Hospital Profile
Critical Access Hospitals Voluntary non-profit - Private
Carroll County Memorial Hospital
1502 N JEFFERSON ST, Carrollton, MO 64633
CMS Overall Rating No CMS Rating
Factual Overview
Carroll County Memorial Hospital is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Carrollton, MO. Mapped commercial insurance prices across 92 procedures average 1.40x the Medicare baseline. CMS has not published a quality star rating for this facility.
Facility Overview
Setting: rural Bed Count: 21 Beds Teaching Status: Non-Teaching Annual Discharges: 178
Patient Experience
Recommendation Rate: 67% High Patient Rating: 85% ER Wait Time (Med): 104 min Readmission Rate: same
Pricing & Transparency
Procedures Mapped: 92 codes Avg Markup vs Medicare: 1.40x Price File In Index: Yes MRF Version: 2.0.0
| Procedure & Code | Cash Price | Actions |
|---|---|---|
| Breast lump removal CPT Code: 19120 | $919 | — |
| Total hip replacement CPT Code: 27130 | $3,109 | — |
| Total knee replacement CPT Code: 27447 | $3,090 | — |
| Bunion correction surgery CPT Code: 28296 | $994 | — |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,530 | — |
| Blood transfusion CPT Code: 36430 | Contact Desk | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $349 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $589 | — |
| Colonoscopy with biopsy CPT Code: 45380 | $589 | — |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | Contact Desk | View Calculator Calc |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,508 | — |
| Inguinal hernia repair CPT Code: 49505 | $1,159 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $94 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $124 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $142 | — |
| CT scan, sinuses CPT Code: 70486 | $94 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $165 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $248 | — |
| X-ray, chest (single view) CPT Code: 71045 | $23 | — |
| X-ray, chest (two views) CPT Code: 71046 | $27 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $120 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $27 | — |
| X-ray, lower back CPT Code: 72110 | $34 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $109 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $109 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $165 | — |
| X-ray, pelvis CPT Code: 72170 | $20 | — |
| CT scan, pelvis CPT Code: 72192 | $120 | — |
| X-ray, shoulder CPT Code: 73030 | $23 | — |
| X-ray, hand CPT Code: 73130 | $20 | — |
| X-ray, hip CPT Code: 73502 | $27 | — |
| X-ray, ankle CPT Code: 73610 | $20 | — |
| X-ray, foot CPT Code: 73630 | $20 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $154 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $191 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $202 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $69 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $90 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $68 | — |
| Ultrasound, pelvis CPT Code: 76856 | $79 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $109 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $86 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | Contact Desk | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | Contact Desk | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | Contact Desk | — |
| Blood test, liver function panel CPT Code: 80076 | Contact Desk | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | Contact Desk | — |
| Blood test, amylase CPT Code: 82150 | Contact Desk | — |
| Blood test, vitamin D CPT Code: 82306 | Contact Desk | — |
| Blood test, calcium CPT Code: 82310 | Contact Desk | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | Contact Desk | — |
| Blood test, vitamin B12 CPT Code: 82607 | Contact Desk | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | Contact Desk | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | Contact Desk | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | Contact Desk | — |
| Blood test, lipase CPT Code: 83690 | Contact Desk | — |
| Blood test, magnesium CPT Code: 83735 | Contact Desk | — |
| Blood test, potassium CPT Code: 84132 | Contact Desk | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | Contact Desk | — |
| Blood test, sodium CPT Code: 84295 | Contact Desk | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | Contact Desk | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | Contact Desk | — |
| Blood test, hemoglobin CPT Code: 85018 | Contact Desk | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | Contact Desk | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | Contact Desk | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | Contact Desk | — |
| Hepatitis C antibody test CPT Code: 86803 | Contact Desk | — |
| Blood antibody screen CPT Code: 86850 | Contact Desk | — |
| Culture, blood CPT Code: 87040 | Contact Desk | — |
| Culture, bacterial CPT Code: 87070 | Contact Desk | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $292 | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | Contact Desk | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | Contact Desk | — |
| Family therapy session CPT Code: 90847 | Contact Desk | — |
| Group therapy session CPT Code: 90853 | Contact Desk | — |
| Speech therapy (language evaluation) CPT Code: 92507 | Contact Desk | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | Contact Desk | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | Contact Desk | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $79 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | Contact Desk | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $274 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | Contact Desk | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | Contact Desk | — |
| Physical therapy (gait training) CPT Code: 97116 | Contact Desk | — |
| Physical therapy (manual therapy) CPT Code: 97140 | Contact Desk | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | Contact Desk | — |
| Occupational therapy (self-care training) CPT Code: 97535 | Contact Desk | — |
| Orthotic fitting and training CPT Code: 97760 | Contact Desk | — |
| Prosthetic fitting and training CPT Code: 97761 | Contact Desk | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $176 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $116 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $195 | — |