Compare real prices at Missouri Baptist Sullivan Hospital in Sullivan, MO. Taven tracks 397 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
Procedure Prices at Missouri Baptist Sullivan Hospital
397 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Sullivan, MO metro average.
Last updated: March 26, 2026
| Procedure | Cash Price | Avg Negotiated | Sullivan Avg | vs. Avg | Payers |
|---|---|---|---|---|---|
| Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing. |
— | $2,370 | $2,370 | avg | 50 |
| Skin Biopsy (Tangential, Single Lesion) CPT 11102 Skin biopsy, tangential — removal of a thin layer of skin tissue for microscopic examination to diagnose skin conditions or suspicious lesions. |
— | $763 | $763 | avg | 50 |
| Skin Biopsy (Punch, Single Lesion) CPT 11104 Skin punch biopsy — removal of a small, full-thickness circular sample of skin for laboratory analysis to diagnose skin conditions. |
— | $2,017 | $2,017 | avg | 50 |
| Skin Graft Preparation CPT 15002 Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting. |
— | $10,653 | $10,653 | avg | 49 |
| Split-Thickness Skin Graft CPT 15100 Split-Thickness Skin Graft — CPT code 15100 covers split-thickness skin graft performed in a clinical or hospital setting. |
— | $12,023 | $12,023 | avg | 49 |
| Skin Substitute Graft (≤25 sq cm) CPT 15271 Skin Substitute Graft (≤25 sq cm) — CPT code 15271 covers skin substitute graft (≤25 sq cm) performed in a clinical or hospital setting. |
— | $4,200 | $4,200 | avg | 50 |
| Skin Substitute Graft (≤100 sq cm) CPT 15275 Skin Substitute Graft (≤100 sq cm) — CPT code 15275 covers skin substitute graft (≤100 sq cm) performed in a clinical or hospital setting. |
— | $4,954 | $4,954 | avg | 50 |
| Destruction of Premalignant Lesion (First) CPT 17000 Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods. |
— | $433 | $433 | avg | 50 |
| Wart Removal (Up to 14 Lesions) CPT 17110 Destruction of benign skin lesions, up to 14 — removal of warts, skin tags, or other non-cancerous growths. |
— | $5,777 | $5,777 | avg | 49 |
| Joint Injection (small joint) CPT 20600 Small joint injection — injection of medication into a small joint like a finger or toe to reduce pain and inflammation. |
— | $1,348 | $1,348 | avg | 49 |
| Joint Injection (medium joint) CPT 20605 Medium joint injection — injection of medication into a medium-sized joint like the elbow, wrist, or ankle to reduce pain and inflammation. |
— | $1,711 | $1,711 | avg | 50 |
| Joint Injection (Major Joint) CPT 20610 Large joint injection — injection of medication (such as cortisone) into a large joint like the knee, shoulder, or hip to reduce pain and inflammation. |
— | $1,932 | $1,932 | avg | 51 |
| Joint Injection with Ultrasound (Major Joint) CPT 20611 Ultrasound — joint injection with ultrasound (major joint). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $1,769 | $1,769 | avg | 51 |
| Trigger Finger Release CPT 26055 Trigger finger release — a procedure to free a finger tendon that has become stuck, causing the finger to catch or lock when bending. |
— | $8,594 | $8,594 | avg | 50 |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
— | $7,165 | $7,165 | avg | 51 |
| TAVR - Transcatheter Aortic Valve Replacement CPT 33361 Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery. |
— | $15,613 | $15,613 | avg | 50 |
| Venipuncture (blood draw) CPT 36415 A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing. |
— | $20 | $20 | +1% | 51 |
| Central Venous Catheter CPT 36556 Insertion of a central venous catheter (a thin, flexible tube) into a large vein to deliver medications, fluids, or nutrition directly into the bloodstream. |
— | $24,117 | $24,117 | avg | 51 |
| Central Venous Access Device CPT 36571 Central Venous Access Device — CPT code 36571 covers central venous access device performed in a clinical or hospital setting. |
— | $15,632 | $15,632 | avg | 51 |
| Central Venous Access - Jugular CPT 36573 Insertion of a central venous catheter into the jugular vein (in the neck) for direct access to the central bloodstream for medications or monitoring. |
— | $2,143 | $2,143 | avg | 50 |
| Arterial Line Placement CPT 36620 Placement of a thin tube (catheter) into an artery, usually in the wrist, to continuously monitor blood pressure during surgery or critical care. |
— | $5,264 | $5,264 | avg | 51 |
| Upper Endoscopy (EGD) Diagnostic CPT 43235 Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine. |
— | $2,618 | $2,618 | avg | 51 |
| Upper Endoscopy (EGD) with Biopsy CPT 43239 Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis. |
— | $4,840 | $4,840 | avg | 51 |
| Upper Endoscopy with Dilation CPT 43249 Upper endoscopy with dilation — a flexible scope is used to stretch a narrowed area of the esophagus or stomach to improve swallowing. |
— | $3,951 | $3,951 | avg | 50 |
| Upper GI Endoscopy with Polypectomy CPT 43251 Upper GI Endoscopy with Polypectomy — CPT code 43251 covers upper gi endoscopy with polypectomy performed in a clinical or hospital setting. |
— | $5,602 | $5,602 | avg | 50 |
| Upper GI Endoscopy with Band Ligation CPT 43270 Upper GI Endoscopy with Band Ligation — CPT code 43270 covers upper gi endoscopy with band ligation performed in a clinical or hospital setting. |
— | $6,733 | $6,733 | avg | 50 |
| Small Bowel Resection CPT 44120 Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury. |
— | $21,258 | $21,258 | avg | 51 |
| Colonoscopy (diagnostic) CPT 45378 Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities. |
— | $4,086 | $4,086 | avg | 51 |
| Colonoscopy with Biopsy CPT 45380 Colonoscopy with biopsy — examination of the large intestine with a camera, during which tissue samples are taken from suspicious areas for laboratory analysis. |
— | $5,935 | $5,935 | avg | 51 |
| Colonoscopy with Polyp Removal CPT 45385 Colonoscopy with polyp removal — examination of the large intestine during which precancerous growths (polyps) are found and removed to prevent colon cancer. |
— | $5,036 | $5,036 | avg | 51 |
| Inguinal Hernia Repair CPT 49505 Inguinal hernia repair — surgical repair of a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles. |
— | $12,213 | $12,213 | avg | 50 |
| Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting. |
— | $8,971 | $8,971 | avg | 50 |
| Cystoscopy (Bladder Exam) CPT 52000 Cystoscopy — a thin scope with a camera is inserted through the urethra to examine the inside of the bladder and urinary tract. |
— | $13,160 | $13,160 | avg | 51 |
| Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting. |
— | $12,498 | $12,498 | avg | 51 |
| Colposcopy with Biopsy (Cervical) CPT 57454 Colposcopy with Biopsy (Cervical) — CPT code 57454 covers colposcopy with biopsy (cervical) performed in a clinical or hospital setting. |
— | $1,406 | $1,406 | avg | 50 |
| Endometrial Biopsy CPT 58100 Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting. |
— | $1,016 | $1,016 | avg | 51 |
| IUD Insertion CPT 58300 IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting. |
— | $7,974 | $7,974 | avg | 51 |
| IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting. |
— | $7,684 | $7,684 | avg | 51 |
| Fetal Non-Stress Test CPT 59025 Fetal non-stress test — monitoring the baby's heart rate in response to its own movements to assess fetal wellbeing. |
— | $441 | $441 | avg | 49 |
| Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting. |
— | $1,866 | $1,866 | avg | 50 |
| Lumbar Epidural Injection CPT 62322 Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief. |
— | $3,089 | $3,089 | avg | 50 |
| Lumbar Epidural - Fluoroscopic CPT 62323 Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement. |
— | $2,713 | $2,713 | avg | 50 |
| Transforaminal Epidural Injection CPT 64483 Lumbar epidural steroid injection — injection of anti-inflammatory medication into the space around spinal nerves in the lower back to relieve pain. |
— | $3,556 | $3,556 | avg | 50 |
| Facet Joint Injection - Lumbar CPT 64493 Lumbar facet joint injection — injection of medication into the small joints of the lower spine to diagnose and treat back pain. |
— | $5,935 | $5,935 | avg | 50 |
| Facet Joint Destruction - Lumbar CPT 64635 Facet Joint Destruction - Lumbar — CPT code 64635 covers facet joint destruction - lumbar performed in a clinical or hospital setting. |
— | $10,659 | $10,659 | avg | 50 |
| Carpal Tunnel Release CPT 64721 Carpal tunnel release — surgery to relieve pressure on the median nerve in the wrist, treating numbness, tingling, and weakness in the hand. |
— | $7,586 | $7,586 | avg | 51 |
| Glaucoma Laser Surgery CPT 65855 Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting. |
— | $749 | $749 | avg | 50 |
| YAG Laser Capsulotomy CPT 66821 YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting. |
— | $1,555 | $1,555 | avg | 50 |
| Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting. |
— | $5,756 | $5,756 | avg | 51 |
| CT Head without Contrast CPT 70450 CT scan — ct head without contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $904 | $904 | avg | 49 |
| CT Head with Contrast CPT 70460 CT scan — ct head with contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $1,054 | $1,054 | avg | 49 |
| Brain MRI without Contrast CPT 70551 MRI of the brain without contrast — detailed magnetic resonance imaging of the brain to evaluate for abnormalities without using contrast dye. |
— | $1,408 | $1,408 | avg | 49 |
| MRI Brain with/without Contrast CPT 70553 MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions. |
— | $2,813 | $2,813 | avg | 49 |
| Chest X-Ray (single view) CPT 71045 X-ray imaging — chest x-ray (single view). A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $150 | $150 | avg | 50 |
| Chest X-Ray (2 views) CPT 71046 Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions. |
— | $277 | $277 | avg | 50 |
| CT Chest without Contrast CPT 71250 CT scan of the chest without contrast — detailed cross-sectional imaging of the lungs, heart, and chest structures without contrast dye. |
— | $935 | $935 | avg | 49 |
| CT Chest with Contrast CPT 71260 CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues. |
— | $1,445 | $1,445 | avg | 49 |
| Lumbar Spine X-Ray CPT 72100 X-ray imaging — lumbar spine x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $346 | $346 | avg | 49 |
| MRI Cervical Spine without Contrast CPT 72141 MRI of the cervical spine (neck) without contrast — detailed imaging of the neck spine to evaluate for herniated discs, spinal cord problems, or nerve issues. |
— | $1,839 | $1,839 | avg | 49 |
| MRI Lumbar Spine without Contrast CPT 72148 MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression. |
— | $1,896 | $1,896 | avg | 49 |
| Shoulder X-Ray CPT 73030 X-ray imaging — shoulder x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $315 | $315 | avg | 49 |
| Hand X-Ray CPT 73130 X-ray imaging — hand x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $290 | $290 | avg | 49 |
| MRI Shoulder without Contrast CPT 73221 MRI of any joint of the upper extremity without contrast — detailed imaging of a shoulder, elbow, wrist, or hand joint. |
— | $1,848 | $1,848 | avg | 49 |
| Knee X-Ray CPT 73560 X-ray imaging — knee x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $287 | $287 | avg | 49 |
| Ankle X-Ray CPT 73610 X-ray imaging — ankle x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $325 | $325 | avg | 49 |
| MRI Knee without Contrast CPT 73721 MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance. |
— | $1,804 | $1,804 | avg | 50 |
| CT Abdomen/Pelvis without Contrast CPT 74176 CT scan of the abdomen and pelvis without contrast followed by with contrast — complete imaging study of the abdomen and pelvis. |
— | $2,004 | $2,004 | avg | 49 |
| CT Abdomen/Pelvis with Contrast CPT 74177 CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection. |
— | $2,249 | $2,249 | avg | 49 |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $579 | $579 | avg | 50 |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
— | $781 | $781 | avg | 49 |
| OB Ultrasound (first trimester) CPT 76801 Ultrasound — ob ultrasound (first trimester). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $580 | $580 | avg | 49 |
| OB Ultrasound (complete) CPT 76805 Ultrasound — ob ultrasound (complete). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $746 | $746 | avg | 49 |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
— | $564 | $564 | avg | 49 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
— | $726 | $726 | avg | 49 |
| 3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting. |
— | $47 | $47 | avg | 49 |
| Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer. |
— | $197 | $197 | avg | 50 |
| Diagnostic Mammogram (bilateral) CPT 77066 Screening mammogram of both breasts — routine X-ray imaging of both breasts to detect early breast cancer in women without symptoms. |
— | $289 | $289 | avg | 50 |
| Screening Mammogram (bilateral) CPT 77067 Screening mammogram of both breasts including computer-aided detection — enhanced breast X-ray with software assistance for improved cancer detection. |
— | $209 | $209 | avg | 50 |
| Nuclear Stress Test (SPECT MPI) CPT 78452 Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries. |
— | $4,216 | $4,216 | avg | 49 |
| BMP (Basic Metabolic Panel) CPT 80048 Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance. |
— | $94 | $94 | avg | 51 |
| CMP (Comprehensive Metabolic Panel) CPT 80053 Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels. |
— | $136 | $136 | avg | 51 |
| Lipid Panel CPT 80061 Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk. |
— | $86 | $86 | avg | 51 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $137 | $137 | avg | 51 |
| Urinalysis with Microscopy CPT 81001 Urinalysis with microscopy — a urine test that examines the physical, chemical, and microscopic properties of urine to detect infections, kidney disease, or other conditions. |
— | $21 | $21 | -1% | 51 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
— | $15 | $15 | -2% | 51 |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
— | $178 | $178 | avg | 51 |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
— | $28 | $28 | -1% | 51 |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
— | $103 | $103 | avg | 51 |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
— | $48 | $48 | -1% | 51 |
| Hemoglobin A1C CPT 83036 Hemoglobin A1c test — a blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes. |
— | $58 | $58 | avg | 51 |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
— | $15 | $15 | +2% | 51 |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
— | $97 | $97 | avg | 51 |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
— | $26 | $26 | -1% | 51 |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
— | $129 | $129 | avg | 51 |
| CBC (Complete Blood Count) CPT 85025 Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health. |
— | $58 | $58 | avg | 51 |
| PT/INR (Prothrombin Time) CPT 85610 PT/INR (Prothrombin Time) — CPT code 85610 covers pt/inr (prothrombin time) performed in a clinical or hospital setting. |
— | $16 | $16 | -1% | 51 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
— | $96 | $96 | avg | 51 |
| COVID-19 Test (rapid antigen) CPT 87426 COVID-19 Test (rapid antigen) — CPT code 87426 covers covid-19 test (rapid antigen) performed in a clinical or hospital setting. |
— | $49 | $49 | avg | 51 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
— | $144 | $144 | avg | 51 |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
— | $115 | $115 | avg | 51 |
| COVID-19 Test (PCR) CPT 87635 COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting. |
— | $76 | $76 | avg | 51 |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
— | $25 | $25 | +1% | 51 |
| Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting. |
— | $88 | $88 | avg | 50 |
| Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting. |
— | $78 | $78 | avg | 50 |
| Flu Vaccine (high dose) CPT 90662 Flu Vaccine (high dose) — CPT code 90662 covers flu vaccine (high dose) performed in a clinical or hospital setting. |
— | $146 | $146 | avg | 50 |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
— | $98 | $98 | avg | 50 |
| Psychiatric Eval with Medical Services CPT 90792 Psychiatric Eval with Medical Services — CPT code 90792 covers psychiatric eval with medical services performed in a clinical or hospital setting. |
— | $533 | $533 | avg | 41 |
| Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting. |
— | $32,116 | $32,116 | avg | 51 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
— | $2,942 | $2,942 | avg | 50 |
| Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting. |
— | $2,678 | $2,678 | avg | 50 |
| Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting. |
— | $9,584 | $9,584 | avg | 51 |
| Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $1,202 | $1,202 | avg | 50 |
| Venous Duplex Scan (legs) CPT 93971 Venous Duplex Scan (legs) — CPT code 93971 covers venous duplex scan (legs) performed in a clinical or hospital setting. |
— | $839 | $839 | avg | 50 |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
— | $170 | $170 | avg | 50 |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
— | $352 | $352 | avg | 50 |
| Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour. |
— | $758 | $758 | avg | 1 |
| PT - Ultrasound Therapy CPT 97035 Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $89 | $89 | avg | 50 |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
— | $111 | $111 | avg | 50 |
| PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting. |
— | $86 | $86 | avg | 50 |
| PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching. |
— | $103 | $103 | avg | 50 |
| PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition. |
— | $181 | $181 | avg | 50 |
| PT Evaluation - Moderate Complexity CPT 97162 Physical therapy evaluation, moderate complexity — initial assessment by a physical therapist for a condition requiring moderate clinical decision-making. |
— | $191 | $191 | avg | 50 |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
— | $270 | $270 | avg | 50 |
| PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities. |
— | $91 | $91 | avg | 50 |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
— | $526 | $526 | avg | 41 |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
— | $696 | $696 | avg | 41 |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
— | $992 | $992 | avg | 41 |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
— | $1,200 | $1,200 | avg | 41 |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
— | $1,635 | $1,635 | avg | 51 |
| Critical Care - First Hour CPT 99291 Critical care, first 30-74 minutes — intensive medical care for a critically ill or injured patient whose condition requires constant attention from the physician. |
— | $2,075 | $2,075 | avg | 51 |
| Critical Care - Additional 30 Min CPT 99292 Critical care, each additional 30 minutes — continued intensive care beyond the first 74 minutes for a critically ill patient. |
— | $1,159 | $1,159 | avg | 41 |
| Ceftriaxone Injection 250mg CPT J0696 HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg. |
— | $10 | $10 | +3% | 50 |
| Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection. |
— | $25 | $25 | +1% | 50 |
| Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection. |
— | $3 | $3 | +9% | 50 |
| Skin Lesion Paring (single) CPT 11055 Paring or cutting of benign hyperkeratotic lesion |
— | $199 | $199 | avg | 1 |
| Skin Tag Removal (up to 15) CPT 11200 Removal of skin tags, multiple fibrocutaneous tags |
— | $7,254 | $7,254 | avg | 1 |
| Excision of Benign Skin Lesion (0.6-1.0 cm) CPT 11401 Excision of benign lesion, trunk/arms/legs, 0.6-1.0 cm |
— | $6,739 | $6,739 | avg | 1 |
| Excision of Benign Skin Lesion (1.1-2.0 cm) CPT 11402 Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm |
— | $6,788 | $6,788 | avg | 1 |
| Tendon Sheath Injection CPT 20550 Injection of tendon sheath, ligament, or trigger point |
— | $2,895 | $2,895 | avg | 1 |
| Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography |
— | $3,538 | $3,538 | avg | 1 |
| Closed Treatment Distal Radius Fracture (with manipulation) CPT 25605 Closed treatment of distal radial fracture with manipulation |
— | $1,330 | $1,330 | avg | 1 |
| Amputation - Toe CPT 28820 Amputation of toe at metatarsophalangeal joint |
— | $10,341 | $10,341 | avg | 1 |
| EGD with Gastrostomy Tube CPT 43246 Upper GI endoscopy with gastrostomy tube placement |
— | $2,708 | $2,708 | avg | 1 |
| EGD with Foreign Body Removal CPT 43247 Upper GI endoscopy with removal of foreign body |
— | $2,561 | $2,561 | avg | 1 |
| EGD with Hemostasis CPT 43255 Upper GI endoscopy with control of bleeding |
— | $4,196 | $4,196 | avg | 1 |
| Sigmoidoscopy (diagnostic) CPT 45330 Sigmoidoscopy, flexible, diagnostic |
— | $3,111 | $3,111 | avg | 1 |
| Sigmoidoscopy with Biopsy CPT 45331 Sigmoidoscopy, flexible, with biopsy |
— | $2,191 | $2,191 | avg | 1 |
| Colonoscopy with Control of Bleeding CPT 45382 Colonoscopy with control of bleeding |
— | $4,783 | $4,783 | avg | 1 |
| Colonoscopy with Lesion Removal (hot biopsy) CPT 45384 Colonoscopy with removal of tumor by hot biopsy forceps |
— | $1,561 | $1,561 | avg | 1 |
| Colonoscopy with Ablation CPT 45388 Colonoscopy with ablation of tumor or polyp |
— | $3,715 | $3,715 | avg | 1 |
| Colonoscopy with Foreign Body Removal CPT 45390 Colonoscopy with removal of foreign body |
— | $3,024 | $3,024 | avg | 1 |
| CT Sinus without Contrast CPT 70486 CT scan of maxillofacial area without contrast |
— | $969 | $969 | avg | 1 |
| CT Soft Tissue Neck with Contrast CPT 70491 CT scan of soft tissue neck with contrast |
— | $1,254 | $1,254 | avg | 1 |
| MRI Head/Neck MRA CPT 70543 Magnetic resonance angiography, head and/or neck |
— | $2,230 | $2,230 | avg | 1 |
| CT Chest Low Dose (Lung Screening) CPT 71271 CT chest for lung cancer screening, low dose |
— | $821 | $821 | avg | 1 |
| CT Angiography Chest CPT 71275 CT angiography of chest with contrast |
— | $1,390 | $1,390 | avg | 1 |
| CT Cervical Spine without Contrast CPT 72125 CT cervical spine without contrast |
— | $828 | $828 | avg | 1 |
| CT Lumbar Spine without Contrast CPT 72131 CT lumbar spine without contrast |
— | $801 | $801 | avg | 1 |
| MRI Cervical Spine with/without Contrast CPT 72156 MRI cervical spine without contrast, then with contrast |
— | $2,086 | $2,086 | avg | 1 |
| MRI Lumbar Spine with/without Contrast CPT 72158 MRI lumbar spine without contrast, then with contrast |
— | $2,289 | $2,289 | avg | 1 |
| CT Pelvis without Contrast CPT 72192 CT pelvis without contrast |
— | $615 | $615 | avg | 1 |
| CT Pelvis with Contrast CPT 72193 CT pelvis with contrast |
— | $1,419 | $1,419 | avg | 1 |
| MRI Pelvis without/with Contrast CPT 72197 MRI pelvis without contrast, then with contrast |
— | $1,637 | $1,637 | avg | 1 |
| Clavicle X-Ray CPT 73000 Radiologic examination of clavicle |
— | $289 | $289 | avg | 1 |
| Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views |
— | $164 | $164 | avg | 1 |
| Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views |
— | $151 | $151 | avg | 1 |
| Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views |
— | $276 | $276 | avg | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $277 | $277 | avg | 1 |
| Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views |
— | $369 | $369 | avg | 1 |
| MRI Shoulder with Contrast CPT 73222 MRI any joint of upper extremity with contrast |
— | $2,494 | $2,494 | avg | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $290 | $290 | avg | 1 |
| Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views |
— | $217 | $217 | avg | 1 |
| Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views |
— | $324 | $324 | avg | 1 |
| Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views |
— | $226 | $226 | avg | 1 |
| Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views |
— | $293 | $293 | avg | 1 |
| Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views |
— | $281 | $281 | avg | 1 |
| MRI Lower Extremity without Contrast CPT 73718 MRI lower extremity other than joint without contrast |
— | $1,572 | $1,572 | avg | 1 |
| MRI Knee with/without Contrast CPT 73723 MRI any joint of lower extremity without then with contrast |
— | $1,772 | $1,772 | avg | 1 |
| Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view |
— | $268 | $268 | avg | 1 |
| Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views |
— | $287 | $287 | avg | 1 |
| CT Abdomen without Contrast CPT 74150 CT abdomen without contrast |
— | $864 | $864 | avg | 1 |
| CT Abdomen/Pelvis with/without Contrast CPT 74178 CT abdomen and pelvis without contrast, then with contrast |
— | $2,578 | $2,578 | avg | 1 |
| MRI Abdomen without Contrast CPT 74181 MRI abdomen without contrast |
— | $1,492 | $1,492 | avg | 1 |
| MRI Abdomen with/without Contrast CPT 74183 MRI abdomen without contrast, then with contrast |
— | $2,013 | $2,013 | avg | 1 |
| Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image |
— | $583 | $583 | avg | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $425 | $425 | avg | 1 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $596 | $596 | avg | 1 |
| Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited |
— | $315 | $315 | avg | 1 |
| OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited |
— | $401 | $401 | avg | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $496 | $496 | avg | 1 |
| Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up |
— | $362 | $362 | avg | 1 |
| Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents |
— | $613 | $613 | avg | 1 |
| Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time |
— | $420 | $420 | avg | 1 |
| Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation |
— | $468 | $468 | avg | 1 |
| Bone Age Study CPT 77072 Bone age studies |
— | $135 | $135 | avg | 1 |
| Bone Length Studies CPT 77073 Bone length studies |
— | $293 | $293 | avg | 1 |
| Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete |
— | $456 | $456 | avg | 1 |
| DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton |
— | $278 | $278 | avg | 1 |
| DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton |
— | $130 | $130 | avg | 1 |
| DEXA Body Composition CPT 77085 DXA bone density study, body composition |
— | $146 | $146 | avg | 1 |
| Bone Scan (whole body) CPT 78306 Bone imaging, whole body |
— | $1,371 | $1,371 | avg | 1 |
| PET Scan (limited) CPT 78815 PET for limited area other than heart or brain |
— | $4,185 | $4,185 | avg | 1 |
| PET Scan (whole body) CPT 78816 PET for tumor, whole body |
— | $4,399 | $4,399 | avg | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $38 | $38 | avg | 1 |
| Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test |
— | $271 | $271 | avg | 1 |
| Albumin Level CPT 82040 Albumin, serum, plasma or whole blood |
— | $23 | $23 | +1% | 1 |
| Amylase Level CPT 82150 Amylase test |
— | $76 | $76 | avg | 1 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $38 | $38 | avg | 1 |
| Bilirubin Direct CPT 82248 Bilirubin, direct |
— | $19 | $19 | -1% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $34 | $34 | avg | 1 |
| CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate) |
— | $25 | $25 | -1% | 1 |
| Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total |
— | $34 | $34 | -1% | 1 |
| CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total |
— | $28 | $28 | -1% | 1 |
| Creatinine Level CPT 82565 Creatinine; blood |
— | $20 | $20 | -1% | 1 |
| Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12) |
— | $93 | $93 | avg | 1 |
| Estradiol Level CPT 82670 Estradiol |
— | $141 | $141 | avg | 1 |
| Folic Acid Level CPT 82746 Folic acid, serum |
— | $87 | $87 | avg | 1 |
| IgA Level CPT 82784 Gammaglobulin IgA |
— | $74 | $74 | avg | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $117 | $117 | avg | 1 |
| Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device |
— | $19 | $19 | -2% | 1 |
| FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH) |
— | $131 | $131 | avg | 1 |
| LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH) |
— | $133 | $133 | avg | 1 |
| Iron Level CPT 83540 Iron |
— | $53 | $53 | avg | 1 |
| Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total |
— | $79 | $79 | avg | 1 |
| LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH) |
— | $63 | $63 | +1% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $79 | $79 | avg | 1 |
| Magnesium Level CPT 83735 Magnesium |
— | $33 | $33 | +1% | 1 |
| BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP) |
— | $81 | $81 | -1% | 1 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $168 | $168 | avg | 1 |
| Alkaline Phosphatase CPT 84075 Phosphatase, alkaline |
— | $25 | $25 | -2% | 1 |
| Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate) |
— | $19 | $19 | avg | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $77 | $77 | avg | 1 |
| Progesterone Level CPT 84144 Progesterone |
— | $118 | $118 | avg | 1 |
| Prolactin Level CPT 84146 Prolactin |
— | $140 | $140 | avg | 1 |
| Testosterone Total CPT 84403 Testosterone, total |
— | $127 | $127 | avg | 1 |
| Thyroxine Total (T4) CPT 84436 Thyroxine, total |
— | $42 | $42 | avg | 1 |
| Free Thyroxine (Free T4) CPT 84439 Thyroxine, free |
— | $98 | $98 | avg | 1 |
| Transferrin Level CPT 84466 Transferrin |
— | $49 | $49 | avg | 1 |
| Triglycerides CPT 84478 Triglycerides |
— | $25 | $25 | +1% | 1 |
| T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total |
— | $87 | $87 | avg | 1 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $131 | $131 | avg | 1 |
| Troponin (Cardiac) CPT 84484 Troponin, quantitative |
— | $72 | $72 | avg | 1 |
| BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN) |
— | $25 | $25 | -2% | 1 |
| Uric Acid Level CPT 84550 Uric acid, blood |
— | $58 | $58 | avg | 1 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $62 | $62 | -1% | 1 |
| D-Dimer CPT 85379 Fibrin degradation products, D-dimer |
— | $87 | $87 | avg | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $33 | $33 | -1% | 1 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $29 | $29 | avg | 1 |
| Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen |
— | $39 | $39 | +1% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $51 | $51 | avg | 1 |
| Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody |
— | $147 | $147 | avg | 1 |
| Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody |
— | $99 | $99 | avg | 1 |
| CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125 |
— | $108 | $108 | avg | 1 |
| CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9 |
— | $103 | $103 | avg | 1 |
| Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative |
— | $67 | $67 | avg | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $210 | $210 | avg | 1 |
| Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative |
— | $42 | $42 | +1% | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $85 | $85 | avg | 1 |
| Hepatitis A Antibody CPT 86696 Antibody, hepatitis A |
— | $105 | $105 | avg | 1 |
| Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total |
— | $82 | $82 | avg | 1 |
| Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb) |
— | $85 | $85 | avg | 1 |
| Rubella Antibody CPT 86762 Antibody, rubella |
— | $86 | $86 | avg | 1 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $35 | $35 | avg | 1 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $71 | $71 | avg | 1 |
| Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique |
— | $108 | $108 | avg | 1 |
| Rh Blood Type CPT 86901 Blood typing, Rh (D) |
— | $50 | $50 | avg | 1 |
| Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool |
— | $79 | $79 | +1% | 1 |
| Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods |
— | $19 | $19 | -1% | 1 |
| Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only |
— | $54 | $54 | -1% | 1 |
| Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine |
— | $87 | $87 | avg | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $30 | $30 | +1% | 1 |
| Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain |
— | $25 | $25 | avg | 1 |
| Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg) |
— | $92 | $92 | avg | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $108 | $108 | avg | 1 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $102 | $102 | avg | 1 |
| Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A |
— | $22 | $22 | +2% | 1 |
| Laceration Repair - Intermediate (2.6-7.5 cm) CPT 12032 Repair, intermediate, wounds of scalp/trunk/extremities |
— | $7,384 | $7,384 | avg | 1 |
| Laceration Repair - Intermediate Face (2.5 cm) CPT 12051 Repair, intermediate, wounds of face, 2.5 cm or less |
— | $7,030 | $7,030 | avg | 1 |
| Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small |
— | $1,902 | $1,902 | avg | 1 |
| Burn Dressing (medium) CPT 16025 Dressings and/or debridement of partial-thickness burns, medium |
— | $1,582 | $1,582 | avg | 1 |
| Endotracheal Intubation CPT 31500 Intubation, endotracheal, emergency procedure |
— | $337 | $337 | avg | 1 |
| Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill |
— | $2,585 | $2,585 | avg | 1 |
| IV Infusion (hydration, first hour) CPT 96360 Intravenous infusion, hydration, initial 31-60 minutes |
— | $381 | $381 | avg | 1 |
| IV Infusion (hydration, additional hour) CPT 96361 Intravenous infusion, hydration, each additional hour |
— | $178 | $178 | avg | 1 |
| IV Infusion (therapeutic, first hour) CPT 96365 Intravenous infusion for therapy/prophylaxis, initial up to 1 hour |
— | $515 | $515 | avg | 1 |
| IV Infusion (therapeutic, additional hour) CPT 96366 Intravenous infusion for therapy, each additional hour |
— | $191 | $191 | avg | 1 |
| IV Infusion (additional sequential) CPT 96367 Intravenous infusion, additional sequential infusion, up to 1 hour |
— | $232 | $232 | avg | 1 |
| IV Push (each additional) CPT 96375 Therapeutic, prophylactic, or diagnostic injection; each additional sequential IV push |
— | $229 | $229 | avg | 1 |
| IV Push (each additional, same drug) CPT 96376 Therapeutic injection, IV push, each additional sequential IV push of same substance |
— | $116 | $116 | avg | 1 |
| Immunization Admin (each additional) CPT 90472 Immunization administration, each additional vaccine |
— | $27 | $27 | -1% | 1 |
| Hepatitis A Vaccine (adult) CPT 90632 Hepatitis A vaccine, adult dosage |
— | $170 | $170 | avg | 1 |
| MMR Vaccine CPT 90707 Measles, mumps, rubella vaccine |
— | $227 | $227 | avg | 1 |
| Hepatitis B Vaccine (adult) CPT 90746 Hepatitis B vaccine, adult dosage |
— | $114 | $114 | avg | 1 |
| Breast Biopsy (ultrasound-guided) CPT 19083 Biopsy, breast, with placement of breast localization device, ultrasound guidance |
— | $3,681 | $3,681 | avg | 1 |
| Hysterosalpingography (HSG) CPT 58340 Catheterization and introduction of saline for sonohysterography |
— | $1,559 | $1,559 | avg | 1 |
| Hysteroscopy with Biopsy/Polypectomy CPT 58558 Hysteroscopy, surgical, with sampling of endometrium |
— | $9,017 | $9,017 | avg | 1 |
| Hysteroscopy with Ablation CPT 58563 Hysteroscopy, surgical, with endometrial ablation |
— | $15,023 | $15,023 | avg | 1 |
| Missed Abortion Treatment (first trimester) CPT 59820 Treatment of missed abortion, completed surgically, first trimester |
— | $8,282 | $8,282 | avg | 1 |
| Incision and Drainage of Abscess (simple) CPT 10060 Incision and drainage of abscess, simple or single |
— | $2,381 | $2,381 | avg | 1 |
| Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple |
— | $4,094 | $4,094 | avg | 1 |
| Foreign Body Removal (skin, simple) CPT 10120 Incision and removal of foreign body, subcutaneous tissues, simple |
— | $5,337 | $5,337 | avg | 1 |
| Incision and Drainage of Hematoma CPT 10140 Incision and drainage of hematoma, seroma, or fluid collection |
— | $4,290 | $4,290 | avg | 1 |
| Aspiration of Abscess/Cyst CPT 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst |
— | $401 | $401 | avg | 1 |
| Debridement - Muscle/Fascia CPT 11043 Debridement, muscle and/or fascia, first 20 sq cm |
— | $4,285 | $4,285 | avg | 1 |
| Cervical Transforaminal Epidural CPT 64479 Injection, anesthetic agent and/or steroid, transforaminal epidural, cervical or thoracic |
— | $715 | $715 | avg | 1 |
| Transforaminal Epidural (additional level) CPT 64484 Injection, transforaminal epidural, lumbar or sacral, each additional level |
— | $99 | $99 | avg | 1 |
| Facet Joint Injection - Cervical (first level) CPT 64490 Injection, diagnostic or therapeutic agent, paravertebral facet joint, cervical or thoracic, first level |
— | $922 | $922 | avg | 1 |
| Facet Joint Injection - Cervical (second level) CPT 64491 Injection, paravertebral facet joint, cervical or thoracic, second level |
— | $207 | $207 | avg | 1 |
| Facet Joint Injection - Lumbar (second level) CPT 64494 Injection, paravertebral facet joint, lumbar or sacral, second level |
— | $392 | $392 | avg | 1 |
| Stress Test - Tracing Only CPT 93017 Cardiovascular stress test, tracing only, without interpretation |
— | $1,167 | $1,167 | avg | 1 |
| Holter Monitor (recording) CPT 93225 External electrocardiographic recording, up to 48 hours, recording |
— | $814 | $814 | avg | 1 |
| Holter Monitor (review/interpretation) CPT 93226 External electrocardiographic recording, review and interpretation |
— | $927 | $927 | avg | 1 |
| Transthoracic Echocardiogram (follow-up) CPT 93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up |
— | $738 | $738 | avg | 1 |
| Echocardiogram (follow-up/limited) CPT 93308 Echocardiography, transthoracic, follow-up or limited study |
— | $453 | $453 | avg | 1 |
| Transesophageal Echocardiogram (TEE) CPT 93312 Echocardiography, transesophageal, real-time with image documentation |
— | $2,344 | $2,344 | avg | 1 |
| Doppler Echocardiography (complete) CPT 93320 Doppler echocardiography, pulsed wave and/or continuous wave, complete |
— | $900 | $900 | avg | 1 |
| Doppler Color Flow Add-on CPT 93325 Doppler echocardiography color flow velocity mapping, add-on |
— | $700 | $700 | avg | 1 |
| Ankle-Brachial Index (ABI) CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries |
— | $463 | $463 | avg | 1 |
| Complete Bilateral Extremity Study CPT 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries |
— | $843 | $843 | avg | 1 |
| Lower Extremity Arterial Duplex CPT 93925 Duplex scan of lower extremity arteries, complete bilateral study |
— | $1,357 | $1,357 | avg | 1 |
| Venous Duplex Scan (complete) CPT 93970 Duplex scan of extremity veins, complete bilateral study |
— | $1,435 | $1,435 | avg | 1 |
| Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation |
— | $74 | $74 | avg | 1 |
| Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer |
— | $39 | $39 | +1% | 1 |
| Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker |
— | $232 | $232 | avg | 1 |
| Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker |
— | $75 | $75 | -1% | 1 |
| Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only |
— | $99 | $99 | avg | 1 |
| Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination |
— | $98 | $98 | avg | 1 |
| Surgical Pathology (Level III) CPT 88304 Level III surgical pathology |
— | $261 | $261 | avg | 1 |
| Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen |
— | $364 | $364 | avg | 1 |
| Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen |
— | $395 | $395 | avg | 1 |
| Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen |
— | $632 | $632 | avg | 1 |
| Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I |
— | $167 | $167 | avg | 1 |
| Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain |
— | $318 | $318 | avg | 1 |
| PT - Traction (mechanical) CPT 97012 Application of modality, traction, mechanical |
— | $57 | $57 | avg | 1 |
| PT - Electrical Stimulation (manual) CPT 97032 Application of modality, electrical stimulation, manual |
— | $59 | $59 | avg | 1 |
| PT - Neuromuscular Re-education CPT 97112 Therapeutic procedure, neuromuscular reeducation |
— | $122 | $122 | avg | 1 |
| PT - Aquatic Therapy CPT 97113 Therapeutic procedure, aquatic therapy with therapeutic exercises |
— | $100 | $100 | avg | 1 |
| PT Re-evaluation CPT 97164 Re-evaluation of physical therapy established plan of care |
— | $129 | $129 | avg | 1 |
| Wheelchair Management Training CPT 97542 Wheelchair management/propulsion training |
— | $44 | $44 | +1% | 1 |
| Orthotic Management/Training CPT 97760 Orthotic(s) management and training, initial encounter |
— | $89 | $89 | avg | 1 |
| Prosthetic Training CPT 97761 Prosthetic(s) training, initial encounter |
— | $53 | $53 | -1% | 1 |
| Orthotic/Prosthetic Checkout CPT 97763 Orthotic/prosthetic management, subsequent encounter |
— | $81 | $81 | avg | 1 |
| OT Evaluation - Low Complexity CPT 97165 Occupational therapy evaluation, low complexity |
— | $177 | $177 | avg | 1 |
| OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity |
— | $199 | $199 | avg | 1 |
| OT Evaluation - High Complexity CPT 97167 Occupational therapy evaluation, high complexity |
— | $210 | $210 | avg | 1 |
| OT Re-evaluation CPT 97168 Re-evaluation of occupational therapy established plan of care |
— | $129 | $129 | avg | 1 |
| Speech Therapy (individual) CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual |
— | $333 | $333 | avg | 1 |
| Evaluation of Speech Fluency CPT 92521 Evaluation of speech fluency (stuttering, cluttering) |
— | $246 | $246 | avg | 1 |
| Evaluation of Speech Production CPT 92522 Evaluation of speech sound production |
— | $342 | $342 | avg | 1 |
| Evaluation of Speech and Language CPT 92523 Evaluation of speech sound production with evaluation of language comprehension |
— | $488 | $488 | avg | 1 |
| Swallowing Function Evaluation CPT 92610 Evaluation of oral and pharyngeal swallowing function |
— | $186 | $186 | avg | 1 |
| Botulinum Toxin A (Botox) Injection CPT J0585 Injection, onabotulinumtoxinA, 1 unit |
— | $1,427 | $1,427 | avg | 1 |
| Diphenhydramine (Benadryl) Injection CPT J1200 Injection, diphenhydramine HCl, up to 50 mg |
— | $7 | $7 | +7% | 1 |
| Heparin Injection (per 10 units) CPT J1642 Injection, heparin sodium, per 10 units |
— | $3 | $3 | -11% | 1 |
| Ketorolac (Toradol) Injection CPT J1885 Injection, ketorolac tromethamine, per 15 mg |
— | $2 | $2 | +2% | 1 |
| Meperidine (Demerol) Injection CPT J2175 Injection, meperidine hydrochloride, per 100 mg |
— | $16 | $16 | +2% | 1 |
| Midazolam Injection CPT J2250 Injection, midazolam hydrochloride, per 1 mg |
— | $13 | $13 | avg | 1 |
| Morphine Injection CPT J2270 Injection, morphine sulfate, up to 10 mg |
— | $18 | $18 | -2% | 1 |
| Ondansetron (Zofran) Injection CPT J2405 Injection, ondansetron hydrochloride, per 1 mg |
— | $7 | $7 | +2% | 1 |
| Promethazine (Phenergan) Injection CPT J2550 Injection, promethazine HCl, up to 50 mg |
— | $9 | $9 | +3% | 1 |
| Propofol Injection CPT J2704 Injection, propofol, 10 mg |
— | $16 | $16 | avg | 1 |
| Ropivacaine Injection CPT J2795 Injection, ropivacaine hydrochloride, 1 mg |
— | $51 | $51 | avg | 1 |
| Fentanyl Injection CPT J3010 Injection, fentanyl citrate, 0.1 mg |
— | $51 | $51 | -1% | 1 |
| Spirometry (Breathing Test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity |
— | $281 | $281 | avg | 1 |
| Bronchospasm Evaluation CPT 94060 Bronchodilation responsiveness, spirometry before and after bronchodilator |
— | $715 | $715 | avg | 1 |
| Respiratory Flow Volume Loop CPT 94375 Respiratory flow volume loop |
— | $183 | $183 | avg | 1 |
| Nebulizer Treatment CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
— | $277 | $277 | avg | 1 |
| CPAP Initiation CPT 94660 Continuous positive airway pressure ventilation (CPAP), initiation and management |
— | $701 | $701 | avg | 1 |
| Lung Volume Test (Plethysmography) CPT 94726 Plethysmography for determination of lung volumes and capacity |
— | $592 | $592 | avg | 1 |
| DLCO Test (Diffusing Capacity) CPT 94729 Diffusing capacity of carbon monoxide |
— | $324 | $324 | avg | 1 |
| Pulse Oximetry (multiple readings) CPT 94761 Noninvasive ear or pulse oximetry for oxygen saturation, multiple determinations |
— | $71 | $71 | avg | 1 |
| Sleep Study (Polysomnography) CPT 95810 Polysomnography, 6 or more hours of sleep, comprehensive |
— | $3,636 | $3,636 | avg | 1 |
| Sleep Study with CPAP CPT 95811 Polysomnography with CPAP titration |
— | $4,539 | $4,539 | avg | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $10,496 | $10,496 | avg | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $5,165 | $5,165 | avg | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $2,977 | $2,977 | avg | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $13,332 | $13,332 | avg | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $7,566 | $7,566 | avg | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $13,086 | $13,086 | avg | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $7,415 | $7,415 | avg | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $9,758 | $9,758 | avg | 1 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $66,236 | $66,236 | avg | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $33,794 | $33,794 | avg | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $40,725 | $40,725 | avg | 1 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $20,790 | $20,790 | avg | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $10,908 | $10,908 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $23,667 | $23,667 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $17,862 | $17,862 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $4,685 | $4,685 | avg | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $11,027 | $11,027 | avg | 1 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $10,219 | $10,219 | avg | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $6,066 | $6,066 | avg | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $63,489 | $63,489 | avg | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $17,291 | $17,291 | avg | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $10,656 | $10,656 | avg | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $74,663 | $74,663 | avg | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $22,349 | $22,349 | avg | 1 |
Prices are typical ranges based on Missouri Baptist Sullivan Hospital's published transparency data. Your actual cost depends on your specific plan, deductible status, and clinical details.
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Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 7 insurers at Missouri Baptist Sullivan Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.
Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.
Financial Assistance at Missouri Baptist Sullivan Hospital
As a nonprofit hospital, Missouri Baptist Sullivan Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").
Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.
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Review your bill for free →Your Billing Rights
Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.
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