How many shoppable procedure prices are published for Missouri Baptist Sullivan Hospital?

Missouri Baptist Sullivan Hospital in Sullivan, MO currently has 95 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Missouri Baptist Sullivan Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Missouri Baptist Sullivan Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Missouri Baptist Sullivan Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Missouri Baptist Sullivan Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 2025-12-15

Missouri Baptist Sullivan Hospital

751 Sappington Bridge Rd, Sullivan, MO 63080 · 95 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.50×vs. Fair Market Price

Typical commercial prices here are +50% above the fair benchmark (1.50×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 72% of the Time

File Completeness66

Price Logic87

Peer Alignment76

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.50× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Missouri Baptist Sullivan Hospital maintains elevated commercial insurance contracts (1.50× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 72% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#68 of 79 in MO · 84th State Percentile#2,633 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 72% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 76% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (58.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.50× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (2.3×) & laboratory (2.9×) services average 1.06× higher multiples than routine shoppable care (1.6×)
Even at low-cost facilities (1.50× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 10.8× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.06× Divergence

1.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+5% Upper Tail

Q25 0.93× · Q50 1.61× · Q75 1.69×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

72% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 72/100Fair

Procedure Prices at Missouri Baptist Sullivan Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$15,204	$15,204	$19,087	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,477	$10,545	$8,223	1.3×
Inguinal hernia repair CPT Code: `49505`	$19,181	$4,697	$3,629	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,127	$4,127	$1,021	4.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,993	$3,128	$583	unverified
Rabies immune globulin HCPCS Code: `90375`	$3,037	$3,037	$322	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$6,023	$1,896	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$4,314	$1,896	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$8,138	$1,896	$1,256	unverified
Blood transfusion CPT Code: `36430`	$646	$646	$498	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,217	$498	$448	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,958	$469	$272	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$431	$431	$151	2.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,822	$441	$511	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$329	$329	$86	3.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$399	$346	$148	2.3×
Screening mammogram (both breasts) CPT Code: `77067`	$274	$286	$123	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,891	$286	$369	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$733	$255	$132	1.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$275	$275	$201	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,020	$237	$134	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,390	$255	$258	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,418	$262	$343	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,639	$253	$338	0.7×
Ultrasound, pelvis CPT Code: `76856`	$859	$219	$130	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,948	$226	$303	0.7×
CT scan, sinuses CPT Code: `70486`	$1,018	$195	$166	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,210	$212	$242	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$184	$230	$64	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$852	$179	$126	1.4×
CT scan, pelvis CPT Code: `72192`	$720	$183	$163	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$895	$183	$167	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,010	$185	$169	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$854	$183	$168	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$131	$131	$35	3.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$133	$133	$38	3.5×
CT scan, head (no contrast) CPT Code: `70450`	$880	$147	$160	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$149	$149	$86	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$119	$119	$34	3.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$83	$83	$14	5.9×
Physical therapy (gait training) CPT Code: `97116`	$100	$100	$33	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$100	$100	$40	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$83	$83	$38	2.2×
Orthotic fitting and training CPT Code: `97760`	$84	$84	$51	1.6×
X-ray, hip CPT Code: `73502`	$341	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	$553	$94	$112	0.8×
Typhoid vaccine HCPCS Code: `90675`	$622	$622	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$249	$199	$111	1.8×
Drug screening test HCPCS Code: `G0480`	$94	$137	$116	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$94	$94	$48	2.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$94	$94	$49	1.9×
Colorectal cancer screening HCPCS Code: `G0010`	$94	$94	$49	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$100	$102	$56	1.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$68	$68	$27	2.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$43	$43	$25	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	$61	$61	$37	1.6×
Blood test, vitamin D CPT Code: `82306`	$203	$51	$31	1.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$49	$49	$38	1.3×
Prosthetic fitting and training CPT Code: `97761`	$58	$58	$45	1.3×
X-ray, hand CPT Code: `73130`	$340	$66	$93	0.7×
X-ray, ankle CPT Code: `73610`	$388	$65	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$374	$63	$93	0.7×
X-ray, foot CPT Code: `73630`	$357	$60	$92	0.7×
X-ray, shoulder CPT Code: `73030`	$372	$57	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$331	$56	$93	0.6×
X-ray, pelvis CPT Code: `72170`	$245	$66	$110	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$32	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$47	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$38	$9	$5	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$70	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$7	$4	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$14	$8	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$139	$24	$14	1.7×
Blood test, lipase CPT Code: `83690`	$119	$12	$7	1.7×
Blood test, magnesium CPT Code: `83735`	$47	$12	$7	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$92	$17	$10	1.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$139	$32	$19	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$111	$15	$9	1.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$37	$10	$6	1.7×
Culture, bacterial CPT Code: `87070`	$119	$15	$9	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$125	$23	$14	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$215	$18	$11	1.6×
Culture, blood CPT Code: `87040`	$65	$18	$11	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$126	$26	$16	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$146	$29	$18	1.6×
Blood test, potassium CPT Code: `84132`	$24	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$29	$8	$5	1.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$139	$32	$20	1.6×
Blood test, amylase CPT Code: `82150`	$105	$11	$7	1.6×
Blood test, liver function panel CPT Code: `80076`	$167	$14	$9	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$7	$5	1.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$30	$30	$35	0.9×
X-ray, chest (single view) CPT Code: `71045`	$142	$30	$92	0.3×
Blood test, hemoglobin CPT Code: `85018`	$20	$4	$3	1.3×
Blood antibody screen CPT Code: `86850`	$140	$14	$46	0.3×

Showing top 25 high-impact procedures of 95 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 58.0%

Audit a Bill or Quote at Missouri Baptist Sullivan Hospital (Zero PHI Required)

CMS CCN: 261337

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $15,204

Insurer Median $15,204

1. Amount on Your Bill or Quote ($) Pre-filled with Missouri Baptist Sullivan Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $14,698 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $14,698

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (58.0% of gross = $14,698).

Step 2 · Cash vs. Insurance Arbitrage Save $10,137 Paying Cash

Self-Pay Cash Rate ($15,204) Beats Your Bill

Missouri Baptist Sullivan Hospital's published 45 CFR § 180 self-pay cash rate is $15,204 (vs. $15,204 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$6,254 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($25,341) is $6,254 above the denoised Fair BaseRate ($19,087) and 1.8× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (58.0% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait171 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (318 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Missouri Baptist Sullivan Hospital.

Price Index: 1.98× regional baseline

Quality: 68/100 CMS composite

Median Household Income$56,345U.S. Census ACS

Local Uninsured Share13.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 261337

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 261337) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-15

Validated Rate Rows5,964 (CMS v3.0.0)

File Integrity DigestVerified · CCN 261337

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.

Submit MRF Update Correction Policy