Does Missouri Baptist Sullivan Hospital publish its standard charges and chargemaster?

Yes. Missouri Baptist Sullivan Hospital publishes a machine-readable file with 11,533 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Missouri Baptist Sullivan Hospital charge for procedures?

Missouri Baptist Sullivan Hospital (Sullivan, MO) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · MO · CCN 261337

Missouri Baptist Sullivan Hospital

Sullivan, MO, 63080

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

11,533

last crawl 2026-05-22

Procedures tracked

119

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MO hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.bjc.org/hpt/36/431459495_MissouriBaptistSullivanHospital_standardcharges.json · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	37	$26,640	$15,984	$45.6	$75	0.01×	$23,410
Psychiatric eval with medical services	CPT	90792	24	$387	$232.2	$85.14	$246.13	1.4×	$1,898
emergency
ED visit level 1	CPT	99281	36	$430	$258	$94.6	$285.95	2.0×	$1,898
ED visit level 2	CPT	99282	24	$917	$550.2	$201.74	$583.21	2.5×	$1,898
ED visit level 3	CPT	99283	36	$1,513	$907.8	$332.86	$1,006.15	2.5×	$1,898
ED visit level 4	CPT	99284	24	$2,132	$1,279.2	$469.04	$1,312.25	2.0×	$1,898
ED visit level 5	CPT	99285	36	$2,987	$1,792.2	$657.14	$1,974.41	1.9×	$2,598.69
Critical care, first hour	CPT	99291	36	$3,873	$2,323.8	$852.06	$2,517.45	2.3×	$3,369.51
imaging
CT head without contrast	CPT	70450	35	$1,466	$879.6	$145.78	$952.9	4.6×	$1,725
CT head with contrast	CPT	70460	35	$2,017	$1,210.2	$210.98	$1,363.5	5.8×	$1,754.79
CT head with and without contrast	CPT	70470	35	$2,317	$1,390.2	$253.06	$1,506.05	5.6×	$2,015.79
CT neck with contrast	CPT	70491	35	$2,031	$1,218.6	$266.39	$1,320.15	4.8×	$1,766.97
MRI brain without contrast	CPT	70551	35	$2,364	$1,418.4	$260.78	$1,536.6	3.8×	$2,250
MRI brain with contrast	CPT	70552	35	$3,517	$2,110.2	$385.42	$2,286.05	4.8×	$3,059.79
MRI brain with and without contrast	CPT	70553	35	$4,704	$2,822.4	$438.27	$3,057.6	5.2×	$4,092.48
Chest X-ray single view	CPT	71045	35	$236	$141.6	$30.49	$153.4	1.6×	$449
Chest X-ray 2 views	CPT	71046	35	$551	$330.6	$42.11	$358.15	3.6×	$479.37
CT chest without contrast	CPT	71250	35	$1,492	$895.2	$181.55	$969.8	4.5×	$1,725
CT chest with contrast	CPT	71260	35	$2,120	$1,272	$248.17	$1,378	4.9×	$1,844.4
CT chest with and without contrast	CPT	71270	35	$2,233	$1,339.8	$307	$1,451.45	5.0×	$1,942.71
MRI chest without contrast	CPT	71550	35	$2,286	$1,371.6	$438.33	$1,485.9	3.5×	$2,250
MRI chest with and without contrast	CPT	71552	35	$3,391	$2,034.6	$701.74	$2,204.15	3.7×	$2,950.17
Lumbosacral spine X-ray	CPT	72100	35	$673	$403.8	$53.09	$437.45	4.2×	$585.51
CT cervical spine without contrast	CPT	72125	35	$1,684	$1,010.4	$183.64	$1,094.6	5.4×	$1,725
CT thoracic spine without contrast	CPT	72128	35	$1,489	$893.4	$182.94	$967.85	4.9×	$1,725
CT lumbar spine without contrast	CPT	72131	35	$1,423	$853.8	$182.25	$924.95	4.6×	$1,725
MRI cervical spine without contrast	CPT	72141	35	$4,249	$2,549.4	$251.1	$2,761.85	7.0×	$3,696.63
MRI thoracic spine without contrast	CPT	72146	35	$2,176	$1,305.6	$251.1	$1,414.4	3.8×	$2,250
MRI lumbar spine without contrast	CPT	72148	35	$4,398	$2,638.8	$251.73	$2,858.7	7.6×	$3,826.26
MRI cervical spine with and without contrast	CPT	72156	35	$4,684	$2,810.4	$442.25	$3,044.6	5.6×	$4,075.08
MRI lumbar spine with contrast	CPT	72158	35	$4,849	$2,909.4	$440.31	$3,151.85	5.8×	$4,218.63
CT pelvis without contrast	CPT	72192	35	$1,200	$720	$181.55	$780	3.9×	$1,725
CT pelvis with contrast	CPT	72193	35	$2,235	$1,341	$369.47	$1,452.75	5.2×	$1,944.45
Shoulder X-ray	CPT	73030	35	$620	$372	$56.84	$403	4.3×	$539.4
Humerus X-ray	CPT	73060	35	$440	$264	$43.94	$286	3.2×	$449
Hand X-ray 3 views	CPT	73130	35	$566	$339.6	$65.93	$367.9	4.0×	$492.42
MRI upper extremity joint without contrast	CPT	73221	35	$4,131	$2,478.6	$284.68	$2,685.15	6.5×	$3,593.97
MRI upper extremity joint with and without contrast	CPT	73223	35	$4,868	$2,920.8	$601	$3,164.2	5.2×	$4,235.16
Knee X-ray 1-2 views	CPT	73560	35	$541	$324.6	$47.59	$351.65	3.8×	$470.67
Ankle X-ray 3 views	CPT	73610	35	$647	$388.2	$64.94	$420.55	4.6×	$562.89
MRI lower extremity joint without contrast	CPT	73721	35	$3,152	$1,891.2	$284.03	$2,048.8	4.4×	$2,742.24
MRI lower extremity joint with and without contrast	CPT	73723	35	$3,880	$2,328	$599.07	$2,522	4.0×	$3,375.6
CT abdomen without contrast	CPT	74150	33	$1,505	$903	$179.45	$978.25	5.2×	$1,725
CT abdomen with contrast	CPT	74160	35	$1,808	$1,084.8	$369.47	$1,175.2	4.1×	$1,725
CT abdomen with and without contrast	CPT	74170	35	$2,629	$1,577.4	$369.4	$1,708.85	5.1×	$2,287.23
CT abdomen and pelvis without contrast	CPT	74176	35	$3,247	$1,948.2	$225.02	$2,110.55	5.8×	$2,824.89
CT abdomen and pelvis with contrast	CPT	74177	35	$5,362	$3,217.2	$494.92	$3,485.3	6.4×	$4,664.94
CT abdomen and pelvis with and without contrast	CPT	74178	35	$6,052	$3,631.2	$558.01	$3,933.8	6.8×	$5,265.24
MRI abdomen without contrast	CPT	74181	35	$2,408	$1,444.8	$264.07	$1,565.2	4.0×	$2,250
MRI abdomen with and without contrast	CPT	74183	35	$4,649	$2,789.4	$491.86	$3,021.85	5.3×	$4,044.63
Abdominal ultrasound complete	CPT	76700	35	$1,700	$1,020	$237.15	$1,105	7.4×	$1,479
Abdominal ultrasound limited	CPT	76705	35	$1,420	$852	$109.93	$923	6.3×	$1,235.4
Retroperitoneal ultrasound complete	CPT	76770	35	$1,424	$854.4	$136.2	$925.6	6.4×	$1,238.88
Obstetric ultrasound first trimester	CPT	76801	35	$1,172	$703.2	$212.82	$761.8	5.4×	$1,019.64
Obstetric ultrasound after first trimester	CPT	76805	35	$1,501	$900.6	$265.52	$975.65	6.4×	$1,305.87
Transvaginal ultrasound	CPT	76830	35	$1,159	$695.4	$252.35	$753.35	5.1×	$1,008.33
Pelvic ultrasound complete	CPT	76856	35	$1,432	$859.2	$218.9	$930.8	6.5×	$1,245.84
Scrotal ultrasound	CPT	76870	35	$1,326	$795.6	$103.43	$861.9	6.6×	$1,153.62
Diagnostic mammography unilateral	CPT	77065	35	$434	$260.4	$95.48	$282.1	1.9×	$377.58
Diagnostic mammography bilateral	CPT	77066	35	$665	$399	$146.3	$432.25	2.3×	$578.55
Screening mammography bilateral	CPT	77067	35	$457	$274.2	$100.54	$297.05	1.9×	$397.59
EKG tracing only	CPT	93005	35	$306	$183.6	$67.32	$203.49	1.7×	$266.22
Transthoracic echocardiogram complete	CPT	93306	35	$6,655	$3,993	$1,464.1	$4,335.74	7.2×	$5,789.85
Stress echocardiogram	CPT	93350	35	$5,663	$3,397.8	$1,245.86	$3,689.45	7.3×	$4,926.81
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	31	$24,634	$14,781	$45.6	$74.3	0.00×	$41,881
Intracranial hemorrhage/CVA w CC	MS-DRG	065	31	$20,379	$12,227	$45.6	$74.3	0.01×	$21,586
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	31	$15,878	$9,527.07	$45.6	$74.3	0.01×	$14,835
Respiratory infections & inflammations w MCC	MS-DRG	177	31	$23,107	$13,864	$45.6	$74.3	0.00×	$28,393
COPD w MCC	MS-DRG	190	31	$18,406	$11,044	$45.6	$74.3	0.01×	$18,565
COPD w CC	MS-DRG	191	31	$15,586	$9,351.66	$45.6	$74.3	0.01×	$14,129
Simple pneumonia & pleurisy w CC	MS-DRG	194	31	$16,200	$9,719.82	$45.6	$74.3	0.01×	$13,403
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	31	$18,556	$11,133	$45.6	$74.3	0.01×	$10,238
AMI discharged alive w MCC	MS-DRG	280	31	$21,649	$12,989	$45.6	$74.3	0.00×	$30,308
AMI discharged alive w/o CC/MCC	MS-DRG	282	31	$15,220	$9,131.76	$45.6	$74.3	0.01×	$13,522
Heart failure & shock w MCC	MS-DRG	291	31	$19,815	$11,889	$45.6	$74.3	0.01×	$24,146
Heart failure & shock w CC	MS-DRG	292	31	$10,448	$6,268.86	$45.6	$74.3	0.01×	$16,278
Cardiac arrhythmia w MCC	MS-DRG	308	31	$26,699	$16,019	$45.6	$74.3	0.01×	$22,123
Cardiac arrhythmia w CC	MS-DRG	309	31	$13,329	$7,997.43	$45.6	$74.3	0.01×	$13,916
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	31	$9,231.5	$5,538.9	$45.6	$74.3	0.01×	$10,399
GI hemorrhage w CC	MS-DRG	378	31	$26,550	$15,930	$45.6	$74.3	0.01×	$16,437
GI hemorrhage w/o CC/MCC	MS-DRG	379	31	$17,871	$10,722	$45.6	$74.3	0.01×	$10,566
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	31	$15,795	$9,477.13	$45.6	$74.3	0.01×	$13,066
Kidney/UTI w MCC	MS-DRG	689	31	$8,171.75	$4,903.05	$45.6	$74.3	0.01×	$19,447
Kidney/UTI w/o MCC	MS-DRG	690	31	$9,701.85	$5,821.11	$45.6	$74.3	0.01×	$13,567
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	31	$25,341	$15,204	$45.6	$74.3	0.00×	$32,556
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	31	$17,597	$10,558	$45.6	$74.3	0.01×	$16,399
lab
Basic metabolic panel (BMP)	CPT	80048	36	$185	$111	$10.15	$120.25	3.7×	$160.95
General health panel	CPT	80050	36	$401	$240.6	$44.48	$260.65	2.4×	$348.87
Electrolyte panel	CPT	80051	36	$60	$36	$8.41	$39	1.6×	$52.2
Comprehensive metabolic panel	CPT	80053	36	$358	$214.8	$10.67	$226.8	5.1×	$311.46
Lipid panel	CPT	80061	36	$209	$125.4	$13.52	$135.85	3.6×	$181.83
Renal function panel	CPT	80069	36	$89	$53.4	$8.77	$57.85	2.1×	$77.43
Hepatic function panel	CPT	80076	36	$279	$167.4	$9.8	$181.35	6.8×	$242.73
Urinalysis automated	CPT	81003	36	$40	$24	$2.27	$25.34	1.8×	$34.8
Glucose quantitative	CPT	82947	36	$117	$70.2	$4.72	$76.05	4.3×	$101.79
Hemoglobin A1c	CPT	83036	36	$153	$91.8	$9.81	$96.93	3.6×	$133.11
Thyroid stimulating hormone (TSH)	CPT	84443	36	$244	$146.4	$20.16	$158.6	3.4×	$212.28
Complete blood count with automated differential	CPT	85025	36	$141	$84.6	$7.85	$87	3.3×	$122.67
Complete blood count without differential	CPT	85027	36	$145	$87	$6.53	$94.25	4.4×	$126.15
Urine culture bacterial	CPT	87086	36	$187	$112.2	$9.68	$121.55	5.2×	$162.69
Urine culture identification	CPT	87088	36	$113	$67.8	$8.17	$71.59	3.2×	$98.31
Tissue exam by pathologist level IV	CPT	88305	35	$670	$402	$42.6	$435.5	4.3×	$582.9
maternity
Fetal non-stress test	CPT	59025	35	$903	$541.8	$198.66	$586.95	3.1×	$785.61
Vaginal delivery only	CPT	59409	22	$2,675	$1,605	$342	$1,551.5	0.70×	$2,327.25
preventive
Upper GI endoscopy diagnostic	CPT	43235	36	$5,604.75	$3,362.85	$22	$75.5	0.08×	$4,587
Upper GI endoscopy with biopsy	CPT	43239	36	$11,416	$6,849.37	$22	$284.48	0.29×	$4,587
Sigmoidoscopy diagnostic	CPT	45330	36	$9,055.96	$5,433.58	$22	$75.5	0.09×	$4,587
Sigmoidoscopy with biopsy	CPT	45331	35	$8,193.96	$4,916.38	$22	$274.37	0.31×	$4,587
Colonoscopy diagnostic	CPT	45378	36	$9,910.61	$5,946.37	$22	$75.5	0.09×	$4,587
Colonoscopy with biopsy	CPT	45380	36	$18,029	$10,818	$22	$471.52	0.39×	$4,587
Colonoscopy with polyp removal	CPT	45385	36	$25,079	$15,048	$22	$594.05	0.49×	$4,614.48
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	31	$94,984	$56,990	$45.6	$74.3	0.00×	$73,751
Major small/large bowel procedures w CC	MS-DRG	330	31	$61,611	$36,966	$45.6	$74.3	0.00×	$40,177
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	32	$95,856	$57,513	$45.6	$74.3	0.00×	$28,205
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	32	$30,825	$18,495	$45.6	$74.3	0.00×	$28,351
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	32	$33,681	$20,208	$45.6	$74.3	0.01×	$22,891
OR procedure for obesity w MCC	MS-DRG	619	31	$94,478	$56,687	$45.6	$74.3	0.00×	$48,393
OR procedure for obesity w CC	MS-DRG	620	31	$47,499	$28,500	$45.6	$74.3	0.00×	$26,889
OR procedure for obesity w/o CC/MCC	MS-DRG	621	31	$41,480	$24,888	$45.6	$68.7	0.00×	$25,281

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

Payer mix (top 30)

Payer	Codes covered	Median rate
UnitedHealthcare	119	$487.42
allied benefits [498]	119	$327.6
apwu health plan [216]	119	$450.68
Blue Cross Blue Shield	119	$469
Cigna	119	$391.43
consociate [478]	119	$1,024
cox health systems insurance company [220]	119	$341
healthscope benefits [258]	119	$1,094.6
hope trust [806]	119	$380.48
Humana	119	$331.22
med-pay [480]	119	$385.45
nalc health benefit plan [242]	119	$450.68
phcs [244]	119	$428.65
priority health [648]	119	$450.68
sarah bush lincoln [636]	119	$1,024
Aetna	119	$315.04
medica [661]	118	$517.6
healthcare sol mercy [609]	118	$485.25
health alliance [224]	118	$1,500
hfn [563]	115	$352
mail handlers [495]	115	$265.32
unicare [568]	115	$326.16
health systems inc [620]	115	$330
healthlink [225]	115	$282.1
preferred health professionals [561]	115	$332.2
beechstreet [551]	115	$330
coresource [497]	115	$265.32
Multiplan	115	$330
detego health [868]	115	$330
First Health	115	$326.92

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