare (CMS).

What is the Medicare star rating of Wright Memorial Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Wright Memorial Hospital — Phone, Address & ER

Quick answers

Does Wright Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Wright Memorial Hospital. In a medical emergency, call 911.
Where is Wright Memorial Hospital?: 191 Iowa Boulevard, Trenton, MO 64683, in Grundy County, Missouri.
What is the phone number of Wright Memorial Hospital?: (660) 358-5700, as listed by Medicare (CMS).
What is the Medicare star rating of Wright Memorial Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas^[5]

Treatments^[5]

Imaging
Infusion therapies
Laboratory
Mammography
Rehabilitation
Wound care

Programs and centers^[5]

Emergency Department

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visitors welcome; facility-specific visitor guidelines are referenced on the hospital page^[5]

Recognition^[5]

Joint Commission accredited hospital

Doctors and clinicians (137)

137 doctors and other clinicians list Wright Memorial Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (137)

Aaron L. Huffstutter, NPNurse Practitioner
Adam M. Skinner, DOEmergency Medicine
Alaeldin A. Ababneh, MDCardiovascular Disease (Cardiology)
Alejandro Blachar, MDPain Management
Amanda D. WilfordNurse Practitioner
Amanda M. Heuszel, MDCardiovascular Disease (Cardiology)
Ammie N. Wire, NPNurse Practitioner
Amy L. CreasonNurse Practitioner
Amy L. Ohrenberg, NPNurse Practitioner
Andrea R. Bietau, NPNurse Practitioner
Andrew J. Sauer, MDAdvanced Heart Failure and Transplant Cardiology
Andrew R. Johnson, MDGeneral Surgery
Ankit Rastogi, MDDiagnostic Radiology
Anna GrodzinskyCardiovascular Disease (Cardiology)
Arihant Jain, MDFamily Practice
Arnold L. Katz, MDRheumatology
Arun M. Iyer, MDCardiovascular Disease (Cardiology)
Ashley Arrowood, NPNurse Practitioner
Barbara McCulloughNurse Practitioner
Blake E. Peterson, MDOrthopedic Surgery
Bradford Oliva, MDDiagnostic Radiology
Bradley J. Moore, MDUrology
Brandan L. Sigrist, PAPhysician Assistant
Brandon Wesche, MDHospitalist

And 113 more: the button below opens the full list.

Other emergency rooms nearby

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

Hedrick Medical Center17 mi · Chillicothe, MO · Critical Access Hospital
Sullivan County Memorial Hospital25 mi · Milan, MO · Critical Access Hospital
Harrison County Community Hospital27 mi · Bethany, MO · Critical Access Hospital
Pershing Memorial Hospital34 mi · Brookfield, MO · Critical Access Hospital
Cameron Regional Medical Center41 mi · Cameron, MO · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Trenton

Mosaic Medical Center Albany41 mi · Albany, MO · Critical Access Hospital

Hospitals in Grundy County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Eastview Manor Care Center1.9 mi · Trenton, MO · 2 of 5 stars
Sunnyview Nursing Home & Apartments2.0 mi · Trenton, MO · 1 of 5 stars
Stonebridge Chillicothe18 mi · Chillicothe, MO · 5 of 5 stars

All nursing homes in the state →

Home health agencies

Serve Link Home Care, Inc1.3 mi · Trenton, MO · 2.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Chillicothe Dialysis18 mi · Chillicothe, MO · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Northwest Health Services - Chillicothe20 mi · Chillicothe, MO · Community health center
Princeton School22 mi · Princeton, MO · Community health center
Princeton Office23 mi · Princeton, MO · Community health center

Clinics and urgent care

Wright Memorial Physicians Group1.3 mi · Trenton, MO · Rural health clinic
Jamesport Outreach Clinic12 mi · Jamesport, MO · Rural health clinic
Hedrick Medical Center18 mi · Chillicothe, MO · Rural health clinic

Pharmacies

Hy-Vee Inc1.3 mi · Trenton, MO · Community/retail pharmacy
Medley Pharmacy Inc.1.3 mi · Trenton, MO · Community/retail pharmacy

Assisted living nearby

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

Bristol Manor of Trenton1.3 mi · Trenton, MO
Sunnyview Nursing Home & Apartments1.3 mi · Trenton, MO

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 10	87%National average: 72%
Would definitely recommend the hospital	63%National average: 71%
Nurses “always” communicated well	90%National average: 80%
Doctors “always” communicated well	85%National average: 80%
“Always” got help as soon as they wanted	70%National average: 64%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	82%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	43Response rate: 32%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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 failure patients	12.9%
Deaths within 30 days: pneumonia patients	16.8%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	15.4%
Readmitted within 30 days: heart failure	21.3%
Readmitted within 30 days: pneumonia	16.7%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	145 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	80%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Missouri Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 54 common services exactly as Wright Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 54 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC New Patient Level 3 W Proc	$110	$66	$38.50 – $110
New patient office visit (about 30–44 minutes): 10 of 73 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $93.50 AETNA [5000] — AETNA INDEMNITY [50009]: $104.50 AETNA [5000] — AETNA LOCAL [50005]: $90.71 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71 AETNA [5000] — AETNA NAP [50014]: $93.50 AETNA [5000] — AETNA NATIONAL [50006]: $90.71 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC New Patient Level 3 WO Proc	$110	$66	$38.50 – $110
New patient office visit (about 30–44 minutes): 10 of 73 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $93.50 AETNA [5000] — AETNA INDEMNITY [50009]: $104.50 AETNA [5000] — AETNA LOCAL [50005]: $90.71 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71 AETNA [5000] — AETNA NAP [50014]: $93.50 AETNA [5000] — AETNA NATIONAL [50006]: $90.71 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC New Patient Level 3 W Proc\|MEDICAID EPSDT PROGRAM SVC	$110	$66	$38.50 – $110
New patient office visit (about 30–44 minutes): rates for 2 insurance plans COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $110 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $101.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC New Patient Level 4 W Proc	$110	$66	$38.50 – $110
New patient office visit (about 45–59 minutes): 10 of 53 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $93.50 AETNA [5000] — AETNA INDEMNITY [50009]: $104.50 AETNA [5000] — AETNA LOCAL [50005]: $90.71 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71 AETNA [5000] — AETNA NAP [50014]: $93.50 AETNA [5000] — AETNA NATIONAL [50006]: $90.71 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC New Patient Level 4 WO Proc	$110	$66	$38.50 – $110
New patient office visit (about 45–59 minutes): 10 of 53 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $93.50 AETNA [5000] — AETNA INDEMNITY [50009]: $104.50 AETNA [5000] — AETNA LOCAL [50005]: $90.71 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $90.71 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $90.71 AETNA [5000] — AETNA NAP [50014]: $93.50 AETNA [5000] — AETNA NATIONAL [50006]: $90.71 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $90.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $90.71
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC New Patient Level 4 W Proc\|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY OF	$110	$66	$38.50 – $110
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $44 MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $44 MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $44 MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $44 MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $44 MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $44 MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $44 MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $44 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $44 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP MO [12522]: $44
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC New Patient Level 5 W Proc	$177	$106.20	$83.63 – $165
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $150.45 AETNA [5000] — AETNA NAP [50014]: $150.45 COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $127.44 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $141.60 COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $108.59 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $177 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $162.84 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $165.70 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $164.20 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $165.70
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC New Patient Level 5 WO Proc	$177	$106.20	$83.63 – $165
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $150.45 AETNA [5000] — AETNA NAP [50014]: $150.45 COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $127.44 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $141.60 COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $108.59 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $177 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $162.84 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $165.70 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $164.20 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $165.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC OP Est Patient Level 3 W Proc	$77	$46.20	$25.41 – $77
Established patient office visit (about 20–29 minutes): 10 of 73 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $65.45 AETNA [5000] — AETNA INDEMNITY [50009]: $73.15 AETNA [5000] — AETNA LOCAL [50005]: $63.49 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $63.49 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $63.49 AETNA [5000] — AETNA NAP [50014]: $65.45 AETNA [5000] — AETNA NATIONAL [50006]: $63.49 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $63.49 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $63.49 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $63.49
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC OP Est Patient Level 3 WO Proc	$77	$46.20	$25.41 – $77
Established patient office visit (about 20–29 minutes): 10 of 73 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $65.45 AETNA [5000] — AETNA INDEMNITY [50009]: $73.15 AETNA [5000] — AETNA LOCAL [50005]: $63.49 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $63.49 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $63.49 AETNA [5000] — AETNA NAP [50014]: $65.45 AETNA [5000] — AETNA NATIONAL [50006]: $63.49 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $63.49 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $63.49 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $63.49
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC OP Est Patient Level 3 W Proc\|SEPARATE STRUCTURE	$77	$46.20	$25.41 – $77
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $25.41 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP MO [12522]: $25.41
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC OP Est Patient Level 4 W Proc	$90	$54	$31.50 – $90
Established patient office visit (about 30–39 minutes): 10 of 73 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $76.50 AETNA [5000] — AETNA INDEMNITY [50009]: $85.50 AETNA [5000] — AETNA LOCAL [50005]: $74.21 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $74.21 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $74.21 AETNA [5000] — AETNA NAP [50014]: $76.50 AETNA [5000] — AETNA NATIONAL [50006]: $74.21 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $74.21 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $74.21 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $74.21
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC OP Est Patient Level 4 WO Proc	$90	$54	$31.50 – $90
Established patient office visit (about 30–39 minutes): 10 of 73 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $76.50 AETNA [5000] — AETNA INDEMNITY [50009]: $85.50 AETNA [5000] — AETNA LOCAL [50005]: $74.21 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $74.21 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $74.21 AETNA [5000] — AETNA NAP [50014]: $76.50 AETNA [5000] — AETNA NATIONAL [50006]: $74.21 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $74.21 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $74.21 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $74.21
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC OP Est Patient Level 4 W Proc\|SIGNIFICANT SEPARATELY IDENTIFIABLE EVALUATION AND MANAGEMENT SERVICE BY THE SAME PHYSICIAN ON THE SAME DAY	$90	$54	$31.50 – $90
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $90 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $82.80 MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $36.72 MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $36.72 MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $36.72 MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $36.72 MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $36.72 MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $36.72 MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $36.72 MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $36.72
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class III W Proc F	$518	$310.80	$244.76 – $476
Emergency room visit (moderate): rates for 9 insurance plans AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $440.30 AETNA [5000] — AETNA NAP [50014]: $440.30 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $414.40 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $518 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $476.56 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $330.46 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $354.41 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $330.46 MEDICARE REPLACEMENT PLAN [1250] — DEVOTED HEALTH MEDICARE ADVANTAGE [12532]: $244.76
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class III WO Proc F	$518	$310.80	$244.76 – $476
Emergency room visit (moderate): rates for 9 insurance plans AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $440.30 AETNA [5000] — AETNA NAP [50014]: $440.30 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $414.40 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $518 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $476.56 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $330.46 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $354.41 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $330.46 MEDICARE REPLACEMENT PLAN [1250] — DEVOTED HEALTH MEDICARE ADVANTAGE [12532]: $244.76
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class IV W Proc F	$817	$490.20	$386.03 – $751
Emergency room visit (moderately high): rates for 9 insurance plans AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $694.45 AETNA [5000] — AETNA NAP [50014]: $694.45 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $653.60 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $817 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $751.64 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $508.20 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $550.15 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $508.20 MEDICARE REPLACEMENT PLAN [1250] — DEVOTED HEALTH MEDICARE ADVANTAGE [12532]: $386.03
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class IV WO Proc F	$817	$490.20	$386.03 – $751
Emergency room visit (moderately high): rates for 9 insurance plans AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $694.45 AETNA [5000] — AETNA NAP [50014]: $694.45 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $653.60 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $817 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $751.64 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $508.20 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $550.15 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $508.20 MEDICARE REPLACEMENT PLAN [1250] — DEVOTED HEALTH MEDICARE ADVANTAGE [12532]: $386.03
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class V W Proc F	$1,287	$772.20	$608.11 – $1,184
Emergency room visit (high): rates for 9 insurance plans AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,093.95 AETNA [5000] — AETNA NAP [50014]: $1,093.95 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $1,029.60 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $1,287 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $1,184.04 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $731.72 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $797.84 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $731.72 MEDICARE REPLACEMENT PLAN [1250] — DEVOTED HEALTH MEDICARE ADVANTAGE [12532]: $608.11
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC CAH ED ER Visit Class V WO Proc F	$1,287	$772.20	$608.11 – $1,184
Emergency room visit (high): rates for 9 insurance plans AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,093.95 AETNA [5000] — AETNA NAP [50014]: $1,093.95 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $1,029.60 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $1,287 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $1,184.04 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $731.72 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $797.84 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $731.72 MEDICARE REPLACEMENT PLAN [1250] — DEVOTED HEALTH MEDICARE ADVANTAGE [12532]: $608.11

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel	$179	$107.40	$3.05 – $170
Basic metabolic panel (blood test): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $152.15 AETNA [5000] — AETNA INDEMNITY [50009]: $170.05 AETNA [5000] — AETNA LOCAL [50005]: $147.60 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $147.60 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $147.60 AETNA [5000] — AETNA NAP [50014]: $152.15 AETNA [5000] — AETNA NATIONAL [50006]: $147.60 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $147.60 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $147.60 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $147.60
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehensive Metabolic Panel	$256	$153.60	$3.80 – $243
Comprehensive metabolic panel (blood test): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $217.60 AETNA [5000] — AETNA INDEMNITY [50009]: $243.20 AETNA [5000] — AETNA LOCAL [50005]: $211.10 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $211.10 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $211.10 AETNA [5000] — AETNA NAP [50014]: $217.60 AETNA [5000] — AETNA NATIONAL [50006]: $211.10 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $211.10 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $211.10 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $211.10
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehensive Metabolic Panel\|NOT REASONABLE AND NECESSARY	$256	$153.60	$3.80 – $243
Comprehensive metabolic panel (blood test): rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $235.52
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC Prenatal Lab Panel 2	$562	$337.20	$17.21 – $533.90
Obstetric blood test panel: 10 of 72 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $477.70 AETNA [5000] — AETNA INDEMNITY [50009]: $533.90 AETNA [5000] — AETNA LOCAL [50005]: $463.43 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $463.43 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $463.43 AETNA [5000] — AETNA NAP [50014]: $477.70 AETNA [5000] — AETNA NATIONAL [50006]: $463.43 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $463.43 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $463.43 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $463.43
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel	$150	$90	$4.82 – $142
Cholesterol panel (lipid panel): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $127.50 AETNA [5000] — AETNA INDEMNITY [50009]: $142.50 AETNA [5000] — AETNA LOCAL [50005]: $123.69 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $123.69 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $123.69 AETNA [5000] — AETNA NAP [50014]: $127.50 AETNA [5000] — AETNA NATIONAL [50006]: $123.69 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $123.69 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $123.69 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $123.69
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Nmr Cholesterol Total	$150	$90	$4.82 – $142
Cholesterol panel (lipid panel): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $127.50 AETNA [5000] — AETNA INDEMNITY [50009]: $142.50 AETNA [5000] — AETNA LOCAL [50005]: $123.69 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $123.69 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $123.69 AETNA [5000] — AETNA NAP [50014]: $127.50 AETNA [5000] — AETNA NATIONAL [50006]: $123.69 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $123.69 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $123.69 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $123.69
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel\|NOT REASONABLE AND NECESSARY	$150	$90	$4.82 – $142
Cholesterol panel (lipid panel): rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $138
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Panel	$181	$108.60	$3.12 – $171
Kidney function panel: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $153.85 AETNA [5000] — AETNA INDEMNITY [50009]: $171.95 AETNA [5000] — AETNA LOCAL [50005]: $149.25 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $149.25 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $149.25 AETNA [5000] — AETNA NAP [50014]: $153.85 AETNA [5000] — AETNA NATIONAL [50006]: $149.25 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $149.25 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $149.25 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $149.25
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Panel\|UNUSUAL NON-OVERLAPPING SERVICE	$181	$108.60	$3.12 – $171
Kidney function panel: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $166.52
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel	$180	$108	$2.94 – $171
Liver function panel: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $153 AETNA [5000] — AETNA INDEMNITY [50009]: $171 AETNA [5000] — AETNA LOCAL [50005]: $148.43 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $148.43 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $148.43 AETNA [5000] — AETNA NAP [50014]: $153 AETNA [5000] — AETNA NATIONAL [50006]: $148.43 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $148.43 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $148.43 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $148.43
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis W/ Microscopic	$71	$42.60	$1.14 – $67
Urine test (automated, with microscope): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $60.35 AETNA [5000] — AETNA INDEMNITY [50009]: $67.45 AETNA [5000] — AETNA LOCAL [50005]: $58.55 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $58.55 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $58.55 AETNA [5000] — AETNA NAP [50014]: $60.35 AETNA [5000] — AETNA NATIONAL [50006]: $58.55 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $58.55 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $58.55 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $58.55
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis W/ Microscopic\|DISTINCT PROCEDURAL SERVICE	$71	$42.60	$1.14 – $67
Urine test (automated, with microscope): rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $65.32
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp\|DISTINCT PROCEDURAL SERVICE	$26	$15.60	$1.25 – $24
Urine test (manual, without microscope): 10 of 62 insurance plan rates AETNA [5000] — AETNA INDEMNITY [50009]: $24.70 AETNA [5000] — AETNA LOCAL [50005]: $21.44 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $21.44 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $21.44 AETNA [5000] — AETNA NATIONAL [50006]: $21.44 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $21.44 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $21.44 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $21.44 AETNA [5000] — ZZZAETNA CARELINK EXCHANGE [50016]: $21.44 BLUE CROSS BLUE SHIELD [4000] — BC KC FEDERAL [40012]: $26
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp	$26	$15.60	$1.25 – $24
Urine test (manual, without microscope): 10 of 13 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $22.10 AETNA [5000] — AETNA NAP [50014]: $22.10 BLUE CROSS BLUE SHIELD [4000] — ZZZBC PREFERRED CARE BLUE SLHS [40027]: $4.59 COMMERCIAL-CONTRACTED [8000] — CHC SE KS LUMINARE EMPLOYEE PLAN [80085]: $18.72 COMMERCIAL-CONTRACTED [8000] — HEALTHLINK HMO [80009]: $20.80 COMMERCIAL-CONTRACTED [8000] — MEDICA EXCHANGE [80075]: $15.95 COMMERCIAL-CONTRACTED [8000] — PHCS MULTIPLAN [80056]: $26 COMMERCIAL-CONTRACTED [8000] — PROVIDRS CARE NETWORK [80021]: $23.92 MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $4.82 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $4.78
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Ketones Urine	$34	$20.40	$0.81 – $32
Urine test (automated, without microscope): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $28.90 AETNA [5000] — AETNA INDEMNITY [50009]: $32.30 AETNA [5000] — AETNA LOCAL [50005]: $28.04 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $28.04 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $28.04 AETNA [5000] — AETNA NAP [50014]: $28.90 AETNA [5000] — AETNA NATIONAL [50006]: $28.04 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $28.04 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $28.04 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $28.04
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Ph Urine	$34	$20.40	$0.81 – $32
Urine test (automated, without microscope): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $28.90 AETNA [5000] — AETNA INDEMNITY [50009]: $32.30 AETNA [5000] — AETNA LOCAL [50005]: $28.04 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $28.04 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $28.04 AETNA [5000] — AETNA NAP [50014]: $28.90 AETNA [5000] — AETNA NATIONAL [50006]: $28.04 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $28.04 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $28.04 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $28.04
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis WO Micro	$34	$20.40	$0.81 – $32
Urine test (automated, without microscope): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $28.90 AETNA [5000] — AETNA INDEMNITY [50009]: $32.30 AETNA [5000] — AETNA LOCAL [50005]: $28.04 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $28.04 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $28.04 AETNA [5000] — AETNA NAP [50014]: $28.90 AETNA [5000] — AETNA NATIONAL [50006]: $28.04 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $28.04 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $28.04 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $28.04
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Diagnostic Total	$177	$106.20	$6.62 – $168
PSA (prostate specific antigen) blood test: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $150.45 AETNA [5000] — AETNA INDEMNITY [50009]: $168.15 AETNA [5000] — AETNA LOCAL [50005]: $145.95 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $145.95 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $145.95 AETNA [5000] — AETNA NAP [50014]: $150.45 AETNA [5000] — AETNA NATIONAL [50006]: $145.95 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $145.95 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $145.95 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $145.95
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Total Psa	$213	$127.80	$6.62 – $202
PSA (prostate specific antigen) blood test: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $181.05 AETNA [5000] — AETNA INDEMNITY [50009]: $202.35 AETNA [5000] — AETNA LOCAL [50005]: $175.64 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $175.64 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $175.64 AETNA [5000] — AETNA NAP [50014]: $181.05 AETNA [5000] — AETNA NATIONAL [50006]: $175.64 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $175.64 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $175.64 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $175.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Newborn Tsh	$50	$30	$6.05 – $47
Thyroid stimulating hormone (TSH) test: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $42.50 AETNA [5000] — AETNA INDEMNITY [50009]: $47.50 AETNA [5000] — AETNA LOCAL [50005]: $41.23 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $41.23 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $41.23 AETNA [5000] — AETNA NAP [50014]: $42.50 AETNA [5000] — AETNA NATIONAL [50006]: $41.23 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $41.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $41.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $41.23
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Cascade	$188	$112.80	$6.05 – $178
Thyroid stimulating hormone (TSH) test: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $159.80 AETNA [5000] — AETNA INDEMNITY [50009]: $178.60 AETNA [5000] — AETNA LOCAL [50005]: $155.02 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $155.02 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $155.02 AETNA [5000] — AETNA NAP [50014]: $159.80 AETNA [5000] — AETNA NATIONAL [50006]: $155.02 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $155.02 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $155.02 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $155.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh	$188	$112.80	$6.05 – $178
Thyroid stimulating hormone (TSH) test: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $159.80 AETNA [5000] — AETNA INDEMNITY [50009]: $178.60 AETNA [5000] — AETNA LOCAL [50005]: $155.02 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $155.02 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $155.02 AETNA [5000] — AETNA NAP [50014]: $159.80 AETNA [5000] — AETNA NATIONAL [50006]: $155.02 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $155.02 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $155.02 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $155.02
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Automated Diff	$90	$54	$2.80 – $85
Complete blood count (CBC) with differential: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $76.50 AETNA [5000] — AETNA INDEMNITY [50009]: $85.50 AETNA [5000] — AETNA LOCAL [50005]: $74.21 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $74.21 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $74.21 AETNA [5000] — AETNA NAP [50014]: $76.50 AETNA [5000] — AETNA NATIONAL [50006]: $74.21 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $74.21 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $74.21 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $74.21
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Automated Diff\|NOT REASONABLE AND NECESSARY	$90	$54	$2.80 – $85
Complete blood count (CBC) with differential: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $82.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Automated Diff\|UNUSUAL NON-OVERLAPPING SERVICE	$90	$54	$2.80 – $85
Complete blood count (CBC) with differential: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $82.80
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Only	$78	$46.80	$2.33 – $74
Complete blood count (CBC), automated: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $66.30 AETNA [5000] — AETNA INDEMNITY [50009]: $74.10 AETNA [5000] — AETNA LOCAL [50005]: $64.32 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $64.32 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $64.32 AETNA [5000] — AETNA NAP [50014]: $66.30 AETNA [5000] — AETNA NATIONAL [50006]: $64.32 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $64.32 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $64.32 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $64.32
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Only\|WAIVER OF LIABILITY ON FILE	$78	$46.80	$2.33 – $74
Complete blood count (CBC), automated: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $71.76
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time	$56	$33.60	$1.54 – $53
Blood clotting time test (prothrombin time, PT): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $47.60 AETNA [5000] — AETNA INDEMNITY [50009]: $53.20 AETNA [5000] — AETNA LOCAL [50005]: $46.18 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $46.18 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $46.18 AETNA [5000] — AETNA NAP [50014]: $47.60 AETNA [5000] — AETNA NATIONAL [50006]: $46.18 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $46.18 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $46.18 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $46.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Protime Apl	$56	$33.60	$1.54 – $53
Blood clotting time test (prothrombin time, PT): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $47.60 AETNA [5000] — AETNA INDEMNITY [50009]: $53.20 AETNA [5000] — AETNA LOCAL [50005]: $46.18 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $46.18 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $46.18 AETNA [5000] — AETNA NAP [50014]: $47.60 AETNA [5000] — AETNA NATIONAL [50006]: $46.18 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $46.18 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $46.18 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $46.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time\|NOT REASONABLE AND NECESSARY	$56	$33.60	$1.54 – $53
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $51.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Appt Apl	$114	$68.40	$2.16 – $108
Blood clotting test (partial thromboplastin time, PTT): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $96.90 AETNA [5000] — AETNA INDEMNITY [50009]: $108.30 AETNA [5000] — AETNA LOCAL [50005]: $94 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $94 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $94 AETNA [5000] — AETNA NAP [50014]: $96.90 AETNA [5000] — AETNA NATIONAL [50006]: $94 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Ptt	$114	$68.40	$2.16 – $108
Blood clotting test (partial thromboplastin time, PTT): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $96.90 AETNA [5000] — AETNA INDEMNITY [50009]: $108.30 AETNA [5000] — AETNA LOCAL [50005]: $94 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $94 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $94 AETNA [5000] — AETNA NAP [50014]: $96.90 AETNA [5000] — AETNA NATIONAL [50006]: $94 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Ptt 1 to 1 Mix	$114	$68.40	$2.16 – $108
Blood clotting test (partial thromboplastin time, PTT): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $96.90 AETNA [5000] — AETNA INDEMNITY [50009]: $108.30 AETNA [5000] — AETNA LOCAL [50005]: $94 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $94 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $94 AETNA [5000] — AETNA NAP [50014]: $96.90 AETNA [5000] — AETNA NATIONAL [50006]: $94 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $94

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head WO Contrast	$1,888	$1,132.80	$136.56 – $1,793
CT scan of the head or brain, without contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,604.80 AETNA [5000] — AETNA INDEMNITY [50009]: $1,793.60 AETNA [5000] — AETNA LOCAL [50005]: $1,556.84 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,556.84 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,556.84 AETNA [5000] — AETNA NAP [50014]: $1,604.80 AETNA [5000] — AETNA NATIONAL [50006]: $1,556.84 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,556.84 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,556.84 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,556.84
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head WO Contrast\|DISTINCT PROCEDURAL SERVICE	$1,888	$1,132.80	$136.56 – $1,793
CT scan of the head or brain, without contrast: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $371.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head WO Contrast\|UNUSUAL NON-OVERLAPPING SERVICE	$1,888	$1,132.80	$136.56 – $1,793
CT scan of the head or brain, without contrast: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $371.50
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Head W WO Contrast	$3,550	$2,130	$477.70 – $3,372
MRI of the brain, before and after contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,017.50 AETNA [5000] — AETNA INDEMNITY [50009]: $3,372.50 AETNA [5000] — AETNA LOCAL [50005]: $2,927.33 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,927.33 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,927.33 AETNA [5000] — AETNA NAP [50014]: $3,017.50 AETNA [5000] — AETNA NATIONAL [50006]: $2,927.33 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,927.33 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,927.33 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,927.33
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Iac W WO Contrast	$3,550	$2,130	$477.70 – $3,372
MRI of the brain, before and after contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,017.50 AETNA [5000] — AETNA INDEMNITY [50009]: $3,372.50 AETNA [5000] — AETNA LOCAL [50005]: $2,927.33 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,927.33 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,927.33 AETNA [5000] — AETNA NAP [50014]: $3,017.50 AETNA [5000] — AETNA NATIONAL [50006]: $2,927.33 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,927.33 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,927.33 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,927.33
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Head W WO Contrast\|UNUSUAL NON-OVERLAPPING SERVICE	$3,550	$2,130	$477.70 – $3,372
MRI of the brain, before and after contrast: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $3,266
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC X-Ray Exam Chest 2 Views	$321	$192.60	$36.88 – $304
Chest X-ray, 2 views: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $272.85 AETNA [5000] — AETNA INDEMNITY [50009]: $304.95 AETNA [5000] — AETNA LOCAL [50005]: $264.70 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $264.70 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $264.70 AETNA [5000] — AETNA NAP [50014]: $272.85 AETNA [5000] — AETNA NATIONAL [50006]: $264.70 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $264.70 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $264.70 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $264.70
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Dx Spine Lumbar Min 4 Views	$561	$336.60	$52.75 – $532
X-ray of the lower spine, at least 4 views: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $476.85 AETNA [5000] — AETNA INDEMNITY [50009]: $532.95 AETNA [5000] — AETNA LOCAL [50005]: $462.60 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $462.60 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $462.60 AETNA [5000] — AETNA NAP [50014]: $476.85 AETNA [5000] — AETNA NATIONAL [50006]: $462.60 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $462.60 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $462.60 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $462.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI L Spine WO Contrast	$2,880	$1,728	$304.36 – $2,736
MRI of the lower back (lumbar spine), without contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,448 AETNA [5000] — AETNA INDEMNITY [50009]: $2,736 AETNA [5000] — AETNA LOCAL [50005]: $2,374.85 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,374.85 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,374.85 AETNA [5000] — AETNA NAP [50014]: $2,448 AETNA [5000] — AETNA NATIONAL [50006]: $2,374.85 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,374.85 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,374.85 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,374.85
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W Contrast	$2,300	$1,380	$228.23 – $2,185
CT scan of the pelvis, with contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $1,955 AETNA [5000] — AETNA INDEMNITY [50009]: $2,185 AETNA [5000] — AETNA LOCAL [50005]: $1,896.58 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $1,896.58 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $1,896.58 AETNA [5000] — AETNA NAP [50014]: $1,955 AETNA [5000] — AETNA NATIONAL [50006]: $1,896.58 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $1,896.58 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $1,896.58 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $1,896.58
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Joint WO Con Bilat	$3,855	$2,313	$304.36 – $3,662
MRI of a leg joint (such as the knee), without contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,276.75 AETNA [5000] — AETNA INDEMNITY [50009]: $3,662.25 AETNA [5000] — AETNA LOCAL [50005]: $3,178.83 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $3,178.83 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $3,178.83 AETNA [5000] — AETNA NAP [50014]: $3,276.75 AETNA [5000] — AETNA NATIONAL [50006]: $3,178.83 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $3,178.83 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $3,178.83 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $3,178.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Joint WO Con Left	$2,570	$1,542	$304.36 – $2,441
MRI of a leg joint (such as the knee), without contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,184.50 AETNA [5000] — AETNA INDEMNITY [50009]: $2,441.50 AETNA [5000] — AETNA LOCAL [50005]: $2,119.22 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,119.22 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,119.22 AETNA [5000] — AETNA NAP [50014]: $2,184.50 AETNA [5000] — AETNA NATIONAL [50006]: $2,119.22 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,119.22 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,119.22 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,119.22
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Joint WO Con Right	$2,570	$1,542	$304.36 – $2,441
MRI of a leg joint (such as the knee), without contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,184.50 AETNA [5000] — AETNA INDEMNITY [50009]: $2,441.50 AETNA [5000] — AETNA LOCAL [50005]: $2,119.22 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,119.22 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,119.22 AETNA [5000] — AETNA NAP [50014]: $2,184.50 AETNA [5000] — AETNA NATIONAL [50006]: $2,119.22 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,119.22 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,119.22 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,119.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd Pelvis Enterography W Con	$3,450	$2,070	$477.70 – $3,277
CT scan of the abdomen and pelvis, with contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,932.50 AETNA [5000] — AETNA INDEMNITY [50009]: $3,277.50 AETNA [5000] — AETNA LOCAL [50005]: $2,844.87 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,844.87 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,844.87 AETNA [5000] — AETNA NAP [50014]: $2,932.50 AETNA [5000] — AETNA NATIONAL [50006]: $2,844.87 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,844.87 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,844.87 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,844.87
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd Pelvis With Contrast	$3,410	$2,046	$477.70 – $3,239
CT scan of the abdomen and pelvis, with contrast: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,898.50 AETNA [5000] — AETNA INDEMNITY [50009]: $3,239.50 AETNA [5000] — AETNA LOCAL [50005]: $2,811.89 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,811.89 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,811.89 AETNA [5000] — AETNA NAP [50014]: $2,898.50 AETNA [5000] — AETNA NATIONAL [50006]: $2,811.89 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,811.89 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,811.89 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,811.89
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd Pelvis Enterography W Con\|UNUSUAL NON-OVERLAPPING SERVICE	$3,450	$2,070	$477.70 – $3,277
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $3,174
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete	$1,075	$645	$136.56 – $1,021
Ultrasound of the abdomen, complete: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $913.75 AETNA [5000] — AETNA INDEMNITY [50009]: $1,021.25 AETNA [5000] — AETNA LOCAL [50005]: $886.45 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $886.45 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $886.45 AETNA [5000] — AETNA NAP [50014]: $913.75 AETNA [5000] — AETNA NATIONAL [50006]: $886.45 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $886.45 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $886.45 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $886.45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete\|UNUSUAL NON-OVERLAPPING SERVICE	$1,075	$645	$136.56 – $1,021
Ultrasound of the abdomen, complete: rates for 1 insurance plan CIGNA [7000] — CIGNA BJC FLEX OR HDHP [70017]: $989
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB >=14 Weeks Anatomy Screen	$800	$480	$136.56 – $760
Pregnancy ultrasound (after the first trimester): 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $680 AETNA [5000] — AETNA INDEMNITY [50009]: $760 AETNA [5000] — AETNA LOCAL [50005]: $659.68 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $659.68 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $659.68 AETNA [5000] — AETNA NAP [50014]: $680 AETNA [5000] — AETNA NATIONAL [50006]: $659.68 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $659.68 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $659.68 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $659.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal	$740	$444	$120.39 – $703
Transvaginal ultrasound: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $629 AETNA [5000] — AETNA INDEMNITY [50009]: $703 AETNA [5000] — AETNA LOCAL [50005]: $610.20 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $610.20 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $610.20 AETNA [5000] — AETNA NAP [50014]: $629 AETNA [5000] — AETNA NATIONAL [50006]: $610.20 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $610.20 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $610.20 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $610.20
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC MA Dx Mammo Incl Cad Uni Lt	$274	$164.40	$95.90 – $260
Diagnostic mammogram, one breast: 10 of 80 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $232.90 AETNA [5000] — AETNA INDEMNITY [50009]: $260.30 AETNA [5000] — AETNA LOCAL [50005]: $225.94 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $225.94 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $225.94 AETNA [5000] — AETNA NAP [50014]: $232.90 AETNA [5000] — AETNA NATIONAL [50006]: $225.94 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $225.94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $225.94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $225.94
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC MA Dx Mammo Incl Cad Uni Rt	$274	$164.40	$95.90 – $260
Diagnostic mammogram, one breast: 10 of 80 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $232.90 AETNA [5000] — AETNA INDEMNITY [50009]: $260.30 AETNA [5000] — AETNA LOCAL [50005]: $225.94 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $225.94 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $225.94 AETNA [5000] — AETNA NAP [50014]: $232.90 AETNA [5000] — AETNA NATIONAL [50006]: $225.94 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $225.94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $225.94 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $225.94
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC MA Dx Mammo Incl Cad Bi	$411	$246.60	$143.85 – $390
Diagnostic mammogram, both breasts: 10 of 80 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $349.35 AETNA [5000] — AETNA INDEMNITY [50009]: $390.45 AETNA [5000] — AETNA LOCAL [50005]: $338.91 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $338.91 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $338.91 AETNA [5000] — AETNA NAP [50014]: $349.35 AETNA [5000] — AETNA NATIONAL [50006]: $338.91 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $338.91 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $338.91 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $338.91
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MA Scr Mammo Bi Incl Cad	$328	$196.80	$77 – $311
Screening mammogram, both breasts: 10 of 80 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $278.80 AETNA [5000] — AETNA INDEMNITY [50009]: $311.60 AETNA [5000] — AETNA LOCAL [50005]: $270.47 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $270.47 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $270.47 AETNA [5000] — AETNA NAP [50014]: $278.80 AETNA [5000] — AETNA NATIONAL [50006]: $270.47 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $270.47 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $270.47 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $270.47
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MA Scr Mammo Uni Incl Cad	$328	$196.80	$77 – $311
Screening mammogram, both breasts: 10 of 80 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $278.80 AETNA [5000] — AETNA INDEMNITY [50009]: $311.60 AETNA [5000] — AETNA LOCAL [50005]: $270.47 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $270.47 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $270.47 AETNA [5000] — AETNA NAP [50014]: $278.80 AETNA [5000] — AETNA NATIONAL [50006]: $270.47 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $270.47 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $270.47 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $270.47

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC CAH Ot Therapy Exer Pelvic Floor Ea 15 Mins	$142	$85.20	$38.67 – $134
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $120.70 AETNA [5000] — AETNA INDEMNITY [50009]: $134.90 AETNA [5000] — AETNA LOCAL [50005]: $117.09 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $117.09 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $117.09 AETNA [5000] — AETNA NAP [50014]: $120.70 AETNA [5000] — AETNA NATIONAL [50006]: $117.09 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $117.09 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $117.09 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $117.09
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Therapeutic Exercises	$142	$85.20	$38.67 – $134
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $120.70 AETNA [5000] — AETNA INDEMNITY [50009]: $134.90 AETNA [5000] — AETNA LOCAL [50005]: $117.09 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $117.09 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $117.09 AETNA [5000] — AETNA NAP [50014]: $120.70 AETNA [5000] — AETNA NATIONAL [50006]: $117.09 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $117.09 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $117.09 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $117.09
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Exercises Therapeutic	$151	$90.60	$38.67 – $143
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $128.35 AETNA [5000] — AETNA INDEMNITY [50009]: $143.45 AETNA [5000] — AETNA LOCAL [50005]: $124.51 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $124.51 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $124.51 AETNA [5000] — AETNA NAP [50014]: $128.35 AETNA [5000] — AETNA NATIONAL [50006]: $124.51 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $124.51 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $124.51 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $124.51
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity	$259	$155.40	$90.65 – $246
Physical therapy evaluation (low complexity): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $220.15 AETNA [5000] — AETNA INDEMNITY [50009]: $246.05 AETNA [5000] — AETNA LOCAL [50005]: $213.57 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $213.57 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $213.57 AETNA [5000] — AETNA NAP [50014]: $220.15 AETNA [5000] — AETNA NATIONAL [50006]: $213.57 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $213.57 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $213.57 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $213.57
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Pelvic Floor Eval Low Complexity	$259	$155.40	$90.65 – $246
Physical therapy evaluation (low complexity): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $220.15 AETNA [5000] — AETNA INDEMNITY [50009]: $246.05 AETNA [5000] — AETNA LOCAL [50005]: $213.57 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $213.57 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $213.57 AETNA [5000] — AETNA NAP [50014]: $220.15 AETNA [5000] — AETNA NATIONAL [50006]: $213.57 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $213.57 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $213.57 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $213.57
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity\|OP PT SERVICES	$259	$155.40	$90.65 – $246
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $103.60 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP MO [12522]: $103.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Moderate Complexity	$338	$202.80	$118.30 – $321
Physical therapy evaluation (moderate complexity): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $287.30 AETNA [5000] — AETNA INDEMNITY [50009]: $321.10 AETNA [5000] — AETNA LOCAL [50005]: $278.71 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $278.71 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $278.71 AETNA [5000] — AETNA NAP [50014]: $287.30 AETNA [5000] — AETNA NATIONAL [50006]: $278.71 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $278.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $278.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $278.71
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Pelvic Floor Eval Moderate Complexity	$338	$202.80	$118.30 – $321
Physical therapy evaluation (moderate complexity): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $287.30 AETNA [5000] — AETNA INDEMNITY [50009]: $321.10 AETNA [5000] — AETNA LOCAL [50005]: $278.71 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $278.71 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $278.71 AETNA [5000] — AETNA NAP [50014]: $287.30 AETNA [5000] — AETNA NATIONAL [50006]: $278.71 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $278.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $278.71 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $278.71
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Moderate Complexity\|OP PT SERVICES	$338	$202.80	$118.30 – $321
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY HMO [12525]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — AETNA MEDICARE ADVANTAGE LEGACY PPO [12524]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — BC OUT OF AREA MEDICARE ADVANTAGE [12502]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — HUMANA MEDICARE [12505]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — MEDICA PRIME SOLUTION MEDICARE COSTSHARE [12526]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — MO HEALTH ADVANTAGE MEDICARE REPLACEMENT [12528]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — OPTUM UHC MEDICARE ADVANTAGE [12508]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — PROVIDER PARTNER HEALTH PLANS [12529]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP KS [12521]: $135.20 MEDICARE REPLACEMENT PLAN [1250] — UHC DUAL COMPLETE SNP MO [12522]: $135.20
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity	$416	$249.60	$132.26 – $395
Physical therapy evaluation (high complexity): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $353.60 AETNA [5000] — AETNA INDEMNITY [50009]: $395.20 AETNA [5000] — AETNA LOCAL [50005]: $343.03 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $343.03 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $343.03 AETNA [5000] — AETNA NAP [50014]: $353.60 AETNA [5000] — AETNA NATIONAL [50006]: $343.03 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $343.03 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $343.03 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $343.03
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Pelvic Floor Eval High Complexity	$416	$249.60	$132.26 – $395
Physical therapy evaluation (high complexity): 10 of 74 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $353.60 AETNA [5000] — AETNA INDEMNITY [50009]: $395.20 AETNA [5000] — AETNA LOCAL [50005]: $343.03 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $343.03 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $343.03 AETNA [5000] — AETNA NAP [50014]: $353.60 AETNA [5000] — AETNA NATIONAL [50006]: $343.03 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $343.03 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $343.03 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $343.03
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC Individual Therapy 30 (16 - 37 Minutes)	$325	$195	$113.75 – $308
Psychotherapy, 30 minutes: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $276.25 AETNA [5000] — AETNA INDEMNITY [50009]: $308.75 AETNA [5000] — AETNA LOCAL [50005]: $268 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $268 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $268 AETNA [5000] — AETNA NAP [50014]: $276.25 AETNA [5000] — AETNA NATIONAL [50006]: $268 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $268 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $268 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $268
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC Individual Therapy 45 (38-52 Minutes)	$350	$210	$122.50 – $332
Psychotherapy, 45 minutes: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $297.50 AETNA [5000] — AETNA INDEMNITY [50009]: $332.50 AETNA [5000] — AETNA LOCAL [50005]: $288.61 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $288.61 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $288.61 AETNA [5000] — AETNA NAP [50014]: $297.50 AETNA [5000] — AETNA NATIONAL [50006]: $288.61 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $288.61 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $288.61 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $288.61
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC Individual Therapy 60 (53 Min or More)	$375	$225	$131.25 – $356
Psychotherapy, 60 minutes: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $318.75 AETNA [5000] — AETNA INDEMNITY [50009]: $356.25 AETNA [5000] — AETNA LOCAL [50005]: $309.23 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $309.23 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $309.23 AETNA [5000] — AETNA NAP [50014]: $318.75 AETNA [5000] — AETNA NATIONAL [50006]: $309.23 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $309.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $309.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $309.23
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC Family Therapy Without Patient 50 (26 Minutes or More)	$375	$225	$131.25 – $356
Family psychotherapy, without the patient: 10 of 59 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $318.75 AETNA [5000] — AETNA INDEMNITY [50009]: $356.25 AETNA [5000] — AETNA LOCAL [50005]: $309.23 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $309.23 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $309.23 AETNA [5000] — AETNA NAP [50014]: $318.75 AETNA [5000] — AETNA NATIONAL [50006]: $309.23 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $309.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $309.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $309.23
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC Family Therapy With Patient 50 (26 Minutes or More)	$375	$225	$131.25 – $356
Family psychotherapy, with the patient: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $318.75 AETNA [5000] — AETNA INDEMNITY [50009]: $356.25 AETNA [5000] — AETNA LOCAL [50005]: $309.23 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $309.23 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $309.23 AETNA [5000] — AETNA NAP [50014]: $318.75 AETNA [5000] — AETNA NATIONAL [50006]: $309.23 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $309.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $309.23 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $309.23
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC Group Therapy Not Multi-Family	$295	$177	$103.25 – $280
Group psychotherapy: 10 of 94 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $250.75 AETNA [5000] — AETNA INDEMNITY [50009]: $280.25 AETNA [5000] — AETNA LOCAL [50005]: $243.26 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $243.26 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $243.26 AETNA [5000] — AETNA NAP [50014]: $250.75 AETNA [5000] — AETNA NATIONAL [50006]: $243.26 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $243.26 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $243.26 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $243.26

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC CAH Egd Plain	$2,647	$1,588.20	$926.45 – $2,514
Upper GI endoscopy (diagnostic): 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,249.95 AETNA [5000] — AETNA INDEMNITY [50009]: $2,514.65 AETNA [5000] — AETNA LOCAL [50005]: $2,182.72 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,182.72 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,182.72 AETNA [5000] — AETNA NAP [50014]: $2,249.95 AETNA [5000] — AETNA NATIONAL [50006]: $2,182.72 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,182.72 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,182.72 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,182.72
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC CAH Egd Plain	$8,120.55	$4,872.33	$1,125.97 – $1,514
Upper GI endoscopy (diagnostic): 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $1,136.30 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $1,125.97 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $1,136.30 UNITED HEALTHCARE [3000] — UHC [30008]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $1,514 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $1,514
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC CAH Egd Biopsy	$2,983	$1,789.80	$1,044.05 – $2,833
Upper GI endoscopy with biopsy: 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,535.55 AETNA [5000] — AETNA INDEMNITY [50009]: $2,833.85 AETNA [5000] — AETNA LOCAL [50005]: $2,459.78 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,459.78 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,459.78 AETNA [5000] — AETNA NAP [50014]: $2,535.55 AETNA [5000] — AETNA NATIONAL [50006]: $2,459.78 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,459.78 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,459.78 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,459.78
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC CAH Colon Plain	$2,977	$1,786.20	$1,041.95 – $2,828
Colonoscopy (diagnostic): 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,530.45 AETNA [5000] — AETNA INDEMNITY [50009]: $2,828.15 AETNA [5000] — AETNA LOCAL [50005]: $2,454.83 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,454.83 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,454.83 AETNA [5000] — AETNA NAP [50014]: $2,530.45 AETNA [5000] — AETNA NATIONAL [50006]: $2,454.83 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,454.83 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,454.83 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,454.83
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC CAH Colon Plain	$4,727.60	$2,836.56	$580 – $1,514
Colonoscopy (diagnostic): 10 of 86 insurance plan rates UNITED HEALTHCARE [3000] — UHC [30008]: $709 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $709 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $709 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $709 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $709 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $709 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $709 UNITED HEALTHCARE [3000] — UHC GOLDEN RULE [30001]: $709 UNITED HEALTHCARE [3000] — UHC INDEMNITY [30007]: $709 UNITED HEALTHCARE [3000] — UHC INDIVIDUAL EXCHANGE BENEFIT PLAN [30012]: $580
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC CAH Colon Plain\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANESTHESIA	$8,851.05	$5,310.63	$580 – $1,514
Colonoscopy (diagnostic): 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $1,145.68 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $1,135.27 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $1,145.68 UNITED HEALTHCARE [3000] — UHC [30008]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $1,514 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $1,514
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC CAH Colon Biopsy W Forcep	$3,503	$2,101.80	$1,226.05 – $3,327
Colonoscopy with biopsy: 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $2,977.55 AETNA [5000] — AETNA INDEMNITY [50009]: $3,327.85 AETNA [5000] — AETNA LOCAL [50005]: $2,888.57 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $2,888.57 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $2,888.57 AETNA [5000] — AETNA NAP [50014]: $2,977.55 AETNA [5000] — AETNA NATIONAL [50006]: $2,888.57 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $2,888.57 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $2,888.57 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $2,888.57
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC CAH Colon Biopsy W Forcep	$6,305.40	$3,783.24	$1,240 – $1,514
Colonoscopy with biopsy: 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $1,479.25 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $1,465.80 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $1,479.25 UNITED HEALTHCARE [3000] — UHC [30008]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $1,514 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $1,514
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC CAH Colon Biopsy W Forcep\|CLRCTAL SCREEN TO DIAGN	$9,858.80	$5,915.28	$1,240 – $1,514
Colonoscopy with biopsy: 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $1,479.25 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $1,465.80 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $1,479.25 UNITED HEALTHCARE [3000] — UHC [30008]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $1,514 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $1,514
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC CAH Colon Polyp W Snare	$3,770	$2,262	$1,240 – $3,581
Colonoscopy with removal of polyps (snare): 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,204.50 AETNA [5000] — AETNA INDEMNITY [50009]: $3,581.50 AETNA [5000] — AETNA LOCAL [50005]: $3,108.74 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $3,108.74 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $3,108.74 AETNA [5000] — AETNA NAP [50014]: $3,204.50 AETNA [5000] — AETNA NATIONAL [50006]: $3,108.74 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $3,108.74 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $3,108.74 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $3,108.74
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC CAH Colon Polyp W Snare	$10,878.55	$6,527.13	$1,240 – $1,514
Colonoscopy with removal of polyps (snare): 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $1,479.25 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $1,465.80 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $1,479.25 UNITED HEALTHCARE [3000] — UHC [30008]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $1,514 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $1,514
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC CAH Colon Polyp W Snare\|CLRCTAL SCREEN TO DIAGN	$6,787.55	$4,072.53	$1,240 – $1,514
Colonoscopy with removal of polyps (snare): 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $1,479.25 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $1,465.80 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $1,479.25 UNITED HEALTHCARE [3000] — UHC [30008]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $1,514 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $1,514 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $1,514 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $1,514
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC CAH or Eye Laser Capsulotomy	$3,649	$2,189.40	$580 – $3,466
Laser treatment of clouding after cataract surgery: 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $3,101.65 AETNA [5000] — AETNA INDEMNITY [50009]: $3,466.55 AETNA [5000] — AETNA LOCAL [50005]: $3,008.97 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $3,008.97 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $3,008.97 AETNA [5000] — AETNA NAP [50014]: $3,101.65 AETNA [5000] — AETNA NATIONAL [50006]: $3,008.97 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $3,008.97 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $3,008.97 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $3,008.97
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC CAH or Eye Laser Capsulotomy Bilateral	$5,474	$3,284.40	$580 – $5,200
Laser treatment of clouding after cataract surgery: 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $4,652.90 AETNA [5000] — AETNA INDEMNITY [50009]: $5,200.30 AETNA [5000] — AETNA LOCAL [50005]: $4,513.86 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $4,513.86 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $4,513.86 AETNA [5000] — AETNA NAP [50014]: $4,652.90 AETNA [5000] — AETNA NATIONAL [50006]: $4,513.86 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $4,513.86 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $4,513.86 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $4,513.86
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: HC CAH Cataract Extract/Lens Imp Without Endoscopic Cyclophotocoagulation	$5,062	$3,037.20	$1,771.70 – $4,808
Cataract removal with lens implant: 10 of 86 insurance plan rates AETNA [5000] — AETNA I35 MERITAIN NAP [50018]: $4,302.70 AETNA [5000] — AETNA INDEMNITY [50009]: $4,808.90 AETNA [5000] — AETNA LOCAL [50005]: $4,174.13 AETNA [5000] — AETNA MERITAIN LOCAL [50015]: $4,174.13 AETNA [5000] — AETNA MERITAIN NATIONAL [50001]: $4,174.13 AETNA [5000] — AETNA NAP [50014]: $4,302.70 AETNA [5000] — AETNA NATIONAL [50006]: $4,174.13 AETNA [5000] — AETNA SIGNATURE MISC PPO [50010]: $4,174.13 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2905 [50002]: $4,174.13 AETNA [5000] — AETNA SIGNATURES LUMINARE POB 2920 [50000]: $4,174.13
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: HC CAH Cataract Extract/Lens Imp Without Endoscopic Cyclophotocoagulation	$8,243.60	$4,946.16	$2,069 – $2,921.18
Cataract removal with lens implant: 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $2,921.18 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $2,894.62 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $2,921.18 UNITED HEALTHCARE [3000] — UHC [30008]: $2,528 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $2,528 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $2,528 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $2,528 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $2,528 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $2,528 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $2,528
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: HC CAH Cataract Extract/Lens Imp Without Endoscopic Cyclophotocoagulation\|LEFT SIDE	$8,261.15	$4,956.69	$2,069 – $2,921.18
Cataract removal with lens implant: 10 of 86 insurance plan rates MEDICAID MANAGED CARE (MO) [2250] — HEALTHY BLUE MISSOURI [22572]: $2,921.18 MEDICAID MANAGED CARE (MO) [2250] — HOME STATE HEALTH PLAN [22506]: $2,894.62 MEDICAID MANAGED CARE (MO) [2250] — UHC COMMUNITY PLAN OF MO [22517]: $2,921.18 UNITED HEALTHCARE [3000] — UHC [30008]: $2,528 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO ALLSAVERS [30005]: $2,528 UNITED HEALTHCARE [3000] — UHC CHOICE PLUS PPO UMR [30002]: $2,528 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIAL [30018]: $2,528 UNITED HEALTHCARE [3000] — UHC CORE ESSENTIALS ALL SAVERS [30019]: $2,528 UNITED HEALTHCARE [3000] — UHC CORE UMR [30020]: $2,528 UNITED HEALTHCARE [3000] — UHC GEHA [30015]: $2,528

Source: Wright Memorial Hospital’s standard charges file (saintlukeskc.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 31, 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	Critical Access Hospital
Address	191 Iowa Boulevard, Trenton, MO 64683
County	Grundy County
State	Missouri
Phone	(660) 358‑5700
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	261309
Name in Medicare records	WRIGHT MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	saintlukeskc.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Wright Memorial Hospital — saintlukeskc.org
Wright Memorial Hospital | Saint Luke's — saintlukeskc.org

Wright Memorial Hospital

Summary

Profile from official sources

At a glance