▸ Hospital · MO · CCN 260219
Progress West Hospital
2 PROGRESS POINT PARKWAY, OFALLON, MO, 63368
69 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
135
of 209 target codes
Payers
30
with negotiated rates
Rates published
14,606
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 33 | $39,059 | $23,435 | $48.5 | $80 | $22,655 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 36 | $948 | $568.8 | $84.46 | $616.2 | $1,727 |
| ED visit level 2 | CPT | 99282 | 22 | $1,683 | $1,009.8 | $888.62 | $1,009.8 | $1,727 |
| ED visit level 3 | CPT | 99283 | 36 | $2,674 | $1,604.4 | $273.42 | $1,727 | $2,674 |
| ED visit level 4 | CPT | 99284 | 22 | $3,765 | $2,259 | $1,727 | $2,187.47 | $3,275.55 |
| ED visit level 5 | CPT | 99285 | 36 | $5,551 | $3,330.6 | $596.49 | $3,608.15 | $5,551 |
| Critical care, first hour | CPT | 99291 | 36 | $6,853 | $4,111.8 | $66 | $4,111.8 | $6,853 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 36 | $1,433 | $859.8 | $104.71 | $925.73 | $1,500 |
| CT head with contrast | CPT | 70460 | 36 | $1,705 | $1,023 | $175.68 | $1,108.25 | $1,705 |
| CT head with and without contrast | CPT | 70470 | 36 | $2,032 | $1,219.2 | $175.68 | $1,178.56 | $2,032 |
| CT neck with contrast | CPT | 70491 | 36 | $1,429 | $857.4 | $175.68 | $928.85 | $1,500 |
| MRI brain without contrast | CPT | 70551 | 36 | $2,303 | $1,381.8 | $238.99 | $1,433.62 | $2,303 |
| MRI brain with contrast | CPT | 70552 | 36 | $2,800 | $1,680 | $349.44 | $1,663 | $2,800 |
| MRI brain with and without contrast | CPT | 70553 | 36 | $3,367 | $2,020.2 | $349.44 | $1,851.85 | $3,367 |
| Chest X-ray single view | CPT | 71045 | 36 | $435 | $261 | $30.49 | $252.3 | $435 |
| Chest X-ray 2 views | CPT | 71046 | 36 | $457 | $274.2 | $43.02 | $265.06 | $457 |
| Chest X-ray 3 views | CPT | 71047 | 36 | $480 | $288 | $54.87 | $278.4 | $480 |
| CT chest without contrast | CPT | 71250 | 36 | $1,181 | $708.6 | $104.71 | $877.48 | $1,500 |
| CT chest with contrast | CPT | 71260 | 36 | $1,543 | $925.8 | $175.68 | $1,002.95 | $1,543 |
| CT chest with and without contrast | CPT | 71270 | 36 | $1,623 | $973.8 | $175.68 | $1,009 | $1,623 |
| MRI chest without contrast | CPT | 71550 | 36 | $2,631 | $1,578.6 | $238.99 | $1,614.23 | $2,631 |
| MRI chest with and without contrast | CPT | 71552 | 36 | $3,582 | $2,149.2 | $349.44 | $2,328.3 | $3,582 |
| Lumbosacral spine X-ray | CPT | 72100 | 36 | $308 | $184.8 | $54.24 | $178.64 | $308 |
| CT cervical spine without contrast | CPT | 72125 | 36 | $1,512 | $907.2 | $104.71 | $982.8 | $1,512 |
| CT thoracic spine without contrast | CPT | 72128 | 36 | $1,258 | $754.8 | $104.71 | $916 | $1,500 |
| CT lumbar spine without contrast | CPT | 72131 | 36 | $1,152 | $691.2 | $104.71 | $855.94 | $1,500 |
| MRI cervical spine without contrast | CPT | 72141 | 36 | $2,301 | $1,380.6 | $238.99 | $1,432.38 | $2,301 |
| MRI thoracic spine without contrast | CPT | 72146 | 36 | $1,921 | $1,152.6 | $238.99 | $1,248.65 | $2,250 |
| MRI lumbar spine without contrast | CPT | 72148 | 36 | $2,371 | $1,422.6 | $238.99 | $1,475.95 | $2,371 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 36 | $2,450 | $1,470 | $349.44 | $1,592.5 | $2,450 |
| MRI cervical spine with and without contrast | CPT | 72156 | 36 | $3,179 | $1,907.4 | $349.44 | $1,782 | $3,179 |
| MRI lumbar spine with contrast | CPT | 72158 | 36 | $2,781 | $1,668.6 | $349.44 | $1,663 | $2,781 |
| CT pelvis without contrast | CPT | 72192 | 36 | $1,175 | $705 | $104.71 | $873.03 | $1,500 |
| CT pelvis with contrast | CPT | 72193 | 36 | $1,540 | $924 | $175.68 | $1,009 | $1,540 |
| Shoulder X-ray | CPT | 73030 | 32 | $332 | $199.2 | $47.38 | $215.8 | $332 |
| Humerus X-ray | CPT | 73060 | 36 | $280 | $168 | $44.89 | $162.4 | $296 |
| Hand X-ray 3 views | CPT | 73130 | 32 | $296 | $177.6 | $52.37 | $192.4 | $296 |
| MRI upper extremity joint without contrast | CPT | 73221 | 32 | $2,110 | $1,266 | $284.68 | $1,567.73 | $2,250 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 32 | $6,318 | $3,790.8 | $601 | $4,106.7 | $6,318 |
| Knee X-ray 1-2 views | CPT | 73560 | 32 | $262 | $157.2 | $48.62 | $170.3 | $296 |
| Ankle X-ray 3 views | CPT | 73610 | 32 | $277 | $166.2 | $53 | $180.05 | $296 |
| MRI lower extremity joint without contrast | CPT | 73721 | 32 | $2,390 | $1,434 | $284.03 | $1,663 | $2,390 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 32 | $3,484 | $2,090.4 | $599.07 | $2,264.6 | $3,484 |
| CT abdomen without contrast | CPT | 74150 | 36 | $1,353 | $811.8 | $104.71 | $916 | $1,500 |
| CT abdomen with contrast | CPT | 74160 | 36 | $1,476 | $885.6 | $175.68 | $1,009 | $1,500 |
| CT abdomen with and without contrast | CPT | 74170 | 36 | $1,772 | $1,063.2 | $175.68 | $1,151.8 | $1,772 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 36 | $2,907 | $1,744.2 | $225.02 | $1,642.46 | $2,907 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 36 | $4,732 | $2,839.2 | $349.44 | $2,602.6 | $4,732 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 36 | $4,969 | $2,981.4 | $349.44 | $2,732.95 | $4,969 |
| MRI abdomen without contrast | CPT | 74181 | 36 | $2,404 | $1,442.4 | $238.99 | $1,496.49 | $2,404 |
| MRI abdomen with and without contrast | CPT | 74183 | 36 | $3,268 | $1,960.8 | $349.44 | $1,797.4 | $3,268 |
| Abdominal ultrasound complete | CPT | 76700 | 36 | $955 | $573 | $104.71 | $525.25 | $955 |
| Abdominal ultrasound limited | CPT | 76705 | 36 | $746 | $447.6 | $104.71 | $458.79 | $746 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 36 | $876 | $525.6 | $104.71 | $508.08 | $876 |
| Obstetric ultrasound first trimester | CPT | 76801 | 36 | $790 | $474 | $104.71 | $458.2 | $790 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 36 | $1,056 | $633.6 | $104.71 | $580.8 | $1,056 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 36 | $671 | $402.6 | $155.82 | $404.16 | $671 |
| Transvaginal ultrasound | CPT | 76830 | 36 | $641 | $384.6 | $104.71 | $371.78 | $641 |
| Pelvic ultrasound complete | CPT | 76856 | 36 | $1,024 | $614.4 | $104.71 | $563.2 | $1,024 |
| Scrotal ultrasound | CPT | 76870 | 36 | $1,367 | $820.2 | $103.43 | $751.85 | $1,367 |
| Diagnostic mammography unilateral | CPT | 77065 | 32 | $330 | $198 | $83.69 | $247.5 | $330 |
| Diagnostic mammography bilateral | CPT | 77066 | 32 | $488 | $292.8 | $107.39 | $362.58 | $488 |
| Screening mammography bilateral | CPT | 77067 | 32 | $349 | $209.4 | $44.28 | $261.75 | $349 |
| EKG tracing only | CPT | 93005 | 36 | $530 | $318 | $59.09 | $326 | $530 |
| Transthoracic echocardiogram complete | CPT | 93306 | 36 | $8,910 | $5,346 | $547.3 | $5,167.8 | $8,910 |
| Transthoracic echocardiogram | CPT | 93307 | 36 | $2,472 | $1,483.2 | $238.99 | $1,433.76 | $2,472 |
| Stress echocardiogram | CPT | 93350 | 36 | $6,677 | $4,006.2 | $547.3 | $3,872.66 | $6,677 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 36 | $49,957 | $29,974 | $48.5 | $87 | $41,881 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 36 | $41,679 | $25,007 | $48.5 | $87 | $33,399 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 36 | $36,451 | $21,870 | $48.5 | $87 | $33,399 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 36 | $49,651 | $29,791 | $48.5 | $87 | $29,637 |
| COPD w MCC | MS-DRG | 190 | 36 | $35,228 | $21,137 | $48.5 | $87 | $22,842 |
| COPD w CC | MS-DRG | 191 | 36 | $26,921 | $16,153 | $48.5 | $87 | $22,842 |
| COPD w/o CC/MCC | MS-DRG | 192 | 36 | $20,173 | $12,104 | $48.5 | $87 | $22,842 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 36 | $28,577 | $17,146 | $48.5 | $87 | $16,457 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 36 | $16,472 | $9,883.02 | $48.5 | $87 | $16,457 |
| AMI discharged alive w MCC | MS-DRG | 280 | 33 | $48,846 | $29,308 | $48.5 | $82.5 | $30,308 |
| AMI discharged alive w CC | MS-DRG | 281 | 33 | $45,245 | $27,147 | $48.5 | $82.5 | $20,201 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 33 | $44,178 | $26,507 | $48.5 | $82.5 | $20,201 |
| Heart failure & shock w MCC | MS-DRG | 291 | 36 | $38,330 | $22,998 | $48.5 | $87 | $24,146 |
| Heart failure & shock w CC | MS-DRG | 292 | 36 | $36,186 | $21,712 | $48.5 | $87 | $19,137 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 36 | $2,906.7 | $1,744.02 | $48.5 | $87 | $19,137 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 36 | $42,127 | $25,276 | $48.5 | $87 | $22,123 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 36 | $29,914 | $17,948 | $48.5 | $87 | $14,040 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 36 | $33,189 | $19,913 | $48.5 | $87 | $16,704 |
| GI hemorrhage w CC | MS-DRG | 378 | 33 | $37,364 | $22,419 | $48.5 | $80 | $15,924 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 33 | $27,141 | $16,285 | $48.5 | $80 | $10,224 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 36 | $24,767 | $14,860 | $48.5 | $87 | $15,724 |
| Kidney/UTI w MCC | MS-DRG | 689 | 36 | $31,601 | $18,961 | $48.5 | $87 | $18,819 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 36 | $28,193 | $16,916 | $48.5 | $87 | $16,598 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 33 | $46,516 | $27,910 | $48.5 | $80 | $31,505 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 33 | $30,582 | $18,349 | $48.5 | $75 | $16,597 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 32 | $261 | $156.6 | $8.63 | $169.65 | $261 |
| General health panel | CPT | 80050 | 32 | $463 | $277.8 | $44.48 | $284.75 | $463 |
| Electrolyte panel | CPT | 80051 | 32 | $83 | $49.8 | $7.15 | $53.95 | $83 |
| Comprehensive metabolic panel | CPT | 80053 | 32 | $359 | $215.4 | $10.77 | $233.35 | $359 |
| Lipid panel | CPT | 80061 | 32 | $95 | $57 | $13.66 | $61.75 | $95 |
| Renal function panel | CPT | 80069 | 32 | $313 | $187.8 | $8.85 | $203.45 | $313 |
| Hepatic function panel | CPT | 80076 | 32 | $88 | $52.8 | $8.33 | $57.2 | $88 |
| Urinalysis non-automated | CPT | 81002 | 32 | $41 | $24.6 | $3.55 | $26.65 | $41 |
| Urinalysis automated | CPT | 81003 | 32 | $26 | $15.6 | $2.3 | $16.9 | $26 |
| Glucose quantitative | CPT | 82947 | 32 | $56 | $33.6 | $4.01 | $36.4 | $56 |
| Hemoglobin A1c | CPT | 83036 | 32 | $56 | $33.6 | $9.9 | $36.4 | $56 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 32 | $110 | $66 | $17.14 | $71.5 | $110 |
| Complete blood count with automated differential | CPT | 85025 | 32 | $154 | $92.4 | $7.93 | $100.1 | $154 |
| Complete blood count without differential | CPT | 85027 | 32 | $100 | $60 | $6.6 | $65 | $100 |
| Urine culture bacterial | CPT | 87086 | 32 | $54 | $32.4 | $8.23 | $35.1 | $54 |
| Urine culture identification | CPT | 87088 | 32 | $46 | $27.6 | $8.25 | $29.9 | $46 |
| Tissue exam by pathologist level IV | CPT | 88305 | 36 | $311 | $186.6 | $42.6 | $171.05 | $311 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 36 | $1,735 | $1,041 | $202.5 | $1,127.75 | $1,735 |
| Vaginal delivery only | CPT | 59409 | 18 | $2,675 | $1,605 | $327 | $1,757.48 | $2,327.25 |
| C-section delivery only | CPT | 59514 | 14 | $3,500 | $2,100 | $327 | $2,030 | $3,045 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 36 | $5,970.94 | $3,582.56 | $48.5 | $953.87 | $6,771 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 36 | $8,149.81 | $4,889.89 | $48.5 | $960.66 | $6,771 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 36 | $2,183.15 | $1,309.89 | $48.5 | $959.2 | $6,771 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 36 | $2,945.51 | $1,767.31 | $48.5 | $931.46 | $6,771 |
| Colonoscopy diagnostic | CPT | 45378 | 36 | $7,003.41 | $4,202.05 | $48.5 | $1,607 | $6,771 |
| Colonoscopy with biopsy | CPT | 45380 | 36 | $6,807.68 | $4,084.61 | $48.5 | $1,198.57 | $6,771 |
| Colonoscopy with polyp removal | CPT | 45385 | 36 | $9,601.63 | $5,760.98 | $48.5 | $1,336.95 | $6,771 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 36 | $83,434 | $50,060 | $48.5 | $87 | $90,663 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 36 | $73,103 | $43,862 | $48.5 | $87 | $40,860 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 36 | $54,744 | $32,846 | $48.5 | $87 | $33,014 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 36 | $51,847 | $31,108 | $48.5 | $87 | $27,436 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 36 | $42,102 | $25,261 | $48.5 | $87 | $23,987 |
| Major joint replacement w MCC | MS-DRG | 469 | 36 | $66,654 | $39,993 | $48.5 | $87 | $55,480 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 36 | $54,557 | $32,734 | $48.5 | $87 | $37,912 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 36 | $96,375 | $57,825 | $48.5 | $87 | $50,923 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 36 | $67,770 | $40,662 | $48.5 | $87 | $40,696 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 36 | $49,767 | $29,860 | $48.5 | $87 | $40,696 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 36 | $47,445 | $28,467 | $48.5 | $87 | $20,123 |
| PCI single major coronary artery | CPT | 92920 | 15 | $8,584 | $5,150.4 | $3,862.8 | $4,978.72 | $7,468.08 |
| PCI with drug-eluting stent | CPT | 92928 | 36 | $28,308 | $16,985 | $48.5 | $7,987.68 | $31,216 |
| PCI bypass graft | CPT | 92937 | 36 | $79,527 | $47,716 | $48.5 | $7,987.68 | $31,216 |
| Coronary angiography with cath | CPT | 93455 | 36 | $53,223 | $31,934 | $48.5 | $7,099.38 | $13,389 |
| Coronary angiography with bypass cath | CPT | 93458 | 36 | $47,244 | $28,346 | $48.5 | $6,370.13 | $13,389 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| healthcare sol mercy [609] | 135 | $353.63 |
| allied benefits [498] | 135 | $549.84 |
| UnitedHealthcare | 135 | $704.36 |
| sarah bush lincoln [636] | 135 | $1,024 |
| Blue Cross Blue Shield | 135 | $405.41 |
| Cigna | 135 | $989 |
| consociate [478] | 135 | $1,024 |
| phcs [244] | 135 | $264.8 |
| medica [661] | 135 | $377.2 |
| cox health systems insurance company [220] | 135 | $215.15 |
| med-pay [480] | 135 | $241.13 |
| Humana | 135 | $1,663 |
| hope trust [806] | 135 | $273.47 |
| healthscope benefits [258] | 135 | $1,727 |
| Aetna | 133 | $356.64 |
| health alliance [224] | 133 | $1,500 |
| apwu health plan [216] | 132 | $989 |
| priority health [648] | 132 | $989 |
| nalc health benefit plan [242] | 132 | $989 |
| hfn [563] | 130 | $241.6 |
| health systems inc [620] | 130 | $226.5 |
| healthlink [225] | 130 | $181.03 |
| First Health | 130 | $224.39 |
| detego health [868] | 130 | $226.5 |
| mh magellan health services [270] | 130 | $302 |
| Multiplan | 130 | $226.5 |
| preferred health professionals [561] | 130 | $228.01 |
| beechstreet [551] | 130 | $226.5 |
| unicare [568] | 130 | $206.3 |
| coresource [497] | 125 | $1,156.52 |