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Phelps Health

Rolla, MO · CMS ID: 260017

This hospital has pricing data for 41 procedures ranging from $21 to $10,467.

Procedures (41)

C-Section Delivery

59510
Cash Price
(No Insurance)
$4,344
Gross Charge
$4,827
Insurance Negotiated Rates
Aetna$2,109

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$38
Gross Charge
$42
Insurance Negotiated Rates
Blue Cross Blue Shield$8

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$362
Gross Charge
$402
Insurance Negotiated Rates
Blue Cross Blue Shield$130

Colonoscopy Diagnostic

45378
Cash Price
(No Insurance)
$1,433
Gross Charge
$1,592
Insurance Negotiated Rates
Blue Cross Blue Shield$153

Colonoscopy with Biopsy

45380
Cash Price
(No Insurance)
$1,040
Gross Charge
$1,155
Insurance Negotiated Rates
Blue Cross Blue Shield$165

Colonoscopy with Polyp Removal

45385
Cash Price
(No Insurance)
$1,073
Gross Charge
$1,192
Insurance Negotiated Rates
Good Samaritan Mcr Adv - All Plans$208

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$21
Gross Charge
$23
Insurance Negotiated Rates
UnitedHealthcare$9

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$905
Gross Charge
$1,006
Insurance Negotiated Rates
UnitedHealthcare$13

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$5,434
Gross Charge
$6,038
Insurance Negotiated Rates
UnitedHealthcare$2,476

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$6,084
Gross Charge
$6,760
Insurance Negotiated Rates
Blue Cross Blue Shield$2,218

CT Chest Low Dose

71271
Cash Price
(No Insurance)
$1,986
Gross Charge
$2,207
Insurance Negotiated Rates
UnitedHealthcare$905

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$2,763
Gross Charge
$3,070
Insurance Negotiated Rates
UnitedHealthcare$1,259

ER Visit Level 3

99283
Cash Price
(No Insurance)
$144
Gross Charge
$160
Insurance Negotiated Rates
Aetna$59

ER Visit Level 4

99284
Cash Price
(No Insurance)
$227
Gross Charge
$252
Insurance Negotiated Rates
Blue Cross Blue Shield$110

ER Visit Level 5

99285
Cash Price
(No Insurance)
$456
Gross Charge
$507
Insurance Negotiated Rates
Blue Cross Blue Shield$160

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$25
Gross Charge
$28
Insurance Negotiated Rates
UnitedHealthcare$11

Hip Replacement

27130
Cash Price
(No Insurance)
$985
Gross Charge
$1,094
Insurance Negotiated Rates
First Health - All Plans$1,040

Knee Arthroscopy

29881
Cash Price
(No Insurance)
$420
Gross Charge
$467
Insurance Negotiated Rates
First Health - All Plans$444

Knee Replacement

27447
Cash Price
(No Insurance)
$10,321
Gross Charge
$11,468
Insurance Negotiated Rates
First Health - All Plans$1,038

Knee X-Ray

73560
Cash Price
(No Insurance)
$802
Gross Charge
$891
Insurance Negotiated Rates
UnitedHealthcare$183

Laparoscopic Cholecystectomy

47562
Cash Price
(No Insurance)
$1,827
Gross Charge
$2,030
Insurance Negotiated Rates
First Health - All Plans$361

Lipid Panel

80061
Cash Price
(No Insurance)
$4,270
Gross Charge
$4,744
Insurance Negotiated Rates
UnitedHealthcare$16

Mammogram Diagnostic

77066
Cash Price
(No Insurance)
$495
Gross Charge
$550
Insurance Negotiated Rates
UnitedHealthcare$226

Mammogram Screening

77067
Cash Price
(No Insurance)
$347
Gross Charge
$386
Insurance Negotiated Rates
UnitedHealthcare$110

MRI Brain

70551
Cash Price
(No Insurance)
$4,135
Gross Charge
$4,594
Insurance Negotiated Rates
UnitedHealthcare$1,884

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$4,784
Gross Charge
$5,316
Insurance Negotiated Rates
UnitedHealthcare$2,180

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$4,080
Gross Charge
$4,533
Insurance Negotiated Rates
UnitedHealthcare$1,859

MRI Knee

73721
Cash Price
(No Insurance)
$5,338
Gross Charge
$5,931
Insurance Negotiated Rates
UnitedHealthcare$1,216

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$4,080
Gross Charge
$4,533
Insurance Negotiated Rates
UnitedHealthcare$1,859

MRI Shoulder

73221
Cash Price
(No Insurance)
$2,669
Gross Charge
$2,966
Insurance Negotiated Rates
UnitedHealthcare$1,216

Office Visit Level 3

99213
Cash Price
(No Insurance)
$132
Gross Charge
$147
Insurance Negotiated Rates
Va Ccn - All Plans$55

Office Visit Level 4

99214
Cash Price
(No Insurance)
$209
Gross Charge
$232
Insurance Negotiated Rates
Va Ccn - All Plans$80

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$25
Gross Charge
$28
Insurance Negotiated Rates
UnitedHealthcare$1

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$43
Gross Charge
$48
Insurance Negotiated Rates
UnitedHealthcare$20

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$953
Gross Charge
$1,059
Insurance Negotiated Rates
UnitedHealthcare$434

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$877
Gross Charge
$974
Insurance Negotiated Rates
UnitedHealthcare$399

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$738
Gross Charge
$820
Insurance Negotiated Rates
UnitedHealthcare$336

Upper Endoscopy Diagnostic

43235
Cash Price
(No Insurance)
$702
Gross Charge
$780
Insurance Negotiated Rates
Va Ccn - All Plans$103

Upper Endoscopy with Biopsy

43239
Cash Price
(No Insurance)
$1,728
Gross Charge
$1,920
Insurance Negotiated Rates
UnitedHealthcare$115

Urinalysis

81001
Cash Price
(No Insurance)
$10,467
Gross Charge
$11,630
Insurance Negotiated Rates
UnitedHealthcare$5

Vaginal Delivery

59400
Cash Price
(No Insurance)
$109
Gross Charge
$121
Insurance Negotiated Rates
UnitedHealthcare$50