Belton Regional Medical Center
Belton, MO
Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $9,716.82 | $9,716.82 | 92.8× |
| MRI brain without contrast (70551) | $9,960.43 | $9,960.43 | 41.7× |
| MRI brain with contrast (70552) | $19,279.10 | $19,279.10 | 55.2× |
| MRI brain without and with contrast (70553) | $19,279.10 | $19,279.10 | 55.2× |
| X-ray lower spine, 4+ views (72110) | $5,005.75 | $5,005.75 | 47.8× |
| MRI lumbar spine without contrast (72148) | $12,716.91 | $12,716.91 | 53.2× |
| CT pelvis with contrast (72193) | $9,195.14 | $9,195.14 | 52.3× |
| MRI lower-extremity joint without contrast (73721) | $14,069.53 | $14,069.53 | 58.9× |
| CT abdomen and pelvis with contrast (74177) | $11,374.32 | $11,374.32 | 32.6× |
| Ultrasound, abdomen complete (76700) | $7,126.40 | $7,126.40 | 68.1× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $2,789.73 | $2,789.73 | 26.6× |
| Ultrasound, transvaginal (76830) | $1,099.57 | $1,099.57 | 10.5× |
| Mammography, one breast (diagnostic) (77065) | $1,155.47 | $1,155.47 | 13.4× |
| Mammography, both breasts (diagnostic) (77066) | $1,421.69 | $1,421.69 | 12.9× |
| Mammography, screening (bilateral) (77067) | $1,235.46 | $1,235.46 | 13.5× |
| Basic metabolic panel (80048) | $969.04 | $969.04 | 114.5× |
| Comprehensive metabolic panel (80053) | $1,640.80 | $1,640.80 | 155.4× |
| Obstetric panel (80055) | $3,554.33 | $3,554.33 | 74.3× |
| Lipid panel (80061) | $1,465.74 | $1,465.74 | 109.5× |
| Renal function panel (80069) | $1,307.64 | $1,307.64 | 150.6× |
| Hepatic function panel (80076) | $1,108.36 | $1,108.36 | 135.7× |
| Urinalysis, non-automated, without microscopy (81002) | $300.67 | $300.67 | 86.4× |
| PSA, total (84153) | $589.17 | $589.17 | 32.0× |
| Thyroid stimulating hormone (TSH) (84443) | $435.02 | $435.02 | 25.9× |
| CBC, automated (85027) | $538.23 | $538.23 | 83.2× |
| Prothrombin time (PT) (85610) | $229.32 | $229.32 | 53.5× |
| Partial thromboplastin time (PTT) (85730) | $401.20 | $401.20 | 66.8× |
| Sleep study (attended polysomnography) (95810) | $17,183.63 | $17,183.63 | 20.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $417.60 | $417.60 | 14.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $428.80 | $428.80 | 3.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $1,036.65 | $1,036.65 | 7.8× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $1,717.74 | $1,717.74 | 12.9× |
More prices at this hospital
- Imaging: 341 codes with posted prices and Medicare benchmarks
- Lab & pathology: 740 codes with posted prices and Medicare benchmarks
- Visits & medical services: 165 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 11 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 43 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 388.8 MB) ↓ — captured 2026-08-15
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