Missouri Baptist Sullivan Hospital

Sullivan, MO · Critical Access Hospital

Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $3,362.85 $5,604.75 3.7×
Upper GI endoscopy (EGD) with biopsy (43239)
range across 4 matching MRF lines
$5,808.25–$6,849.37 $9,680.41–$11,415.61 varies
Diagnostic colonoscopy (45378)
range across 4 matching MRF lines
$4,306.80–$5,946.37 $7,178–$9,910.61 varies
Colonoscopy with biopsy (45380)
range across 9 matching MRF lines
$3,529.48–$10,817.52 $5,882.46–$18,029.20 varies
Colonoscopy with lesion removal (45385)
range across 3 matching MRF lines
$5,983.97–$15,047.56 $9,973.29–$25,079.26 varies
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines
$13,377.06–$24,985.25 $22,295.10–$41,642.09 varies
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 4 matching MRF lines
$677.34–$1,281.09 $1,128.90–$2,135.15 varies
CT head/brain without contrast (70450) $879.60 $1,466 8.4×
MRI brain without contrast (70551) $1,418.40 $2,364 5.9×
MRI brain with contrast (70552) $2,110.20 $3,517 6.0×
MRI brain without and with contrast (70553) $2,822.40 $4,704 8.1×
X-ray lower spine, 4+ views (72110) $552.60 $921 5.3×
MRI lumbar spine without contrast (72148) $2,638.80 $4,398 11.0×
CT pelvis with contrast (72193) $1,341 $2,235 7.6×
MRI lower-extremity joint without contrast (73721) $1,891.20 $3,152 7.9×
CT abdomen and pelvis with contrast (74177) $3,217.20 $5,362 9.2×
Ultrasound, abdomen complete (76700) $1,020 $1,700 9.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $900.60 $1,501 8.6×
Ultrasound, transvaginal (76830) $695.40 $1,159 6.6×
Mammography, one breast (diagnostic) (77065) $260.40 $434 3.0×
Mammography, both breasts (diagnostic) (77066) $399 $665 3.6×
Mammography, screening (bilateral) (77067) $274.20 $457 3.0×
Basic metabolic panel (80048) $111 $185 13.1×
Comprehensive metabolic panel (80053) $214.80 $358 20.3×
Obstetric panel (80055) $235.20 $392 4.9×
Lipid panel (80061) $125.40 $209 9.4×
Renal function panel (80069) $53.40 $89 6.2×
Hepatic function panel (80076) $167.40 $279 20.5×
PSA, total (84153) $139.20 $232 7.6×
Thyroid stimulating hormone (TSH) (84443) $146.40 $244 8.7×
CBC with automated differential (85025) $84.60 $141 10.9×
CBC, automated (85027) $87 $145 13.4×
Prothrombin time (PT) (85610) $22.80 $38 5.3×
Partial thromboplastin time (PTT) (85730) $37.20 $62 6.2×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$3,537–$4,716 $5,895–$7,860 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $130.80 $218 4.5×

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.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (JSON, 119.5 MB) ↓ — captured 2026-08-15

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