Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC

Facility

IP

$19,775.88

Service Code	MSDRG 074
Min. Negotiated Rate	$9,887.94
Max. Negotiated Rate	$19,775.88
Rate for Payer: Aetna Medicare Advantage	$9,887.94
Rate for Payer: Cigna Commercial HMO & PPO	$9,887.94
Rate for Payer: Home State Health Plan Medicare Advantage	$9,887.94
Rate for Payer: Humana Commercial	$19,775.88
Rate for Payer: Humana Medicare Advantage	$9,887.94

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC

Facility

IP

$52,514.84

Service Code	MSDRG 026
Min. Negotiated Rate	$26,257.42
Max. Negotiated Rate	$52,514.84
Rate for Payer: Aetna Medicare Advantage	$26,257.42
Rate for Payer: Cigna Commercial HMO & PPO	$26,257.42
Rate for Payer: Home State Health Plan Medicare Advantage	$26,257.42
Rate for Payer: Humana Commercial	$52,514.84
Rate for Payer: Humana Medicare Advantage	$26,257.42

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC

Facility

IP

$75,311.76

Service Code	MSDRG 025
Min. Negotiated Rate	$37,655.88
Max. Negotiated Rate	$75,311.76
Rate for Payer: Aetna Medicare Advantage	$37,655.88
Rate for Payer: Cigna Commercial HMO & PPO	$37,655.88
Rate for Payer: Home State Health Plan Medicare Advantage	$37,655.88
Rate for Payer: Humana Commercial	$75,311.76
Rate for Payer: Humana Medicare Advantage	$37,655.88

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC

Facility

IP

$43,239.82

Service Code	MSDRG 027
Min. Negotiated Rate	$21,619.91
Max. Negotiated Rate	$43,239.82
Rate for Payer: Aetna Medicare Advantage	$21,619.91
Rate for Payer: Cigna Commercial HMO & PPO	$21,619.91
Rate for Payer: Home State Health Plan Medicare Advantage	$21,619.91
Rate for Payer: Humana Commercial	$43,239.82
Rate for Payer: Humana Medicare Advantage	$21,619.91

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

IP

$73,448.41

Service Code	APR-DRG 9104
Min. Negotiated Rate	$73,448.41
Max. Negotiated Rate	$73,448.41
Rate for Payer: Aetna Better Health Medicaid/QHP	$73,448.41
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$73,448.41
Rate for Payer: Home State Health Plan Medicaid Managed Care	$73,448.41
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$73,448.41

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

IP

$38,234.41

Service Code	APR-DRG 9103
Min. Negotiated Rate	$38,234.41
Max. Negotiated Rate	$38,234.41
Rate for Payer: Aetna Better Health Medicaid/QHP	$38,234.41
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$38,234.41
Rate for Payer: Home State Health Plan Medicaid Managed Care	$38,234.41
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$38,234.41

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

IP

$31,338.42

Service Code	APR-DRG 9102
Min. Negotiated Rate	$31,338.42
Max. Negotiated Rate	$31,338.42
Rate for Payer: Aetna Better Health Medicaid/QHP	$31,338.42
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$31,338.42
Rate for Payer: Home State Health Plan Medicaid Managed Care	$31,338.42
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$31,338.42

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

IP

$109,988.38

Service Code	MSDRG 955
Min. Negotiated Rate	$54,994.19
Max. Negotiated Rate	$109,988.38
Rate for Payer: Aetna Medicare Advantage	$54,994.19
Rate for Payer: Cigna Commercial HMO & PPO	$54,994.19
Rate for Payer: Home State Health Plan Medicare Advantage	$54,994.19
Rate for Payer: Humana Commercial	$109,988.38
Rate for Payer: Humana Medicare Advantage	$54,994.19

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

IP

$31,263.53

Service Code	APR-DRG 9101
Min. Negotiated Rate	$31,263.53
Max. Negotiated Rate	$31,263.53
Rate for Payer: Aetna Better Health Medicaid/QHP	$31,263.53
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$31,263.53
Rate for Payer: Home State Health Plan Medicaid Managed Care	$31,263.53
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$31,263.53

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR

Facility

IP

$94,101.02

Service Code	MSDRG 023
Min. Negotiated Rate	$47,050.51
Max. Negotiated Rate	$94,101.02
Rate for Payer: Aetna Medicare Advantage	$47,050.51
Rate for Payer: Cigna Commercial HMO & PPO	$47,050.51
Rate for Payer: Home State Health Plan Medicare Advantage	$47,050.51
Rate for Payer: Humana Commercial	$94,101.02
Rate for Payer: Humana Medicare Advantage	$47,050.51

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC

Facility

IP

$65,238.20

Service Code	MSDRG 024
Min. Negotiated Rate	$32,619.10
Max. Negotiated Rate	$65,238.20
Rate for Payer: Aetna Medicare Advantage	$32,619.10
Rate for Payer: Cigna Commercial HMO & PPO	$32,619.10
Rate for Payer: Home State Health Plan Medicare Advantage	$32,619.10
Rate for Payer: Humana Commercial	$65,238.20
Rate for Payer: Humana Medicare Advantage	$32,619.10

CRASH CART FEE

Facility

OP

$583.00

Service Code	NDC 1E+11
Hospital Charge Code	2626611
Hospital Revenue Code	250
Min. Negotiated Rate	$209.88
Max. Negotiated Rate	$416.26
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$345.14
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$416.26
Rate for Payer: Cash Price	$524.70
Rate for Payer: UnitedHealthcare Commercial	$388.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$209.88

CRASH CART FEE

Facility

IP

$583.00

Service Code	NDC 1E+11
Hospital Charge Code	2626611
Hospital Revenue Code	250
Rate for Payer: Cash Price	$524.70

CREATINE URINE

Facility

OP

$112.00

Service Code	CPT 82540
Hospital Charge Code	2227031
Hospital Revenue Code	301
Min. Negotiated Rate	$4.18
Max. Negotiated Rate	$79.97
Rate for Payer: Aetna Better Health Medicaid/QHP	$4.18
Rate for Payer: Aetna Medicare Advantage	$4.64
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$66.30
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$79.97
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cigna Commercial HMO & PPO	$4.64
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$4.18
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4.47
Rate for Payer: Home State Health Plan Medicare Advantage	$4.64
Rate for Payer: Humana Commercial	$9.28
Rate for Payer: Humana Medicare Advantage	$4.64
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.32

CREATINE URINE

Facility

IP

$112.00

Service Code	CPT 82540
Hospital Charge Code	2227031
Hospital Revenue Code	301
Rate for Payer: Cash Price	$100.80

CREATININE

Facility

IP

$112.00

Service Code	CPT 82565
Hospital Charge Code	223174
Hospital Revenue Code	301
Rate for Payer: Cash Price	$100.80

CREATININE

Facility

OP

$112.00

Service Code	CPT 82565
Hospital Charge Code	223174
Hospital Revenue Code	301
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$79.97
Rate for Payer: Aetna Better Health Medicaid/QHP	$4.61
Rate for Payer: Aetna Medicare Advantage	$5.12
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$66.30
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$79.97
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cigna Commercial HMO & PPO	$5.12
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$4.61
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4.93
Rate for Payer: Home State Health Plan Medicare Advantage	$5.12
Rate for Payer: Humana Commercial	$10.24
Rate for Payer: Humana Medicare Advantage	$5.12
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$4.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.32

CREATININE 24HR URINE

Facility

IP

$112.00

Service Code	CPT 82570
Hospital Charge Code	2221201
Hospital Revenue Code	301
Rate for Payer: Cash Price	$100.80

CREATININE 24HR URINE

Facility

OP

$112.00

Service Code	CPT 82570
Hospital Charge Code	2221201
Hospital Revenue Code	301
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$79.97
Rate for Payer: Aetna Better Health Medicaid/QHP	$4.66
Rate for Payer: Aetna Medicare Advantage	$5.18
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$66.30
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$79.97
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cigna Commercial HMO & PPO	$5.18
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$4.66
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4.99
Rate for Payer: Home State Health Plan Medicare Advantage	$5.18
Rate for Payer: Humana Commercial	$10.36
Rate for Payer: Humana Medicare Advantage	$5.18
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$4.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.32

CREATININE CLEARANCE 24HR UR

Facility

OP

$151.00

Service Code	CPT 82575
Hospital Charge Code	223176
Hospital Revenue Code	301
Min. Negotiated Rate	$8.51
Max. Negotiated Rate	$107.81
Rate for Payer: Aetna Better Health Medicaid/QHP	$8.51
Rate for Payer: Aetna Medicare Advantage	$9.46
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$89.39
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$107.81
Rate for Payer: Cash Price	$135.90
Rate for Payer: Cash Price	$135.90
Rate for Payer: Cash Price	$135.90
Rate for Payer: Cigna Commercial HMO & PPO	$9.46
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8.51
Rate for Payer: Home State Health Plan Medicaid Managed Care	$9.11
Rate for Payer: Home State Health Plan Medicare Advantage	$9.46
Rate for Payer: Humana Commercial	$18.92
Rate for Payer: Humana Medicare Advantage	$9.46
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$54.36

CREATININE CLEARANCE 24HR UR

Facility

IP

$151.00

Service Code	CPT 82575
Hospital Charge Code	223176
Hospital Revenue Code	301
Rate for Payer: Cash Price	$135.90

CREATININE CLEARANCE (LABCORP)

Facility

OP

$112.00

Service Code	CPT 82575
Hospital Charge Code	2221221
Hospital Revenue Code	301
Min. Negotiated Rate	$8.51
Max. Negotiated Rate	$79.97
Rate for Payer: Aetna Better Health Medicaid/QHP	$8.51
Rate for Payer: Aetna Medicare Advantage	$9.46
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$66.30
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$79.97
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cash Price	$100.80
Rate for Payer: Cigna Commercial HMO & PPO	$9.46
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8.51
Rate for Payer: Home State Health Plan Medicaid Managed Care	$9.11
Rate for Payer: Home State Health Plan Medicare Advantage	$9.46
Rate for Payer: Humana Commercial	$18.92
Rate for Payer: Humana Medicare Advantage	$9.46
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.32

CREATININE CLEARANCE (LABCORP)

Facility

IP

$112.00

Service Code	CPT 82575
Hospital Charge Code	2221221
Hospital Revenue Code	301
Rate for Payer: Cash Price	$100.80

CREATININE eGFR

Facility

IP

$23.00

Service Code	CPT 82565
Hospital Charge Code	2282565
Hospital Revenue Code	301
Rate for Payer: Cash Price	$20.70

CREATININE eGFR

Facility

OP

$23.00

Service Code	CPT 82565
Hospital Charge Code	2282565
Hospital Revenue Code	301
Min. Negotiated Rate	$4.61
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Better Health Medicaid/QHP	$4.61
Rate for Payer: Aetna Medicare Advantage	$5.12
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$13.62
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$16.42
Rate for Payer: Cash Price	$20.70
Rate for Payer: Cash Price	$20.70
Rate for Payer: Cash Price	$20.70
Rate for Payer: Cigna Commercial HMO & PPO	$5.12
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$4.61
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4.93
Rate for Payer: Home State Health Plan Medicare Advantage	$5.12
Rate for Payer: Humana Commercial	$10.24
Rate for Payer: Humana Medicare Advantage	$5.12
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$4.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.28

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