Price Transparency

Know your out-of-pocket cost for care.

All Charges

Charge

Type

Setting

Price

HCY SCREENING NEW PT AGE 12 - 17

Facility

OP

$290.00

Service Code	CPT 99384
Hospital Charge Code	9699384
Hospital Revenue Code	521
Min. Negotiated Rate	$171.68
Max. Negotiated Rate	$207.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$171.68
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$207.06
Rate for Payer: Cash Price	$261.00
Rate for Payer: Cash Price	$261.00
Rate for Payer: UnitedHealthcare Commercial	$193.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 1 -4

Facility

IP

$250.00

Service Code	CPT 99382
Hospital Charge Code	9599382
Hospital Revenue Code	521
Rate for Payer: Cash Price	$225.00

HCY SCREENING NEW PT AGE 1 -4

Facility

OP

$250.00

Service Code	CPT 99382
Hospital Charge Code	9599382
Hospital Revenue Code	521
Min. Negotiated Rate	$148.00
Max. Negotiated Rate	$178.50
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$148.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$178.50
Rate for Payer: Cash Price	$225.00
Rate for Payer: Cash Price	$225.00
Rate for Payer: UnitedHealthcare Commercial	$166.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 1 - 4

Facility

IP

$250.00

Service Code	CPT 99382
Hospital Charge Code	4499382
Hospital Revenue Code	521
Rate for Payer: Cash Price	$225.00

HCY SCREENING NEW PT AGE 1 - 4

Facility

OP

$250.00

Service Code	CPT 99382
Hospital Charge Code	4499382
Hospital Revenue Code	521
Min. Negotiated Rate	$148.00
Max. Negotiated Rate	$178.50
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$148.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$178.50
Rate for Payer: Cash Price	$225.00
Rate for Payer: Cash Price	$225.00
Rate for Payer: UnitedHealthcare Commercial	$166.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 1 - 4

Facility

IP

$250.00

Service Code	CPT 99382
Hospital Charge Code	3999382
Hospital Revenue Code	521
Rate for Payer: Cash Price	$225.00

HCY SCREENING NEW PT AGE 1 - 4

Facility

OP

$250.00

Service Code	CPT 99382
Hospital Charge Code	3999382
Hospital Revenue Code	521
Min. Negotiated Rate	$148.00
Max. Negotiated Rate	$178.50
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$148.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$178.50
Rate for Payer: Cash Price	$225.00
Rate for Payer: Cash Price	$225.00
Rate for Payer: UnitedHealthcare Commercial	$166.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 18 - 39

Facility

IP

$315.00

Service Code	CPT 99385
Hospital Charge Code	4299385
Hospital Revenue Code	521
Rate for Payer: Cash Price	$283.50

HCY SCREENING NEW PT AGE 18 - 39

Facility

IP

$315.00

Service Code	CPT 99385
Hospital Charge Code	3999385
Hospital Revenue Code	521
Rate for Payer: Cash Price	$283.50

HCY SCREENING NEW PT AGE 18 - 39

Facility

OP

$315.00

Service Code	CPT 99385
Hospital Charge Code	4299385
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$224.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$186.48
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$224.91
Rate for Payer: Cash Price	$283.50
Rate for Payer: Cash Price	$283.50
Rate for Payer: UnitedHealthcare Commercial	$210.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 18 - 39

Facility

OP

$315.00

Service Code	CPT 99385
Hospital Charge Code	9599385
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$224.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$186.48
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$224.91
Rate for Payer: Cash Price	$283.50
Rate for Payer: Cash Price	$283.50
Rate for Payer: UnitedHealthcare Commercial	$210.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 18 - 39

Facility

IP

$315.00

Service Code	CPT 99385
Hospital Charge Code	9699385
Hospital Revenue Code	521
Rate for Payer: Cash Price	$283.50

HCY SCREENING NEW PT AGE 18 - 39

Facility

OP

$315.00

Service Code	CPT 99385
Hospital Charge Code	9699385
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$224.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$186.48
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$224.91
Rate for Payer: Cash Price	$283.50
Rate for Payer: Cash Price	$283.50
Rate for Payer: UnitedHealthcare Commercial	$210.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 18 - 39

Facility

OP

$315.00

Service Code	CPT 99385
Hospital Charge Code	3999385
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$224.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$186.48
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$224.91
Rate for Payer: Cash Price	$283.50
Rate for Payer: Cash Price	$283.50
Rate for Payer: UnitedHealthcare Commercial	$210.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 18 - 39

Facility

IP

$315.00

Service Code	CPT 99385
Hospital Charge Code	9599385
Hospital Revenue Code	521
Rate for Payer: Cash Price	$283.50

HCY SCREENING NEW PT AGE 40 - 64

Facility

IP

$375.00

Service Code	CPT 99386
Hospital Charge Code	9599386
Hospital Revenue Code	521
Rate for Payer: Cash Price	$337.50

HCY SCREENING NEW PT AGE 40 - 64

Facility

IP

$375.00

Service Code	CPT 99386
Hospital Charge Code	4299386
Hospital Revenue Code	521
Rate for Payer: Cash Price	$337.50

HCY SCREENING NEW PT AGE 40 - 64

Facility

IP

$375.00

Service Code	CPT 99386
Hospital Charge Code	3999386
Hospital Revenue Code	521
Rate for Payer: Cash Price	$337.50

HCY SCREENING NEW PT AGE 40 - 64

Facility

OP

$375.00

Service Code	CPT 99386
Hospital Charge Code	9599386
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$267.75
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$222.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$267.75
Rate for Payer: Cash Price	$337.50
Rate for Payer: Cash Price	$337.50
Rate for Payer: UnitedHealthcare Commercial	$250.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 40 - 64

Facility

OP

$375.00

Service Code	CPT 99386
Hospital Charge Code	3999386
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$267.75
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$222.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$267.75
Rate for Payer: Cash Price	$337.50
Rate for Payer: Cash Price	$337.50
Rate for Payer: UnitedHealthcare Commercial	$250.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 40 - 64

Facility

OP

$375.00

Service Code	CPT 99386
Hospital Charge Code	4299386
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$267.75
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$222.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$267.75
Rate for Payer: Cash Price	$337.50
Rate for Payer: Cash Price	$337.50
Rate for Payer: UnitedHealthcare Commercial	$250.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 5 - 11

Facility

OP

$260.00

Service Code	CPT 99383
Hospital Charge Code	3999383
Hospital Revenue Code	521
Min. Negotiated Rate	$153.92
Max. Negotiated Rate	$185.64
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$153.92
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$185.64
Rate for Payer: Cash Price	$234.00
Rate for Payer: Cash Price	$234.00
Rate for Payer: UnitedHealthcare Commercial	$173.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

HCY SCREENING NEW PT AGE 5 - 11

Facility

IP

$260.00

Service Code	CPT 99383
Hospital Charge Code	3999383
Hospital Revenue Code	521
Rate for Payer: Cash Price	$234.00

HCY SCREENING NEW PT AGE 5 - 11

Facility

IP

$260.00

Service Code	CPT 99383
Hospital Charge Code	4499383
Hospital Revenue Code	521
Rate for Payer: Cash Price	$234.00

HCY SCREENING NEW PT AGE 5 - 11

Facility

OP

$260.00

Service Code	CPT 99383
Hospital Charge Code	4499383
Hospital Revenue Code	521
Min. Negotiated Rate	$153.92
Max. Negotiated Rate	$185.64
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$153.92
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$185.64
Rate for Payer: Cash Price	$234.00
Rate for Payer: Cash Price	$234.00
Rate for Payer: UnitedHealthcare Commercial	$173.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

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