Supplies, drugs & other prices at Phelps Health Hospital
Rolla, MO · every code in this section with a posted price and a Medicare benchmark.
74 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,714.74 | $5,306.77 | 4.7× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$1,500.91–$1,545.93 | $2,144.15–$2,208.47 | varies |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$31.14–$42 | $44.48–$60 | varies |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$31.50–$42 | $45–$60 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$31.50–$42 | $45–$60 | varies |
| Behavior counsel obesity 15m (G0447) | $119.33 | $170.47 | 1.2× |
| Ca screen;flexi sigmoidscope (G0104) | $1,664.67 | $2,378.10 | 1.8× |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$63.09–$76.57 | $90.13–$109.38 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$1,131.54–$2,742.12 | $1,616.48–$3,917.32 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,664.67–$2,742.12 | $2,378.10–$3,917.32 | varies |
| Comt gene analysis c.472g>a variant (0032U) | $948.49 | $1,354.99 | 5.4× |
| Core build-up incl any pins (D2950) | $291.45 | $416.36 | 0.5× |
| Crown porcelain/ceramic (D2740) | $2,222.86 | $3,175.51 | 3.4× |
| Cysto impl 4 or more (C9740) | $4,791.77 | $6,845.39 | 0.5× |
| Cystoscopy prostatic imp 1-3 (C9739) | $4,791.77 | $6,845.39 | 0.9× |
| Depression screen annual (G0444) | $46.70 | $66.71 | 1.2× |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$92.01–$525.76 | $131.44–$751.08 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$54.29–$79.87 | $77.55–$114.10 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$997.75–$1,027.68 | $1,425.36–$1,468.12 | varies |
| Drug test def 1-7 classes (G0480) range across 46 matching MRF lines |
$55.07–$891.93 | $78.67–$1,274.18 | varies |
| Drug test def 15-21 classes (G0482) range across 3 matching MRF lines |
$219.31–$343.27 | $313.30–$490.38 | varies |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$345.70–$356.07 | $493.85–$508.67 | varies |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$115.28–$118.73 | $164.68–$169.62 | varies |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$38.14–$39.28 | $54.48–$56.11 | varies |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$121.32–$137.80 | $173.31–$196.85 | varies |
| Extraction erupted tooth/exr (D7140) | $2,222.86 | $3,175.51 | 3.4× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$63.11–$65 | $90.16–$92.86 | varies |
| Fern test (Q0114) | $114.74 | $163.91 | 11.8× |
| Group mnt 2 or more 30 mins (G0271) range across 2 matching MRF lines |
$32.23–$47.42 | $46.04–$67.74 | varies |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$1,327.35–$1,367.17 | $1,896.21–$1,953.10 | varies |
| Hospital outpt clinic visit (G0463) range across 19 matching MRF lines |
$89.18–$798.26 | $127.40–$1,140.37 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $377.70 | $539.57 | 8.7× |
| Initial preventive exam (G0402) | $184.91 | $264.16 | 1.4× |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$676.30–$2,800.95 | $966.14–$4,001.36 | varies |
| Intraoral periapical first (D0220) | $8,187.70 | $11,696.71 | 93.9× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$37.95–$55.85 | $54.22–$79.78 | varies |
| Mra w/o cont, abd (C8901) | $2,179.61 | $3,113.73 | 9.1× |
| Mri w/o fol w/cont, breast, (C8908) | $7,359.35 | $10,513.36 | 21.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $3,679.68 | $5,256.68 | 10.5× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) range across 2 matching MRF lines |
$297.05–$305.96 | $424.36–$437.09 | varies |
| Njx platelet plasma (0232T) range across 4 matching MRF lines |
$335.40–$670.80 | $479.14–$958.28 | varies |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$34.97–$38.21 | $49.95–$54.58 | varies |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$791.08–$814.81 | $1,130.11–$1,164.01 | varies |
| Pelvic ring fracture uni/bil (G0413) | $10,119.21 | $14,456.02 | 1.4× |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$7,224.09–$11,453.22 | $10,320.13–$16,361.74 | varies |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$5,349.79 | $7,642.55 | 0.3× |
| Perc drug-el cor stent sing (C9600) range across 6 matching MRF lines |
$4,892.53–$7,270.22 | $6,989.33–$10,386.03 | varies |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) range across 2 matching MRF lines |
$19,265.76–$19,843.74 | $27,522.52–$28,348.20 | varies |
| Post 1 srfc resinbased cmpst (D2391) | $2,262.08 | $3,231.54 | 3.5× |
| Post 3 srfc resinbased cmpst (D2393) | $1,094.24 | $1,563.20 | 1.7× |
| Ppps, initial visit (G0438) range across 4 matching MRF lines |
$333.90–$364.86 | $477–$521.23 | varies |
| Ppps, subseq visit (G0439) range across 3 matching MRF lines |
$225.40–$246.30 | $322–$351.86 | varies |
| Prefab stnlss steel crown pe (D2931) | $679.11 | $970.16 | 1.0× |
| Prefab stnlss steel crwn pri (D2930) | $2,222.86 | $3,175.51 | 3.4× |
| Psa screening (G0103) range across 2 matching MRF lines |
$234.98–$242.03 | $335.69–$345.76 | varies |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $982.24 | $1,403.20 | 1.5× |
| Quan CT tiss charac w/o CT (0721T) | $982.24 | $1,403.20 | 1.5× |
| Rem imp tooth w mucoper flp (D7210) | $5,471.22 | $7,816.03 | 3.5× |
| Remove unilat space maintain (D1520) | $12,313.83 | $17,591.19 | 19.0× |
| Resin 4/> surf or w incis an (D2335) | $1,094.24 | $1,563.20 | 1.7× |
| Resin one surface-anterior (D2330) | $2,222.86 | $3,175.51 | 3.4× |
| Revasc intra lithotrip-stent (C9765) range across 3 matching MRF lines |
$7,955.55–$37,855.69 | $11,365.07–$54,079.55 | varies |
| Revasc lithotr-stent tib/per (C9773) range across 3 matching MRF lines |
$9,967.04–$40,872.94 | $14,238.63–$58,389.91 | varies |
| Spine device implant surgery (C9757) | $10,367.04 | $14,810.06 | 0.8× |
| Tee w or w/o fol w/cont,cong (C8926) | $2,226.48 | $3,180.68 | 2.8× |
| Therapeutic pulpotomy (D3220) | $2,222.86 | $3,175.51 | 3.4× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$53.39–$81.24 | $76.27–$116.05 | varies |
| Trim nail(s) (G0127) | $43.88 | $62.68 | 0.7× |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$2,667.62–$2,747.65 | $3,810.89–$3,925.22 | varies |
| Tte w or w/o fol w/cont, com (C8921) | $3,177.97 | $4,539.96 | 4.0× |
| Tte w or w/o fol w/cont, f/u (C8922) | $3,106.12 | $4,437.32 | 4.0× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$3,892.16–$4,008.93 | $5,560.23–$5,727.04 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$2,657.98–$2,737.72 | $3,797.12–$3,911.03 | varies |
| Visit to determ ldct elig (G0296) range across 3 matching MRF lines |
$106.19–$116.04 | $151.70–$165.77 | varies |
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.