Cox Monett Hospital
1000 E Us Highway 60, Monett, MO 65708 · 100 Priced Procedures · 85% Patient Recommendation
Typical commercial prices here are +76% above the fair benchmark (1.76×) even after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 1.76× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Cox Monett Hospital prices routine shoppable procedures at 2.8× Medicare (median 0.98× Fair BaseRate) while upper-quartile commercial rates jump +237% to 3.30× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.82× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 48% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (81/100 safety score) with 85% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.5× markup over Medicare rates
- Commercial insurance median sits at 0.98× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.30×) jump +237% above the median procedure ratio (Q50 0.98×)
- Unnegotiated chargemaster list prices average 12.6× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Cox Monett Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 100 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $25,161 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $18,364 | 0.9× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $16,196 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,751 | 0.8× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,746 | 0.8× |
| Rabies immune globulin HCPCS Code: 90375 | $2,407 | 7.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,737 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,387 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,133 | 3.4× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,133 | 3.3× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,133 | 3.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,133 | 2.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $936 | 0.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $857 | 5.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $857 | 5.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $860 | 3.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $857 | 3.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $857 | unverified |
| CT scan, sinuses CPT Code: 70486 | $857 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $857 | unverified |
| CT scan, pelvis CPT Code: 72192 | $857 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $590 | 0.7× |
| Screening mammogram (both breasts) CPT Code: 77067 | $597 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $535 | 0.9× |
| X-ray, hip CPT Code: 73502 | $309 | unverified |
Audit a Bill or Quote at Cox Monett Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $17,989
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.8% of gross = $17,989).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Cox Monett Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($60,386) is $29,611 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (29.8% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (186 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Cox Monett Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.