Procedures & surgery prices at Missouri Baptist Sullivan Hospital
Sullivan, MO · every code in this section with a posted price and a Medicare benchmark.
180 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,791.30 | $4,652.16 | 3.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $10,252.72 | $17,087.86 | 3.1× |
| Amputation foot transmetarsal (28805) | $13,431.67 | $22,386.11 | 4.1× |
| Amputation toe metatarsophalangeal joint (28820) range across 3 matching MRF lines |
$10,586.02–$11,345.56 | $17,643.36–$18,909.26 | varies |
| Anoscopy diagnostic (46600) | $6,643.92 | $11,073.20 | 49.9× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$507.60–$1,644.60 | $846–$2,741 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$627.60–$6,466.20 | $1,046–$10,777 | varies |
| Arterial puncture (36600) | $199.80 | $333 | 1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $772.59 | $1,287.65 | 2.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $794.40 | $1,324 | 1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$924.75–$4,673.43 | $1,541.25–$7,789.05 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $901.20 | $1,502 | 2.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$536.79–$892.35 | $894.65–$1,487.25 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $979.80 | $1,633 | 3.2× |
| Biopsy bone open superficial (20240) | $3,216.60 | $5,361 | 1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,792.80 | $2,988 | 1.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $22,113.68 | $36,856.14 | 24.0× |
| Bladder Scan (51798) | $86.40 | $144 | 1.5× |
| Blood Transfusion Service (36430) | $645.60 | $1,076 | 1.5× |
| Bx breast 1st lesion us imag (19083) | $4,030.20 | $6,717 | 2.4× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$6,627.12–$6,645.42 | $11,045.20–$11,075.70 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$1,068–$1,293.60 | $1,780–$2,156 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $2,228.40 | $3,714 | 1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,834.80 | $3,058 | 1.1× |
| Collect Blood From Catheter Venous Nos (36592) | $159.60 | $266 | 1.2× |
| Collection of venous blood by venipuncture (36415) | $24 | $40 | 2.6× |
| Colonoscopy Flexible With Decompression (45393) | $3,144 | $5,240 | 2.6× |
| Colonoscopy Stoma W/Submucosal Injection (44404) | $628.80 | $1,048 | 0.5× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $8,889.31 | $14,815.51 | 7.4× |
| Colonoscopy thru stoma (44388) | $4,253.08 | $7,088.46 | 4.6× |
| Colonoscopy w/ablation (45388) | $5,726.04 | $9,543.40 | 4.8× |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$1,476.60–$2,953.20 | $2,461–$4,922 | varies |
| Colonoscopy W/Resection (45390) | $4,152.60 | $6,921 | 1.5× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$7,917.41–$10,372.67 | $13,195.69–$17,287.79 | varies |
| Colporrhaphy (57200) | $9,382.48 | $15,637.46 | 2.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $6,036.84 | $10,061.40 | 19.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $10,747.29 | $17,912.15 | 35.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $12,988.57 | $21,647.61 | 10.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $8,997.39 | $14,995.65 | 7.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $10,451.79 | $17,419.65 | 8.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $9,742.68 | $16,237.80 | 3.0× |
| Cystourethroscopy (52000) | $27,480.71 | $45,801.18 | 39.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,644.60 | $2,741 | 2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $3,263.40 | $5,439 | 2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$1,137–$4,775.40 | $1,895–$7,959 | varies |
| Declot vascular device (36593) | $12,093.92 | $20,156.53 | 36.6× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$5,069.91–$5,433.58 | $8,449.85–$9,055.96 | varies |
| Dilation Esophagus Guide Wire (43453) | $5,579.83 | $9,299.71 | 2.9× |
| Drain/inj small joint/bursa w/us (20604) | $441 | $735 | 1.4× |
| Drainage of hematoma/fluid (10140) | $1,698 | $2,830 | 1.0× |
| Draw Blood Off Venous Device (36591) | $148.80 | $248 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $646.20 | $1,077 | 3.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $1,362.60 | $2,271 | 6.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $6,825.70 | $11,376.16 | 3.6× |
| Egd cautery tumor polyp (43250) | $5,341.30 | $8,902.16 | 2.8× |
| Egd control bleeding any (43255) range across 3 matching MRF lines |
$6,002.35–$9,294.60 | $10,003.91–$15,491 | varies |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$5,859.82–$6,623.11 | $9,766.36–$11,038.51 | varies |
| Egd endo mucosal resection (43254) range across 2 matching MRF lines |
$1,482.60–$2,964.60 | $2,471–$4,941 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$971.40–$1,942.80 | $1,619–$3,238 | varies |
| Egd guide wire insertion (43248) | $6,660.40 | $11,100.66 | 7.3× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$3,618.90–$4,829.45 | $6,031.50–$8,049.08 | varies |
| Egd remove lesion snare (43251) | $10,767.93 | $17,946.55 | 5.6× |
| Egd Varices Ligation (43244) | $4,933.80 | $8,223 | 2.6× |
| Endocervical curettage (57505) | $9,742.68 | $16,237.80 | 10.6× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$13,564.49–$13,754.38 | $22,607.48–$22,923.96 | varies |
| Endoscopy Upper Small Intestine (44360) | $4,070.46 | $6,784.10 | 2.1× |
| Endoscopy upper small intestine w/biopsy (44361) | $5,919.70 | $9,866.16 | 3.1× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) range across 2 matching MRF lines |
$1,435.80–$2,871 | $2,393–$4,785 | varies |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) | $7,509.05 | $12,515.08 | 3.9× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | $6,453.57 | $10,755.95 | 3.4× |
| Ercp duct stent placement (43274) range across 2 matching MRF lines |
$1,939.80–$3,879 | $3,233–$6,465 | varies |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $2,708.40 | $4,514 | 0.7× |
| Ercp ea duct/ampulla dilate (43277) range across 2 matching MRF lines |
$1,587.60–$3,175.20 | $2,646–$5,292 | varies |
| Ercp remove calculi/debris biliary/pancreas duct (43264) range across 2 matching MRF lines |
$1,529.40–$3,058.80 | $2,549–$5,098 | varies |
| Ercp remove forgn body duct (43275) | $3,158.40 | $5,264 | 1.6× |
| Ercp Stent Exchange W/Dilate (43276) range across 2 matching MRF lines |
$2,017.80–$4,035.60 | $3,363–$6,726 | varies |
| Ercp W/Biopsy Single/Multiple (43261) | $2,126.40 | $3,544 | 0.6× |
| Ercp,Sphincterotomy (43262) range across 2 matching MRF lines |
$1,498.20–$2,995.80 | $2,497–$4,993 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 2 matching MRF lines |
$3,394.86–$7,085.46 | $5,658.10–$11,809.10 | varies |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,410.60 | $2,351 | 0.7× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) range across 2 matching MRF lines |
$781.20–$1,562.40 | $1,302–$2,604 | varies |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,047 | $1,745 | 1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $6,975.37 | $11,625.61 | 4.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $9,750.55 | $16,250.91 | 5.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $6,994.11 | $11,656.85 | 9.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $9,750.55 | $16,250.91 | 5.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $7,028.68 | $11,714.46 | 9.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $7,001.88 | $11,669.80 | 2.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$7,353.15–$7,400.08 | $12,255.25–$12,333.46 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $7,459.59 | $12,432.65 | 4.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $6,972.49 | $11,620.81 | 17.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $7,133.11 | $11,888.51 | 10.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $7,977.78 | $13,296.30 | 4.8× |
| Excision of bartholin's gland or cyst (56740) | $12,792.58 | $21,320.96 | 3.9× |
| Excision of pilonidal cyst or sinus; simple (11770) | $7,301.91 | $12,169.85 | 2.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $8,037.53 | $13,395.88 | 2.8× |
| External cephalic version (59412) | $2,727 | $4,545 | 0.8× |
| Fetal Contraction Stress Test (59020) | $276 | $460 | 1.4× |
| Fetal non-stress test (59025) | $541.80 | $903 | 2.7× |
| Fine needle aspiration without imaging guidance (10021) | $459.60 | $766 | 1.1× |
| Fna bx w/us gdn 1st les (10005) | $2,250 | $3,750 | 3.2× |
| Hysteroscopy Biopsy (58558) | $9,970.48 | $16,617.47 | 3.1× |
| Hysteroscopy Endometrial Ablation (58563) | $15,947.23 | $26,578.71 | 3.2× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) | $11,708.32 | $19,513.87 | 2.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $8,541.72 | $14,236.20 | 2.6× |
| I&d abscess simple (10060) | $1,698 | $2,830 | 8.4× |
| I&d pilonidal cyst complicated (10081) | $8,471.35 | $14,118.92 | 11.9× |
| I&d pilonidal cyst simple (10080) | $7,663.20 | $12,772 | 10.8× |
| Ileoscopy Stoma W/Balloon Dilation (44381) | $1,948.80 | $3,248 | 1.0× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $3,117.70 | $5,196.16 | 3.4× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $1,047 | $1,745 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) | $7,985.28 | $13,308.80 | 19.6× |
| Incision & removal foreign body subq tiss simple (10120) | $4,802.13 | $8,003.55 | 11.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,019.40 | $1,699 | 1.2× |
| Inj W/Fluor Eval Cv Device (36598) | $2,471.69 | $4,119.48 | 11.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,038.80 | $3,398 | 2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $705.18 | $1,175.30 | 2.3× |
| Injection single tendon origin/insertion (20551) | $780.60 | $1,301 | 2.5× |
| Injection therapeutic carpal tunnel (20526) | $474.45 | $790.75 | 1.5× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$10,665.64–$10,822.08 | $17,776.06–$18,036.80 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,749.86 | $4,583.10 | 1.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $10,705.44 | $17,842.40 | 3.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$2,739–$5,185.05 | $4,565–$8,641.75 | varies |
| Intro Gastrointestinal Tube (44500) | $1,047 | $1,745 | 1.2× |
| Intubation endotracheal emergency procedure (31500) | $369 | $615 | 1.6× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) | $441 | $735 | 12.1× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) | $420 | $700 | 0.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $445.80 | $743 | 1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $3,772.57 | $6,287.61 | 4.1× |
| Needle Biopsy Lymph Nodes (38505) | $1,792.80 | $2,988 | 1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$400.80–$2,314.80 | $668–$3,858 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) | $28.20 | $47 | 1.0× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) | $1,239 | $2,065 | 1.7× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $1,088.40 | $1,814 | 1.5× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $235.80 | $393 | 1.5× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $235.80 | $393 | 1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,087.80 | $1,813 | 2.6× |
| Oncology (cutaneous melanoma), mrna gene expression profiling by rt-PCR of 35 genes (32 content and 3 housekeeping),… (0314U) | $2,925.60 | $4,876 | 1.5× |
| Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6… (0315U) unusually low: confirm this is the full procedure |
$3,868.20 | $6,447 | 0.5× |
| Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake),… (0310U) | $590.40 | $984 | 1.5× |
| Pelvic examination under anesthesia (other than local) (57410) | $6,643.92 | $11,073.20 | 2.0× |
| Perq av fistula creation uxtr sep access sites (36837) | $19,294.20 | $32,157 | 1.1× |
| Perq av fistula creation uxtr single access (36836) | $14,971.80 | $24,953 | 0.8× |
| Punch biopsy skin single lesion (11104) | $1,003.20 | $1,672 | 2.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $459.60 | $766 | 1.1× |
| Puncture Aspiration Cyst Breast (19000) | $733.80 | $1,223 | 1.0× |
| Removal Implant Deep (20680) | $17,844.84 | $29,741.40 | 6.1× |
| Removal of nail bed (11750) | $5,486.61 | $9,144.35 | 13.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $7,677.58 | $12,795.96 | 38.2× |
| Remove drug implant device (11982) | $10,614 | $17,690 | 23.7× |
| Remove Intrauterine Device (58301) | $8,915.91 | $14,859.85 | 29.2× |
| Repair initial femoral hernia, any age; reducible (49550) | $16,012.07 | $26,686.78 | 4.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $6,975.37 | $11,625.61 | 17.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,477.83 | $2,463.05 | 0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $7,671.28 | $12,785.46 | 12.2× |
| Rplc Gtube No Revj Trc (43762) | $341.40 | $569 | 1.4× |
| Rplc gtube revj gstrst trc (43763) | $374.40 | $624 | 1.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,471.20 | $2,452 | 0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,347.60 | $2,246 | 1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $2,388 | $3,980 | 2.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $1,547.40 | $2,579 | 1.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) range across 2 matching MRF lines |
$1,000.80–$2,001 | $1,668–$3,335 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $4,916.38 | $8,193.96 | 5.3× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $1,345.80 | $2,243 | 1.1× |
| Skin sub graft face/nk/hf/g (15275) | $5,559.60 | $9,266 | 7.5× |
| Skin sub graft trnk/arm/leg (15271) | $4,652.69 | $7,754.48 | 6.3× |
| Skin sub grft t/arm/lg child (15273) | $29,502 | $49,170 | 14.3× |
| Skn sub grft f/n/hf/g child (15277) | $3,024.60 | $5,041 | 1.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $25,265.42 | $42,109.03 | 5.0× |
| Small bowel endoscopy (44366) range across 2 matching MRF lines |
$1,783.20–$3,566.40 | $2,972–$5,944 | varies |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) | $6,093 | $10,155 | 3.2× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$1,528.80–$3,057.60 | $2,548–$5,096 | varies |
| Trabeculoplasty by laser surgery (65855) range across 4 matching MRF lines |
$692.37–$1,280.19 | $1,153.95–$2,133.65 | varies |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $474 | $790 | 1.6× |
| Trim skin lesion (11055) | $228.60 | $381 | 1.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $8,400.90 | $14,001.50 | 2.6× |
| Tx Missed Abortion First Trimester Surgical (59820) | $9,743.85 | $16,239.75 | 3.0× |
| Unlisted procedure colon (45399) | $4,384.95 | $7,308.25 | 4.7× |
| Unlisted Procedure Vascular Surgery (37799) | $710.40 | $1,184 | 1.1× |
| Vaginal delivery only (59409) | $1,605 | $2,675 | 0.5× |
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.