search for
DOCTOR PROCEDURE PAY BILL LOCATION CONTACT

Pricing transparency

We know that especially today, when so many people are uninsured or underinsured, it is important for individuals to have healthcare pricing information. We are committed to making this information available to consumers so they can better anticipate and understand their financial responsibilities and make informed healthcare decisions.

Because we know that healthcare is complex and that a general listing of prices for our common procedures will not meet everyone's needs, you can contact us directly for a prospective service quote. Our goal in making this information easy to access is to remain a leader in key healthcare initiatives aimed at better patient care.

What is pricing transparency?

Pricing transparency is the term used to describe initiatives in the healthcare industry to provide meaningful pricing information to consumers. The healthcare industry is often complex and difficult for consumers to navigate. Price transparency is a means of providing consumers price information on common services. Our hospital is committed to presenting pricing information on its website in a way that will be easy for the consumer to access and understand, as well as providing other useful information about financial assistance available and definitions of key terminology and key financial policies.

What services are included in my hospital bill estimate?

If you are viewing estimates provided on this website, the pricing includes estimated room and board (for inpatients), supplies, nursing care, equipment use, nutritional services, and any services handled by the staff of the hospital within the walls of the hospital. It does not include services such as physician charges, anesthesia, pathology and professional fees for radiology.

What services are excluded from my hospital bill estimate?

Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists and radiologists.

Independent laboratory and radiology services will also bill you separately for reading and interpreting EKGs, x-rays, EEGs and lab work.

How were top services determined?

We pulled data from the most recent calendar year to determine our common surgical procedures and inpatient admissions. If the hospital has not had at least 10 patients in the past year utilizing that service, "N/A" will appear in the estimated pricing list. Inpatient services include a hospital stay of at least 24 hours while patients receiving outpatient services are admitted and discharged on the same day.

How often is the pricing estimate data refreshed?

We plan to refresh the data used on our website and by our service representatives at least annually.

What does uninsured mean?

It means that you have to pay for your services and that you do not have coverage for the hospital services by a third party like Medicare, Medicaid, Workers Compensation or an insurance company. Other common terms used when referring to uninsured patients are self-pay and private-pay.

Why can't I rely on the pricing estimates posted on this website if I have insurance?

Those figures are estimates of what an uninsured patient would have to pay. If you have insurance or some form of medical coverage, your out-of-pocket costs typically can include a deductible, co-insurance, co-payment or even noncovered services. The prices for your services are based on the contract terms negotiated by your insurance company with the hospital. In order to give you a more accurate estimate, we need to evaluate your coverage and specific plan. To do that, please give us a call at 573.632.5029.

What if the service I need is not listed on this website?

Please give us a call at 573.632.5029. We will be happy to try to provide you with a price estimate.

When I call for a pricing estimate, what information do I need to have available?

Before you call, it is a good idea to contact your physician's office to get the best description possible of the services that you need. Then, if you have insurance, contact your insurance company and make sure that the services required are covered services under your specific plan. If they are not covered, then you would be considered uninsured for these services.

When you call us, please try to have the following information on hand so we can provide you with our best estimate of your financial responsibility:

  • Description of services needed. We will need to know as much information as possible about the specific services needed as described by your physician.
  • Type of services needed. We need to know if you will be admitted to the hospital as an inpatient overnight or if you are expected to be treated on an outpatient basis.
  • Physician/specialist name. For example, if you are having surgery, we will want to know the surgeon's name.

If you have insurance, we will also need:

  • Your insurance card—please have your card available so that, if needed, we can get the following information from you: name of insurance company, type of policy (e.g. HMO, PPO, POS, Indemnity), policy holder's name, group name and number, policy number and insurance company phone number.
  • Policy holder's personal information—it is possible that the insurance company will want us to verify the social security number and date of birth of the person who is named as the primary insurance policy holder.

Can I get an exact pricing quote?

Unfortunately, no. We will do our best to provide you with a pricing range based on our hospital's historical pricing for comparable services. Price quotes are not guaranteed since the services used to compute the quote can vary from services you receive due to treatment decisions, unforeseen complications, additional tests or services ordered by your physician, and variation in the clinical needs of each patient.

What is expected of patients in terms of payment?

Similar to your visits to your physician's office, we expect payment at time of service. If you have insurance or other coverage, we will expect you to pay your co-payment, co-insurance and/or deductible upon arrival at the hospital. After your insurance company pays us, we will send you information about any amount you may still owe.

If you are uninsured, we expect payment at time of service (or will work with you to arrange monthly payments) for the estimated price of your services. If, after your services are received, any additional payment is due, we will send you information about any amount you may still owe. If you receive emergency care and cannot pay for your services, with your cooperation, our financial counselors will evaluate whether you qualify for local and state programs, including Medicaid, or our charity discount policy.

We accept major credit cards, checks, money orders and cash.

Do you have a charity policy?

We provide free hospital care for patients that have received nonelective care, who do not meet qualifications for Medicaid and whose income is less than 200 percent of the federal poverty level (in most cases). In order to qualify for this free care, you must complete a Financial Assistance Application and provide some documents to support your income.

For questions regarding our charity policy, or to request a copy, call 573.632.5029. For patients who do not meet the charity criteria and will be expected to pay for services out of pocket, we offer a managed care-like discount.

All uninsured patients (excluding those receiving cosmetic procedures and certain package procedures) will be given an uninsured discount. All pricing estimates posted on this website already reflect the hospital's uninsured discount.

How does the insurance billing process work?

If you are insured, a claim will be sent to your insurance company. After they receive the claim, the insurance company may contact you for additional information. Please respond to your insurance company's questions as quickly as possible so their payment is not delayed. It usually takes 30 to 45 days for your insurance company to pay your claim. After they pay us, we will provide you with information about any amount you may owe that you did not already pay upon arrival at our facility. Please keep in mind that your policy is a binder between you and your insurance company. If you did not follow your insurance plan's terms, they may not pay for all or part of your care.

More detailed pricing information is available. If our estimated pricing information does not appear to cover your service or if you feel you will have complicating factors requiring a more detailed query, you may call our representatives for a good-faith estimate at 573.632.5029.

Prior to your call

Prior to your call, please contact your physician's office to get the specific diagnosis or procedure description.

When you call our service center, please have the following information available, so that we can provide you with the most accurate estimate possible:

  • Description of services needed. We will need to know as much information as possible about the specific services as described by your physician.
  • Type of services needed. We need to know if you will be admitted to the hospital as an inpatient overnight or if you are expected to be treated on an outpatient basis.
  • Physician/specialist name. Example, if you are having surgery, we will want to know the surgeon's name.

These estimates reflect the self-pay discount. 

Inpatient

Cardiology

 

Volume

Avg. LOS

Avg. CHG

Low

High

Cardiac arrhythmia & conduction disorders

52

2

$10,477

$3,410

$25,611

Heart failure & shock w/cc

84

4.3

$18,678

$4,863

$69,162

Heart failure & shock w/ mcc

63

5.6

$25,603

$8,081

$65,825

Perc cardiovasc proc w/ drug-eluting stent

94

2.8

$65,664

$37,913

$123,729

Digestive

 

Volume

Avg. LOS

Avg. CHG

Low

High

Acute pancreatitis (inflammation of the pancreas)

4

4.5

$15,465

$7,882

$22,599

Diverticulitis of colon (formation
of a pouch(s) or sac(s) in the
colon due to pressure from the colon without hemorrhage

8

4.1

$18,263

$5,190

$50,800

Gastroentitis

 

Volume

Avg. LOS

Avg. CHG

Low

High

Esophagitis - gastroent & misc digest disorders w/o mcc

87

2.8

$12,765

$3,308

$34,594

GI hemorrhage

49

3.1

$17,939

$7,609

$36,911

Genitourinary

 

Volume

Avg. LOS

Avg. CHG

Low

High

Urinary tract infection (UTI)

55

3.1

$10,985

$3,670

$30,986

Major small & large bowel procedures w/ cc

63

7

$44,337

$16,284

$132,788

Infectious

 

Volume

Avg. LOS

Avg. CHG

Low

High

Cellulitis

64

3.3

$12,023

$2,486

$24,605

Severe sepsis

58

4.7

$26,223

$4,032

$116,661

Lung

 

Volume

Avg. LOS

Avg. CHG

Low

High

Chronic obstructive pulmonary disease w/ mcc

52

4.3

$21,286

$4,933

$85,007

Pulmonary edema & respiratory failure

97

4.5

$22,623

$5,986

$68,497

Simple pneumonia & pleurisy

88

3.9

$17,684

$2,789

$74,088

Obstetrics

 

Volume

Avg. LOS

Avg. CHG

Low

High

C-section delivery of newborn w/ complicating diagnosis

98

2.7

$11,589

$7,870

$26,465

C-section delivery of newborn

144

2.5

$10,428

$3,521

$16,638

Neonate w/ other significant problems

157

2

$3,051

$1,034

$20,118

Normal newborn baby stay

667

1.9

$2,401

$1,218

$8,454

Vaginal delivery w/ complicating diagnoses

103

2.3

$8,344

$4,612

$18,130

Normal vaginal delivery of a
newborn (mothers stay) delivery requiring minimal or no assistance
of a full term sin live born infant newborn

540

1.9

$6,696

$2,311

$14,283

Orthodotics

 

Volume

Avg. LOS

Avg. CHG

Low

High

Total knee replacement

212

3.8

$46,046

$32,320

$73,434

Total hip replacement

212

3.8

$46,046

$32,320

$73,434

Other

 

Volume

Avg. LOS

Avg. CHG

Low

High

Appendectomy

56

1.3

$20,444

$12,083

$62,109

Misc disorders of nutrition, metabolism, fluids/electrolytes w/o mc

80

2.5

$10,823

$2,688

$45,268

Syncope & collapse

19

2.7

$13,361

$6,536

$28,848

Spine

 

Volume

Avg. LOS

Avg. CHG

Low

High

Spinal fusion except cervical w/o mcc

39

1.5

$71,416

$50,061

$138,243

Cervical spinal fusion w/o cc/mcc

29

1.1

$40,714

$29,989

$79,732

Cervical spinal fusion w/ cc

6

2.3

$48,448

$38,630

$77,754

Combined anterior/posterior spinal fusion w/o mcc

7

2

$102,608

$76,509

$135,239

Outpatient

 

Volume

Avg. CHG

Low

High

Code

Colonoscopy

965

$2,180

$1,122

$7,479

45.23

Endoscopic polypectomy of large intestine

452

$3,144

$1,280

$13,422

45.42

EGD w/ closed biopsy

333

$2,897

$1,735

$8,533

45.16

EGD

278

$2,394

$1,693

$14,879

45.13

Closed biopsy of breast

202

$3,139

$1,545

$7,799

85.11

Injection of other agent into spinal canal

181

$1,683

$1,419

$3,569

3.92

Dilation of esophagus

179

$3,013

$1,709

$11,826

42.92

Polypectomy of rectum

170

$2,583

$2,019

$8,468

48.36

Left heart cardiac catheterization

165

$15,527

$3,470

$29,458

37.22

Other dental restoration

162

$8,454

$5,897

$11,381

23.49

Closed biopsy of large intestine

142

$3,282

$1,493

$9,309

45.25

Excision of semilunar cartilage of knee

137

$11,787

$8,693

$29,384

80.6

Insertion of totally implantable vascular access device

112

$10,656

$8,717

$14,222

86.07

Lithotripsy (ESWL)

109

$14,642

$13,182

$17,587

98.51

Myringotomy w/ insertion of tube

85

$4,505

$3,786

$7,499

20.01

Other excision of lesion or tissue of skin & subq tissue

85

$8,930

$6,331

$18,076

86.3

Rotator cuff repair

85

$20,169

$13,380

$27,225

83.63

Other bilateral endoscopic destruction or occlusion of fallopian tubes

81

$11,818

$8,627

$20,478

66.29

Endometrial ablation (D&C)

65

$13,154

$8,282

$21,747

68.23

Local excision of lesion of breast (lumpectomy)

58

$11,669

$7,021

$19,777

85.21

Release of carpal tunnel

57

$7,717

$6,323

$10,062

4.43

Other repair of shoulder

56

$17,358

$12,163

$29,076

81.83

Percutaneous abdominal drainage (paracentesis)

54

$3,304

$1,031

$12,099

54.91

Root canal

53

$8,909

$6,241

$11,785

23.7

Closed biopsy of lung

49

$4,916

$3,162

$13,247

33.26

Lab

 

Price

Amylase

$26

Antibody screen

$26

Basic metabolic (BMP)

$29

Bilirubin

$23

Blood type and RH

$40

C. diff screen (DNA amplification)

$120

CBC

$29

Chlamydia/GC DNA (CHL-GC DNA)

$122

Comp metabolic (CMP)

$34

CRP - quantitative

$27

CRP cardiac

$38

Drug screen

$150

Erythorocyte sedimentation rate (ESR)

$22

Ferritin

$58

Folate

$50

Free T-4

$38

Glucose tolerance - 100 gram gestational

$52

Glucose tolerance - 1HR 50 gram gestational screen

$25

HCG - blood

$36

HCG - urine

$25

HCG titer

$94

Hemoglobin A1C

$43

Hepatic functional panel

$34

Hepatitis B surface antigen

$36

Hepatitis C

$34

HIV

$37

Homocysteine

$35

Influenza A&B antigen

$78

Lipase

$29

Lipid

$63

Microalbumin - urine

$58

Myoglobin

$59

Pap screen

$70

Partial thromboplastin time (PTT)

$22

Prothrombin time (PT w/ inr)

$20

PSA

$60

RPR

$19

Rubella screen

$34

Strep screen

$32

T4

$24

Testosterone

$71

Thyroid stimulating hormone (TSH)

$44

Urinalysis - complete

$24

Urinialysis - chemical only

$15

Venipuncture

$9

Vitamin B12

$52

Vitamin D(25)

$75

Radiology

 

Avg. CHG

CAT scan abdomen/pelvis

$1,308

CAT scan cervical spine

$595

CAT scan facial

$460

CAT scan lumbar spine

$1,944

CAT scan - neck and soft tissue

$539

CAT scan - chest

$1,046

CAT scan - head

$496

CAT scan - thorax

$1,098

Diagnostic - mammography follow up

$143

Mammography screening

$125

MRI - breast bilateral

$1,000

MRI upper and lower extremity

$909

Ultrasound - abdomen

$526

Ultrasound - breast

$339

Ultrasound - carotid

$331

Ultrasound - gallbladder

$414

Ultrasound - kidney

$320

Ultrasound - pelvis trans vaginal

$447

Ultrasound - pregnancy re-exam

$284

Ultrasound - pregnancy trans vag

$447

Ultrasound - pregnancy > 14 weeks

$447

Ultrasound - testicles

$447

Ultrasound - upper quadrant

$447

Ultrasound - venous

$584

X-ray abdomen

$214

X-ray ankle

$174

X-ray chest

$223

X-ray elbow

$165

X-ray fingers

$165

X-ray foot

$165

X-ray hand

$165

X-ray hip

$210

X-ray neck (soft tissue)

$158

X-ray pelvis

$168

X-ray wrist

$173

X-ray cervical spine

$291

X-ray knee

$161

X-ray lumbar spine

$248

X-ray shoulder

$208

X-ray thoracic spine

$271

Note: Professional fees are not included in the above estimates. 

Registration

When you have made an informed decision and are ready to proceed with services at our facility, you should contact your physician's office to ask to have your service scheduled.

Registration is available to all scheduled patients prior to the date of service and expedites the admission process. All registration information will be obtained over the telephone.

When you arrive at the facility, you will be required to provide your identification, finalize financial arrangements and sign a few forms before going to the department.

In this section

Related resources

Contact us

The patient accounts office is open Monday through Friday, 8 a.m. to 4:30 p.m. and can be reached at 573.632.5029.

For questions about your Capital Region Physicians bill, please call 573.632.5583.

Site map

About us

Patients and visitors

Services

Health resources

Employment

Foundation

Contact us

Contact us

The following errors were encountered:

    Email was not sent.

    For questions regarding your personal health care, please contact your provider or visit the patient portal.

    Patient portal

    Login

    Find a physician

    Online bill pay

    Login
    Top