Supplies, drugs & other prices at Missouri Baptist Sullivan Hospital
Sullivan, MO · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $54 | $90 | 1.5× |
| 2d tee w or w/o fol w/con,in (C8925) | $2,994 | $4,990 | 3.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $558.60 | $931 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $93.60 | $156 | 2.0× |
| Admin influenza virus vac (G0008) | $93.60 | $156 | 2.0× |
| Admin pneumococcal vaccine (G0009) | $93.60 | $156 | 2.0× |
| Covid-19 lab test non-cdc (U0002) | $77.40 | $129 | 1.5× |
| Direct refer hospital observ (G0379) | $570 | $950 | 1.0× |
| Drug test def 1-7 classes (G0480) | $94.20 | $157 | 0.8× |
| Drug test def 15-21 classes (G0482) | $298.80 | $498 | 1.5× |
| Drug test def 22+ classes (G0483) | $370.80 | $618 | 1.5× |
| Drug test def 8-14 classes (G0481) | $235.20 | $392 | 1.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $61.80 | $103 | 3.2× |
| Elec stim other than wound (G0283) | $83.40 | $139 | 6.6× |
| Hbot, full body chamber, 30m (G0277) | $598.20 | $997 | 4.3× |
| Hep c screen high risk/other (G0472) | $151.80 | $253 | 3.3× |
| Hiv combination assay (G0475) | $61.20 | $102 | 2.5× |
| Home sleep test/type 3 porta (G0399) | $870 | $1,450 | 4.0× |
| Hospital outpt clinic visit (G0463) | $3,343.86 | $5,573.10 | 25.1× |
| Hpv combo assay ca screen (G0476) | $114 | $190 | 3.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $218.40 | $364 | 1.8× |
| Mra w/o fol w/cont, abd (C8902) | $3,068.40 | $5,114 | 8.8× |
| Mra w/o fol w/cont, chest (C8911) | $2,238 | $3,730 | 6.4× |
| Mri w/o fol w/cont, breast, (C8908) | $2,539.20 | $4,232 | 7.3× |
| Oth resp proc, group (G0239) | $193.20 | $322 | 5.2× |
| Pathogen test for platelets (P9100) | $1,287.60 | $2,146 | 21.8× |
| Prostate biopsy, any mthd (G0416) | $673.80 | $1,123 | 1.9× |
| Psa screening (G0103) | $139.20 | $232 | 7.2× |
| Qmrcp w/dx MRI same anatomy (0724T) | $1,095.60 | $1,826 | 1.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $1,087.80 | $1,813 | 1.5× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $68.40 | $114 | 2.6× |
| Screen cerv/vag thin layer (G0123) | $49.80 | $83 | 2.5× |
| Tomosynthesis, mammo (G0279) | $30 | $50 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $4,392.60 | $7,321 | 5.6× |