Hospital Profile Critical Access Hospitals Government - Local

Sullivan County Memorial Hospital

630 WEST 3RD STREET, Milan, MO 63556

CMS Overall Rating No CMS Rating

Sullivan County Memorial Hospital publishes prices for 77 shoppable procedures in Milan, MO. It's classified by CMS as Critical Access Hospitals (Government - Local). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 17 Beds Teaching Status: Non-Teaching Annual Discharges: 100

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 120 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 77 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at Sullivan County Memorial Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Procedure & Code This Hospital vs Fair
Blood test, amylase
CPT Code: 82150
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Ultrasound, thyroid and neck
CPT Code: 76536
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Prostate cancer screening (blood test)
HCPCS Code: G0103
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X-ray, lower back
CPT Code: 72110
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CT scan, neck (cervical spine)
CPT Code: 72125
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Blood test, creatinine (kidney)
CPT Code: 82565
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X-ray, neck (cervical spine)
CPT Code: 72040
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X-ray, hand
CPT Code: 73130
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MRI, lower back (no contrast)
CPT Code: 72148
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X-ray, shoulder
CPT Code: 73030
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Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
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Flu vaccine injection
HCPCS Code: G0008
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Ultrasound, pelvis
CPT Code: 76856
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Blood test, basic metabolic panel
CPT Code: 80048
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CT scan, lower back (lumbar spine)
CPT Code: 72131
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CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
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Blood transfusion
CPT Code: 36430
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Pneumococcal vaccine
HCPCS Code: 90732
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MRI, knee or other leg joint
CPT Code: 73721
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Drug screening test
HCPCS Code: G0480
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Speech therapy (language evaluation)
CPT Code: 92507
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CT scan, sinuses
CPT Code: 70486
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Blood test, cholesterol (lipid panel)
CPT Code: 80061
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Blood test, liver function panel
CPT Code: 80076
— —
Blood test, calcium
CPT Code: 82310
— —
Echocardiogram (heart ultrasound)
CPT Code: 93306
— —
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
— —
X-ray, chest (single view)
CPT Code: 71045
— —
New patient office visit (30-44 min)
CPT Code: 99203
— —
Blood test, vitamin B12
CPT Code: 82607
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Physical therapy (gait training)
CPT Code: 97116
— —
X-ray, ankle
CPT Code: 73610
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X-ray, hip
CPT Code: 73502
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Urinalysis (automated, with microscopy)
CPT Code: 81001
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CT scan, pelvis
CPT Code: 72192
— —
Blood test, PSA (prostate screen)
CPT Code: 84153
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Physical therapy (therapeutic exercise)
CPT Code: 97110
— —
Blood test, comprehensive metabolic panel
CPT Code: 80053
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CT scan, head (with contrast)
CPT Code: 70460
— —
CT scan, chest (no contrast)
CPT Code: 71250
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Blood test, potassium
CPT Code: 84132
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Blood test, magnesium
CPT Code: 83735
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Blood test, clotting time (PT/INR)
CPT Code: 85610
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X-ray, pelvis
CPT Code: 72170
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MRI, brain (with and without contrast)
CPT Code: 70553
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Hepatitis C antibody test
CPT Code: 86803
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CT scan, head (no contrast)
CPT Code: 70450
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Blood antibody screen
CPT Code: 86850
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Breathing treatment (nebulizer)
CPT Code: 94640
— —
Office visit, established patient (30-39 min)
CPT Code: 99214
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Electrocardiogram (EKG, tracing only)
CPT Code: 93005
— —
Physical therapy (manual therapy)
CPT Code: 97140
— —
MRI, brain (no contrast)
CPT Code: 70551
— —
Blood test, glucose (blood sugar)
CPT Code: 82947
— —
Occupational therapy (self-care training)
CPT Code: 97535
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Blood test, clotting time (PTT)
CPT Code: 85730
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Culture, blood
CPT Code: 87040
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Blood test, average blood sugar (A1c)
CPT Code: 83036
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Blood test, complete blood count (CBC)
CPT Code: 85025
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Blood test, lipase
CPT Code: 83690
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X-ray, chest (two views)
CPT Code: 71046
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Ultrasound, abdomen (limited)
CPT Code: 76705
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Ultrasound, abdomen (complete)
CPT Code: 76700
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CT scan, head (with and without contrast)
CPT Code: 70470
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Culture, bacterial
CPT Code: 87070
— —
Blood test, sodium
CPT Code: 84295
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Blood test, vitamin D
CPT Code: 82306
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Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
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Ultrasound, leg veins (duplex)
CPT Code: 93970
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Physical therapy (neuromuscular re-education)
CPT Code: 97112
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Blood test, ferritin (iron stores)
CPT Code: 82728
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Blood test, thyroid (TSH)
CPT Code: 84443
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Occupational therapy (therapeutic activities)
CPT Code: 97530
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X-ray, foot
CPT Code: 73630
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Blood test, hemoglobin
CPT Code: 85018
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Office visit, established patient (20-29 min)
CPT Code: 99213
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Hospital observation (per hour)
HCPCS Code: G0378
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