Emergency Department Visit with High Level of Medical Decision Making Cost in Missouri
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 83 Missouri hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,199
📉 Low $154
📈 High $9,816
🏥 83 hospitals
🏛️ 54 with insurance contracts
🇺🇸 Medicare $169
Hospital comparison — Missouri
Sorted by cash price (lowest first). Showing top 60 of 83 hospitals.
Billed more than $1,199 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | BCBS | Humana | MultiPlan | Centene | First Health |
|---|---|---|---|---|---|---|---|---|---|
| COX MEDICAL CENTER BRANSON BRANSON |
$154 | $85.00 | $50.00 | $55.00 | $100 | $636 | $87.00 | — | — |
| COX MEDICAL CENTER SOUTH SPRINGFIELD |
$171 | $49.50 | $22.00 | $55.00 | — | $594 | $75.00 | — | $86.30 |
| COX MONETT HOSPITAL MONETT |
$207 | $80.50 | $22.00 | $55.00 | — | $22.00 | $75.00 | $23.00 | $86.30 |
| COX BARTON COUNTY HOSPITAL LAMAR |
$217 | $62.80 | $32.00 | $55.00 | — | $27.00 | $80.00 | $28.35 | $90.00 |
| GOLDEN VALLEY MEMORIAL HOSPITAL CLINTON |
$223 | $80.00 | $88.00 | $79.00 | $70.00 | $72.50 | $85.00 | $763 | $90.00 |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY JEFFERSON CITY |
$262 | — | — | — | — | — | — | — | — |
| NEVADA REGIONAL MEDICAL CENTER NEVADA |
$299 | $35.00 | $27.00 | — | $52.00 | $28.00 | — | — | — |
| CITIZENS MEMORIAL HOSPITAL BOLIVAR |
$309 | $75.00 | $83.00 | $80.00 | — | $85.00 | — | $655 | — |
| MERCY HOSPITAL PERRY PERRYVILLE |
$313 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL CASSVILLE CASSVILLE |
$322 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL AURORA AURORA |
$322 | — | — | — | — | — | — | — | — |
| MERCY ST. FRANCIS HOSPITAL MOUNTAIN VIEW |
$322 | — | — | — | — | — | — | — | — |
| SALEM MEMORIAL DISTRICT HOSPITAL SALEM |
$339 | $154 | $154 | $383 | $154 | $154 | $361 | $154 | $361 |
| HARRISON COUNTY COMMUNITY HOSPITAL BETHANY |
$358 | $231 | $190 | $165 | $170 | $190 | $159 | $190 | — |
| BOTHWELL REGIONAL HEALTH CENTER SEDALIA |
$412 | $80.00 | $636 | $49.00 | $509 | $636 | $636 | $636 | — |
| CEDAR COUNTY MEMORIAL HOSPITAL EL DORADO SPRINGS |
$413 | $54.00 | $54.00 | $90.00 | — | $54.00 | $65.00 | $54.00 | — |
| ELLETT MEMORIAL HOSPITAL NORTH OHIO AVENUE APPLETON CITY |
$421 | — | — | — | — | — | — | — | — |
| MOSAIC MEDICAL CENTER - ST. JOSEPH ST. JOSEPH |
$430 | $98.48 | $98.48 | $445 | $165 | — | $494 | $313 | — |
| MOSAIC MEDICAL CENTER ALBANY ALBANY |
$430 | $165 | $165 | $380 | $165 | $1,444 | $430 | $247 | — |
| MOSAIC MEDICAL CENTER MARYVILLE MARYVILLE |
$430 | $165 | $165 | $354 | $162 | — | $219 | $165 | — |
| CARROLL COUNTY MEMORIAL HOSPITAL CARROLLTON |
$436 | — | — | — | — | — | — | — | — |
| SAMARITAN HOSPITAL MACON |
$453 | — | — | — | — | $436 | $453 | $255 | — |
| MERCY HOSPITAL STODDARD DEXTER |
$499 | — | — | — | — | — | — | — | — |
| COMMUNITY HOSPITAL FAIRFAX FAIRFAX |
$500 | $300 | $350 | $340 | $325 | $340 | — | $190 | — |
| PUTNAM COUNTY MEMORIAL HOSPITAL UNIONVILLE |
$518 | $41.00 | $41.00 | $75.00 | $273 | $41.00 | — | $168 | — |
| MERCY HOSPITAL CARTHAGE CARTHAGE |
$527 | — | — | — | — | — | — | — | — |
| WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI |
$531 | — | $389 | $580 | — | $637 | — | $290 | — |
| ST. JOSEPH MEDICAL CENTER KANSAS CITY |
$593 | $594 | $45.45 | $594 | $950 | — | — | — | — |
| ST. MARY'S MEDICAL CENTER BLUE SPRINGS |
$593 | $594 | $45.45 | $594 | $950 | — | — | — | — |
| MERCY CHILDREN'S HOSPITAL ST. LOUIS PHONE: |
$612 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL WASHINGTON WASHINGTON |
$612 | — | — | — | — | — | — | — | — |
| IRON COUNTY MEDICAL CENTER PILOT KNOB |
$616 | $233 | $346 | $340 | $233 | $233 | — | $212 | — |
| MERCY HOSPITAL LINCOLN TROY |
$619 | — | — | — | — | — | — | — | — |
| PIKE COUNTY MEMORIAL HOSPITAL GEORGIA STREET LOUSIANA |
$680 | $850 | $850 | $850 | $850 | — | — | $850 | — |
| HEDRICK MEDICAL CENTER CHILLICOTHE |
$772 | $1,094 | $1,133 | $965 | — | $1,206 | — | — | $1,195 |
| WRIGHT MEMORIAL HOSPITAL TRENTON |
$772 | $1,094 | — | — | — | — | — | — | — |
| LIBERTY HOSPITAL LIBERTY |
$868 | $596 | $577 | $54.60 | $181 | $608 | — | $758 | — |
| LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH |
$930 | $75.00 | $80.00 | $70.00 | $639 | $639 | — | $867 | — |
| PHELPS HEALTH HOSPITAL ROLLA |
$1,125 | $65.00 | $60.00 | $70.00 | $60.00 | $80.00 | — | — | — |
| MERCY HOSPITAL SOUTH ST. LOUIS |
$1,137 | — | — | — | — | — | — | — | — |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER LEES SUMMIT ROAD KANSAS CITY |
$1,199 | $80.00 | $100 | $827 | $87.80 | $730 | $73.00 | $114 | — |
| UNIVERSITY HEALTH TRUMAN MEDICAL CENTER HOLMES KANSAS CITY |
$1,199 | $80.00 | $100 | $827 | $87.80 | $100 | $73.00 | $114 | $69.50 |
| MERCY HOSPITAL SOUTHEAST CAPE GIRARDEAU |
$1,265 | — | — | — | — | — | — | — | — |
| BATES COUNTY MEMORIAL HOSPITAL BUTLER |
$1,450 | $596 | $161 | $596 | $596 | $596 | — | $596 | — |
| HANNIBAL REGIONAL HOSPITAL HANNIBAL |
$1,464 | $576 | $588 | $1,901 | — | — | — | — | — |
| FREEMAN HOSPITAL WEST JOPLIN |
$1,650 | — | — | — | — | — | — | — | — |
| FREEMAN HOSPITAL EAST JOPLIN |
$1,650 | — | — | — | — | — | — | — | — |
| CAMERON REGIONAL MEDICAL CENTER CAMERON |
$1,791 | — | — | — | — | — | — | — | — |
| PARKLAND HEALTH CENTER - BONNE TERRE BONNE TERRE |
$1,792 | $639 | $639 | $1,819 | $639 | $639 | $2,240 | — | $2,219 |
| MISSOURI BAPTIST HOSPITAL SULLIVAN BOONVILLE |
$1,792 | $657 | $669 | $1,819 | $697 | $663 | $2,240 | — | $2,219 |
| MERCY HOSPITAL JEFFERSON FESTUS |
$1,793 | — | — | — | — | — | — | — | — |
| SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS BRIDGETON |
$1,838 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL-WENTZVILLE WENTZVILLE |
$1,838 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST JOSEPH HEALTH CENTER -SAINT CHARLES ST. CHARLES |
$1,838 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. CLARE HOSPITAL - FENTON FENTON |
$1,838 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL - LAKE SAINT LOUIS LAKE ST. LOUIS |
$1,838 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. MARY'S HOSPITAL ST LOUIS ST. LOUIS |
$1,838 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL LEBANON LEBANON |
$1,940 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL JOPLIN JOPLIN |
$2,115 | — | — | — | — | — | — | — | — |
| MERCY CHILDREN'S HOSPITAL SPRINGFIELD SPRINGFIELD |
$2,155 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,199 for this?
That is the median of what the 83 Missouri hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in Missouri, Medicare reimburses about $169 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Missouri range from $154 to $9,816 — that means hospital cash prices are typically 7.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Missouri?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Missouri range from $154 to $9,816, with a median of $1,199. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Missouri?
- The cheapest Missouri hospital published cash price for this procedure is $154. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in Missouri
Methodology. Cash prices and insurance-negotiated rates published by each Missouri facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.