Does Ascension Via Christi Hospital Manhattan, Inc have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ascension Via Christi Hospital Manhattan, Inc. In a medical emergency, call 911.

Where is Ascension Via Christi Hospital Manhattan, Inc?

1823 College Avenue, Manhattan, KS 66502, in Riley County, Kansas.

What is the phone number of Ascension Via Christi Hospital Manhattan, Inc?

(785) 776-3322, as listed by Medicare (CMS).

What is the Medicare star rating of Ascension Via Christi Hospital Manhattan, Inc?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Ascension Via Christi Hospital Manhattan, Inc

Quick answers

Does Ascension Via Christi Hospital Manhattan, Inc have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ascension Via Christi Hospital Manhattan, Inc. In a medical emergency, call 911.
Where is Ascension Via Christi Hospital Manhattan, Inc?: 1823 College Avenue, Manhattan, KS 66502, in Riley County, Kansas.
What is the phone number of Ascension Via Christi Hospital Manhattan, Inc?: (785) 776-3322, as listed by Medicare (CMS).
What is the Medicare star rating of Ascension Via Christi Hospital Manhattan, Inc?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][6][8][11][13]}

Heart care
Pain management
General surgery
Imaging
Inpatient rehabilitation
Labor and delivery
Emergency medicine
Cardiac rehabilitation
Orthopedic surgery
Obstetrics
Neonatology
Weight loss services

Conditions treated^{[6][7][9][13]}

Treatments^{[4][6][7][9][11][12][14]}

Cardiac rehabilitation
Knee replacement
Hip replacement
Robotic-assisted surgery
Minimally invasive surgery
CT scan
MRI
DEXA scan
Mammography
Breast biopsy
Ultrasound
Dysphagia rehabilitation
Vestibular rehabilitation
Forensic examination
STI treatment

Procedures^[4][11]

Joint replacement
Robotic surgery
Mammography
Colonoscopy
Gallbladder surgery
Hernia surgery
Bariatric surgery
Cancer biopsy or tumor removal
Pediatric surgery
Urologic surgery
Gynecologic surgery
Otolaryngology (ENT) surgery
Podiatry surgery
Abdominal surgery
Breast surgery

Programs and centers^{[4][6][7][8][9][13]}

Birth and Women's Center
Labor and delivery
Level II special care newborn nursery
Sexual Assault Nurse Examiner (SANE) program
Cardiac rehabilitation program
Inpatient rehabilitation program
Geriatric emergency care

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Parents or grandparents can usually stay overnight in a child's room; campus is tobacco-free inside and out^[10]

Recognition^[6]

Level III geriatric emergency department accreditation (GEDA), American College of Emergency Physicians

Doctors and clinicians (282)

282 doctors and other clinicians list Ascension Via Christi Hospital Manhattan, Inc as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 258 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Irwin ACH (FT Riley)12 mi · Fort Riley, KS · Military Hospital (Department of Defense)
Wamego Health Center15 mi · Wamego, KS · Critical Access Hospital
Stormont Vail Health Flint Hills, LLC19 mi · Junction City, KS · Acute Care Hospital
Community Hospital, Onaga and St Marys Campus30 mi · Onaga, KS · Critical Access Hospital
Clay County Medical Center31 mi · Clay Center, KS · Critical Access Hospital

Other hospitals nearby

Manhattan Surgical Hospital LLC0.0 mi · Manhattan, KS · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Via Christi Village Manhattan, Inc0.9 mi · Manhattan, KS · 3 of 5 stars
Meadowlark Hills1.2 mi · Manhattan, KS · 5 of 5 stars
Stoneybrook Retirement Community1.8 mi · Manhattan, KS · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Accord Hospice of Manhattan LLC6.8 mi · Manhattan, KS
Good Shepherd Homecare & Hospice Inc6.8 mi · Manhattan, KS · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Meadowlark Hills Home Health5.7 mi · Manhattan, KS
Good Shepherd Homecare and Hospice, Inc.6.8 mi · Manhattan, KS

All home health agencies in the state →

Dialysis facilities

DaVita Manhattan Dialysis5.7 mi · Manhattan, KS · 3 of 5 stars
Flint Hills Dialysis LLC5.7 mi · Manhattan, KS · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Associated Urologists Ambulatory Surgery Center5.7 mi · Manhattan, KS
Manhattan Specialists Center, LLC6.8 mi · Manhattan, KS

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Konza Prairie Community Health Center Riley County Manhattan Clinic2.3 mi · Manhattan, KS · Community health center
Konza Prairie Community Health Center16 mi · Junction City, KS · Community health center

Clinics and urgent care

Riley Family Physicians15 mi · Riley, KS · Rural health clinic
Wamego Family Clinic16 mi · Wamego, KS · Rural health clinic
Geary County Hospital19 mi · Junction City, KS · Urgent care center

Pharmacies

Ad Astra Pharmacy LLC5.7 mi · Manhattan, KS · Community/retail pharmacy
Ascension Via Christi Hospital Manhattan, Inc.5.7 mi · Manhattan, KS · Community/retail pharmacy
Barrys Drug Center Inc5.7 mi · Manhattan, KS · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ascension Via Christi Hospital Manhattan, Inc reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	69%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	80%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	449Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.851No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	12.5%
Deaths within 30 days: heart failure patients	11.8%
Deaths within 30 days: pneumonia patients	15.8%
Deaths within 30 days: COPD patients	8.9%
Deaths within 30 days: stroke patients	11.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.6%
Readmitted within 30 days: heart failure	20.5%
Readmitted within 30 days: pneumonia	16.6%
Readmitted within 30 days: COPD	20.1%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	142 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	61%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Kansas Best hospitals in Kansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Ascension Via Christi Hospital Manhattan, Inc lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: PHYSICAL LEVEL 2	$135	$54	$77.71 – $115.14
New patient office visit (about 30–44 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $115.14 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $109.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $88.09 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $88.09 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $88.09 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $84.70 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $111.49
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M NEW PT - LEVEL 3	$319	$127.60	$77.71 – $115.14
New patient office visit (about 30–44 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $115.14 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $109.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $88.09 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $88.09 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $88.09 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $84.70 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $111.49
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE/OPT VISIT NEW LEVEL 3	$691	$276.40	$77.71 – $115.14
New patient office visit (about 30–44 minutes): rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $115.14 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $109.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $88.09 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $88.09 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $88.09 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $84.70
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE/OPT VISIT NEW LEVEL 4	$806	$322.40	$109.38 – $170.85
New patient office visit (about 45–59 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $115.14 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $109.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $125.07 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $125.07 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $125.07 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $120.26 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $170.85
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE OP NEW LEVEL IV	$198	$79.20	$109.38 – $170.85
New patient office visit (about 45–59 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $115.14 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $109.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $125.07 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $125.07 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $125.07 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $120.26 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $170.85
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: E&M NEW PT - LEVEL 4	$706	$282.40	$109.38 – $170.85
New patient office visit (about 45–59 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $115.14 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $109.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $125.07 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $125.07 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $125.07 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $120.26 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $170.85
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE OP NEW LEVELV	$331	$132.40	$140.72 – $227.27
New patient office visit (about 60–74 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $192.28 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $182.67 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $159.52 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $159.52 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $159.52 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $153.38 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $227.27
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE/OPT VISIT NEW LEVEL 5	$1,080	$432	$140.72 – $227.27
New patient office visit (about 60–74 minutes): rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $192.28 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $182.67 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $159.52 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $159.52 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $159.52 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $153.38
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE/OPT VISIT NEW LEVEL 5	$1,080	$432	$140.72 – $227.27
New patient office visit (about 60–74 minutes): rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $175.79
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: LEVEL 3 OP OB EXAM	$222	$88.80	$42.07 – $152.18
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $152.18 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $144.57 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $47.69 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $47.69 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $47.69 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $45.86 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $79.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: ER - RECHECK INTERMEDIATE	$348	$139.20	$42.07 – $152.18
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $152.18 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $144.57 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $47.69 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $47.69 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $47.69 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $45.86
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE/OPT VISIT EST LEVEL 3	$529	$211.60	$42.07 – $152.18
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $152.18 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $144.57 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $47.69 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $47.69 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $47.69 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $45.86
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: ER - RECHECK/REFERRAL - MAJ	$481	$192.40	$66.15 – $214.97
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $214.97 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $204.22 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $74.98 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $74.98 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $74.98 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $72.10 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $116.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE/OPT VISIT EST LEVEL 4	$658	$263.20	$66.15 – $214.97
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $214.97 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $204.22 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $74.98 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $74.98 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $74.98 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $72.10 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $116.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: E&M ESTABLISHED PT - LEVEL 4	$255	$102	$66.15 – $214.97
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $214.97 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $204.22 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $74.98 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $74.98 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $74.98 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $72.10 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $116.10
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$73.68 – $147.26
Office consultation with a specialist (moderate): rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $73.68
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$73.68 – $147.26
Office consultation with a specialist (moderate): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $147.26
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$96.96 – $251.51
Office consultation with a specialist (moderate to high): rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $96.96
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$96.96 – $251.51
Office consultation with a specialist (moderate to high): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $251.51
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$30 – $156.82
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $34.01 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $34.01 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $34.01 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $32.70
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$30 – $156.82
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $96.96
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$30 – $156.82
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $156.82
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$32.70 – $196.64
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $34.01 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $34.01 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $34.01 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $32.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$32.70 – $196.64
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $128.48
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$32.70 – $196.64
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $196.64
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER - LEVEL 3	$1,144	$457.60	$16.71 – $1,029.60
Emergency room visit (moderate): rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $464.88 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $441.64 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $109.20 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $109.20 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $109.20 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $105
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER - LEVEL 3	$1,144	$457.60	$16.71 – $1,029.60
Emergency room visit (moderate): rates for 5 insurance plans CIGNA — 778_MHKS CIGNA 20240701: $1,029.60 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $16.71 SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $869 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $869 TRICARE — 623_TRICARE OUTPATIENT 20230101: $143.36
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER - LEVEL 3	$1,144	$457.60	$16.71 – $1,029.60
Emergency room visit (moderate): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $120.47
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER - LEVEL 4	$2,139	$855.60	$16.71 – $1,925.10
Emergency room visit (moderately high): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $792.57 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $752.94 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $109.20 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $109.20 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $109.20 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $105 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $204.80
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER - LEVEL 4	$2,139	$855.60	$16.71 – $1,925.10
Emergency room visit (moderately high): rates for 5 insurance plans CIGNA — 778_MHKS CIGNA 20240701: $1,925.10 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $16.71 SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $1,432 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $1,432 TRICARE — 623_TRICARE OUTPATIENT 20230101: $229.37
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: SART EXAM	$725	$290	$16.71 – $652.50
Emergency room visit (moderately high): rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $109.20 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $109.20 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $109.20 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $105 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $204.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER - LEVEL 5	$3,963	$1,585.20	$16.71 – $1,892
Emergency room visit (high): rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,231.82 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,170.22 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $109.20 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $109.20 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $109.20 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $105
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER - LEVEL 5	$3,963	$1,585.20	$16.71 – $1,892
Emergency room visit (high): rates for 4 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $16.71 SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $1,892 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $1,892 TRICARE — 623_TRICARE OUTPATIENT 20230101: $344.71
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER - LEVEL 5	$3,963	$1,585.20	$16.71 – $1,892
Emergency room visit (high): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $297.87

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$87	$34.80	$8.46 – $78.30
Basic metabolic panel (blood test): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $78.30 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $73.95 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $8.80 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $8.88 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $8.80 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $8.80 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $8.46 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL	$87	$34.80	$8.46 – $78.30
Basic metabolic panel (blood test): rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $8.68 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $8.68
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$87	$34.80	$8.46 – $78.30
Basic metabolic panel (blood test): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$289	$115.60	$10.56 – $260.10
Comprehensive metabolic panel (blood test): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $260.10 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $245.65 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $10.98 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $11.09 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $10.98 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $10.98 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $10.56 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METABOLIC PANEL	$289	$115.60	$10.56 – $260.10
Comprehensive metabolic panel (blood test): rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $15.19 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $15.19
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL	$142	$56.80	$10.56 – $127.80
Comprehensive metabolic panel (blood test): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $133.87
Obstetric blood test panel: 10 of 18 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $48.29 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $81.28 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $101.90 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $96.81 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $47.81 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $49.72 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $50.20 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $49.72 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $49.72 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $133.87
Obstetric blood test panel: 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $48.29 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $81.28 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $47.81 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $48.77 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $47.81 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $47.81 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $47.81 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $48.77 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $47.81 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $66.93
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $133.87
Obstetric blood test panel: rates for 2 insurance plans HUMANA — 872_HUMANA 20251001: $48.29 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $46.21
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIP PROFILE	$76	$30.40	$12.16 – $68.40
Cholesterol panel (lipid panel): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $68.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $64.60 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $13.93 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $14.06 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $13.93 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $13.93 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $13.39 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE	$220	$88	$12.16 – $198
Cholesterol panel (lipid panel): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $198 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $187 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $13.93 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $14.06 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $13.93 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $13.93 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE	$220	$88	$12.16 – $198
Cholesterol panel (lipid panel): rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $12.16 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $12.16
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$112	$44.80	$8.68 – $100.80
Kidney function panel: 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $8.77 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $14.76 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $100.80 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $95.20 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $8.68 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $9.03 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $9.11 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $9.03 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $9.03 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$112	$44.80	$8.68 – $100.80
Kidney function panel: rates for 3 insurance plans HUMANA — 872_HUMANA 20251001: $8.77 SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $10.84 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $10.84
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68 – $24.30
Kidney function panel: rates for 10 insurance plans AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $8.77 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $14.76 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $8.68 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $8.85 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $8.68 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $8.68 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $8.68 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $8.85 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $12.15 VA — 873_VETERANS AFFAIRS INPATIENT 20251001: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LIVER PROFILE	$166	$66.40	$7.59 – $149.40
Liver function panel: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $149.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $141.10 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $8.50 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $8.58 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $8.50 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $8.50 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $8.17 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER PROFILE	$166	$66.40	$7.59 – $149.40
Liver function panel: rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $7.59 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $7.59
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.17 – $22.88
Liver function panel: 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $8.25 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $13.89 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $149.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $141.10 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $8.17 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $8.50 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $8.58 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $8.50 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $8.50 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS, NON-AUTO, W/MI	$55	$22	$2.61 – $49.50
Urine test (automated, with microscope): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $49.50 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $46.75 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $3.30 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $3.33 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $3.30 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $3.30 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $3.17 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS	$142	$56.80	$2.61 – $127.80
Urine test (automated, with microscope): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $127.80 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $120.70 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $3.30 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $3.33 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $3.30 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $3.30 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS	$142	$56.80	$2.61 – $127.80
Urine test (automated, with microscope): rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $2.61 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $2.61
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA W/O MICROSCOPY (REFERRED)	$39	$15.60	$2.11 – $35.10
Urine test (manual, without microscope): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $35.10 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $33.15 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $3.13 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $3.16 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $3.13 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $3.13 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $3.01 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: UA W/O MICROSCOPY (REFERRED)	$39	$15.60	$2.11 – $35.10
Urine test (manual, without microscope): rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $2.11 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $2.11
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.48 – $9.74
Urine test (manual, without microscope): 10 of 18 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $3.51 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $5.92 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $35.10 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $33.15 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $3.48 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $3.13 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $3.16 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $3.13 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $3.13 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $3.01
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SP. GRAVITY URINE	$57	$22.80	$1.85 – $51.30
Urine test (automated, without microscope): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $51.30 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $48.45 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1.99 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $2.01 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1.99 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1.99 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1.91 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: ACETONE UA	$57	$22.80	$1.85 – $51.30
Urine test (automated, without microscope): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $51.30 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $48.45 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1.99 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $2.01 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1.99 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1.99 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1.91
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W/O MICROSCOPY	$42	$16.80	$1.85 – $37.80
Urine test (automated, without microscope): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $37.80 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $35.70 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1.99 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $2.01 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1.99 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1.99 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1.91
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROST SPECIFIC ANTIGEN	$186	$74.40	$16.69 – $167.40
PSA (prostate specific antigen) blood test: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $167.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $158.10 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $19.13 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $19.31 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $19.13 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $19.13 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $18.39 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC AG TOTAL	$153	$61.20	$16.69 – $137.70
PSA (prostate specific antigen) blood test: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $137.70 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $130.05 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $19.13 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $19.31 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $19.13 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $19.13 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $18.39 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROST SPECIFIC ANTIGEN	$186	$74.40	$16.69 – $167.40
PSA (prostate specific antigen) blood test: rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $16.69 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $16.69
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$253	$101.20	$15.25 – $227.70
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $227.70 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $215.05 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $16.38 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $16.54 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $16.38 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $16.38 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $15.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$253	$101.20	$15.25 – $227.70
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $15.25 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $15.25
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH	$253	$101.20	$15.25 – $227.70
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC	$177	$70.80	$6.41 – $159.30
Complete blood count (CBC) with differential: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $159.30 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $150.45 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $6.86 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $6.93 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $6.86 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $6.86 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $6.60 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC	$177	$70.80	$6.41 – $159.30
Complete blood count (CBC) with differential: rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $6.41 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $6.41
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC	$177	$70.80	$6.41 – $159.30
Complete blood count (CBC) with differential: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM	$88	$35.20	$5.33 – $79.20
Complete blood count (CBC), automated: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $79.20 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $74.80 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $6.73 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $6.79 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $6.73 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $6.73 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HEMOGRAM	$88	$35.20	$5.33 – $79.20
Complete blood count (CBC), automated: rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $5.33 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $5.33
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HEMOGRAM	$88	$35.20	$5.33 – $79.20
Complete blood count (CBC), automated: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$56	$22.40	$3.24 – $50.40
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $50.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $47.60 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $4.46 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $4.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $4.46 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $4.46 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $4.29 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME (PT)	$36	$14.40	$3.24 – $32.40
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $32.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $30.60 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $4.46 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $4.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $4.46 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $4.46 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: THROMBOSIS PANEL-PT	$29	$11.60	$3.24 – $26.10
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $26.10 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $24.65 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $4.46 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $4.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $4.46 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $4.46 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOSIS PANEL-LUPUS ANT	$36	$14.40	$5.25 – $32.40
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $32.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $30.60 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $5.46 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $5.51 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $5.46 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $5.46 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $5.25 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME, PTT	$83	$33.20	$5.25 – $74.70
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $74.70 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $70.55 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $5.46 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $5.51 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $5.46 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $5.46 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $5.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: LUPUS ANTICOAGULADT APTT	$98	$39.20	$5.25 – $88.20
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $88.20 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $83.30 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $5.46 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $5.51 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $5.46 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $5.46 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $5.25

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HEAD W/O CONTRAST 70450	$2,653	$1,061.20	$33.16 – $547.67
CT scan of the head or brain, without contrast: rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $547.67 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $520.28 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $111.16 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $111.16 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $111.16 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $106.88
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD W/O CONTRAST	$515	$206	$33.16 – $173.58
CT scan of the head or brain, without contrast: rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $111.16 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $111.16 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $111.16 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $106.88 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $145.06
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HEAD W/O CONTRAST 70450	$2,653	$1,061.20	$33.16 – $547.67
CT scan of the head or brain, without contrast: rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $136.14 TRICARE — 623_TRICARE OUTPATIENT 20230101: $173.58
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: BRAIN W & W/O 70553	$5,290	$2,116	$89.37 – $629.87
MRI of the brain, before and after contrast: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $629.87 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $598.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $383.17 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $383.17 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $383.17 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $368.43 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $451.58
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: BRAIN W & W/O 70553	$5,290	$2,116	$89.37 – $629.87
MRI of the brain, before and after contrast: rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $380.70 TRICARE — 623_TRICARE OUTPATIENT 20230101: $549.47
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$330.28 – $924.78
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $333.58 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $561.48 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $629.87 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $598.38 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $330.28 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $383.17 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $383.17 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $383.17 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $368.43 MEDICARE ADVANTAGE ALLWELL — 815_MHKS MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $336.89
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	$166	$66.40	$9 – $163.28
Chest X-ray, 2 views: 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $82.24 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $138.43 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $171.88 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $163.28 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $81.43 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $13.15 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $13.27 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $13.15 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $13.15 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $12.64
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-RAY EXAM CHEST 2 VIEWS	$291	$116.40	$9 – $171.88
Chest X-ray, 2 views: 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $82.24 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $138.43 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $81.43 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $83.06 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $81.43 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $81.43 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $81.43 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $83.06 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $42.44 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $114
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST X-RAY 2V PA & LAT*	$166	$66.40	$9 – $163.28
Chest X-ray, 2 views: rates for 7 insurance plans BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $163.28 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $13.15 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $13.27 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $13.15 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $13.15 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $12.64 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $42.44
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: L-SPINE MIN 4 VIEWS 72110	$273	$109.20	$10.24 – $268.69
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $282.83 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $268.69 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $94.48 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $94.48 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $94.48 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $90.85 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $64
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: BACK X-RAYS	$319	$127.60	$10.24 – $282.83
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $282.83 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $268.69 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $94.48 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $94.48 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $94.48 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $90.85 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L-SPINE MIN 4 VIEWS 72110	$273	$109.20	$10.24 – $268.69
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $28.44 TRICARE — 623_TRICARE OUTPATIENT 20230101: $70.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: L-SPINE W/O 72148	$3,579	$1,431.60	$57.89 – $629.87
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $629.87 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $598.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $242.86 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $242.86 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $242.86 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $233.52
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: L-SPINE W/O 72148	$3,579	$1,431.60	$57.89 – $629.87
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $249.65 TRICARE — 623_TRICARE OUTPATIENT 20230101: $338.49
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: L-SPINE W/O 72148	$3,579	$1,431.60	$57.89 – $629.87
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $269.69
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/ CONTRAST	$3,133	$1,253.20	$45.25 – $547.67
CT scan of the pelvis, with contrast: rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $547.67 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $520.28 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $159.42 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $159.42 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $159.42 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $153.29
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$515	$206	$45.25 – $314.71
CT scan of the pelvis, with contrast: rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $159.42 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $159.42 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $159.42 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $153.29 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $314.71
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/ CONTRAST	$3,133	$1,253.20	$45.25 – $547.67
CT scan of the pelvis, with contrast: rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $201.80 TRICARE — 623_TRICARE OUTPATIENT 20230101: $297.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HIP RT W/O 73721RT	$3,177	$1,270.80	$52.96 – $629.87
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $629.87 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $598.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $242.86 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $242.86 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $242.86 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $233.52 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $283.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HIP LT W/O 73721LT	$3,177	$1,270.80	$52.96 – $629.87
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $629.87 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $598.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $242.86 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $242.86 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $242.86 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $233.52 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $283.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: ANKLE LT W/O 73721LT	$3,177	$1,270.80	$52.96 – $629.87
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $629.87 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $598.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $242.86 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $242.86 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $242.86 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $233.52 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $283.88
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ENTEROGRAPHY-SM BOWEL 74177	$5,640	$2,256	$71.10 – $547.67
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $547.67 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $520.28 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $325.70 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $325.70 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $325.70 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $313.17 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $421.29
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: ABD/PELVIS W/CONTRAST 74177	$5,640	$2,256	$71.10 – $547.67
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $547.67 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $520.28 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $325.70 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $325.70 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $325.70 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $313.17 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $421.29
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: ABD/PELVIS WITH CONTRAST 74177	$515	$206	$71.10 – $482.58
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $325.70 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $325.70 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $325.70 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $313.17
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ABDOMEN COMPLETE 76700	$1,783	$713.20	$31.48 – $172.71
Ultrasound of the abdomen, complete: rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $172.71 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $164.07 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $94.48 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $94.48 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $94.48 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $90.85
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: ABDOMEN COMPLETE 76700	$1,783	$713.20	$31.48 – $172.71
Ultrasound of the abdomen, complete: rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $68.47 TRICARE — 623_TRICARE OUTPATIENT 20230101: $99.32
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: ABDOMEN COMPLETE 76700	$1,783	$713.20	$31.48 – $172.71
Ultrasound of the abdomen, complete: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $155.14
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB AFTER FIRST TRIMESTER >14WK	$1,388	$555.20	$39.02 – $178.59
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $150.83 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $143.29 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $94.48 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $94.48 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $94.48 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $90.85 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $178.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB AFTER FIRST TRIMESTER >14WK	$1,388	$555.20	$39.02 – $178.59
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $69.79 TRICARE — 623_TRICARE OUTPATIENT 20230101: $99.32
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$98.35 – $275.38
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $99.33 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $167.19 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $150.83 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $143.29 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $98.35 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $94.48 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $94.48 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $94.48 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $90.85 MEDICARE ADVANTAGE ALLWELL — 815_MHKS MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $100.32
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL ECHO 76830	$1,011	$404.40	$27.24 – $157.63
Transvaginal ultrasound: rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $140.47 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $133.45 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $94.48 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $94.48 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $94.48 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $90.85
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL ECHO 76830	$1,011	$404.40	$27.24 – $157.63
Transvaginal ultrasound: rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $59 TRICARE — 623_TRICARE OUTPATIENT 20230101: $99.32
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: TRANSVAGINAL ECHO 76830	$1,011	$404.40	$27.24 – $157.63
Transvaginal ultrasound: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $157.63
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI 77065	$352	$140.80	$31.48 – $163.27
Diagnostic mammogram, one breast: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $140.47 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $133.45 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $103.81 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $104.81 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $103.81 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $103.81 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $99.82 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $163.27
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$76.84 – $215.15
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $77.61 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $130.63 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $140.47 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $133.45 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $76.84 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $103.81 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $104.81 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $103.81 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $103.81 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $99.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$76.84 – $215.15
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $77.61 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $130.63 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $76.84 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $78.38 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $76.84 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $76.84 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $76.84 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $78.38 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $163.27 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $107.58
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI 77066	$449	$179.60	$38.79 – $206.66
Diagnostic mammogram, both breasts: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $140.47 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $133.45 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $130.97 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $132.23 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $130.97 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $130.97 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $125.93
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD BI 77066	$449	$179.60	$38.79 – $206.66
Diagnostic mammogram, both breasts: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $206.66
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$97.94 – $274.23
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $98.92 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $166.50 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $140.47 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $133.45 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $97.94 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $130.97 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $132.23 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $130.97 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $130.97 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $125.93
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO UNI RT W/CAD 77067	$352	$140.80	$29.78 – $183.54
Screening mammogram, both breasts: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $183.54 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $174.36 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $106.11 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $107.13 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $106.11 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $106.11 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $102.03 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $166.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI W/CAD 77067	$449	$179.60	$29.78 – $183.54
Screening mammogram, both breasts: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $183.54 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $174.36 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $106.11 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $107.13 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $106.11 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $106.11 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $102.03 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $166.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR BIL W/CAD CORP 77067	$296	$118.40	$29.78 – $183.54
Screening mammogram, both breasts: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $183.54 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $174.36 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $106.11 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $107.13 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $106.11 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $106.11 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $102.03 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $166.90

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$17.33 – $28.75
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $28.75 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $25.37 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $28.75 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $28.75 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $27.64 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $17.33
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$199.62 – $9,203
Left heart catheterization (diagnostic): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $6,978.64 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $6,629.70 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1,083.95 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $1,094.37 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1,083.95 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1,083.95 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1,042.26
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$199.62 – $9,203
Left heart catheterization (diagnostic): rates for 3 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $9,203 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $9,203 TRICARE — 623_TRICARE OUTPATIENT 20230101: $2,649.52
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$199.62 – $9,203
Left heart catheterization (diagnostic): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $1,116.01
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$216.96 – $3,922.31
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1,040 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1,040 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1,040 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1,000
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$216.96 – $3,922.31
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $216.96 TRICARE — 623_TRICARE OUTPATIENT 20230101: $3,922.31
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · modifier TC In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$216.96 – $3,922.31
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $2,516.08 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $246.34 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $2,516.08 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $2,516.08 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $2,419.31
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$771.82 – $32,838.37
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $32,838.37 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $31,196.45 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $7,835.89 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $771.82 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $7,835.89 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $7,835.89 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $7,534.51
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$771.82 – $32,838.37
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $17,894 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $17,894 TRICARE — 623_TRICARE OUTPATIENT 20230101: $11,145.72
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$771.82 – $32,838.37
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $1,292.38
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAM TECHNICAL COMP	$2,936	$1,174.40	$93.13 – $2,642.40
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $2,642.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $2,495.60 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $880.62 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $880.62 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $880.62 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $846.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOMNOGRAM TECHNICAL COMP	$2,936	$1,174.40	$93.13 – $2,642.40
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $308.26 SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $1,023 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $1,023 TRICARE — 623_TRICARE OUTPATIENT 20230101: $806.13
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOMNOGRAM TECHNICAL COMP	$2,936	$1,174.40	$93.13 – $2,642.40
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $719.38

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: EXERCISE I PER 15 MIN	$76	$30.40	$26.03 – $64.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $64.88 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $61.63 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $29.16 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $26.03 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $29.16 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $29.16 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $28.04 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $35.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: TELE EXERCISE I PER 15 MIN	$76	$30.40	$26.03 – $64.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $64.88 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $61.63 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $29.16 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $26.03 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $29.16 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $29.16 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $28.04 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $35.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISE PER 15MIN	$76	$30.40	$26.03 – $64.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $64.88 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $61.63 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $29.16 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $26.03 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $29.16 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $29.16 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $28.04 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $35.86
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	$176	$70.40	$71.82 – $158.11
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $93.94 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $158.12 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $158.11 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $150.20 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $93.01 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $74.69 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $80.78 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $74.69 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $74.69 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $71.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT EVAL LOW COMPLEX 20 MIN	$176	$70.40	$71.82 – $158.11
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $93.94 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $158.12 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $94.87 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $94.87 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $120.84 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $130.21
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (low complexity): rates for 1 insurance plan HUMANA — 872_HUMANA 20251001: $93.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	$215	$86	$71.82 – $137.48
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $93.94 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $158.12 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $137.48 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $130.61 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $93.01 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $74.69 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $80.78 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $74.69 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $74.69 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $71.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVAL MOD COMPLEX 30 MIN	$215	$86	$71.82 – $137.48
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $93.94 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $158.12 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $94.87 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $94.87 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $120.84 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $130.21
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan HUMANA — 872_HUMANA 20251001: $93.94
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	$244	$97.60	$57.45 – $137.48
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $93.94 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $158.12 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $137.48 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $130.61 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $93.01 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $59.75 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $80.78 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $59.75 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $59.75 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $57.45
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	$244	$97.60	$57.45 – $137.48
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $93.94 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $158.12 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $94.87 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $93.01 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $94.87 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $120.84 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $130.21
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$93.01 – $260.43
Physical therapy evaluation (high complexity): rates for 1 insurance plan HUMANA — 872_HUMANA 20251001: $93.94
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHER-IND PHD 30MIN	$187	$74.80	$38.54 – $95.89
Psychotherapy, 30 minutes: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $95.89 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $40.08 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $40.47 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $40.08 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $40.08 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $38.54 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $94.16
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYCHOTHER-IND PHD 30MIN	$187	$74.80	$38.54 – $95.89
Psychotherapy, 30 minutes: rates for 2 insurance plans BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $91.09 TRICARE — 623_TRICARE OUTPATIENT 20230101: $82.86
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $252.60 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $95.89 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $40.08 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $40.47 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $40.08 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $40.08 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $38.54 MEDICARE ADVANTAGE ALLWELL — 815_MHKS MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHER-IND PHD 45 MIN	$187	$74.80	$77.08 – $124.45
Psychotherapy, 45 minutes: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $114.24 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $80.16 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $80.93 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $80.16 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $80.16 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $77.08 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $124.45
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYCHOTHER-IND PHD 45 MIN	$187	$74.80	$77.08 – $124.45
Psychotherapy, 45 minutes: rates for 2 insurance plans BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $108.53 TRICARE — 623_TRICARE OUTPATIENT 20230101: $110.16
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $252.60 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $114.24 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $80.16 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $80.93 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $80.16 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $80.16 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $77.08 MEDICARE ADVANTAGE ALLWELL — 815_MHKS MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $252.60 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $172.36 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $120.26 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $121.41 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $120.26 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $120.26 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $115.63 MEDICARE ADVANTAGE ALLWELL — 815_MHKS MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $150.08 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $252.60 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $151.56 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $151.56 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $183.80 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $208.03
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$148.59 – $416.05
Psychotherapy, 60 minutes: rates for 3 insurance plans BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $163.74 HUMANA — 872_HUMANA 20251001: $150.08 TRICARE — 623_TRICARE OUTPATIENT 20230101: $110.16
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$148.59 – $416.05
Family psychotherapy, without the patient: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $150.08 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $252.60 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $148.59 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $76.63 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $77.36 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $76.63 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $76.63 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $73.68 MEDICARE ADVANTAGE ALLWELL — 815_MHKS MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $151.56 MEDICARE ADVANTAGE COVENTRY — 816_MHKS MEDICARE ADVANTAGE COVENTRY OUTPATIENT 20250101: $148.59
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$148.59 – $416.05
Family psychotherapy, without the patient: rates for 10 insurance plans AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $150.08 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $252.60 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $151.56 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $148.59 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $151.56 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $208.03 VA — 873_VETERANS AFFAIRS INPATIENT 20251001: $148.59
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$148.59 – $416.05
Family psychotherapy, without the patient: rates for 2 insurance plans HUMANA — 872_HUMANA 20251001: $150.08 TRICARE — 623_TRICARE OUTPATIENT 20230101: $128.21
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY	$203	$81.20	$73.68 – $145.03
Family psychotherapy, with the patient: rates for 6 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $145.03 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $76.63 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $77.36 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $76.63 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $76.63 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $73.68
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYCHOTHERAPY	$203	$81.20	$73.68 – $145.03
Family psychotherapy, with the patient: rates for 2 insurance plans BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $137.78 TRICARE — 623_TRICARE OUTPATIENT 20230101: $128.21
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY PSYCHOTHERAPY	$203	$81.20	$73.68 – $145.03
Family psychotherapy, with the patient: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $124.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$85.55 – $239.54
Group psychotherapy: 10 of 17 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $86.41 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $145.44 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $33.77 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $85.55 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $26.22 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $26.47 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $26.22 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $26.22 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $25.21 MEDICARE ADVANTAGE ALLWELL — 815_MHKS MEDICARE ADVANTAGE ALLWELL OUTPATIENT 20250101: $87.26
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$85.55 – $239.54
Group psychotherapy: 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $86.41 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $145.44 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $85.55 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $87.26 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $85.55 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $85.55 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $85.55 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $87.26 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $33.26 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $119.77
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$85.55 – $239.54
Group psychotherapy: rates for 3 insurance plans BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $32.08 HUMANA — 872_HUMANA 20251001: $86.41 TRICARE — 623_TRICARE OUTPATIENT 20230101: $60.66

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$450 – $4,723.01
Removal of breast growth (open surgery): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $4,723.01 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $4,486.86 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $468 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $472.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $468 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $468 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $450 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $626.93
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$450 – $4,723.01
Removal of breast growth (open surgery): rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $1,862.77
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$695.52 – $17,969.75
Total hip replacement: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $17,969.75 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $17,071.26 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $8,849.37 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $8,849.37 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $8,849.37 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $8,509.01 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $1,563.21
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 62 In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$695.52 – $17,969.75
Total hip replacement: rates for 4 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $723.34 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $723.34 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $723.34 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $695.52
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$550 – $17,969.75
Total knee replacement: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $17,969.75 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $17,071.26 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $572 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $577.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $572 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $572 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $550 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $1,561.55
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 62 In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$550 – $17,969.75
Total knee replacement: rates for 4 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $776.38 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $776.38 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $776.38 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $746.52
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$210.95 – $4,383.38
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $4,383.38 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $4,164.21 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $780 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $787.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $780 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $780 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $750 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $210.95
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$210.95 – $4,383.38
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $2,111.62
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier 62 In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$210.95 – $4,383.38
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $352.46 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $355.85 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $352.46 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $352.46 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $338.90
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$450 – $4,098.30
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $4,098.30 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $3,893.39 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $468 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $472.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $468 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $468 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $450 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $661.62
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$450 – $4,098.30
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $2,111.62
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$353.20 – $7,280.05
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $7,280.05 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $6,916.05 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $400.40 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $404.25 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $400.40 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $400.40 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $385
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$353.20 – $7,280.05
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $1,799.78
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$353.20 – $7,280.05
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $353.20
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $875.74 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $1,474.02 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,177.88 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,118.99 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $867.07 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $234 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $236.25 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $234 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $234 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $225
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $875.74 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $1,474.02 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $884.41 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $884.41 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $371.42 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $1,213.90
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy (diagnostic): rates for 2 insurance plans HUMANA — 872_HUMANA 20251001: $875.74 TRICARE — 623_TRICARE OUTPATIENT 20230101: $623.45
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $875.74 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $1,474.02 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,314.90 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,249.15 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $867.07 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $234 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $236.25 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $234 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $234 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $225
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $875.74 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $1,474.02 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $884.41 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $867.07 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $884.41 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $477.92 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $1,213.90
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$867.07 – $2,427.80
Upper GI endoscopy with biopsy: rates for 2 insurance plans HUMANA — 872_HUMANA 20251001: $875.74 TRICARE — 623_TRICARE OUTPATIENT 20230101: $623.45
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$843.17 – $2,360.88
Colonoscopy (diagnostic): 10 of 18 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $851.60 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $1,433.39 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,506.03 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,430.73 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $843.17 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $234 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $236.25 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $234 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $234 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $225
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$843.17 – $2,360.88
Colonoscopy (diagnostic): 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $851.60 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $1,433.39 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $843.17 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $860.03 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $843.17 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $843.17 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $843.17 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $860.03 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $426.58 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $1,180.44
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$843.17 – $2,360.88
Colonoscopy (diagnostic): rates for 2 insurance plans HUMANA — 872_HUMANA 20251001: $851.60 TRICARE — 623_TRICARE OUTPATIENT 20230101: $691.32
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$225 – $1,554.39
Colonoscopy with biopsy: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,554.39 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,476.67 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $234 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $236.25 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $234 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $234 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $225 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $551.20
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$225 – $1,554.39
Colonoscopy with biopsy: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $691.32
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$225 – $1,694.86
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,694.86 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,610.12 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $234 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $236.25 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $234 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $234 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $225 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $572.94
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$225 – $1,694.86
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $691.32
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$225 – $691.32
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $234 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $236.25 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $234 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $234 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $225 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $317.66
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$225 – $691.32
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $691.32
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$364.49 – $7,834.07
Gallbladder removal by laparoscope: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $7,834.07 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $7,442.37 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $452.40 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $456.75 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $452.40 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $452.40 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $435 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $796.86
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$364.49 – $7,834.07
Gallbladder removal by laparoscope: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $3,487.15
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 62 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$364.49 – $7,834.07
Gallbladder removal by laparoscope: rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $379.07 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $382.71 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $379.07 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $379.07 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $364.49
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$256.74 – $4,697.29
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $4,697.29 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $4,462.43 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $452.40 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $456.75 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $452.40 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $452.40 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $435 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $631.62
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$256.74 – $4,697.29
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $2,429.11
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 62 In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$256.74 – $4,697.29
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $267.01 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $269.58 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $267.01 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $267.01 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $256.74
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$307.45 – $1,319.50
Prostate biopsy: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,319.50 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,253.53 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $468 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $472.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $468 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $468 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $450
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$307.45 – $1,319.50
Prostate biopsy: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $967.22
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$307.45 – $1,319.50
Prostate biopsy: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $307.45
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$862.05 – $14,047.08
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $14,047.08 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $13,344.73 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1,434.44 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $1,448.23 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1,434.44 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1,434.44 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1,379.27 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $1,776.40
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 62 In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$862.05 – $14,047.08
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $896.53 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $905.15 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $896.53 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $896.53 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $862.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$156.03 – $3,900.40
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $3,900.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $3,705.38 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $418.08 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $422.10 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $418.08 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $418.08 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $402
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$156.03 – $3,900.40
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $1,682.06
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$156.03 – $3,900.40
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $1,769.86
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	$2,995	$1,198	$178.25 – $2,800
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $646.86 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $1,088.78 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,301.65 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,236.57 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $640.46 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $185.38 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $187.16 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $185.38 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $185.38 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $178.25
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: EPI INJ SPN LUMB/SACL W/IMAG	$2,995	$1,198	$178.25 – $2,800
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,301.65 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,236.57 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $185.38 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $187.16 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $185.38 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $185.38 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $178.25 MEDICA — 799_MEDICA HEALTHIER YOU 20241001: $2,800 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $327.37
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$640.46 – $1,793.29
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $646.86 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $1,088.78 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $640.46 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $653.27 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $640.46 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $640.46 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $640.46 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $653.27 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $327.37 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $896.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ FORAMEN EPIDURAL L/S	$1,876	$750.40	$168 – $1,688.40
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,688.40 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,594.60 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $174.72 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $176.40 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $174.72 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $174.72 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $168 MEDICA — 799_MEDICA HEALTHIER YOU 20241001: $1,500 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $306.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: INJ FORAMEN EPIDURAL L/S	$1,876	$750.40	$168 – $1,688.40
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $565.75
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: INJ FORAMEN EPIDURAL L/S	$1,876	$750.40	$168 – $1,688.40
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $306.37
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$410 – $1,851.45
Carpal tunnel release: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,851.45 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $1,758.88 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $426.40 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $430.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $426.40 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $426.40 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $410 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $538.64
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$410 – $1,851.45
Carpal tunnel release: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $1,344.72
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$507.36 – $1,420.61
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates AARP MEDICARE REPLACEMENT — 813_MEDICARE ADVANTAGE AARP OUTPATIENT 20250101: $512.43 AMBETTER — 701_AMBETTER SUNFLOWER OUTPATIENT MHKS 20230101: $862.51 BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $1,037.41 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $985.54 DEFAULT - 100 PERCENT OF MEDICARE — 622_DEFAULT - 100 PERCENT OF MEDICARE OUTPATIENT 20230101: $507.36 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $468 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $472.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $468 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $468 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $450
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$507.36 – $1,420.61
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: $512.43 AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: $862.51 DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: $507.36 MEDICARE ADVANTAGE ALLWELL — 885_MHKS MEDICARE ADVANTAGE ALLWELL INPATIENT 20251001: $517.51 MEDICARE ADVANTAGE COVENTRY — 879_MHKS MEDICARE ADVANTAGE COVENTRY INPATIENT 20251001: $507.36 MEDICARE ADVANTAGE HUMANA — 878_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001: $507.36 MEDICARE ADVANTAGE OTHER — 881_MHKS MEDICARE ADVANTAGE OTHER INPATIENT 20251001: $507.36 MEDICARE ADVANTAGE UNITED HEALTH CARE — 887_MHKS MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 2025: $517.51 SMARTHEALTH — 883_MHKS SMARTHEALTH INPATIENT 20251001: $710.30 VA — 873_VETERANS AFFAIRS INPATIENT 20251001: $507.36
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$507.36 – $1,420.61
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans HUMANA — 872_HUMANA 20251001: $512.43 TRICARE — 623_TRICARE OUTPATIENT 20230101: $410.79
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$650 – $3,084.60
Cataract removal with lens implant: rates for 8 insurance plans BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $3,084.60 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $2,930.37 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $676 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $682.50 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $676 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $676 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $650 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $666.91
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$650 – $3,084.60
Cataract removal with lens implant: rates for 1 insurance plan TRICARE — 623_TRICARE OUTPATIENT 20230101: $1,730.47

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,751.03 – $2,857.09
Vaginal delivery, with care before and after: rates for 6 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1,821.07 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $1,838.58 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1,821.07 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1,821.07 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1,751.03 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $2,857.09
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,924.96 – $3,137.75
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $2,001.96 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $2,021.21 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $2,001.96 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $2,001.96 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1,924.96
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,924.96 – $3,137.75
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $3,137.75
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,379.97 – $2,968.06
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $1,435.17 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $1,912.58 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $1,435.17 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $1,435.17 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $1,379.97 PROVIDRS CARE — 867_MHKS PROVIDRS CARE 20250701: $2,968.06

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$42,695.55 – $98,907.94
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $98,907.94 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $93,962.54 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $44,830.33 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $44,403.37 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $44,403.37 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $42,695.55 AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: 101% (a percentage in the contract, not a dollar amount) AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: 170% (a percentage in the contract, not a dollar amount) DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount) HUMANA — 872_HUMANA 20251001: 101% (a percentage in the contract, not a dollar amount)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient or outpatient In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$42,695.55 – $98,907.94
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $74,176.75 SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $83,420.60 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $83,420.60
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$8,176.50 – $25,253.33
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $25,253.33 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $23,990.66 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $8,503.56 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $8,585.33 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $8,503.56 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $8,503.56 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $8,176.50 AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: 101% (a percentage in the contract, not a dollar amount) AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: 170% (a percentage in the contract, not a dollar amount) DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$8,176.50 – $25,253.33
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $17,880.42 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $17,880.42
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,127.15 – $25,014.42
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $25,014.42 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $23,763.69 KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $11,572.24 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $11,683.51 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $11,572.24 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $11,572.24 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $11,127.15 AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: 101% (a percentage in the contract, not a dollar amount) AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: 170% (a percentage in the contract, not a dollar amount) DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,127.15 – $25,014.42
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $19,888.08 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $19,888.08
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$4,692.60 – $11,647.46
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates BCBS CAP — 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101: $11,647.46 BCBS CHOICE — 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101: $11,065.09 KANCARE AMERIGROUP — 857_MEDICAID ADVANTAGE KANCARE AMERIGROUP 20250701: $4,927.23 KANCARE HEALTHY BLUE — 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701: $4,880.30 KANCARE SUNFLOWER — 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701: $4,880.30 KANCARE UHC — 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701: $4,692.60 AARP MEDICARE REPLACEMENT — 877_MEDICARE ADVANTAGE AARP INPATIENT 20251001: 101% (a percentage in the contract, not a dollar amount) AMBETTER — 886_AMBETTER SUNFLOWER INPATIENT MHKS 20251001: 170% (a percentage in the contract, not a dollar amount) DEFAULT - 100 PERCENT OF MEDICARE — 874_DEFAULT - 100 PERCENT OF MEDICARE INPATIENT 20251001: 100% (a percentage in the contract, not a dollar amount) HUMANA — 872_HUMANA 20251001: 101% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$4,692.60 – $11,647.46
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans KANCARE AETNA — 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701: $8,945.94 SMARTHEALTH — 655_MHKS SMARTHEALTH OUTPATIENT 20230101: $8,794.46 SMARTHEALTH — 794_MHKS SMARTHEALTH INPATIENT 20241001: $8,794.46

Source: Ascension Via Christi Hospital Manhattan, Inc’s standard charges file (healthcare.ascension.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1823 College Avenue, Manhattan, KS 66502
County	Riley County
State	Kansas
Phone	(785) 776‑3322
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	170142
Name in Medicare records	ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC
Profile level	Medicare data + hospital website
Name on the hospital’s website	Ascension Via Christi Hospital in Manhattan
Official website	healthcare.ascension.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Ascension Via Christi Hospital in Manhattan — healthcare.ascension.org
Ascension Via Christi Emergency Department in Manhattan | Ascension — healthcare.ascension.org
Sexual Assault Nurse Examiner (SANE) program | Ascension — healthcare.ascension.org
Ascension Via Christi Birth and Women's Center | Ascension — healthcare.ascension.org
Ascension Via Christi Hospital Manhattan - Inpatient Rehabilitation | Ascension — healthcare.ascension.org
Visitor information | Ascension — healthcare.ascension.org
Ascension Via Christi General Surgery in Manhattan | Ascension — healthcare.ascension.org
Ascension Via Christi Imaging in Manhattan | Ascension — healthcare.ascension.org
Ascension Via Christi Hospital Cardiac Rehabilitation | Ascension — healthcare.ascension.org
Ascension Via Christi - Imaging in Manhattan - Mammography | Ascension — healthcare.ascension.org