Visits & medical services prices at Missouri Baptist Medical Center

Town and Country, MO · every code in this section with a posted price and a Medicare benchmark.

238 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,598.80 $10,998 0.8×
Admn Sarscov2 Vacc 1 Dose (90480) $32.40 $54 0.8×
Airway Inhalation Treatment (94640) $240 $400 1.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $148.80 $248 1.1×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $226.80 $378 1.7×
Analyze Pacemaker System (93724) $345 $575 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $139.80 $233 9.7×
Application on-body injector (96377) $141 $235 3.0×
Arrhythmia Induction (93618) $2,281.20 $3,802 1.9×
Assessment of aphasia per hr (96105) $150.60 $251 1.5×
Behavral qualit analys voice (92524)
range across 5 matching MRF lines
$155.40–$379.80 $259–$633 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $171.60 $286 2.1×
Bfb training ea addl 15 min (90913) $76.20 $127 2.3×
Bis Xtracell Fluid Analysis (93702) $220.20 $367 1.7×
Breath hydrogen/methane test (91065) $676.20 $1,127 3.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,042.20 $1,737 2.8×
Canalith repositioning proc (95992)
range across 4 matching MRF lines
$69–$135 $115–$225 varies
Cardiac Stress Tst,Tracing Only (93017) $921 $1,535 4.3×
Cardiopulmonary resuscitation (92950) $30,289.04 $50,481.73 140.1×
Cardioversion (92960)
range across 3 matching MRF lines
$4,066.73–$79,426.27 $6,777.89–$132,377.11 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $41.40 $69 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 3 matching MRF lines
$11,120.87–$34,944.20 $18,534.79–$58,240.34 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 3 matching MRF lines
$9,167.57–$29,933.51 $15,279.29–$49,889.18 varies
Cbt 1st hour (94644) $148.80 $248 1.1×
Chemo Admin Peritoneal Cavity (96446) $381.60 $636 1.2×
Chemo Anti-Neopl Sq/Im (96401) $301.80 $503 4.2×
Chemo Hormon Antineopl Sq/Im (96402) $270 $450 3.7×
Chemo Ia Push (96420) $381.60 $636 1.2×
Chemo IV infusion addl hr (96415) $435 $725 6.0×
Chemo IV push addl drug (96411) $377.40 $629 5.2×
Chemotherapy Into Cns (96450) $638.40 $1,064 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $394.20 $657 5.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $799.20 $1,332 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $481.20 $802 1.5×
Chest Wall Manipulation (94668) $120 $200 0.9×
Color/duplex Doppler, complete (93975) $1,449 $2,415 6.1×
Color/duplex Doppler, limited (93976) $987 $1,645 9.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $54 $90 1.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $111.60 $186 1.9×
Continuous Pulse Ox (94762) $180 $300 1.4×
Coronary Art/Grft Angio S&I (93455)
range across 4 matching MRF lines
$9,380.72–$37,164.16 $15,634.54–$61,940.27 varies
Coronary Artery Angio S&I (93454)
range across 5 matching MRF lines
$9,641.58–$86,877.82 $16,069.30–$144,796.37 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $677.40 $1,129 3.1×
Cpt initial (94667) $148.20 $247 1.1×
Critical care first hour (99291) $4,111.80 $6,853 5.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 8 matching MRF lines
$463.20–$2,442.60 $772–$4,071 varies
Dialysis One Evaluation (90945) $496.20 $827 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,222.80 $2,038 5.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $785.40 $1,309 7.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,537.80 $2,563 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$923.40–$1,846.80 $1,539–$3,078 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,361.40 $2,269 5.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,020.60 $1,701 9.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,474.20 $2,457 6.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $334.20 $557 3.2×
Duplex Scan Hemodialysis Access (93990) $479.40 $799 4.6×
Duplex up extrem art bilat (93930) $2,119.80 $3,533 8.9×
Duplex up extrem art unilat/ltd (93931) $951 $1,585 9.1×
Echo Congenital Complete (93303) $1,436.40 $2,394 2.6×
Echo Heart Xthoracic,Limited (93308) $423.60 $706 1.8×
Echo transesophageal (93312) $2,887.20 $4,812 5.3×
Eeg 41-60 Minutes (95812) $585 $975 2.7×
EEG awake and asleep (95819) $1,303.80 $2,173 6.0×
EEG awake drowsy (95816) $1,093.80 $1,823 5.1×
EEG cont rec w/video by tech min 8 channels (95700) $432 $720 2.0×
EEG extended monitoring 61-119 minutes (95813) $1,009.80 $1,683 4.7×
Eeg Sleep Only (95822) $917.40 $1,529 4.2×
EEG w/o vid 2-12hr cont mntr (95707) $358.20 $597 1.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $670.20 $1,117 1.8×
Electrical Stimulation Ea 15 Min (97032) $91.80 $153 6.2×
Electrocardiogram Tracing (93005) $318 $530 5.4×
Electrophysiology Evaluation (93642) $1,338.60 $2,231 1.1×
Emergency Dept Visit Level 2 (99282) $1,009.80 $1,683 6.6×
Emergency Dept Visit Level 3 (99283) $1,604.40 $2,674 5.9×
Emergency Dept Visit Level 4 (99284) $2,259 $3,765 5.4×
Emg 4 Extremities (95864) $570.60 $951 4.4×
Endomyocardial Biopsy (93505) $3,006 $5,010 1.0×
Ep & ablate supravent arrhyt (93653) $45,525.96 $75,876.60 1.7×
Ep & ablate ventric tachy (93654) $62,663.01 $104,438.35 2.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,544 $19,240 1.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $6,598.80 $10,998 0.8×
Er level 1 (99281) $568.80 $948 6.7×
Er level v (99285) $3,330.60 $5,551 5.6×
Esophgl Balo Distension Dx Std W/Provocation (91040) $746.40 $1,244 2.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $813 $1,355 2.2×
Evaluate pt use of inhaler (94664) $157.20 $262 0.7×
Evaluate Speech Production (92522)
range across 15 matching MRF lines
$37.20–$92.40 $62–$154 varies
Evaluate Swallowing Function (92610)
range across 12 matching MRF lines
$103.80–$202.80 $173–$338 varies
Evoked Auditory Test,Limited (92587) $358.20 $597 1.7×
Exercise test for bronchospasm (94617) $148.80 $248 1.1×
External ECG rec>48hr<7d recording (93242) $165 $275 4.4×
External ECG rec>7d<15d recording (93246) $201 $335 5.4×
External Ecg Scanning Analysis Report (93226) $463.80 $773 7.8×
Extracranial Bilat Study (93880) $2,481 $4,135 10.4×
Extracranial Uni/Ltd Study (93882) $352.80 $588 3.4×
Flexible endoscopic eval swallow c/v rec (92612)
range across 5 matching MRF lines
$102–$312 $170–$520 varies
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $931.80 $1,553 2.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $436.20 $727 2.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $831 $1,385 1.0×
Gi tract capsule endoscopy (91110) $1,648.20 $2,747 1.8×
Gi tract imaging intraluminal colon i&r (91113) $2,313.60 $3,856 2.5×
Gi wireless capsule measure (91112) $1,898.40 $3,164 2.1×
Group Therapeutic Procedures (97150) $67.80 $113 3.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461)
range across 2 matching MRF lines
$12,764.29–$45,542.29 $21,273.82–$75,903.81 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$674.40–$2,033.40 $1,124–$3,389 varies
Holter monitor recording (93225) $1,086 $1,810 8.1×
Immunization administration (90471) $82.20 $137 1.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $609 $1,015 1.6×
Insert/Place Heart Catheter (93503) $600 $1,000 0.4×
Intra-atrial pacing (93610) $6,598.80 $10,998 0.8×
Intra-atrial recording (93602) $6,598.80 $10,998 0.8×
Iontophoresis 15 min (97033) $65.40 $109 3.4×
Irrig Drug Delivery Device (96523) $261.60 $436 4.4×
IV infusion hydration each additional hour (96361) $103.20 $172 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $475.20 $792 2.2×
IV infusion ther proph addl sequential to 1 hr (96367) $212.40 $354 2.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $132 $220 2.8×
IV push initial (96374) $242.40 $404 1.1×
L Hrt Art/Grft Angio (93459)
range across 3 matching MRF lines
$10,111.20–$36,362.46 $16,852–$60,604.10 varies
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $4,807.80 $8,013 1.5×
Lung Function Test (Mbc/Mvv) (94200) $182.40 $304 3.1×
Lwr Xtr Vasc Stdy Bilat (93924) $709.20 $1,182 3.3×
Mechanical chest wall oscillation per session (94669) $187.20 $312 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $63 $105 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $69.60 $116 1.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $42 $70 2.5×
Methacholine challenge (94070) $945.60 $1,576 2.5×
Motility study esophagus (91010) $1,473.60 $2,456 3.9×
Motion Fluoroscopy/Swallow (92611)
range across 5 matching MRF lines
$124.80–$304.80 $208–$508 varies
Muscle Test 2 Limbs (95861) $321 $535 2.4×
Muscle Test One Limb (95860) $223.80 $373 1.7×
Nasopharyngoscopy (92511) $247.80 $413 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $459.60 $766 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $577.80 $963 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $351.60 $586 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $459.60 $766 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $387 $645 1.8×
Nerve Conduction Studies 11-12 Studies (95912) $3,182.40 $5,304 8.5×
Nerve conduction studies 13 or more studies (95913) $3,460.20 $5,767 9.3×
Nerve Conduction Studies 3-4 Studies (95908) $952.80 $1,588 4.4×
Nerve conduction studies 5-6 studies (95909) $1,490.40 $2,484 6.9×
Nerve conduction studies 7-8 studies (95910) $1,940.40 $3,234 5.2×
Nerve Conduction Studies 9-10 Studies (95911) $2,484 $4,140 6.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $218.40 $364 1.7×
Neuromuscular Reeducation (97112) $100.80 $168 3.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $38.40 $64 1.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $57 $95 1.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $19.20 $32 1.4×
Oral Function Therapy (92526)
range across 15 matching MRF lines
$120–$293.40 $200–$489 varies
Oral Speech Device Eval (92597)
range across 6 matching MRF lines
$86.40–$135 $144–$225 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $92.40 $154 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $84 $140 1.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $35.40 $59 1.6×
Osteopathic manipulative tx 3-4 body regions (98926) $52.20 $87 2.4×
Osteopathic manipulative tx 5-6 body regions (98927) $69.60 $116 3.2×
Osteopathic manipulative tx 7-8 body regions (98928) $87.60 $146 4.0×
Osteopathic manipulative tx 9-10 body regions (98929) $105 $175 4.9×
Ot eval high complexity (97167) $232.80 $388 2.3×
Ot Eval Low Complex (97165) $192 $320 1.9×
Ot Eval Moderate Complexity (97166) $196.80 $328 2.0×
Ot manual therapy 15 min (97140) $81 $135 2.9×
Ot paraffin bath (97018) $37.20 $62 6.2×
Ot Prosthetic Training, Each 15 Min (97761) $66.60 $111 1.6×
Ot Re-Eval Est Plan Care (97168) $102 $170 1.5×
Perq Transcath Cls Aortic (93591) $15,614.40 $26,024 0.9×
Perq Transcath Cls Mitral (93590) $16,653.60 $27,756 0.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 7 matching MRF lines
$9,711.28–$46,853.95 $16,185.46–$78,089.92 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 7 matching MRF lines
$12,592.45–$79,865.68 $20,987.42–$133,109.47 varies
Phlebotomy therapeutic (99195) $313.80 $523 2.4×
Physical Performance Test (97750) $76.80 $128 2.3×
Plethysmography (94726) $571.80 $953 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,163 $8,605 6.0×
Polysom <6 yrs 4/> paramtrs (95782) $6,103.80 $10,173 7.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $8,508 $14,180 9.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $68.40 $114 1.8×
Prq Card Angio/Athrect 1 Art (92924)
range across 3 matching MRF lines
$23,361.80–$73,430.10 $38,936.33–$122,383.50 varies
Prq Card Stent W/Angio 1 Vsl (92928)
range across 4 matching MRF lines
$25,429.08–$70,522.57 $42,381.80–$117,537.61 varies
Prq Card Stent/Ath/Angio (92933)
range across 3 matching MRF lines
$32,646.17–$58,870.86 $54,410.29–$98,118.10 varies
Prq Revasc Byp Graft 1 Vsl (92937) $32,224.82 $53,708.04 2.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $17,083.20 $28,472 0.9×
Pt Eval High Complex (97163) $184.20 $307 1.9×
Pt eval low complex 20 min (97161) $141.60 $236 1.4×
Pt Eval Mod Complex (97162) $162.60 $271 1.7×
Pt gait training 15 min (97116) $90.60 $151 3.1×
Pt group caregiver training (97552) $23.40 $39 1.1×
Pt mechanical traction (97012) $102 $170 7.1×
Pt Re-Eval Est Plan Care (97164) $109.80 $183 1.6×
Pulm function test by gas (94727) $480 $800 2.2×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$84–$198.60 $140–$331 varies
Pulmonary Stress Testing (94618) $510 $850 3.8×
R Hrt Art/Grft Angio (93457)
range across 2 matching MRF lines
$12,618.02–$26,464.99 $21,030.04–$44,108.31 varies
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $5,953.80 $9,923 1.8×
R hrt coronary artery angio (93456)
range across 2 matching MRF lines
$11,020.65–$30,547.17 $18,367.75–$50,911.95 varies
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $12,680.99 $21,134.99 3.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $10,413.92 $17,356.54 3.2×
Remote 30 Day Ecg Rev/Report (93270) $483 $805 12.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $69 $115 1.2×
Right Heart Cath (93451) $7,286.10 $12,143.50 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $378.60 $631 1.9×
Self Care Mngment Training (97535) $111.60 $186 3.4×
Sensory Integration Ea 15 Min (97533) $96.60 $161 1.6×
Slp caregiver training 1st 30 min (97550) $82.80 $138 1.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $870 $1,450 4.0×
Speech sound lang comprehen (92523)
range across 20 matching MRF lines
$114.60–$280.80 $191–$468 varies
Spirometry (94010) $331.20 $552 1.5×
Standardized Cognitive Performance Testing (96125) $153 $255 1.5×
Stress Tte Only (93350) $4,006.20 $6,677 7.3×
Subcutaneous Infusion Each Additional Hour (96370) $152.40 $254 3.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $1,084.80 $1,808 5.1×
Surfactant Admin Thru Tube (94610) $234 $390 1.1×
Temp transcutaneous pacing (92953) $752.40 $1,254 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $47.40 $79 2.1×
Ther Ivntj Ea Addl 15 Min (97130) $31.20 $52 1.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $93 $155 3.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 2 matching MRF lines
$143.40–$179.40 $239–$299 varies
Ther/Proph/Diag Inj Sc/Im (96372) $110.40 $184 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $547.20 $912 2.6×
Therapeutic Activities (97530) $112.20 $187 3.2×
Transcath Closure of Asd (93580)
range across 2 matching MRF lines
$7,351.79–$49,023.07 $12,252.99–$81,705.11 varies
Tte w/doppler, complete (93306) $5,346 $8,910 9.8×
Tte W/O Doppler Complete (93307) $1,483.20 $2,472 6.2×
Tx atrial fib pulm vein isol (93656)
range across 2 matching MRF lines
$73,786.22–$81,435.84 $122,977.03–$135,726.40 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 28 matching MRF lines
$181.20–$554.40 $302–$924 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $218.40 $364 4.7×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$13,100.29–$13,376.88 $21,833.81–$22,294.80 varies
Upr/L Xtremity Art 2 Levels (93922) $782.40 $1,304 5.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,260.60 $2,101 5.8×
Valvuloplasty aortic valve (92986) $39,450.09 $65,750.15 6.9×
Valvuloplasty mitral valve (92987) $9,861.60 $16,436 0.9×
Vasopneumatic device (97016)
range across 4 matching MRF lines
$40.80–$79.80 $68–$133 varies
Veeg 2-12 Hr Cont Mntr (95713) $609 $1,015 1.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,080.60 $1,801 2.9×
Veeg ea 12-26hr cont mntr (95716) $1,169.40 $1,949 1.4×
Vent Mgmt Inpat Init Day (94002) $2,693.40 $4,489 4.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,456.20 $2,427 2.4×
Visual Evoked Potential Test (95930) $610.20 $1,017 2.8×
Vital capacity, total (94150) $174 $290 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $45 $75 1.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.