▸ Hospital · MO · CCN 260040

Cox Medical Centers

1423 N JEFFERSON, SPRINGFIELD, MO, 260040

Compliance grade

86/100

Rates published

1,574

last crawl 2026-05-24

Procedures tracked

155

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MO hospitals JSON

Source MRF: https://cdn.coxhealth.com/documents/440577118_lester-e-cox-medical-centers_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$421.25	$106.16	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$411.6	$103.72	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$253.67	$63.92	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$298.52	$75.23	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$326.07	$82.17	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$413.64	$104.24	—	—	—
emergency
ED visit level 1	CPT	99281	0	$9,514.45	$2,397.64	—	—	—
ED visit level 2	CPT	99282	0	$9,740.48	$2,454.6	—	—	—
ED visit level 3	CPT	99283	0	$10,144	$2,556.37	—	—	—
ED visit level 4	CPT	99284	0	$10,743	$2,707.24	—	—	—
ED visit level 5	CPT	99285	0	$11,591	$2,920.91	—	—	—
Critical care, first hour	CPT	99291	0	$12,561	$3,165.38	—	—	—
imaging
CT head without contrast	CPT	70450	0	$2,525.76	$636.49	—	—	—
CT head with contrast	CPT	70460	0	$3,025.62	$762.46	—	—	—
CT head with and without contrast	CPT	70470	0	$3,233.98	$814.96	—	—	—
CT neck with contrast	CPT	70491	0	$2,774.05	$699.06	—	—	—
MRI brain without contrast	CPT	70551	0	$3,133.04	$789.53	—	—	—
MRI brain with contrast	CPT	70552	0	$3,925.04	$989.11	—	—	—
MRI brain with and without contrast	CPT	70553	0	$4,599.5	$1,159.07	—	—	—
Chest X-ray single view	CPT	71045	0	$383.69	$96.69	—	—	—
Chest X-ray 2 views	CPT	71046	0	$467.28	$117.75	—	—	—
Chest X-ray 3 views	CPT	71047	0	$520	$131.04	—	—	—
CT chest without contrast	CPT	71250	0	$2,618.44	$659.85	—	—	—
CT chest with contrast	CPT	71260	0	$2,915.46	$734.7	—	—	—
CT chest with and without contrast	CPT	71270	0	$3,354.23	$845.27	—	—	—
MRI chest without contrast	CPT	71550	0	$3,055.32	$769.94	—	—	—
MRI chest with contrast	CPT	71551	0	$5,079.54	$1,280.04	—	—	—
MRI chest with and without contrast	CPT	71552	0	$4,998.07	$1,259.51	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$556.3	$140.19	—	—	—
CT cervical spine without contrast	CPT	72125	0	$2,868.14	$722.77	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$2,903.83	$731.77	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$2,815.8	$709.58	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$3,488.36	$879.07	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$3,621.94	$912.73	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$3,362.38	$847.32	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$4,193.36	$1,056.73	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$5,127.89	$1,292.23	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$4,607.29	$1,161.04	—	—	—
CT pelvis without contrast	CPT	72192	0	$2,527.93	$637.04	—	—	—
CT pelvis with contrast	CPT	72193	0	$2,918.97	$735.58	—	—	—
Shoulder X-ray	CPT	73030	0	$487.17	$122.77	—	—	—
Humerus X-ray	CPT	73060	0	$431.45	$108.73	—	—	—
Hand X-ray 3 views	CPT	73130	0	$552.21	$139.16	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$3,314.26	$835.19	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$4,542.72	$1,144.77	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$441.95	$111.37	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$512.04	$129.03	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$3,129	$788.51	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$4,356.28	$1,097.78	—	—	—
CT abdomen without contrast	CPT	74150	0	$2,472.31	$623.02	—	—	—
CT abdomen with contrast	CPT	74160	0	$3,102.82	$781.91	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$3,674.15	$925.89	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$4,885.14	$1,231.06	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$5,695.18	$1,435.19	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$6,300	$1,587.6	—	—	—
MRI abdomen without contrast	CPT	74181	0	$3,443.92	$867.87	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$5,046.17	$1,271.63	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$1,333.68	$336.09	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$990.89	$249.7	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$1,172.4	$295.44	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$949.82	$239.35	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$786.76	$198.26	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$1,165.84	$293.79	—	—	—
Transvaginal ultrasound	CPT	76830	0	$886.4	$223.37	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$1,197.39	$301.74	—	—	—
Scrotal ultrasound	CPT	76870	0	$1,150.98	$290.05	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$408.26	$102.88	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$612.39	$154.32	—	—	—
Screening mammography bilateral	CPT	77067	0	$678.66	$171.02	—	—	—
EKG tracing only	CPT	93005	0	$397.36	$100.13	—	—	—
EKG interpretation only	CPT	93010	0	$31.25	$7.88	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$4,461.56	$1,124.31	—	—	—
Stress echocardiogram	CPT	93350	0	$3,709.89	$934.89	—	—	—
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	0	—	—	—	—	—
Intracranial hemorrhage/CVA w CC	MS-DRG	065	0	—	—	—	—	—
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	0	—	—	—	—	—
Respiratory infections & inflammations w MCC	MS-DRG	177	0	—	—	—	—	—
COPD w MCC	MS-DRG	190	0	—	—	—	—	—
COPD w CC	MS-DRG	191	0	—	—	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	—	—	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	—	—	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	—	—	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	—	—	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	—	—	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	—	—	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	—	—	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	—	—	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	—	—	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	—	—	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	—	—	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	—	—	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	—	—	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	—	—	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	—	—	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	—	—	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	—	—	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	—	—	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	—	—	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	—	—	—	—	—
Initial hospital care, low complexity	CPT	99221	0	$306.24	$77.17	—	—	—
Initial hospital care, moderate complexity	CPT	99222	0	$418.2	$105.39	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$614.8	$154.93	—	—	—
Hospital discharge, <30 min	CPT	99238	0	$225.34	$56.79	—	—	—
Hospital discharge, >30 min	CPT	99239	0	$327.32	$82.48	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$222.41	$56.05	—	—	—
General health panel	CPT	80050	0	$437.58	$110.27	—	—	—
Electrolyte panel	CPT	80051	0	$214.75	$54.12	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$392.5	$98.91	—	—	—
Lipid panel	CPT	80061	0	$204.4	$51.51	—	—	—
Renal function panel	CPT	80069	0	$215.77	$54.37	—	—	—
Hepatic function panel	CPT	80076	0	$222.41	$56.05	—	—	—
Urinalysis non-automated	CPT	81002	0	$37.26	$9.39	—	—	—
Urinalysis automated	CPT	81003	0	$63.27	$15.94	—	—	—
Glucose quantitative	CPT	82947	0	$78.62	$19.81	—	—	—
Hemoglobin A1c	CPT	83036	0	$111.64	$28.13	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$191.21	$48.18	—	—	—
Complete blood count with automated differential	CPT	85025	0	$145.92	$36.77	—	—	—
Complete blood count without differential	CPT	85027	0	$132.25	$33.33	—	—	—
Urine culture bacterial	CPT	87086	0	$176.51	$44.48	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$481.48	$121.33	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$942.24	$237.44	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$150.53	$37.93	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$243.15	$61.27	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$405.52	$102.19	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$527.16	$132.84	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$301.94	$76.09	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$359.29	$90.54	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$573.5	$144.52	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$742.18	$187.03	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$987.01	$248.73	—	—	—
surgery
PCI w drug-eluting stent w/o MCC	MS-DRG	247	0	—	—	—	—	—
Major small/large bowel procedures w MCC	MS-DRG	329	0	—	—	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	—	—	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	—	—	—	—	—
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	0	—	—	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	—	—	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	—	—	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	—	—	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	—	—	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	—	—	—	—	—
OR procedure for obesity w CC	MS-DRG	620	0	—	—	—	—	—
OR procedure for obesity w/o CC/MCC	MS-DRG	621	0	—	—	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	—	—	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	—	—	—	—	—
PCI single major coronary artery	CPT	92920	0	$19,933	$5,023.1	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$25,630	$6,458.72	—	—	—
PCI bypass graft	CPT	92937	0	$36,822	$9,279.07	—	—	—
Left heart catheterization	CPT	93452	0	$15,946	$4,018.38	—	—	—
Coronary angiography with cath	CPT	93455	0	$15,794	$3,980.19	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$16,185	$4,078.74	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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