Visits & medical services prices at Missouri Baptist Sullivan Hospital
Sullivan, MO · every code in this section with a posted price and a Medicare benchmark.
127 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.40 | $54 | 0.8× |
| Airway Inhalation Treatment (94640) | $274.80 | $458 | 1.3× |
| 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) | $297 | $495 | 2.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $100.80 | $168 | 7.0× |
| Application on-body injector (96377) | $161.40 | $269 | 3.4× |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
$209.40–$327 | $349–$545 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $814.20 | $1,357 | 2.2× |
| Canalith repositioning proc (95992) | $74.40 | $124 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,503 | $2,505 | 6.9× |
| Cbt 1st hour (94644) | $148.80 | $248 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $354.60 | $591 | 4.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $364.20 | $607 | 5.0× |
| Chemo IV infusion addl hr (96415) | $364.80 | $608 | 5.1× |
| Chemo IV push addl drug (96411) | $328.80 | $548 | 4.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $387 | $645 | 5.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $914.40 | $1,524 | 2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $430.80 | $718 | 1.3× |
| Chest Wall Manipulation (94668) | $100.20 | $167 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,395.60 | $2,326 | 5.8× |
| Continuous Pulse Ox (94762) | $180 | $300 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $708.60 | $1,181 | 3.2× |
| Cpt initial (94667) | $148.80 | $248 | 1.1× |
| Critical care first hour (99291) | $2,323.80 | $3,873 | 2.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$514.20–$4,623.72 | $857–$7,706.20 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,579.20 | $2,632 | 6.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $567.60 | $946 | 5.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,958.40 | $3,264 | 8.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $997.20 | $1,662 | 9.5× |
| Duplex up extrem art unilat/ltd (93931) | $778.20 | $1,297 | 7.4× |
| Echo Congenital Complete (93303) | $807.60 | $1,346 | 1.5× |
| Echo Heart Xthoracic,Limited (93308) | $507.60 | $846 | 2.1× |
| Echo transesophageal (93312) | $2,721.60 | $4,536 | 5.0× |
| EEG awake and asleep (95819) | $1,086.60 | $1,811 | 5.0× |
| EEG awake drowsy (95816) | $1,044.60 | $1,741 | 4.8× |
| Electrical Stimulation Ea 15 Min (97032) | $74.40 | $124 | 5.1× |
| Electrocardiogram Tracing (93005) | $183.60 | $306 | 3.1× |
| Emergency Dept Visit Level 2 (99282) | $550.20 | $917 | 3.6× |
| Emergency Dept Visit Level 3 (99283) | $907.80 | $1,513 | 3.3× |
| Emergency Dept Visit Level 4 (99284) | $1,279.20 | $2,132 | 3.1× |
| Er level 1 (99281) | $258 | $430 | 3.1× |
| Er level v (99285) | $1,792.20 | $2,987 | 3.0× |
| Evaluate pt use of inhaler (94664) | $367.80 | $613 | 1.7× |
| Evaluate Speech Production (92522) range across 6 matching MRF lines |
$415.80–$649.80 | $693–$1,083 | varies |
| Evaluate Swallowing Function (92610) range across 12 matching MRF lines |
$163.80–$319.80 | $273–$533 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$274.80–$343.80 | $458–$573 | varies |
| External ECG rec>48hr<7d recording (93242) | $485.40 | $809 | 13.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $581.40 | $969 | 4.4× |
| External ECG rec>7d<15d recording (93246) | $553.80 | $923 | 14.8× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $610.20 | $1,017 | 4.6× |
| External Ecg Scanning Analysis Report (93226) | $1,048.80 | $1,748 | 17.7× |
| Extracranial Bilat Study (93880) | $1,725 | $2,875 | 7.2× |
| Gi tract capsule endoscopy (91110) | $1,608.60 | $2,681 | 1.8× |
| Holter monitor recording (93225) | $893.40 | $1,489 | 6.7× |
| Immunization administration (90471) | $93.60 | $156 | 1.3× |
| Iontophoresis 15 min (97033) | $105 | $175 | 5.5× |
| Irrig Drug Delivery Device (96523) | $292.80 | $488 | 5.0× |
| IV infusion hydration each additional hour (96361) | $194.40 | $324 | 4.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $454.20 | $757 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $253.20 | $422 | 3.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $232.20 | $387 | 5.0× |
| IV push initial (96374) | $432 | $720 | 2.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $178.20 | $297 | 3.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $867.60 | $1,446 | 4.0× |
| Mechanical chest wall oscillation per session (94669) | $234 | $390 | 1.1× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$193.20–$302.40 | $322–$504 | varies |
| Multiple Sleep Latency Test (95805) | $1,612.20 | $2,687 | 1.9× |
| Nasopharyngoscopy (92511) | $223.80 | $373 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $448.80 | $748 | 2.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $648.60 | $1,081 | 1.6× |
| Neuromuscular Reeducation (97112) | $133.20 | $222 | 4.1× |
| Oral Function Therapy (92526) range across 12 matching MRF lines |
$114–$223.80 | $190–$373 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$109.20–$136.80 | $182–$228 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $91.80 | $153 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $84 | $140 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $33 | $55 | 1.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $47.40 | $79 | 2.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $66.60 | $111 | 3.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $85.20 | $142 | 3.9× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $101.40 | $169 | 4.7× |
| Ot eval high complexity (97167) | $217.80 | $363 | 2.2× |
| Ot Eval Low Complex (97165) | $153.60 | $256 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $181.80 | $303 | 1.8× |
| Ot manual therapy 15 min (97140) | $118.80 | $198 | 4.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $57.60 | $96 | 1.4× |
| Ot Re-Eval Est Plan Care (97168) | $120.60 | $201 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $271.20 | $452 | 2.1× |
| Phlebotomy therapeutic (99195) | $258.60 | $431 | 1.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $256.20 | $427 | 4.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $170.40 | $284 | 2.9× |
| Physical Performance Test (97750) | $49.20 | $82 | 1.5× |
| Plethysmography (94726) | $697.80 | $1,163 | 1.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,253 | $8,755 | 6.1× |
| Psych diag eval w/med srvcs (90792) | $232.20 | $387 | 1.3× |
| Pt Eval High Complex (97163) | $217.80 | $363 | 2.2× |
| Pt eval low complex 20 min (97161) | $153.60 | $256 | 1.6× |
| Pt Eval Mod Complex (97162) | $181.80 | $303 | 1.9× |
| Pt gait training 15 min (97116) | $100.20 | $167 | 3.4× |
| Pt mechanical traction (97012) | $72 | $120 | 5.0× |
| Pt Re-Eval Est Plan Care (97164) | $120.60 | $201 | 1.8× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$55.20–$198.60 | $92–$331 | varies |
| Pulmonary Stress Testing (94618) | $324 | $540 | 2.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $574.20 | $957 | 15.4× |
| Respiratory flow volume loop (94375) | $321 | $535 | 1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $75.60 | $126 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $180 | $300 | 0.9× |
| Self Care Mngment Training (97535) | $82.80 | $138 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $103.20 | $172 | 1.7× |
| Sleep study unattended (95806) | $870 | $1,450 | 4.0× |
| Speech sound lang comprehen (92523) range across 12 matching MRF lines |
$307.20–$600 | $512–$1,000 | varies |
| Spirometry (94010) | $346.20 | $577 | 1.6× |
| Stress Tte Only (93350) | $3,397.80 | $5,663 | 6.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $58.20 | $97 | 2.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $31.20 | $52 | 1.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $125.40 | $209 | 3.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $193.20 | $322 | 2.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $648.60 | $1,081 | 3.0× |
| Therapeutic Activities (97530) | $99.60 | $166 | 2.8× |
| Tte w/doppler, complete (93306) | $3,993 | $6,655 | 7.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 36 matching MRF lines |
$234–$457.80 | $390–$763 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $241.80 | $403 | 5.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $573.60 | $956 | 4.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,036.80 | $1,728 | 4.8× |
| Vent Mgmt Inpat Init Day (94002) | $748.20 | $1,247 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $505.20 | $842 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $46.20 | $77 | 1.5× |
| Whirlpool Therapy (97022) | $66 | $110 | 4.2× |
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.