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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
59510Cash Price
(No Insurance)
$4,344
Gross Charge
$4,827
Medicare Rate
$2,419
Insurance Negotiated Rates
Aetna$2,109
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$38
Gross Charge
$42
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$362
Gross Charge
$402
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$130
Cash Price
(No Insurance)
$1,433
Gross Charge
$1,592
Medicare Rate
$356
Insurance Negotiated Rates
Blue Cross Blue Shield$153
Cash Price
(No Insurance)
$1,040
Gross Charge
$1,155
Medicare Rate
$450
Insurance Negotiated Rates
Blue Cross Blue Shield$165
Cash Price
(No Insurance)
$1,073
Gross Charge
$1,192
Medicare Rate
$471
Insurance Negotiated Rates
Good Samaritan Mcr Adv - All Plans$208
Cash Price
(No Insurance)
$21
Gross Charge
$23
Insurance Negotiated Rates
UnitedHealthcare$9
Cash Price
(No Insurance)
$905
Gross Charge
$1,006
Insurance Negotiated Rates
UnitedHealthcare$13
Cash Price
(No Insurance)
$5,434
Gross Charge
$6,038
Medicare Rate
$280
Insurance Negotiated Rates
UnitedHealthcare$2,476
Cash Price
(No Insurance)
$6,084
Gross Charge
$6,760
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$2,218
CT Chest Low Dose
71271Cash Price
(No Insurance)
$1,986
Gross Charge
$2,207
Medicare Rate
$128
Insurance Negotiated Rates
UnitedHealthcare$905
Cash Price
(No Insurance)
$2,763
Gross Charge
$3,070
Medicare Rate
$156
Insurance Negotiated Rates
UnitedHealthcare$1,259
ER Visit Level 3
99283Cash Price
(No Insurance)
$144
Gross Charge
$160
Medicare Rate
$69
Insurance Negotiated Rates
Aetna$59
ER Visit Level 4
99284Cash Price
(No Insurance)
$227
Gross Charge
$252
Medicare Rate
$117
Insurance Negotiated Rates
Blue Cross Blue Shield$110
ER Visit Level 5
99285Cash Price
(No Insurance)
$456
Gross Charge
$507
Medicare Rate
$170
Insurance Negotiated Rates
Blue Cross Blue Shield$160
Hemoglobin A1C
83036Cash Price
(No Insurance)
$25
Gross Charge
$28
Insurance Negotiated Rates
UnitedHealthcare$11
Hip Replacement
27130Cash Price
(No Insurance)
$985
Gross Charge
$1,094
Medicare Rate
$1,129
Insurance Negotiated Rates
First Health - All Plans$1,040
Knee Arthroscopy
29881Cash Price
(No Insurance)
$420
Gross Charge
$467
Medicare Rate
$495
Insurance Negotiated Rates
First Health - All Plans$444
Knee Replacement
27447Cash Price
(No Insurance)
$10,321
Gross Charge
$11,468
Medicare Rate
$1,127
Insurance Negotiated Rates
First Health - All Plans$1,038
Knee X-Ray
73560Cash Price
(No Insurance)
$802
Gross Charge
$891
Medicare Rate
$32
Insurance Negotiated Rates
UnitedHealthcare$183
Cash Price
(No Insurance)
$1,827
Gross Charge
$2,030
Medicare Rate
$615
Insurance Negotiated Rates
First Health - All Plans$361
Lipid Panel
80061Cash Price
(No Insurance)
$4,270
Gross Charge
$4,744
Insurance Negotiated Rates
UnitedHealthcare$16
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$495
Gross Charge
$550
Medicare Rate
$146
Insurance Negotiated Rates
UnitedHealthcare$226
Mammogram Screening
77067Cash Price
(No Insurance)
$347
Gross Charge
$386
Medicare Rate
$118
Insurance Negotiated Rates
UnitedHealthcare$110
MRI Brain
70551Cash Price
(No Insurance)
$4,135
Gross Charge
$4,594
Medicare Rate
$183
Insurance Negotiated Rates
UnitedHealthcare$1,884
Cash Price
(No Insurance)
$4,784
Gross Charge
$5,316
Medicare Rate
$296
Insurance Negotiated Rates
UnitedHealthcare$2,180
MRI Cervical Spine
72141Cash Price
(No Insurance)
$4,080
Gross Charge
$4,533
Medicare Rate
$179
Insurance Negotiated Rates
UnitedHealthcare$1,859
MRI Knee
73721Cash Price
(No Insurance)
$5,338
Gross Charge
$5,931
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$1,216
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$4,080
Gross Charge
$4,533
Medicare Rate
$180
Insurance Negotiated Rates
UnitedHealthcare$1,859
MRI Shoulder
73221Cash Price
(No Insurance)
$2,669
Gross Charge
$2,966
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$1,216
Office Visit Level 3
99213Cash Price
(No Insurance)
$132
Gross Charge
$147
Medicare Rate
$91
Insurance Negotiated Rates
Va Ccn - All Plans$55
Office Visit Level 4
99214Cash Price
(No Insurance)
$209
Gross Charge
$232
Medicare Rate
$130
Insurance Negotiated Rates
Va Ccn - All Plans$80
Shoulder X-Ray
73030Cash Price
(No Insurance)
$25
Gross Charge
$28
Medicare Rate
$33
Insurance Negotiated Rates
UnitedHealthcare$1
TSH (Thyroid)
84443Cash Price
(No Insurance)
$43
Gross Charge
$48
Insurance Negotiated Rates
UnitedHealthcare$20
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$953
Gross Charge
$1,059
Medicare Rate
$107
Insurance Negotiated Rates
UnitedHealthcare$434
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$877
Gross Charge
$974
Medicare Rate
$98
Insurance Negotiated Rates
UnitedHealthcare$399
Cash Price
(No Insurance)
$738
Gross Charge
$820
Medicare Rate
$109
Insurance Negotiated Rates
UnitedHealthcare$336
Cash Price
(No Insurance)
$702
Gross Charge
$780
Medicare Rate
$301
Insurance Negotiated Rates
Va Ccn - All Plans$103
Cash Price
(No Insurance)
$1,728
Gross Charge
$1,920
Medicare Rate
$390
Insurance Negotiated Rates
UnitedHealthcare$115
Urinalysis
81001Cash Price
(No Insurance)
$10,467
Gross Charge
$11,630
Insurance Negotiated Rates
UnitedHealthcare$5
Vaginal Delivery
59400Cash Price
(No Insurance)
$109
Gross Charge
$121
Medicare Rate
$2,163
Insurance Negotiated Rates
UnitedHealthcare$50