▸ Hospital · MO · CCN 260074

Moberly Regional Medical Center

1515 UNION AVENUE, MOBERLY, MO, 65270

39 bedsAcute Care Hospitals4

Compliance grade

86/100

Rates published

1,236

last crawl 2026-05-24

Procedures tracked

149

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MO hospitals JSON

Source MRF: https://www.moberlyregionalmedicalcenter.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/431651906_moberly-regional-medical-center_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—
emergency
ED visit level 1	CPT	99281	0	$1,856.91	$891.32	—	—	—
ED visit level 2	CPT	99282	0	$3,047.8	$1,462.94	—	—	—
ED visit level 3	CPT	99283	0	$4,110.39	$1,972.99	—	—	—
ED visit level 4	CPT	99284	0	$5,498.41	$2,639.24	—	—	—
ED visit level 5	CPT	99285	0	$8,942.79	$4,292.54	—	—	—
Critical care, first hour	CPT	99291	0	$20,155	$9,674.59	—	—	—
imaging
CT head without contrast	CPT	70450	0	$2,153.04	$1,033.46	—	—	—
CT head with contrast	CPT	70460	0	$2,854.34	$1,370.08	—	—	—
CT head with and without contrast	CPT	70470	0	$3,160.04	$1,516.82	—	—	—
CT neck with contrast	CPT	70491	0	$4,105.89	$1,970.83	—	—	—
MRI brain without contrast	CPT	70551	0	$4,059.14	$1,948.39	—	—	—
MRI brain with contrast	CPT	70552	0	$4,135.86	$1,985.21	—	—	—
MRI brain with and without contrast	CPT	70553	0	$4,284.51	$2,056.56	—	—	—
Chest X-ray single view	CPT	71045	0	$738.46	$354.46	—	—	—
Chest X-ray 2 views	CPT	71046	0	$1,009.39	$484.51	—	—	—
Chest X-ray 3 views	CPT	71047	0	$1,166.43	$559.89	—	—	—
CT chest without contrast	CPT	71250	0	$3,414.18	$1,638.81	—	—	—
CT chest with contrast	CPT	71260	0	$3,247.55	$1,558.82	—	—	—
CT chest with and without contrast	CPT	71270	0	$4,415.18	$2,119.29	—	—	—
MRI chest with and without contrast	CPT	71552	0	$2,438	$1,170.24	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$1,016.58	$487.96	—	—	—
CT cervical spine without contrast	CPT	72125	0	$3,080.92	$1,478.84	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$3,080.92	$1,478.84	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$4,156.24	$1,995	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$4,059.14	$1,948.39	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$4,059.14	$1,948.39	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$4,059.14	$1,948.39	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$4,059.14	$1,948.39	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$4,059.14	$1,948.39	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$4,059.14	$1,948.39	—	—	—
CT pelvis without contrast	CPT	72192	0	$2,757.24	$1,323.48	—	—	—
CT pelvis with contrast	CPT	72193	0	$4,440.36	$2,131.37	—	—	—
Shoulder X-ray	CPT	73030	0	$1,275.52	$612.25	—	—	—
Humerus X-ray	CPT	73060	0	$871.53	$418.33	—	—	—
Hand X-ray 3 views	CPT	73130	0	$1,376.22	$660.59	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$4,059.14	$1,948.39	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$4,059.14	$1,948.39	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$1,785.01	$856.8	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$1,384.61	$664.61	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$3,978.82	$1,909.83	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$4,059.14	$1,948.39	—	—	—
CT abdomen without contrast	CPT	74150	0	$2,757.24	$1,323.48	—	—	—
CT abdomen with contrast	CPT	74160	0	$4,440.36	$2,131.37	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$4,723.27	$2,267.17	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$5,515.68	$2,647.53	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$4,530.27	$2,174.53	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$4,825.17	$2,316.08	—	—	—
MRI abdomen without contrast	CPT	74181	0	$4,059.14	$1,948.39	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$4,723.27	$2,267.17	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$2,625.37	$1,260.18	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$2,033.16	$975.92	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$2,033.16	$975.92	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$1,860.54	$893.06	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$1,860.54	$893.06	—	—	—
Transvaginal ultrasound	CPT	76830	0	$1,906.09	$914.92	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$1,835.36	$880.97	—	—	—
Scrotal ultrasound	CPT	76870	0	$1,446.95	$694.54	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$383.62	$184.14	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$489.11	$234.77	—	—	—
Screening mammography bilateral	CPT	77067	0	$424.38	$203.7	—	—	—
EKG tracing only	CPT	93005	0	$1,432.34	$687.52	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,590.67	$1,243.52	—	—	—
Stress echocardiogram	CPT	93350	0	$2,275.3	$1,092.14	—	—	—
inpatient
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	—	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$175.82	$84.39	—	—	—
General health panel	CPT	80050	0	$592.81	$284.55	—	—	—
Electrolyte panel	CPT	80051	0	$77.22	$37.07	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$222.16	$106.64	—	—	—
Lipid panel	CPT	80061	0	$144.94	$69.57	—	—	—
Renal function panel	CPT	80069	0	$257.8	$123.74	—	—	—
Hepatic function panel	CPT	80076	0	$323.14	$155.11	—	—	—
Urinalysis automated	CPT	81003	0	$141.37	$67.86	—	—	—
Glucose quantitative	CPT	82947	0	$177.01	$84.96	—	—	—
Hemoglobin A1c	CPT	83036	0	$229.28	$110.05	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$186.52	$89.53	—	—	—
Complete blood count with automated differential	CPT	85025	0	$187.7	$90.1	—	—	—
Complete blood count without differential	CPT	85027	0	$165.13	$79.26	—	—	—
Urine culture bacterial	CPT	87086	0	$263.74	$126.6	—	—	—
Urine culture identification	CPT	87088	0	$122.36	$58.73	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$226.28	$108.61	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$12,332	$3,329.59	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$32,029	$8,647.94	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$25,453	$6,872.22	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$19,789	$5,343.14	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$26,694	$7,207.28	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$26,589	$7,178.92	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$232,008	$62,642	—	—	—
Total hip replacement	CPT	27130	0	$219,023	$59,136	—	—	—
Total knee replacement	CPT	27447	0	$174,529	$47,123	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	$147,271	$39,763	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	$171,301	$46,251	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$144,920	$39,129	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$136,026	$36,727	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$71,848	$19,399	—	—	—
ACL reconstruction	CPT	29888	0	$131,316	$35,455	—	—	—
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	—	—	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$71,272	$19,244	—	—	—
Spinal fusion (non-cervical) w MCC	MS-DRG	459	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	—	—	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$85,266	$23,022	—	—	—
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	—	—	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$112,332	$30,330	—	—	—
Vaginal hysterectomy	CPT	58260	0	$97,888	$26,430	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$272,920	$73,688	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$73,452	$19,832	—	—	—
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	—	—	—	—	—
Complex cataract surgery	CPT	66982	0	$34,911	$9,425.89	—	—	—
Cataract surgery with lens implant	CPT	66984	0	$30,513	$8,238.52	—	—	—
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	$58,086	$27,881	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$81,101	$38,929	—	—	—
PCI bypass graft	CPT	92937	0	$81,101	$38,929	—	—	—
Left heart catheterization	CPT	93452	0	$22,262	$10,686	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$39,074	$18,755	—	—	—

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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