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.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,791.30 $4,652.16 3.1×
Amputation Finger/Thumb (26951) $10,252.72 $17,087.86 3.1×
Amputation Toe Metatarsophalangeal Joint (28820) $11,042.88 $18,404.80 3.4×
Amputation, foot; transmetatarsal (28805) $13,431.67 $22,386.11 4.1×
Anoscopy diagnostic (46600) $6,643.92 $11,073.20 49.9×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $1,255.20 $2,092 7.7×
Application Of Rigid Total Contact Leg Cast (29445) $1,644.60 $2,741 5.9×
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) $2,060.34 $3,433.90 6.7×
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) $714.57 $1,190.95 2.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $979.80 $1,633 3.2×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $1,500.90 $2,501.50 1.3×
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 of uterus lining (58100) $13,659.44 $22,765.72 67.5×
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×
Bx vulva/perineum 1 lesion (56605) $22,113.68 $36,856.14 24.0×
Bx/exc lymph node needle superficial (38505) $1,792.80 $2,988 1.1×
Chemical Cautery Tissue (17250) $1,180.80 $1,968 5.9×
Chg Collect Blood From Catheter Venous Nos (36592) $159.60 $266 1.2×
Circumcision (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×
Colonoscopy flex w/rem forcep (45384) $10,451.79 $17,419.65 8.7×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $3,144 $5,240 2.6×
Colonoscopy stoma w/biopsy (44389) $8,889.31 $14,815.51 7.4×
Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) $628.80 $1,048 0.5×
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) $2,214.90 $3,691.50 1.8×
Colonoscopy w/resection (45390) $4,152.60 $6,921 1.5×
Colporrhaphy suture injury vagina (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 of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $10,747.29 $17,912.15 35.2×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $12,988.57 $21,647.61 10.8×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $8,997.39 $14,995.65 7.5×
Colsc flx with directed submucosal njx any sbst (45381) $9,145.04 $15,241.74 7.6×
Conization of cervix (57522) $9,742.68 $16,237.80 3.0×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $2,471.69 $4,119.48 11.6×
Cystourethroscopy (52000) $27,480.71 $45,801.18 39.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $3,331.80 $5,553 8.2×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,644.60 $2,741 2.2×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $3,263.40 $5,439 2.0×
Declot vascular device (36593) $12,093.92 $20,156.53 36.6×
Diagnostic sigmoidoscopy (45330) $5,251.74 $8,752.90 5.6×
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×
Dry Needling 3+ Muscles (20561) $28.20 $47 1.0×
Egd balloon dilation esophagus <30 mm diam (43249) $6,825.70 $11,376.16 3.6×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $6,241.46 $10,402.44 3.2×
Egd Endo Mucosal Resection (43254) $2,223.60 $3,706 1.2×
Egd flexible foreign body removal (43247) $1,457.10 $2,428.50 1.6×
Egd guide wire insertion (43248) $6,660.40 $11,100.66 7.3×
Egd place gastrostomy tube (43246) $4,224.18 $7,040.29 2.2×
Egd rem tumr/polyp forcep (43250) $5,341.30 $8,902.16 2.8×
Egd remove lesion snare (43251) $10,767.93 $17,946.55 5.6×
Egd Transoral Control Bleeding Any Method - Egd (43255) $7,481.89 $12,469.81 3.9×
Egd Varices Ligation (43244) $4,933.80 $8,223 2.6×
Endocervical Curettage (57505) $9,742.68 $16,237.80 10.6×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $4,070.46 $6,784.10 2.1×
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure
$2,909.40 $4,849 0.5×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $2,708.40 $4,514 0.7×
Ercp ea duct/ampulla dilate (43277) $2,381.40 $3,969 0.6×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) $2,294.10 $3,823.50 0.6×
Ercp remove forgn body duct (43275) $3,158.40 $5,264 1.6×
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure
$3,026.70 $5,044.50 0.5×
Ercp W/Biopsy Single/Multiple (43261) $2,126.40 $3,544 0.6×
Ercp w/sphincterotomy/papillotomy (43262) $2,247 $3,745 0.6×
Esoph endoscopy dilation (43226) $1,171.80 $1,953 0.6×
Esophagogastroduodenoscopy submucosal injection (43236) $5,240.16 $8,733.60 5.8×
Esophagoscopy flexible transoral diagnostic (43200) $1,047 $1,745 1.2×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $1,410.60 $2,351 0.7×
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 Skin Benig 0.6-1 Cm Remaindr Body (11421) $6,994.11 $11,656.85 9.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $6,972.49 $11,620.81 17.1×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $7,133.11 $11,888.51 10.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $7,028.68 $11,714.46 9.9×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $7,977.78 $13,296.30 4.8×
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) $7,376.62 $12,294.36 4.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $7,459.59 $12,432.65 4.5×
Excision of bartholin's gland or cyst (56740) $12,792.58 $21,320.96 3.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $9,750.55 $16,250.91 5.9×
Excision of lesion other than skin tag </= 0.5 cm (11420) $9,750.55 $16,250.91 5.9×
Excision of pilonidal cyst or sinus; simple (11770) $7,301.91 $12,169.85 2.5×
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 bx w/us gdn 1st lesion (10005) $2,250 $3,750 3.2×
Fine needle aspiration without imaging guidance (10021) $459.60 $766 1.1×
Hysteroscopy ablation (58563) $15,947.23 $26,578.71 3.2×
Hysteroscopy biopsy (58558) $9,970.48 $16,617.47 3.1×
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 simple (10080) $7,663.20 $12,772 10.8×
Ileoscopy stoma w/balloon dilation (44381) $1,948.80 $3,248 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $1,047 $1,745 1.2×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $3,117.70 $5,196.16 3.4×
Incision & drainage abscess complicated/multiple (10061) $7,985.28 $13,308.80 19.6×
Incision & drainage pilonidal cyst complicated (10081) $8,471.35 $14,118.92 11.9×
Incision & removal foreign body subq tiss simple (10120) $4,802.13 $8,003.55 11.8×
Inj paravert f jnt c/t 1 lev (64490) $1,019.40 $1,699 1.2×
Inj tendon sheath/ligament (20550) $705.18 $1,175.30 2.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,038.80 $3,398 2.3×
Inject Tendon Origin/Insert (20551) $780.60 $1,301 2.5×
Injection therapeutic carpal tunnel (20526) $474.45 $790.75 1.5×
Insert picc cath (36569) $3,962.02 $6,603.38 2.5×
Insert tunneled cv cath (36561) $10,743.86 $17,906.43 3.4×
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×
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×
Laser repair to improve eye fluid flow (65855) $717.51 $1,195.85 1.3×
Lrt iad 18bct/8vir&7arg RNA (0528U) $420 $700 0.7×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $445.80 $743 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $3,772.57 $6,287.61 4.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $1,357.80 $2,263 46.9×
Neuro alz ds bamyl&tau prtn (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 exam under anesthesia (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×
Perq replacement gtube not req revj gstrst trc (43762) $341.40 $569 1.4×
Punch biopsy skin single lesion (11104) $1,003.20 $1,672 2.5×
Puncture Aspiration (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 intrauterine device (iud) (58301) $8,915.91 $14,859.85 29.2×
Removal of nail bed (11750) $5,486.61 $9,144.35 13.5×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $7,677.58 $12,795.96 38.2×
Removal of small bowel polyps or growths with electrical cautery (44365) $7,509.05 $12,515.08 3.9×
Remove drug implant device (11982) $10,614 $17,690 23.7×
Remove Pilonidal Cyst Exten (11771) $8,037.53 $13,395.88 2.8×
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×
Revise median n/carpal tunnel surg (64721) $6,636.27 $11,060.45 3.4×
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 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 Control Bleeding - Endoscopy Sigmoid (45334) $1,345.80 $2,243 1.1×
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $1,547.40 $2,579 1.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $4,916.38 $8,193.96 5.3×
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 (44373) $2,153.40 $3,589 1.1×
Small bowel endoscopy (44366) $2,674.80 $4,458 1.4×
Small bowel endoscopy (44364) $6,453.57 $10,755.95 3.4×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $6,093 $10,155 3.2×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $5,919.70 $9,866.16 3.1×
Strapping unna boot (29580) $2,293.20 $3,822 14.1×
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×
Venipuncture (36415) $24 $40 2.6×