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Children's Hospital

Children's Mercy South

Overland Park, Kansas · Johnson County · Emergency services listed

Summary

Children's Mercy South is a children's hospital in Overland Park, Kansas. Its official website lists an emergency room (Medicare data does not list emergency services). Its official website lists 33 services, specialties and programs. Medicare lists 2 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a children's hospital?

A hospital that treats babies, children and teenagers, with doctors and equipment made for young patients. More about hospital types

Call(913) 696‑8000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
2Doctors and clinicians
33Services listed

Quick answers

Does Children's Mercy South have an emergency room?
Yes. The hospital’s official website lists an emergency room at Children's Mercy South. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Children's Mercy South?
5808 W 110th Street, Overland Park, KS 66211, in Johnson County, Kansas.
What is the phone number of Children's Mercy South?
(913) 696-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Children's Mercy South?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5]

Procedures[4][5]

  • Tonsillectomy
  • Adenoidectomy
  • Hernia repair
  • Circumcision
  • Tear-duct probes
  • Ear tube insertion
  • Dental rehabilitation
  • Eye-muscle surgery
  • Plastic surgery
  • Tear-duct probing
  • Insertion of ear tubes
  • Orthopedics
  • Gastroenterology
  • CT scan
  • Magnetic resonance imaging (MRI)
  • Ultrasound
  • Fluoroscopic procedures
  • Bone and joint imaging

Programs and centers[4][5][6]

  • Comprehensive Epilepsy Center with Epilepsy Monitoring Unit
  • Pediatric inpatient unit
  • Outpatient surgery (Surgicenter)
  • Surgicenter (outpatient surgery)
  • Tom Watson Emergency Department

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingFriends and family may visit 9 a.m.-9 p.m.; parents and guardians have 24-hour access. Visitors 18 and older need ID[4]
ParkingLot A is for visitors; ER parking is in Lots E and F; valet parking is offered[4]
Interpreters and languagesTranslation services; free professional medical interpreters for languages other than Spanish[5][7]

Recognition[5]

  • ABRET certified level 4 Epilepsy Monitoring Unit

Doctors and clinicians (2)

2 doctors and other clinicians list Children's Mercy South 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

Doctors with a page on this site (2)

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

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 Children's Mercy South 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.

Not reported to Medicare

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)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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 attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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)Not reported to Medicare
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)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 Overland ParkBest hospitals in Overland Park

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as Children's Mercy South 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT NEW LVL 3 PROF $240 $115.20 $88.94 – $211.20
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $120.79
  • Aetna — All Other Commercial Plans: $139.81
  • American Healthcare Alliance — All Commercial Plans: $116
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $162.79
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $162.79
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $162.79
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $162.79
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $129.15
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $129.15
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $133.11
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT NEW LVL 3 PROF $240 $115.20 $88.94 – $211.20
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $120.79
  • Aetna — All Other Commercial Plans: $139.81
  • American Healthcare Alliance — All Commercial Plans: $116
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $162.79
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $162.79
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $162.79
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $162.79
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $129.15
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $129.15
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $133.11
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT NEW LVL 3 RES SPRVS $240 $115.20 $88.94 – $211.20
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $120.79
  • Aetna — All Other Commercial Plans: $139.81
  • American Healthcare Alliance — All Commercial Plans: $116
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $162.79
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $162.79
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $162.79
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $162.79
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $129.15
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $129.15
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $133.11
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT NEW LVL 4 PROF $366 $175.68 $126.27 – $322.08
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $201.71
  • Aetna — All Other Commercial Plans: $232.48
  • American Healthcare Alliance — All Commercial Plans: $188.69
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $230.38
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $230.38
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $230.38
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $230.38
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $191.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $191.39
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $188.38
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT NEW LVL 4 PROF $366 $175.68 $126.27 – $322.08
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $201.71
  • Aetna — All Other Commercial Plans: $232.48
  • American Healthcare Alliance — All Commercial Plans: $188.69
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $230.38
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $230.38
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $230.38
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $230.38
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $191.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $191.39
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $188.38
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT NEW LVL 4 TELEMED $366 $175.68 $126.27 – $322.08
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $201.71
  • Aetna — All Other Commercial Plans: $232.48
  • American Healthcare Alliance — All Commercial Plans: $188.69
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $230.38
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $230.38
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $230.38
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $230.38
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $191.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $191.39
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $188.38
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: CARE EXAM TELEMED $513 $246.24 $161.05 – $451.44
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $262.28
  • Aetna — All Other Commercial Plans: $302.33
  • American Healthcare Alliance — All Commercial Plans: $256.58
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $292.98
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $292.98
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $292.98
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $292.98
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $255.01
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $255.01
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $239.55
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARE EXAM TELEMED $513 $246.24 $161.05 – $451.44
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $262.28
  • Aetna — All Other Commercial Plans: $302.33
  • American Healthcare Alliance — All Commercial Plans: $256.58
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $292.98
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $292.98
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $292.98
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $292.98
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $255.01
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $255.01
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $239.55
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT NEW LVL 5 PROF $460 $220.80 $161.05 – $404.80
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $262.28
  • Aetna — All Other Commercial Plans: $302.33
  • American Healthcare Alliance — All Commercial Plans: $256.58
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $292.98
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $292.98
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $292.98
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $292.98
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $255.01
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $255.01
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $239.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT EST LVL 3 RES SPRVS $165 $79.20 $48.15 – $145.20
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $78.94
  • Aetna — All Other Commercial Plans: $89.38
  • American Healthcare Alliance — All Commercial Plans: $93.16
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $88.33
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $88.33
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $88.33
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $88.33
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $63.59
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $63.59
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $72.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPATIENT VISIT EST LVL 3 RES SPRVS $165 $79.20 $48.15 – $145.20
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $78.94
  • Aetna — All Other Commercial Plans: $89.38
  • American Healthcare Alliance — All Commercial Plans: $93.16
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $88.33
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $88.33
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $88.33
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $88.33
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $63.59
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $63.59
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $72.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT EST LVL 3 $165 $79.20 $48.15 – $145.20
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $78.94
  • Aetna — All Other Commercial Plans: $89.38
  • American Healthcare Alliance — All Commercial Plans: $93.16
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $88.33
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $88.33
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $88.33
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $88.33
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $63.59
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $63.59
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $72.23
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT EST LVL 4 $241 $115.68 $75.71 – $212.08
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $122.27
  • Aetna — All Other Commercial Plans: $139.73
  • American Healthcare Alliance — All Commercial Plans: $137.36
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $138.62
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $138.62
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $138.62
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $138.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $105.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $105.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $113.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT EST LVL 4 $241 $115.68 $75.71 – $212.08
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $122.27
  • Aetna — All Other Commercial Plans: $139.73
  • American Healthcare Alliance — All Commercial Plans: $137.36
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $138.62
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $138.62
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $138.62
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $138.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $105.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $105.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $113.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE/OUTPT VISIT EST LVL 4 TELEMED $241 $115.68 $75.71 – $212.08
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $122.27
  • Aetna — All Other Commercial Plans: $139.73
  • American Healthcare Alliance — All Commercial Plans: $137.36
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $138.62
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $138.62
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $138.62
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $138.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $105.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $105.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $113.34
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION LVL 3 PROF $272 $130.56 $5 – $239.36
Office consultation with a specialist (moderate): 10 of 29 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $172.46
  • Aetna — All Other Commercial Plans: $198.32
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $206.04
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $206.04
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $206.04
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $206.04
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $167.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $167.62
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $168.47
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $206.04
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION LVL 3 PROF $272 $130.56 $5 – $239.36
Office consultation with a specialist (moderate): 10 of 29 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $172.46
  • Aetna — All Other Commercial Plans: $198.32
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $206.04
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $206.04
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $206.04
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $206.04
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $167.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $167.62
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $168.47
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $206.04
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION LVL 3 TELEMED $272 $130.56 $5 – $239.36
Office consultation with a specialist (moderate): 10 of 29 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $172.46
  • Aetna — All Other Commercial Plans: $198.32
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $206.04
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $206.04
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $206.04
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $206.04
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $167.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $167.62
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $168.47
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $206.04
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION LVL 4 PROF $413 $198.24 $5 – $363.44
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $272.22
  • Aetna — All Other Commercial Plans: $310.33
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $290.92
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $290.92
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $290.92
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $290.92
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $247.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $247.52
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $237.87
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $290.92
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION LVL 4 PROF $413 $198.24 $5 – $363.44
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $272.22
  • Aetna — All Other Commercial Plans: $310.33
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $290.92
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $290.92
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $290.92
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $290.92
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $247.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $247.52
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $237.87
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $290.92
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION LVL 4 TELEMED $413 $198.24 $5 – $363.44
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $272.22
  • Aetna — All Other Commercial Plans: $310.33
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $290.92
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $290.92
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $290.92
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $290.92
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $247.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $247.52
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $237.87
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $290.92
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 $293 $140.64 $5 – $257.84
Preventive checkup, new patient, age 18–39: 10 of 23 insurance plan rates
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $199.60
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $199.60
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $199.60
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $199.60
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $163.20
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $199.60
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $199.60
  • Centivo — All Commercial Plans: $146.50
  • Cigna — All Other Commercial Plans: $5
  • Cigna — CMH Employee Plans: $5
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 $293 $140.64 $5 – $257.84
Preventive checkup, new patient, age 18–39: 10 of 23 insurance plan rates
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $199.60
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $199.60
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $199.60
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $199.60
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $163.20
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $199.60
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $199.60
  • Centivo — All Commercial Plans: $146.50
  • Cigna — All Other Commercial Plans: $5
  • Cigna — CMH Employee Plans: $5
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 W REF $293 $140.64 $5 – $257.84
Preventive checkup, new patient, age 18–39: 10 of 23 insurance plan rates
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $199.60
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $199.60
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $199.60
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $199.60
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $163.20
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $199.60
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $199.60
  • Centivo — All Commercial Plans: $146.50
  • Cigna — All Other Commercial Plans: $5
  • Cigna — CMH Employee Plans: $5
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LVL 3 EMERGENCY ROOM $1,823 $875.04 $232.25 – $1,640.70
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,093.80
  • Aetna — All Other Commercial Plans: $1,239.64
  • American Healthcare Alliance — All Commercial Plans: $1,549.55
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $747.43
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $951.61
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,323.50
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,110.21
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,055.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,237.82
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,219.59
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: LVL 3 EMERGENCY ROOM $173 $83.04 $42.50 – $152.24
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $109.27
  • Aetna — All Other Commercial Plans: $126.46
  • American Healthcare Alliance — All Commercial Plans: $100.92
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $104.84
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $104.84
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $104.84
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $104.84
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $111.01
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $111.01
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $85.73
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LVL 3 EMERGENCY ROOM $173 $83.04 $42.50 – $152.24
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $109.27
  • Aetna — All Other Commercial Plans: $126.46
  • American Healthcare Alliance — All Commercial Plans: $100.92
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $104.84
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $104.84
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $104.84
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $104.84
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $111.01
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $111.01
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $85.73
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LVL 4 EMERGENCY ROOM $3,079 $1,477.92 $360.52 – $2,771.10
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,847.40
  • Aetna — All Other Commercial Plans: $2,093.72
  • American Healthcare Alliance — All Commercial Plans: $2,617.15
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,262.39
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,607.24
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,235.35
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,875.11
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,782.74
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,090.64
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,059.85
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: LVL 4 EMERGENCY ROOM $309 $148.32 $103.40 – $271.92
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $203.54
  • Aetna — All Other Commercial Plans: $233.36
  • American Healthcare Alliance — All Commercial Plans: $171.77
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $163.69
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $163.69
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $163.69
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $163.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $173.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $173.32
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $133.84
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LVL 4 EMERGENCY ROOM $309 $148.32 $103.40 – $271.92
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $203.54
  • Aetna — All Other Commercial Plans: $233.36
  • American Healthcare Alliance — All Commercial Plans: $171.77
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $163.69
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $163.69
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $163.69
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $163.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $173.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $173.32
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $133.84
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LVL 5 EMERGENCY ROOM $4,463 $2,142.24 $522.83 – $4,016.70
Emergency room visit (high): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,677.80
  • Aetna — All Other Commercial Plans: $3,034.84
  • American Healthcare Alliance — All Commercial Plans: $3,793.55
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,829.83
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,329.69
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $3,240.14
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,717.97
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,584.08
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $3,030.38
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,985.75
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: LVL 5 EMERGENCY ROOM $460 $220.80 $103.40 – $404.80
Emergency room visit (high): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $303.37
  • Aetna — All Other Commercial Plans: $348.54
  • American Healthcare Alliance — All Commercial Plans: $248.86
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $256.39
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $256.39
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $256.39
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $256.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $271.48
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $271.48
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $209.63
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LVL 5 EMERGENCY ROOM $460 $220.80 $103.40 – $404.80
Emergency room visit (high): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $303.37
  • Aetna — All Other Commercial Plans: $348.54
  • American Healthcare Alliance — All Commercial Plans: $248.86
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $256.39
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $256.39
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $256.39
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $256.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $271.48
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $271.48
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $209.63

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC VITREOUS $99 $47.52 $7.61 – $89.10
Basic metabolic panel (blood test): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $59.40
  • Aetna — All Other Commercial Plans: $67.32
  • American Healthcare Alliance — All Commercial Plans: $84.15
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $40.59
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $51.68
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $71.87
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $60.29
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $57.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $67.22
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $66.23
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL MAIN $99 $47.52 $7.61 – $89.10
Basic metabolic panel (blood test): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $59.40
  • Aetna — All Other Commercial Plans: $67.32
  • American Healthcare Alliance — All Commercial Plans: $84.15
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $40.59
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $51.68
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $71.87
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $60.29
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $57.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $67.22
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $66.23
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC VITREOUS $99 $47.52 $47.52 – $89.10
Basic metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $59.40
  • Aetna — All Other Commercial Plans: $67.32
  • American Healthcare Alliance — All Commercial Plans: $84.15
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $51.68
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $71.87
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $60.29
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $57.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $69.99
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $68.11
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $73.26
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL CMH $124 $59.52 $9.50 – $111.60
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $74.40
  • Aetna — All Other Commercial Plans: $84.32
  • American Healthcare Alliance — All Commercial Plans: $105.40
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $50.84
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $64.73
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $90.02
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $75.52
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $71.80
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $84.20
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $82.96
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL CMH $124 $59.52 $59.52 – $111.60
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $74.40
  • Aetna — All Other Commercial Plans: $84.32
  • American Healthcare Alliance — All Commercial Plans: $105.40
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $64.73
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $90.02
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $75.52
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $71.80
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $87.67
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $85.31
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $91.76
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE MAIN $157 $75.36 $12.05 – $141.30
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $94.20
  • Aetna — All Other Commercial Plans: $106.76
  • American Healthcare Alliance — All Commercial Plans: $133.45
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $64.37
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $81.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $113.98
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $95.61
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $90.90
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $106.60
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $105.03
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE MAIN $157 $75.36 $75.36 – $141.30
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $94.20
  • Aetna — All Other Commercial Plans: $106.76
  • American Healthcare Alliance — All Commercial Plans: $133.45
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $81.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $113.98
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $95.61
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $90.90
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $111
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $108.02
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $116.18
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL PROFILE $102 $48.96 $7.81 – $91.80
Kidney function panel: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $61.20
  • Aetna — All Other Commercial Plans: $69.36
  • American Healthcare Alliance — All Commercial Plans: $86.70
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $41.82
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $53.24
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $74.05
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $62.12
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $59.06
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $69.26
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $68.24
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL PROFILE $102 $48.96 $48.96 – $91.80
Kidney function panel: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $61.20
  • Aetna — All Other Commercial Plans: $69.36
  • American Healthcare Alliance — All Commercial Plans: $86.70
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $53.24
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $74.05
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $62.12
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $59.06
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $72.11
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $70.18
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $75.48
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $96 $46.08 $7.35 – $86.40
Liver function panel: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $57.60
  • Aetna — All Other Commercial Plans: $65.28
  • American Healthcare Alliance — All Commercial Plans: $81.60
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $39.36
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $50.11
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $69.70
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $58.46
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $55.58
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $65.18
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $64.22
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $96 $46.08 $46.08 – $86.40
Liver function panel: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $57.60
  • Aetna — All Other Commercial Plans: $65.28
  • American Healthcare Alliance — All Commercial Plans: $81.60
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $50.11
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $69.70
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $58.46
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $55.58
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $67.87
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $66.05
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $71.04
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC CMH $37 $17.76 $2.85 – $33.30
Urine test (automated, with microscope): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $22.20
  • Aetna — All Other Commercial Plans: $25.16
  • American Healthcare Alliance — All Commercial Plans: $31.45
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $15.17
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $19.31
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $26.86
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $22.53
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $21.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $25.12
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $24.75
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC CMH $37 $17.76 $17.76 – $33.30
Urine test (automated, with microscope): 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $22.20
  • Aetna — All Other Commercial Plans: $25.16
  • American Healthcare Alliance — All Commercial Plans: $31.45
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $19.31
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $26.86
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $22.53
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $21.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $26.16
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $25.46
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $27.38
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Doctor (professional) fee In the file: BCE UA with Micros PROF $36 $17.28 $3.17 – $31.68
Urine test (automated, with microscope): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $7.43
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $7.43
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $7.43
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $7.43
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $5.33
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $7.43
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $7.43
  • Centivo — All Commercial Plans: $18
  • Cigna — All Other Commercial Plans: $5
  • Cigna — CMH Employee Plans: $5
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Doctor (professional) fee In the file: URINALYSIS W/O MICROSCOPIC $9 $4.32 $3.16 – $7.92
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $6.02
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $6.02
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $6.02
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $6.02
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $4.32
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $6.02
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $6.02
  • Centivo — All Commercial Plans: $4.50
  • Cigna — All Other Commercial Plans: $5
  • Cigna — CMH Employee Plans: $5
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS W/O MICROSCOPIC $9 $4.32 $3.16 – $7.92
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $6.02
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $6.02
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $6.02
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $6.02
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $4.32
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $6.02
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $6.02
  • Centivo — All Commercial Plans: $4.50
  • Cigna — All Other Commercial Plans: $5
  • Cigna — CMH Employee Plans: $5
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/O MICROSCOPE TX RM EAT $26 $12.48 $2.01 – $23.40
Urine test (automated, without microscope): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $15.60
  • Aetna — All Other Commercial Plans: $17.68
  • American Healthcare Alliance — All Commercial Plans: $22.10
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $10.66
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $13.57
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $18.88
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $15.83
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $15.05
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $17.65
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $17.39
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/O MICROSCOPIC $26 $12.48 $2.01 – $23.40
Urine test (automated, without microscope): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $15.60
  • Aetna — All Other Commercial Plans: $17.68
  • American Healthcare Alliance — All Commercial Plans: $22.10
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $10.66
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $13.57
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $18.88
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $15.83
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $15.05
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $17.65
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $17.39
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITHOUT MICRO $26 $12.48 $2.01 – $23.40
Urine test (automated, without microscope): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $15.60
  • Aetna — All Other Commercial Plans: $17.68
  • American Healthcare Alliance — All Commercial Plans: $22.10
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $10.66
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $13.57
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $18.88
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $15.83
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $15.05
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $17.65
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $17.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN $221 $106.08 $16.55 – $198.90
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $132.60
  • Aetna — All Other Commercial Plans: $150.28
  • American Healthcare Alliance — All Commercial Plans: $187.85
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $90.61
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $115.36
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $160.45
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $134.59
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $127.96
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $150.06
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $147.85
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen .1 $103 $49.44 $16.55 – $92.70
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $61.80
  • Aetna — All Other Commercial Plans: $70.04
  • American Healthcare Alliance — All Commercial Plans: $87.55
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $42.23
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $53.77
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $74.78
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $62.73
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $59.64
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $69.94
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $68.91
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN $221 $106.08 $106.08 – $198.90
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $132.60
  • Aetna — All Other Commercial Plans: $150.28
  • American Healthcare Alliance — All Commercial Plans: $187.85
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $115.36
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $160.45
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $134.59
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $127.96
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $156.25
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $152.05
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $163.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CU THYROGLOBULIN $254 $121.92 $15.12 – $228.60
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $152.40
  • Aetna — All Other Commercial Plans: $172.72
  • American Healthcare Alliance — All Commercial Plans: $215.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $104.14
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $132.59
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $184.40
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $154.69
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $147.07
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $172.47
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $169.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NBS TSH CMK.1 $56 $26.88 $15.12 – $50.40
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $33.60
  • Aetna — All Other Commercial Plans: $38.08
  • American Healthcare Alliance — All Commercial Plans: $47.60
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $22.96
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $29.23
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $40.66
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $34.10
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $32.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $38.02
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $37.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEWB SCR MO TSH $66 $31.68 $15.12 – $59.40
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $39.60
  • Aetna — All Other Commercial Plans: $44.88
  • American Healthcare Alliance — All Commercial Plans: $56.10
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $27.06
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $34.45
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $47.92
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $40.19
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $38.21
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $44.81
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $44.15
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTO DIF HEMA $91 $43.68 $6.93 – $81.90
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $54.60
  • Aetna — All Other Commercial Plans: $61.88
  • American Healthcare Alliance — All Commercial Plans: $77.35
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $37.31
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $47.50
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $66.07
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $55.42
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $52.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $61.79
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $60.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/AUTO DIF HEMA $91 $43.68 $43.68 – $81.90
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $54.60
  • Aetna — All Other Commercial Plans: $61.88
  • American Healthcare Alliance — All Commercial Plans: $77.35
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $47.50
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $66.07
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $55.42
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $52.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $64.34
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $62.61
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $67.34
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC HEMA $76 $36.48 $5.82 – $68.40
Complete blood count (CBC), automated: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $45.60
  • Aetna — All Other Commercial Plans: $51.68
  • American Healthcare Alliance — All Commercial Plans: $64.60
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $31.16
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $39.67
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $55.18
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $46.28
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $44
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $51.60
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $50.84
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC HEMA $76 $36.48 $36.48 – $68.40
Complete blood count (CBC), automated: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $45.60
  • Aetna — All Other Commercial Plans: $51.68
  • American Healthcare Alliance — All Commercial Plans: $64.60
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $39.67
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $55.18
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $46.28
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $44
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $53.73
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $52.29
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $56.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME $50 $24 $3.86 – $45
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $30
  • Aetna — All Other Commercial Plans: $34
  • American Healthcare Alliance — All Commercial Plans: $42.50
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $20.50
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $26.10
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $36.30
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $30.45
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $28.95
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $33.95
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $33.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTIME $50 $24 $24 – $45
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $30
  • Aetna — All Other Commercial Plans: $34
  • American Healthcare Alliance — All Commercial Plans: $42.50
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $26.10
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $36.30
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $30.45
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $28.95
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $35.35
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $34.40
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $37
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT PARTIAL THROMBOPLAST TIME $71 $34.08 $5.41 – $63.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $42.60
  • Aetna — All Other Commercial Plans: $48.28
  • American Healthcare Alliance — All Commercial Plans: $60.35
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $29.11
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $37.06
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $51.55
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $43.24
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $41.11
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $48.21
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $47.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT PARTIAL THROMBOPLAST TIME $71 $34.08 $34.08 – $63.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $42.60
  • Aetna — All Other Commercial Plans: $48.28
  • American Healthcare Alliance — All Commercial Plans: $60.35
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $37.06
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $51.55
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $43.24
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $41.11
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $50.20
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $48.85
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $52.54

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD OR BRAIN WO CONTRAST FAC $2,619 $1,257.12 $62.96 – $2,357.10
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,571.40
  • Aetna — All Other Commercial Plans: $1,780.92
  • American Healthcare Alliance — All Commercial Plans: $2,226.15
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,073.79
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,367.12
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,901.39
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,594.97
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,516.40
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,778.30
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,752.11
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: CT HEAD OR BRAIN WO CONTRAST PRO x2 $120 $57.60 $34.82 – $105.60
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $77.04
  • Aetna — All Other Commercial Plans: $87.70
  • American Healthcare Alliance — All Commercial Plans: $56.67
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $74.78
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $74.78
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $74.78
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $74.78
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $79.18
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $79.18
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $74.78
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT HEAD OR BRAIN WO CONTRAST PRO x2 $120 $57.60 $34.82 – $105.60
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $77.04
  • Aetna — All Other Commercial Plans: $87.70
  • American Healthcare Alliance — All Commercial Plans: $56.67
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $74.78
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $74.78
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $74.78
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $74.78
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $79.18
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $79.18
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $74.78
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W/WO CONTRAST FAC $4,053 $1,945.44 $217.02 – $3,647.70
MRI of the brain, before and after contrast: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,431.80
  • Aetna — All Other Commercial Plans: $2,756.04
  • American Healthcare Alliance — All Commercial Plans: $3,445.05
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,661.73
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,115.67
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,942.48
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,468.28
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,346.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,751.99
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,711.46
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: MRI BRAIN W/WO CONTRAST PRO $323 $155.04 $93.84 – $284.24
MRI of the brain, before and after contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $211.91
  • Aetna — All Other Commercial Plans: $241.90
  • American Healthcare Alliance — All Commercial Plans: $152.89
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $207.13
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $207.13
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $207.13
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $207.13
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $219.31
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $219.31
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $207.13
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI BRAIN W/WO CONTRAST PRO $323 $155.04 $93.84 – $284.24
MRI of the brain, before and after contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $211.91
  • Aetna — All Other Commercial Plans: $241.90
  • American Healthcare Alliance — All Commercial Plans: $152.89
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $207.13
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $207.13
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $207.13
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $207.13
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $219.31
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $219.31
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $207.13
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR EXAM CHEST 2 VIEWS FAC $487 $233.76 $51.18 – $438.30
Chest X-ray, 2 views: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $292.20
  • Aetna — All Other Commercial Plans: $331.16
  • American Healthcare Alliance — All Commercial Plans: $413.95
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $199.67
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $254.21
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $353.56
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $296.58
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $281.97
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $330.67
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $325.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR EXAM CHEST 2 VIEWS FAC $487 $233.76 $233.76 – $438.30
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $292.20
  • Aetna — All Other Commercial Plans: $331.16
  • American Healthcare Alliance — All Commercial Plans: $413.95
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $254.21
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $353.56
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $296.58
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $281.97
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $344.31
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $335.06
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $360.38
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: XR EXAM CHEST 2 VIEWS PROF x1 $31 $14.88 $8.77 – $27.28
Chest X-ray, 2 views: 10 of 27 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $14.76
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $18.62
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $18.62
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $18.62
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $18.62
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $18.62
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $18.62
  • Centivo — All Commercial Plans: $20.14
  • Cigna — All Other Commercial Plans: $9.98
  • Cigna — CMH Employee Plans: $9.98
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR LUMBOSACRAL; MIN 4 VIEWS FAC $814 $390.72 $62.96 – $732.60
X-ray of the lower spine, at least 4 views: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $488.40
  • Aetna — All Other Commercial Plans: $553.52
  • American Healthcare Alliance — All Commercial Plans: $691.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $333.74
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $424.91
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $590.96
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $495.73
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $471.31
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $552.71
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $544.57
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: XR LUMBOSACRAL; MIN 4 VIEWS PRO x1 $41 $19.68 $10.75 – $36.08
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $27.34
  • Aetna — All Other Commercial Plans: $30.83
  • American Healthcare Alliance — All Commercial Plans: $17.60
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $26.86
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $26.86
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $26.86
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $26.86
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $28.44
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $28.44
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $21.96
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: XR LUMBOSACRAL; MIN 4 VIEWS PRO x1 $41 $19.68 $10.75 – $36.08
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $27.34
  • Aetna — All Other Commercial Plans: $30.83
  • American Healthcare Alliance — All Commercial Plans: $17.60
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $26.86
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $26.86
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $26.86
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $26.86
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $28.44
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $28.44
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $21.96
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SPINE LUMBER WO CONTRAST FAC $3,003 $1,441.44 $137.55 – $2,702.70
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,801.80
  • Aetna — All Other Commercial Plans: $2,042.04
  • American Healthcare Alliance — All Commercial Plans: $2,552.55
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,231.23
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,567.57
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,180.18
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,828.83
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,738.74
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,039.04
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,009.01
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: MRI SPINE LUMBER WO CONTRAST PRO x1 $209 $100.32 $60.78 – $183.92
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $133.11
  • Aetna — All Other Commercial Plans: $151.83
  • American Healthcare Alliance — All Commercial Plans: $99.51
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $130.39
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $130.39
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $130.39
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $130.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $138.06
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $138.06
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $130.39
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI SPINE LUMBER WO CONTRAST PRO x1 $209 $100.32 $60.78 – $183.92
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $133.11
  • Aetna — All Other Commercial Plans: $151.83
  • American Healthcare Alliance — All Commercial Plans: $99.51
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $130.39
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $130.39
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $130.39
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $130.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $138.06
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $138.06
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $130.39
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W CONTRAST FAC $6,975 $3,348 $106.23 – $6,277.50
CT scan of the pelvis, with contrast: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $4,185
  • Aetna — All Other Commercial Plans: $4,743
  • American Healthcare Alliance — All Commercial Plans: $5,928.75
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $2,859.75
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $3,640.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $5,063.85
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $4,247.78
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $4,038.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $4,736.03
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $4,666.28
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: CT PELVIS W CONTRAST PRO x1 $163 $78.24 $47.51 – $143.44
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $104.38
  • Aetna — All Other Commercial Plans: $119.30
  • American Healthcare Alliance — All Commercial Plans: $77.62
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $101.64
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $101.64
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $101.64
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $101.64
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $107.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $107.62
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $101.64
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT PELVIS W CONTRAST PRO x1 $163 $78.24 $47.51 – $143.44
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $104.38
  • Aetna — All Other Commercial Plans: $119.30
  • American Healthcare Alliance — All Commercial Plans: $77.62
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $101.64
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $101.64
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $101.64
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $101.64
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $107.62
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $107.62
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $101.64
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI JOINT LOWER EXTREMITY WO CONTRAST FAC $2,646 $1,270.08 $137.55 – $2,381.40
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,587.60
  • Aetna — All Other Commercial Plans: $1,799.28
  • American Healthcare Alliance — All Commercial Plans: $2,249.10
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,084.86
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,381.21
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,921
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,611.41
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,532.03
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,796.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,770.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC|50 In the file: MRI JOINT OF LWR EXTRM W/O DYE BILAT FAC $3,968 $1,904.64 $137.55 – $3,571.20
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,380.80
  • Aetna — All Other Commercial Plans: $2,698.24
  • American Healthcare Alliance — All Commercial Plans: $3,372.80
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,626.88
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,071.30
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,880.77
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,416.51
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,297.47
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,694.27
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,654.59
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: MRI JOINT LOWER EXTREMITY WO CONTRAST PRO x10 $192 $92.16 $55.61 – $168.96
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $120.97
  • Aetna — All Other Commercial Plans: $138.03
  • American Healthcare Alliance — All Commercial Plans: $90.93
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $118.27
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $118.27
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $118.27
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $118.27
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $125.23
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $125.23
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $118.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD AND PELVIS W CONTRAST FAC $8,725 $4,188 $217.02 – $7,852.50
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $5,235
  • Aetna — All Other Commercial Plans: $5,933
  • American Healthcare Alliance — All Commercial Plans: $7,416.25
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $3,577.25
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $4,554.45
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $6,334.35
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $5,313.53
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $5,051.78
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $5,924.28
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $5,837.03
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT ABD AND PELVIS W CONTRAST FAC $8,725 $4,188 $4,188 – $7,852.50
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $5,235
  • Aetna — All Other Commercial Plans: $5,933
  • American Healthcare Alliance — All Commercial Plans: $7,416.25
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $4,554.45
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $6,334.35
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $5,313.53
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $5,051.78
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $6,168.58
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $6,002.80
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $6,456.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: CT ABD AND PELVIS W CONTRAST PRO x7 $257 $123.36 $72.63 – $226.16
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $121.44
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $150.86
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $150.86
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $150.86
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $150.86
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $150.86
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $150.86
  • Centivo — All Commercial Plans: $166.86
  • Cigna — All Other Commercial Plans: $84.10
  • Cigna — CMH Employee Plans: $84.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMEN;COMPLETE FAC $1,709 $820.32 $62.96 – $1,538.10
Ultrasound of the abdomen, complete: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,025.40
  • Aetna — All Other Commercial Plans: $1,162.12
  • American Healthcare Alliance — All Commercial Plans: $1,452.65
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $700.69
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $892.10
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,240.73
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,040.78
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $989.51
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,160.41
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,143.32
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: US ABDOMEN;COMPLETE PRO x1 $114 $54.72 $32.23 – $100.32
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $72.64
  • Aetna — All Other Commercial Plans: $82.84
  • American Healthcare Alliance — All Commercial Plans: $53.82
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $71.59
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $71.59
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $71.59
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $71.59
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $75.80
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $75.80
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $58.53
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: US ABDOMEN;COMPLETE PRO x1 $114 $54.72 $32.23 – $100.32
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $72.64
  • Aetna — All Other Commercial Plans: $82.84
  • American Healthcare Alliance — All Commercial Plans: $53.82
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $71.59
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $71.59
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $71.59
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $71.59
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $75.80
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $75.80
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $58.53
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: FH-After 1st Tri US-Single/1st Gestation $1,918 $920.64 $62.96 – $1,726.20
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,150.80
  • Aetna — All Other Commercial Plans: $1,304.24
  • American Healthcare Alliance — All Commercial Plans: $1,630.30
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $786.38
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,001.20
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,392.47
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,168.06
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,110.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,302.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,283.14
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US OB GREATER THAN= 14 WEEKS SNGL FETUS FAC; FIM $1,918 $920.64 $62.96 – $1,726.20
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,150.80
  • Aetna — All Other Commercial Plans: $1,304.24
  • American Healthcare Alliance — All Commercial Plans: $1,630.30
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $786.38
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,001.20
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,392.47
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,168.06
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,110.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,302.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,283.14
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: OB US GRTR THAN OR EQUAL TO 14 WKS SNGL FETUS CMSM $140 $67.20 $39.59 – $123.20
Pregnancy ultrasound (after the first trimester): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $87.24
  • Aetna — All Other Commercial Plans: $99.87
  • American Healthcare Alliance — All Commercial Plans: $66.63
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $87.58
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $87.58
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $87.58
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $87.58
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $92.74
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $92.74
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $71.61
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: TRANSVAGINAL US NON OB FAC $1,889 $906.72 $62.96 – $1,700.10
Transvaginal ultrasound: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,133.40
  • Aetna — All Other Commercial Plans: $1,284.52
  • American Healthcare Alliance — All Commercial Plans: $1,605.65
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $774.49
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $986.06
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,371.41
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,150.40
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,093.73
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,282.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,263.74
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: TRANSVAGINAL US NON OB PRO x1 $98 $47.04 $28.60 – $86.24
Transvaginal ultrasound: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $61.14
  • Aetna — All Other Commercial Plans: $70.63
  • American Healthcare Alliance — All Commercial Plans: $46.18
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $60.72
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $60.72
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $60.72
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $60.72
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $64.30
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $64.30
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $49.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: TRANSVAGINAL US NON OB PRO x1 $98 $47.04 $28.60 – $86.24
Transvaginal ultrasound: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $61.14
  • Aetna — All Other Commercial Plans: $70.63
  • American Healthcare Alliance — All Commercial Plans: $46.18
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $60.72
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $60.72
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $60.72
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $60.72
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $64.30
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $64.30
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $49.66

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM, COMPLETE $57 $27.36 $16.12 – $50.16
Electrocardiogram (ECG/EKG) with reading: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $36.26
  • Aetna — All Other Commercial Plans: $47.90
  • American Healthcare Alliance — All Commercial Plans: $20.14
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $44.81
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $44.81
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $44.81
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $44.81
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $47.45
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $47.45
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $36.64
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM, COMPLETE $57 $27.36 $16.12 – $50.16
Electrocardiogram (ECG/EKG) with reading: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $36.26
  • Aetna — All Other Commercial Plans: $47.90
  • American Healthcare Alliance — All Commercial Plans: $20.14
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $44.81
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $44.81
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $44.81
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $44.81
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $47.45
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $47.45
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $36.64
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY I4K $2,097 $1,006.56 $209.60 – $1,845.36
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $328.37
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $452.05
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $452.05
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $452.05
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $452.05
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $452.05
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $452.05
  • Centivo — All Commercial Plans: $446.08
  • Cigna — All Other Commercial Plans: $601.54
  • Cigna — CMH Employee Plans: $601.54
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY I4K $2,097 $1,006.56 $209.60 – $1,845.36
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $328.37
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $452.05
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $452.05
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $452.05
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $452.05
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $452.05
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $452.05
  • Centivo — All Commercial Plans: $446.08
  • Cigna — All Other Commercial Plans: $601.54
  • Cigna — CMH Employee Plans: $601.54
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY $722 $346.56 $209.60 – $886.31
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $328.37
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $452.05
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $452.05
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $452.05
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $452.05
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $452.05
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $452.05
  • Centivo — All Commercial Plans: $446.08
  • Cigna — All Other Commercial Plans: $601.54
  • Cigna — CMH Employee Plans: $601.54
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: COMP EP EVAL WO A INDUCTION $1,137 $545.76 $354.95 – $1,000.56
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $735.69
  • Aetna — All Other Commercial Plans: $849.16
  • American Healthcare Alliance — All Commercial Plans: $533.02
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $702.42
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $702.42
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $702.42
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $702.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $743.74
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $743.74
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $574.33
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: COMP EP EVAL WO A INDUCTION $1,137 $545.76 $354.95 – $1,000.56
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $735.69
  • Aetna — All Other Commercial Plans: $849.16
  • American Healthcare Alliance — All Commercial Plans: $533.02
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $702.42
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $702.42
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $702.42
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $702.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $743.74
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $743.74
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $574.33
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: TX ATRIAL FIB PULM VEIN ISOL $3,123 $1,499.04 $771.82 – $2,748.24
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $1,317.91
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,904.32
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $1,904.32
  • Centivo — All Commercial Plans: $2,108.38
  • Cigna — All Other Commercial Plans: $2,532.96
  • Cigna — CMH Employee Plans: $2,532.96
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TX ATRIAL FIB PULM VEIN ISOL $3,123 $1,499.04 $771.82 – $2,748.24
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $1,317.91
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,904.32
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $1,904.32
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $1,904.32
  • Centivo — All Commercial Plans: $2,108.38
  • Cigna — All Other Commercial Plans: $2,532.96
  • Cigna — CMH Employee Plans: $2,532.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: FULL SLEEP STUDY W TECH FAC SLB $9,804 $4,705.92 $355.64 – $8,823.60
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $5,882.40
  • Aetna — All Other Commercial Plans: $6,666.72
  • American Healthcare Alliance — All Commercial Plans: $8,333.40
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $4,019.64
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $5,117.69
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $7,117.70
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $5,970.64
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $5,676.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $6,656.92
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $6,558.88
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC|52 In the file: PSS W 4 OR MORE PARAM W TECH REDUCED SERVICE $9,804 $4,705.92 $355.64 – $8,823.60
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $5,882.40
  • Aetna — All Other Commercial Plans: $6,666.72
  • American Healthcare Alliance — All Commercial Plans: $8,333.40
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $4,019.64
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $5,117.69
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $7,117.70
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $5,970.64
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $5,676.52
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $6,656.92
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $6,558.88
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: SL full sleep, tech Prof $454 $217.92 $97.79 – $570.40
Sleep study (overnight, in a sleep lab): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $299.61
  • Aetna — All Other Commercial Plans: $350.39
  • American Healthcare Alliance — All Commercial Plans: $165.24
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $311.25
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $311.25
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $311.25
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $311.25
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $329.56
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $329.56
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $254.50

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT THERAPEUTIC EXERCISES $134 $64.32 $25.34 – $120.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $80.40
  • Aetna — All Other Commercial Plans: $91.12
  • American Healthcare Alliance — All Commercial Plans: $113.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $54.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $69.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $97.28
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $81.61
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $77.59
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $90.99
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $89.65
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THERAPEUTIC EXERCISES $134 $64.32 $25.34 – $120.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $80.40
  • Aetna — All Other Commercial Plans: $91.12
  • American Healthcare Alliance — All Commercial Plans: $113.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $54.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $69.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $97.28
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $81.61
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $77.59
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $90.99
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $89.65
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PT THERAPEUTIC EXERCISES NTC $110 $52.80 $13.83 – $96.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $49.22
  • Aetna — All Other Commercial Plans: $57.30
  • American Healthcare Alliance — All Commercial Plans: $41.41
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $47.18
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $47.18
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $47.18
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $47.18
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $49.95
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $49.95
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $38.57
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL, LOW COMP $454 $217.92 $75.41 – $408.60
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $272.40
  • Aetna — All Other Commercial Plans: $308.72
  • American Healthcare Alliance — All Commercial Plans: $385.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $186.14
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $236.99
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $329.60
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $276.49
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $262.87
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $308.27
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $303.73
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN OT TH $434 $208.32 $75.41 – $390.60
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $260.40
  • Aetna — All Other Commercial Plans: $295.12
  • American Healthcare Alliance — All Commercial Plans: $368.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $177.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $226.55
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $315.08
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $264.31
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $251.29
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $294.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $290.35
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN PT TH $434 $208.32 $75.41 – $390.60
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $260.40
  • Aetna — All Other Commercial Plans: $295.12
  • American Healthcare Alliance — All Commercial Plans: $368.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $177.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $226.55
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $315.08
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $264.31
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $251.29
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $294.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $290.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL, MOD COMP $454 $217.92 $75.41 – $408.60
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $272.40
  • Aetna — All Other Commercial Plans: $308.72
  • American Healthcare Alliance — All Commercial Plans: $385.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $186.14
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $236.99
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $329.60
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $276.49
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $262.87
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $308.27
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $303.73
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN OT TH $434 $208.32 $75.41 – $390.60
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $260.40
  • Aetna — All Other Commercial Plans: $295.12
  • American Healthcare Alliance — All Commercial Plans: $368.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $177.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $226.55
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $315.08
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $264.31
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $251.29
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $294.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $290.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN PT TH $434 $208.32 $75.41 – $390.60
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $260.40
  • Aetna — All Other Commercial Plans: $295.12
  • American Healthcare Alliance — All Commercial Plans: $368.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $177.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $226.55
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $315.08
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $264.31
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $251.29
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $294.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $290.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVAL, HIGH COMP $454 $217.92 $60.32 – $408.60
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $272.40
  • Aetna — All Other Commercial Plans: $308.72
  • American Healthcare Alliance — All Commercial Plans: $385.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $186.14
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $236.99
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $329.60
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $276.49
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $262.87
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $308.27
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $303.73
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN OT TH $434 $208.32 $60.32 – $390.60
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $260.40
  • Aetna — All Other Commercial Plans: $295.12
  • American Healthcare Alliance — All Commercial Plans: $368.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $177.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $226.55
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $315.08
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $264.31
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $251.29
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $294.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $290.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN PT TH $434 $208.32 $60.32 – $390.60
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $260.40
  • Aetna — All Other Commercial Plans: $295.12
  • American Healthcare Alliance — All Commercial Plans: $368.90
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $177.94
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $226.55
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $315.08
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $264.31
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $251.29
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $294.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $290.35
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PSYTX PT&/FAMILY 30 MINUTES $197 $94.56 $40.47 – $173.36
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $98.38
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $105.64
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $105.64
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $105.64
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $105.64
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $105.64
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $105.64
  • Centivo — All Commercial Plans: $130.07
  • Cigna — All Other Commercial Plans: $111.79
  • Cigna — CMH Employee Plans: $111.79
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX PT&/FAMILY 30 MINUTES $197 $94.56 $40.47 – $173.36
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $98.38
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $105.64
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $105.64
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $105.64
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $105.64
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $105.64
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $105.64
  • Centivo — All Commercial Plans: $130.07
  • Cigna — All Other Commercial Plans: $111.79
  • Cigna — CMH Employee Plans: $111.79
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PSYTX W/PT 30 MINUTES TELEMED $197 $94.56 $40.47 – $173.36
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $98.38
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $105.64
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $105.64
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $105.64
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $105.64
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $105.64
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $105.64
  • Centivo — All Commercial Plans: $130.07
  • Cigna — All Other Commercial Plans: $111.79
  • Cigna — CMH Employee Plans: $111.79
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PSYTX PT&/FAMILY 45 MINUTES $261 $125.28 $80.93 – $229.68
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $130.02
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $136.90
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $136.90
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $136.90
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $136.90
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $136.90
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $136.90
  • Centivo — All Commercial Plans: $171.25
  • Cigna — All Other Commercial Plans: $167.66
  • Cigna — CMH Employee Plans: $167.66
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX PT&/FAMILY 45 MINUTES $261 $125.28 $80.93 – $229.68
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $130.02
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $136.90
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $136.90
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $136.90
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $136.90
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $136.90
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $136.90
  • Centivo — All Commercial Plans: $171.25
  • Cigna — All Other Commercial Plans: $167.66
  • Cigna — CMH Employee Plans: $167.66
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PSYTX W/PT 45 MINUTES TELEMED $261 $125.28 $80.93 – $229.68
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $130.02
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $136.90
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $136.90
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $136.90
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $136.90
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $136.90
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $136.90
  • Centivo — All Commercial Plans: $171.25
  • Cigna — All Other Commercial Plans: $167.66
  • Cigna — CMH Employee Plans: $167.66
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PSYTX PT&/FAMILY 60 MINUTES $384 $184.32 $121.41 – $337.92
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $191.92
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $200.74
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $200.74
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $200.74
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $200.74
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $200.74
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $200.74
  • Centivo — All Commercial Plans: $251.18
  • Cigna — All Other Commercial Plans: $253.03
  • Cigna — CMH Employee Plans: $253.03
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX PT&/FAMILY 60 MINUTES $384 $184.32 $121.41 – $337.92
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $191.92
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $200.74
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $200.74
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $200.74
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $200.74
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $200.74
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $200.74
  • Centivo — All Commercial Plans: $251.18
  • Cigna — All Other Commercial Plans: $253.03
  • Cigna — CMH Employee Plans: $253.03
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PSYTX W/PT 60 MINUTES TELEMED $384 $184.32 $121.41 – $337.92
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $191.92
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $200.74
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $200.74
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $200.74
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $200.74
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $200.74
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $200.74
  • Centivo — All Commercial Plans: $251.18
  • Cigna — All Other Commercial Plans: $253.03
  • Cigna — CMH Employee Plans: $253.03
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EATING DISORDER FAMILY THER WO PT 50 MIN $532 $255.36 $129.78 – $478.80
Family psychotherapy, without the patient: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $319.20
  • Aetna — All Other Commercial Plans: $361.76
  • American Healthcare Alliance — All Commercial Plans: $452.20
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $218.12
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $277.70
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $386.23
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $323.99
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $308.03
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $361.23
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $355.91
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Doctor (professional) fee In the file: FAMILY THERAPY WO PT 50 MIN Prof $282 $135.36 $77.36 – $248.16
Family psychotherapy, without the patient: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $150.27
  • Aetna — All Other Commercial Plans: $177.76
  • American Healthcare Alliance — All Commercial Plans: $140.06
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $161.16
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $161.16
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $161.16
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $161.16
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $170.64
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $170.64
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $131.78
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY THERAPY WO PT 50 MIN Prof $282 $135.36 $77.36 – $248.16
Family psychotherapy, without the patient: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $150.27
  • Aetna — All Other Commercial Plans: $177.76
  • American Healthcare Alliance — All Commercial Plans: $140.06
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $161.16
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $161.16
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $161.16
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $161.16
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $170.64
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $170.64
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $131.78
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Doctor (professional) fee In the file: FAMILY THERAPY W PT $293 $140.64 $77.36 – $257.84
Family psychotherapy, with the patient: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $180.28
  • Aetna — All Other Commercial Plans: $213.56
  • American Healthcare Alliance — All Commercial Plans: $146.29
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $196.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $196.95
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $196.95
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $196.95
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $204.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $204.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $161.02
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY THERAPY W PT $293 $140.64 $77.36 – $257.84
Family psychotherapy, with the patient: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $180.28
  • Aetna — All Other Commercial Plans: $213.56
  • American Healthcare Alliance — All Commercial Plans: $146.29
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $196.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $196.95
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $196.95
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $196.95
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $204.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $204.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $161.02
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Doctor (professional) fee In the file: FAMILY THERAPY W PT 50 MIN TELEMED $293 $140.64 $77.36 – $257.84
Family psychotherapy, with the patient: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $180.28
  • Aetna — All Other Commercial Plans: $213.56
  • American Healthcare Alliance — All Commercial Plans: $146.29
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $196.95
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $196.95
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $196.95
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $196.95
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $204.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $204.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $161.02
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EATING DISORDER GROUP THER NOT MULTI FAMILY EAT $220 $105.60 $72.55 – $221.28
Group psychotherapy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $132
  • Aetna — All Other Commercial Plans: $149.60
  • American Healthcare Alliance — All Commercial Plans: $187
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $90.20
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $114.84
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $159.72
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $133.98
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $127.38
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $149.38
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $147.18
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Doctor (professional) fee In the file: GROUP THERAPY NOT MULTI FAMILIY $74 $35.52 $26.47 – $65.12
Group psychotherapy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $51.39
  • Aetna — All Other Commercial Plans: $59.96
  • American Healthcare Alliance — All Commercial Plans: $34.54
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $54.33
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $54.33
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $54.33
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $54.33
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $56.20
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $56.20
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $44.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP THERAPY NOT MULTI FAMILIY $74 $35.52 $26.47 – $65.12
Group psychotherapy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $51.39
  • Aetna — All Other Commercial Plans: $59.96
  • American Healthcare Alliance — All Commercial Plans: $34.54
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $54.33
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $54.33
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $54.33
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $54.33
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $56.20
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $56.20
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $44.42

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION 1 TX RM PLS $4,966 $2,383.68 $1,296.55 – $9,463.17
Removal of breast growth (open surgery): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,979.60
  • Aetna — All Other Commercial Plans: $3,376.88
  • American Healthcare Alliance — All Commercial Plans: $4,221.10
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $2,036.06
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,592.25
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $3,605.32
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $3,024.29
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,875.31
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $3,371.91
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $3,322.25
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION 1 $1,242 $596.16 $373.66 – $1,092.96
Removal of breast growth (open surgery): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $633.84
  • Aetna — All Other Commercial Plans: $736.68
  • American Healthcare Alliance — All Commercial Plans: $597.27
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $687.87
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $687.87
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $687.87
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $687.87
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $629.89
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $629.89
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $562.43
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION 1 $1,242 $596.16 $373.66 – $1,092.96
Removal of breast growth (open surgery): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $633.84
  • Aetna — All Other Commercial Plans: $736.68
  • American Healthcare Alliance — All Commercial Plans: $597.27
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $687.87
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $687.87
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $687.87
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $687.87
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $629.89
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $629.89
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $562.43
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPL $3,810 $1,828.80 $1,168.48 – $3,352.80
Total hip replacement: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,418.24
  • Aetna — All Other Commercial Plans: $2,849.05
  • American Healthcare Alliance — All Commercial Plans: $1,825.35
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,345.58
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,345.58
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,345.58
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,345.58
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,483.55
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,483.55
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $1,917.86
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPL $3,810 $1,828.80 $1,168.48 – $3,352.80
Total hip replacement: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,418.24
  • Aetna — All Other Commercial Plans: $2,849.05
  • American Healthcare Alliance — All Commercial Plans: $1,825.35
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,345.58
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,345.58
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,345.58
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,345.58
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,483.55
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,483.55
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $1,917.86
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: TOT KNEE ARTHROPLASTY $3,929 $1,885.92 $1,214.33 – $3,457.52
Total knee replacement: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,590.40
  • Aetna — All Other Commercial Plans: $3,059.97
  • American Healthcare Alliance — All Commercial Plans: $1,822.56
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,532.54
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,532.54
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,532.54
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,532.54
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,681.51
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,681.51
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $2,070.72
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOT KNEE ARTHROPLASTY $3,929 $1,885.92 $1,214.33 – $3,457.52
Total knee replacement: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,590.40
  • Aetna — All Other Commercial Plans: $3,059.97
  • American Healthcare Alliance — All Commercial Plans: $1,822.56
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $2,532.54
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,532.54
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,532.54
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $2,532.54
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,681.51
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,681.51
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $2,070.72
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: SHOULDER ARTHROSCOPY/SURGERY $1,674 $803.52 $200.58 – $1,473.12
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,103.87
  • Aetna — All Other Commercial Plans: $1,326.59
  • American Healthcare Alliance — All Commercial Plans: $242.12
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $308.84
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $308.84
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $308.84
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $308.84
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,214.75
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,214.75
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $938.06
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHOULDER ARTHROSCOPY/SURGERY $1,674 $803.52 $200.58 – $1,473.12
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,103.87
  • Aetna — All Other Commercial Plans: $1,326.59
  • American Healthcare Alliance — All Commercial Plans: $242.12
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $308.84
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $308.84
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $308.84
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $308.84
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,214.75
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,214.75
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $938.06
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY; MED OR LAT $1,616 $775.68 $519.07 – $1,422.08
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,044.86
  • Aetna — All Other Commercial Plans: $1,248.76
  • American Healthcare Alliance — All Commercial Plans: $775.61
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,019.42
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,019.42
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,019.42
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,019.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,079.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,079.39
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $833.52
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY; MED OR LAT $1,616 $775.68 $519.07 – $1,422.08
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,044.86
  • Aetna — All Other Commercial Plans: $1,248.76
  • American Healthcare Alliance — All Commercial Plans: $775.61
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,019.42
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,019.42
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,019.42
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,019.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,079.39
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,079.39
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $833.52
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Doctor (professional) fee In the file: REM TONSILS & ADENOIDS LESS THAN 12 YRS $860 $412.80 $241.32 – $756.80
Removal of tonsils and adenoids (under age 12): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $473.96
  • Aetna — All Other Commercial Plans: $568.80
  • American Healthcare Alliance — All Commercial Plans: $416.83
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $477.45
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $477.45
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $477.45
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $477.45
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $505.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $505.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $390.38
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REM TONSILS & ADENOIDS LESS THAN 12 YRS $860 $412.80 $241.32 – $756.80
Removal of tonsils and adenoids (under age 12): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $473.96
  • Aetna — All Other Commercial Plans: $568.80
  • American Healthcare Alliance — All Commercial Plans: $416.83
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $477.45
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $477.45
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $477.45
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $477.45
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $505.53
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $505.53
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $390.38
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY DIAGNOSTIC ENT $1,430 $686.40 $308.33 – $2,250.47
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $858
  • Aetna — All Other Commercial Plans: $972.40
  • American Healthcare Alliance — All Commercial Plans: $1,215.50
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $586.30
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $746.46
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,038.18
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $870.87
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $827.97
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $970.97
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $956.67
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: UPPER GI ENDOSCOPY DIAGNOSTIC GIP $624 $299.52 $151 – $549.12
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $246.80
  • Aetna — All Other Commercial Plans: $281.24
  • American Healthcare Alliance — All Commercial Plans: $171.90
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $490.94
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $490.94
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $490.94
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $490.94
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $243.14
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $243.14
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $401.42
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UPPER GI ENDOSCOPY DIAGNOSTIC GIP $624 $299.52 $151 – $549.12
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $246.80
  • Aetna — All Other Commercial Plans: $281.24
  • American Healthcare Alliance — All Commercial Plans: $171.90
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $490.94
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $490.94
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $490.94
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $490.94
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $243.14
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $243.14
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $401.42
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD TRANSORAL BIOPSY SNG/MULT TX RM SED $2,979 $1,429.92 $308.33 – $2,681.10
Upper GI endoscopy with biopsy: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,787.40
  • Aetna — All Other Commercial Plans: $2,025.72
  • American Healthcare Alliance — All Commercial Plans: $2,532.15
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,221.39
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,555.04
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,162.75
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,814.21
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,724.84
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,022.74
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,992.95
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $795 $381.60 $170.23 – $699.60
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $292.03
  • Aetna — All Other Commercial Plans: $333.98
  • American Healthcare Alliance — All Commercial Plans: $194.24
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $558.25
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $558.25
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $558.25
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $558.25
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $289.12
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $289.12
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $456.44
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $795 $381.60 $170.23 – $699.60
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $292.03
  • Aetna — All Other Commercial Plans: $333.98
  • American Healthcare Alliance — All Commercial Plans: $194.24
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $558.25
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $558.25
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $558.25
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $558.25
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $289.12
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $289.12
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $456.44
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY GIP $817 $392.16 $81.67 – $718.96
Colonoscopy (diagnostic): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $104.13
  • Aetna — All Other Commercial Plans: $120.57
  • American Healthcare Alliance — All Commercial Plans: $129.46
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $642.96
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $642.96
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $642.96
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $642.96
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $103.90
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $103.90
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $171.66
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY GIP $817 $392.16 $81.67 – $718.96
Colonoscopy (diagnostic): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $104.13
  • Aetna — All Other Commercial Plans: $120.57
  • American Healthcare Alliance — All Commercial Plans: $129.46
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $642.96
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $642.96
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $642.96
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $642.96
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $103.90
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $103.90
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $171.66
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY GIP $965 $463.20 $247.20 – $849.20
Colonoscopy with biopsy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $442.74
  • Aetna — All Other Commercial Plans: $506.20
  • American Healthcare Alliance — All Commercial Plans: $280.75
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $759.63
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $759.63
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $759.63
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $759.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $440.51
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $440.51
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $621.11
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY GIP $965 $463.20 $247.20 – $849.20
Colonoscopy with biopsy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $442.74
  • Aetna — All Other Commercial Plans: $506.20
  • American Healthcare Alliance — All Commercial Plans: $280.75
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $759.63
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $759.63
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $759.63
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $759.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $440.51
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $440.51
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $621.11
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: LESION REMOVAL COLONSCOPY GIP $1,091 $523.68 $313.90 – $960.08
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $525.78
  • Aetna — All Other Commercial Plans: $600.50
  • American Healthcare Alliance — All Commercial Plans: $355.38
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $858.26
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $858.26
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $858.26
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $858.26
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $524.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $524.32
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $701.76
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LESION REMOVAL COLONSCOPY GIP $1,091 $523.68 $313.90 – $960.08
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $525.78
  • Aetna — All Other Commercial Plans: $600.50
  • American Healthcare Alliance — All Commercial Plans: $355.38
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $858.26
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $858.26
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $858.26
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $858.26
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $524.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $524.32
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $701.76
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $245.70 – $2,929.68
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans
  • Healthy Blue — All KS Medicaid Plans: $262.08
  • Healthy Blue — All MO Medicaid Plans: $2,929.68
  • Home State Health — All MO Medicaid Plans: $2,574.27
  • Sunflower Health Plan — All KS Medicaid Plans: $273.78
  • United Healthcare Community Plan — All KS Medicaid Plans: $245.70
  • United Healthcare Community Plan — All MO Medicaid Plans: $960.55
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: LAPAROSCOPY; CHOLECYSTECOMY $1,969 $945.12 $344.56 – $1,732.72
Gallbladder removal by laparoscope: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,180.73
  • Aetna — All Other Commercial Plans: $1,368.65
  • American Healthcare Alliance — All Commercial Plans: $943.37
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,115.63
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,115.63
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,115.63
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,115.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,181.25
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,181.25
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $912.19
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPY; CHOLECYSTECOMY $1,969 $945.12 $344.56 – $1,732.72
Gallbladder removal by laparoscope: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,180.73
  • Aetna — All Other Commercial Plans: $1,368.65
  • American Healthcare Alliance — All Commercial Plans: $943.37
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,115.63
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,115.63
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,115.63
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,115.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,181.25
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,181.25
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $912.19
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC 5+ YR $1,561 $749.28 $431.33 – $1,373.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $822.86
  • Aetna — All Other Commercial Plans: $957.29
  • American Healthcare Alliance — All Commercial Plans: $748.13
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $787.32
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $787.32
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $787.32
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $787.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $833.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $833.63
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $643.75
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC 5+ YR $1,561 $749.28 $431.33 – $1,373.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $822.86
  • Aetna — All Other Commercial Plans: $957.29
  • American Healthcare Alliance — All Commercial Plans: $748.13
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $787.32
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $787.32
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $787.32
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $787.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $833.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $833.63
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $643.75
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 50 In the file: PRP I/HERN INIT REDUC 5+ YR; BILAT $2,342 $1,124.16 $431.33 – $2,060.96
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $822.86
  • Aetna — All Other Commercial Plans: $957.29
  • American Healthcare Alliance — All Commercial Plans: $748.13
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $787.32
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $787.32
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $787.32
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $787.32
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $833.63
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $833.63
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $643.75
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PROSTATE NEEDLE PUNCH BX $558 $267.84 $156.76 – $491.04
Prostate biopsy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $248.04
  • Aetna — All Other Commercial Plans: $272.47
  • American Healthcare Alliance — All Commercial Plans: $183.56
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $371.67
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $371.67
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $371.67
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $371.67
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $156.76
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $156.76
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $303.90
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROSTATE NEEDLE PUNCH BX $558 $267.84 $156.76 – $491.04
Prostate biopsy: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $248.04
  • Aetna — All Other Commercial Plans: $272.47
  • American Healthcare Alliance — All Commercial Plans: $183.56
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $371.67
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $371.67
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $371.67
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $371.67
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $156.76
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $156.76
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $303.90
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $8,378.88 – $25,555.58
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans
  • Healthy Blue — All MO Medicaid Plans: $25,555.58
  • Home State Health — All MO Medicaid Plans: $22,455.40
  • United Healthcare Community Plan — All MO Medicaid Plans: $8,378.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HYSTEROSCOPY; W BX ENDOM OR POLYPECT $3,012 $1,445.76 $287.96 – $2,650.56
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $460.01
  • Aetna — All Other Commercial Plans: $541.13
  • American Healthcare Alliance — All Commercial Plans: $328.61
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $477.05
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $477.05
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $477.05
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $477.05
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $505.12
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $505.12
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $390.06
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY; W BX ENDOM OR POLYPECT $3,012 $1,445.76 $287.96 – $2,650.56
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $460.01
  • Aetna — All Other Commercial Plans: $541.13
  • American Healthcare Alliance — All Commercial Plans: $328.61
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $477.05
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $477.05
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $477.05
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $477.05
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $505.12
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $505.12
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $390.06
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC W/IMG TX RM IR $2,980 $1,430.40 $396.01 – $2,682
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,788
  • Aetna — All Other Commercial Plans: $2,026.40
  • American Healthcare Alliance — All Commercial Plans: $2,533
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,221.80
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,555.56
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,163.48
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,814.82
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,725.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,023.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,993.62
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC W/IMG TX RM IR $2,980 $1,430.40 $1,430.40 – $2,682
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,788
  • Aetna — All Other Commercial Plans: $2,026.40
  • American Healthcare Alliance — All Commercial Plans: $2,533
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,555.56
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,163.48
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,814.82
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,725.42
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,106.86
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,050.24
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $2,205.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: INJ INTERLAMINAR LMBR/SAC W/ IMG $555 $266.40 $122.16 – $488.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
  • American Healthcare Alliance — All Commercial Plans: $140.35
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $410.77
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $410.77
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $410.77
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $410.77
  • Blue Cross Blue Shield of Kansas City — Preferred Care Blue Plan: $410.77
  • Blue Cross Blue Shield of Kansas City — Preferred Care Plan: $410.77
  • Centivo — All Commercial Plans: $187.79
  • Cigna — All Other Commercial Plans: $223.22
  • Cigna — CMH Employee Plans: $223.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S TX RM IR $3,336 $1,601.28 $310.03 – $3,002.40
Nerve root injection, lower back, with imaging guidance: 10 of 38 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $2,001.60
  • Aetna — All Other Commercial Plans: $2,268.48
  • American Healthcare Alliance — All Commercial Plans: $2,835.60
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $1,367.76
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,741.39
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $2,421.94
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $2,031.62
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,931.54
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $2,265.14
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $2,231.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: INJ FORAMEN EPIDURAL L/S PRO $795 $381.60 $136.87 – $699.60
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $178.30
  • Aetna — All Other Commercial Plans: $208.42
  • American Healthcare Alliance — All Commercial Plans: $157.06
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $625.97
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $625.97
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $625.97
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $625.97
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $191.92
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $191.92
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $511.83
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INJ FORAMEN EPIDURAL L/S PRO $795 $381.60 $136.87 – $699.60
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $178.30
  • Aetna — All Other Commercial Plans: $208.42
  • American Healthcare Alliance — All Commercial Plans: $157.06
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $625.97
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $625.97
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $625.97
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $625.97
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $191.92
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $191.92
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $511.83
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: NEUROPLASTY; MEDIAN NERVE AT CARP TUNNEL $1,300 $624 $353.60 – $1,144
Carpal tunnel release: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $662.46
  • Aetna — All Other Commercial Plans: $806.10
  • American Healthcare Alliance — All Commercial Plans: $626.39
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $658.17
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $658.17
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $658.17
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $658.17
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $696.89
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $696.89
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $538.16
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEUROPLASTY; MEDIAN NERVE AT CARP TUNNEL $1,300 $624 $353.60 – $1,144
Carpal tunnel release: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $662.46
  • Aetna — All Other Commercial Plans: $806.10
  • American Healthcare Alliance — All Commercial Plans: $626.39
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $658.17
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $658.17
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $658.17
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $658.17
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $696.89
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $696.89
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $538.16
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 50 In the file: NEUROPLSTY; MEDIAN NRV AT CARP TUNL; BIL $1,950 $936 $353.60 – $1,716
Carpal tunnel release: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $662.46
  • Aetna — All Other Commercial Plans: $806.10
  • American Healthcare Alliance — All Commercial Plans: $626.39
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $658.17
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $658.17
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $658.17
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $658.17
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $696.89
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $696.89
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $538.16
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY 1+ STGS $909 $436.32 $234.38 – $799.92
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $436.30
  • Aetna — All Other Commercial Plans: $525.37
  • American Healthcare Alliance — All Commercial Plans: $434.20
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $415.65
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $415.65
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $415.65
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $415.65
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $408.83
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $408.83
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $339.85
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY 1+ STGS $909 $436.32 $234.38 – $799.92
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $436.30
  • Aetna — All Other Commercial Plans: $525.37
  • American Healthcare Alliance — All Commercial Plans: $434.20
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $415.65
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $415.65
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $415.65
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $415.65
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $408.83
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $408.83
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $339.85
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Doctor (professional) fee In the file: CATARACT SURG W/IOL 1 STAGE EXTRACAPS $1,694 $813.12 $519.58 – $1,490.72
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,117.09
  • Aetna — All Other Commercial Plans: $1,325.48
  • American Healthcare Alliance — All Commercial Plans: $758.13
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,148.89
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,148.89
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,148.89
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,148.89
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,216.48
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,216.48
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $939.40
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CATARACT SURG W/IOL 1 STAGE EXTRACAPS $1,694 $813.12 $519.58 – $1,490.72
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $1,117.09
  • Aetna — All Other Commercial Plans: $1,325.48
  • American Healthcare Alliance — All Commercial Plans: $758.13
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $1,148.89
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $1,148.89
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $1,148.89
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $1,148.89
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $1,216.48
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $1,216.48
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $939.40

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ROUTINE OB CARE INCL AP CSECTION PP $7,855 $3,770.40 $2,021.21 – $6,912.40
Cesarean delivery (C-section), with care before and after: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $3,434.58
  • Aetna — All Other Commercial Plans: $4,038.35
  • American Healthcare Alliance — All Commercial Plans: $3,843.65
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $3,153.69
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $3,153.69
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $3,153.69
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $3,153.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $3,339.20
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $3,339.20
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $2,578.61
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ROUTINE OB CARE INCL AP CSECTION PP $7,855 $3,770.40 $2,021.21 – $6,912.40
Cesarean delivery (C-section), with care before and after: 10 of 37 insurance plan rates
  • Aetna — ACA Marketplace/Exchange Plans: $3,434.58
  • Aetna — All Other Commercial Plans: $4,038.35
  • American Healthcare Alliance — All Commercial Plans: $3,843.65
  • Blue Cross Blue Shield of Kansas City — ACA Marketplace/Exchange Plans: $3,153.69
  • Blue Cross Blue Shield of Kansas City — All Other Commercial Plans: $3,153.69
  • Blue Cross Blue Shield of Kansas City — Blue Advantage, Blue Care, Blue Select Plus and Federal Empl: $3,153.69
  • Blue Cross Blue Shield of Kansas City — Blue High Performance Network: $3,153.69
  • Blue Cross Blue Shield of Kansas City — Freedom Network Plan: $3,339.20
  • Blue Cross Blue Shield of Kansas City — Freedom Network Select Plan: $3,339.20
  • Blue Cross Blue Shield of Kansas City — PHP Plan: $2,578.61

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROCEDURES W CARDIAC CATH W MCC Not listed in the file Not listed in the file $48,739.58 – $145,287.60
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 4 insurance plans
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $145,287.60
  • Healthy Blue — All KS Medicaid Plans: $51,988.89
  • Sunflower Health Plan — All KS Medicaid Plans: $54,309.82
  • United Healthcare Community Plan — All KS Medicaid Plans: $48,739.58
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $35,680.13
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $35,680.13
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP & KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTR W/O MCC Not listed in the file Not listed in the file $9,333.98 – $56,791.76
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $56,791.76
  • Healthy Blue — All KS Medicaid Plans: $9,956.24
  • Sunflower Health Plan — All KS Medicaid Plans: $10,400.72
  • United Healthcare Community Plan — All KS Medicaid Plans: $9,333.98
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $12,702.32 – $36,288.69
Neck (cervical) spinal fusion, without complications: rates for 4 insurance plans
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $36,288.69
  • Healthy Blue — All KS Medicaid Plans: $13,549.14
  • Sunflower Health Plan — All KS Medicaid Plans: $14,154.02
  • United Healthcare Community Plan — All KS Medicaid Plans: $12,702.32
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $5,356.89 – $22,963.44
Uterus and ovary surgery (not for cancer), without complications: rates for 4 insurance plans
  • Blue Cross Blue Shield of Kansas — All Commercial Plans: $22,963.44
  • Healthy Blue — All KS Medicaid Plans: $5,714.02
  • Sunflower Health Plan — All KS Medicaid Plans: $5,969.11
  • United Healthcare Community Plan — All KS Medicaid Plans: $5,356.89

Source: Children's Mercy South’s standard charges file (childrensmercy.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 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 typeChildren's Hospital
Address5808 W 110th Street, Overland Park, KS 66211
CountyJohnson County
StateKansas
Phone(913) 696‑8000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number173300
Name in Medicare recordsCHILDREN'S MERCY SOUTH
Profile levelMedicare data + hospital website
Name on the hospital’s websiteChildren's Mercy Kansas
Official websitechildrensmercy.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Children's Mercy Kansas - Children's Mercy — childrensmercy.org
  2. Children's Mercy Kansas - Children's Mercy — childrensmercy.org
  3. Emergency Room at Children's Mercy - Children's Mercy — childrensmercy.org
  4. Patient and Family Valet Parking FAQ - Children's Mercy — childrensmercy.org