MISSOURI BAPTIST SULLIVAN HOSPITAL
Hospital
Procedure Prices at MISSOURI BAPTIST SULLIVAN HOSPITAL
Insertion Of Needle Into Vein For Collection Of Blood Sample
CPT 36415
$2.7
Complete Blood Cell Count, Differential White Blood Cells, Automated
CPT 85025
$4.12
Blood Test, Comprehensive Group Of Blood Chemicals
CPT 80053
$9.34
Chest X-Ray (1 view)
CPT 71045
$11.22
Mechanical Traction
CPT 97012
$11.49
Chest X-Ray (2 views)
CPT 71046
$20.53
Therapeutic Activities
CPT 97530
$24.95
Thoracic Spine X-Ray
CPT 72072
$25.01
Therapeutic Exercises
CPT 97110
$25.21
EKG Tracing
CPT 93005
$54.06
Abdominal Ultrasound — Limited
CPT 76705
$66.02
Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes
CPT 99213
$69.88
ER Visit — Low-Moderate Complexity
CPT 99283
$70.83
Diagnostic Mammogram (unilateral)
CPT 77065
$75.4
CT Chest
CPT 71250
$79.06
Retroperitoneal Ultrasound
CPT 76770
$81.32
Screening Mammogram (bilateral)
CPT 77067
$81.36
Abdominal Ultrasound
CPT 76700
$87.28
OB Ultrasound
CPT 76805
$97.73
Diagnostic Mammogram (bilateral)
CPT 77066
$99.58
Echocardiogram w/ Doppler
CPT 93306
$143.99
ER Visit — Moderate Complexity
CPT 99284
$147.31
MRI Brain w/o Contrast
CPT 70551
$165.2
MRI Joint of Lower Extremity
CPT 73721
$178.67
CT Abdomen & Pelvis
CPT 74177
$231.95
MRI Brain w/ Contrast
CPT 70553
$278.21
ER Visit — High Complexity
CPT 99285
$298.79
Colonoscopy
CPT 45378
$770.63
Colonoscopy w/ Biopsy
CPT 45380
$1,006.99
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,162.1
Cataract Surgery — Complex
CPT 66982
$1,947.17
Cataract Surgery
CPT 66984
$1,983.69
Laparoscopic Cholecystectomy
CPT 47562
$4,669.31
Laparoscopic Hernia Repair
CPT 49650
$4,930.83
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.