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Pike County Memorial Hospital prices. From its own published file.

Pike County Memorial Hospital in Louisiana, MO publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,783prices published
May 2026file last updated
$878cash price for knee arthroscopy (list $2,202)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$360$450$360–$450
Emergency visit, high (level 4)
99284
$520$650$520–$650
Emergency visit, highest (level 5)
99285
$680$850$680–$850
Comprehensive metabolic panel
80053
$149$186$149–$186
Basic metabolic panel
80048
$126$158$126–$158
Complete blood count (CBC)
85025
$56.80$71.00$56.80–$71.00
Blood draw (venipuncture)
36415
$12.80$42.00$12.80–$42.00
Urinalysis
81001
$34.40$43.00$34.40–$43.00
Troponin (heart test)
84484
$58.40$96.50$58.40–$120
EKG tracing
93005
$40.00$185$40.00–$205
Chest X-ray, 2 views
71046
$152$190$152–$190
CT head without contrast
70450
$804$1,005$804–$1,005
CT abdomen and pelvis with contrast
74177
$922$2,194$922–$2,194
MRI lower back without contrast
72148
$1,830$2,287$1,830–$2,287
Ultrasound, abdomen
76700
$556$695$556–$695
IV push, single drug
96374
$79.90$255$79.90–$255
IV fluids, first hour
96360
$178$222$178–$228
Ketorolac injection, 15 mg
J1885
$4.00$5.00$4.00–$10.00
Ondansetron injection
J2405
$4.00$20.00$4.00–$20.00
Colonoscopy, diagnostic
45378
$398$872$398–$1,245
Upper GI endoscopy with biopsy
43239
$313$704$313–$1,017
Knee arthroscopy
29881
$878$2,202$878–$3,306

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Pike County Memorial Hospital price transparency page.

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