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Acute Care Hospital

Labette Health

Parsons, Kansas · Labette County · Emergency services listed

Labette Health is an acute care hospital at 1902 South US Hwy 59, Parsons, KS 67357. Phone: (620) 421-4880. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 31, 2026).

Summary

Labette Health is an acute care hospital in Parsons, Kansas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 29 services, specialties and programs. Medicare lists 190 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(620) 421‑4880 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 2026-10-31). 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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
190Doctors and clinicians
29Services listed

Quick answers

Does Labette Health have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Labette Health. In a medical emergency, call 911.
Where is Labette Health?
1902 South US Hwy 59, Parsons, KS 67357, in Labette County, Kansas.
What is the phone number of Labette Health?
(620) 421-4880, as listed by Medicare (CMS).
What is the Medicare star rating of Labette Health?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Labette Health for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Labette Health under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.2738; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5][7][8][12]

Treatments[5][7][12]

  • Joint replacement
  • Rapid-recovery knee and hip replacement
  • Infusion services
  • Cancer treatment

Procedures[8][11]

Programs and centers[4][8][12]

  • Joint Camp for total joint procedures
  • Beachner Family Birthing Center
  • Labor and Delivery
  • Rector Diabetes Education and Resource Center

Emergency care (hospital website)[10]

Emergency roomYes

Visiting and practical information

VisitingMedical/surgical floor 7 a.m.-8:30 p.m.; ICU 30-minute visits at 8:30 a.m.-noon and 5:30-8:30 p.m.; two visitors per room[10]

Doctors and clinicians (190)

190 doctors and other clinicians list Labette Health 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 (190)

And 166 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Parsons

Hospitals in Labette County · Hospitals near me

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 →

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1079%National average: 72%
Would definitely recommend the hospital74%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well83%National average: 80%
“Always” got help as soon as they wanted79%National average: 64%
Staff “always” explained medicines before giving them69%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean77%National average: 73%
Completed surveys175Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Clostridioides difficile (C. diff) intestinal infections1.084No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart failure patients14.7%
Deaths within 30 days: pneumonia patients20.6%
Deaths within 30 days: COPD patients10.2%
Serious complications (patient safety indicator PSI-90)1No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15%
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia16%
Readmitted within 30 days: COPD19.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)123 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)41%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Labette Health, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.2738Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9450Fewer readmissions than expected
Pneumonia0.8938Fewer readmissions than expected
COPD (chronic lung disease)0.9795Fewer readmissions than expected
Hip or knee replacement0.8838Fewer readmissions than expected
No result publishedHeart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score41.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)0.00 out of 100
Person and community engagement (patient survey)65.00 out of 100
Safety (infections and sepsis care)40.00 out of 100
Efficiency and cost reduction (Medicare spending)60.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.90Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 KansasBest hospitals in Kansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Labette Health 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 →

Show the prices of 86 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OUTPT VISIT LOW MDM 30 MIN $216.30 $151.41 $54.08 – $194.67
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Ambetter — All Products: $54.08
  • BCBS — All Products: $101
  • Celtic Sunflower — Managed Medicaid - Clinic: $97.34
  • Celtic Sunflower — Managed Medicaid - Hospital: $97.34
  • ChoiceCare (First Health Network) — All Products: $194.67
  • Health Partners of Kansas, Inc — All Products: $194.67
  • Montgomery County — All Products: $71.38
  • Multiplan — All Products: $183.86
  • United Healthcare — All Products: $188.18
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW OUTPT VISIT LOW MDM 30 MIN $216.30 $151.41 $57.47 – $136.60
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $69.64
  • Aetna — Medicare Advantage Non Facility: $103.82
  • Kansas Superior Select — Medicare Advantage Facility: $107.92
  • Kansas Superior Select — Medicare Advantage Non Facility: $112.56
  • Montgomery County — All Products Physician Facility: $84.51
  • Montgomery County — All Products Physician Non Facility: $136.60
  • Montgomery County — Midlevels Facility: $57.47
  • Montgomery County — Midlevels Non Facility: $92.89
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN $154 $107.80 $57.47 – $136.60
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $69.64
  • Aetna — Medicare Advantage Non Facility: $103.82
  • Kansas Superior Select — Medicare Advantage Facility: $107.92
  • Kansas Superior Select — Medicare Advantage Non Facility: $112.56
  • Montgomery County — All Products Physician Facility: $84.51
  • Montgomery County — All Products Physician Non Facility: $136.60
  • Montgomery County — Midlevels Facility: $57.47
  • Montgomery County — Midlevels Non Facility: $92.89
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OUTPT VISIT MOD MDM 45 MIN $332.30 $232.61 $83.08 – $299.07
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Ambetter — All Products: $83.08
  • BCBS — All Products: $101
  • Celtic Sunflower — Managed Medicaid - Clinic: $149.54
  • Celtic Sunflower — Managed Medicaid - Hospital: $149.54
  • ChoiceCare (First Health Network) — All Products: $299.07
  • Health Partners of Kansas, Inc — All Products: $299.07
  • Montgomery County — All Products: $109.66
  • Multiplan — All Products: $282.46
  • United Healthcare — All Products: $289.10
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW OUTPT VISIT MOD MDM 45 MIN $332.30 $232.61 $94.19 – $206.83
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $114.13
  • Aetna — Medicare Advantage Non Facility: $157.19
  • Kansas Superior Select — Medicare Advantage Facility: $162.38
  • Kansas Superior Select — Medicare Advantage Non Facility: $170.42
  • Montgomery County — All Products Physician Facility: $138.51
  • Montgomery County — All Products Physician Non Facility: $206.83
  • Montgomery County — Midlevels Facility: $94.19
  • Montgomery County — Midlevels Non Facility: $140.64
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN $235 $164.50 $94.19 – $206.83
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $114.13
  • Aetna — Medicare Advantage Non Facility: $157.19
  • Kansas Superior Select — Medicare Advantage Facility: $162.38
  • Kansas Superior Select — Medicare Advantage Non Facility: $170.42
  • Montgomery County — All Products Physician Facility: $138.51
  • Montgomery County — All Products Physician Non Facility: $206.83
  • Montgomery County — Midlevels Facility: $94.19
  • Montgomery County — Midlevels Non Facility: $140.64
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW OUTPT VISIT HI MDM 60 MIN $413.95 $289.77 $103.49 – $372.56
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Ambetter — All Products: $103.49
  • BCBS — All Products: $168.67
  • Celtic Sunflower — Managed Medicaid - Clinic: $186.28
  • Celtic Sunflower — Managed Medicaid - Hospital: $186.28
  • ChoiceCare (First Health Network) — All Products: $372.56
  • Health Partners of Kansas, Inc — All Products: $372.56
  • Montgomery County — All Products: $136.60
  • Multiplan — All Products: $351.86
  • United Healthcare — All Products: $360.14
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW OUTPT VISIT HI MDM 60 MIN $413.95 $289.77 $128.65 – $275.61
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $155.89
  • Aetna — Medicare Advantage Non Facility: $209.47
  • Kansas Superior Select — Medicare Advantage Facility: $214.39
  • Kansas Superior Select — Medicare Advantage Non Facility: $227.10
  • Montgomery County — All Products Physician Facility: $189.19
  • Montgomery County — All Products Physician Non Facility: $275.61
  • Montgomery County — Midlevels Facility: $128.65
  • Montgomery County — Midlevels Non Facility: $187.42
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN $296 $207.20 $128.65 – $275.61
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $155.89
  • Aetna — Medicare Advantage Non Facility: $209.47
  • Kansas Superior Select — Medicare Advantage Facility: $214.39
  • Kansas Superior Select — Medicare Advantage Non Facility: $227.10
  • Montgomery County — All Products Physician Facility: $189.19
  • Montgomery County — All Products Physician Non Facility: $275.61
  • Montgomery County — Midlevels Facility: $128.65
  • Montgomery County — Midlevels Non Facility: $187.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TREATMENT ROOM LEVEL III $159.75 $111.83 $39.94 – $143.78
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Ambetter — All Products: $39.94
  • BCBS — All Products: $133.49
  • Celtic Sunflower — Managed Medicaid - Clinic: $71.89
  • Celtic Sunflower — Managed Medicaid - Hospital: $71.89
  • ChoiceCare (First Health Network) — All Products: $143.78
  • Health Partners of Kansas, Inc — All Products: $143.78
  • Montgomery County — All Products: $52.72
  • Multiplan — All Products: $135.79
  • United Healthcare — All Products: $225.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $259.40 $181.58 $64.85 – $233.46
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Ambetter — All Products: $64.85
  • BCBS — All Products: $133.49
  • Celtic Sunflower — Managed Medicaid - Clinic: $116.73
  • Celtic Sunflower — Managed Medicaid - Hospital: $116.73
  • ChoiceCare (First Health Network) — All Products: $233.46
  • Health Partners of Kansas, Inc — All Products: $233.46
  • Montgomery County — All Products: $85.60
  • Multiplan — All Products: $220.49
  • United Healthcare — All Products: $225.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EST OUTPT VISIT LOW MDM 20 MIN $106.05 $74.24 $46.67 – $111.28
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $56.55
  • Aetna — Medicare Advantage Non Facility: $84.57
  • Kansas Superior Select — Medicare Advantage Facility: $88.44
  • Kansas Superior Select — Medicare Advantage Non Facility: $91.69
  • Montgomery County — All Products Physician Facility: $68.63
  • Montgomery County — All Products Physician Non Facility: $111.28
  • Montgomery County — Midlevels Facility: $46.67
  • Montgomery County — Midlevels Non Facility: $75.67
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TREATMENT ROOM LEVEL IV $221.65 $155.16 $55.41 – $199.49
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Ambetter — All Products: $55.41
  • BCBS — All Products: $188.57
  • Celtic Sunflower — Managed Medicaid - Clinic: $99.74
  • Celtic Sunflower — Managed Medicaid - Hospital: $99.74
  • ChoiceCare (First Health Network) — All Products: $199.49
  • Health Partners of Kansas, Inc — All Products: $199.49
  • Montgomery County — All Products: $73.14
  • Multiplan — All Products: $188.40
  • United Healthcare — All Products: $192.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EST OUTPT VISIT MOD MDM 30 MIN $156.45 $109.52 $68.58 – $158.60
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $83.10
  • Aetna — Medicare Advantage Non Facility: $120.54
  • Kansas Superior Select — Medicare Advantage Facility: $124.63
  • Kansas Superior Select — Medicare Advantage Non Facility: $130.69
  • Montgomery County — All Products Physician Facility: $100.85
  • Montgomery County — All Products Physician Non Facility: $158.60
  • Montgomery County — Midlevels Facility: $68.58
  • Montgomery County — Midlevels Non Facility: $107.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TREATMENT ROOM LEVEL IV $154 $107.80 $68.58 – $158.60
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $83.10
  • Aetna — Medicare Advantage Non Facility: $120.54
  • Kansas Superior Select — Medicare Advantage Facility: $124.63
  • Kansas Superior Select — Medicare Advantage Non Facility: $130.69
  • Montgomery County — All Products Physician Facility: $100.85
  • Montgomery County — All Products Physician Non Facility: $158.60
  • Montgomery County — Midlevels Facility: $68.58
  • Montgomery County — Midlevels Non Facility: $107.85
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OUTPT CONSULT LOW MDM 30 MIN $143.10 $100.17 $70.90 – $132.58
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $85.91
  • Aetna — Medicare Advantage Non Facility: $100.76
  • Kansas Superior Select — Medicare Advantage Facility: $109.39
  • Kansas Superior Select — Medicare Advantage Non Facility: $109.24
  • Montgomery County — All Products Physician Facility: $104.26
  • Montgomery County — All Products Physician Non Facility: $132.58
  • Montgomery County — Midlevels Facility: $70.90
  • Montgomery County — Midlevels Non Facility: $90.15
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 $208 $145.60 $70.90 – $132.58
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $85.91
  • Aetna — Medicare Advantage Non Facility: $100.76
  • Kansas Superior Select — Medicare Advantage Facility: $109.39
  • Kansas Superior Select — Medicare Advantage Non Facility: $109.24
  • Montgomery County — All Products Physician Facility: $104.26
  • Montgomery County — All Products Physician Non Facility: $132.58
  • Montgomery County — Midlevels Facility: $70.90
  • Montgomery County — Midlevels Non Facility: $90.15
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OUTPT CONSULT MOD MDM 40 MIN $208.80 $146.16 $108.06 – $189.86
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $130.94
  • Aetna — Medicare Advantage Non Facility: $144.30
  • Kansas Superior Select — Medicare Advantage Facility: $156.21
  • Kansas Superior Select — Medicare Advantage Non Facility: $156.45
  • Montgomery County — All Products Physician Facility: $158.91
  • Montgomery County — All Products Physician Non Facility: $189.86
  • Montgomery County — Midlevels Facility: $108.06
  • Montgomery County — Midlevels Non Facility: $129.11
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 $308 $215.60 $108.06 – $189.86
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $130.94
  • Aetna — Medicare Advantage Non Facility: $144.30
  • Kansas Superior Select — Medicare Advantage Facility: $156.21
  • Kansas Superior Select — Medicare Advantage Non Facility: $156.45
  • Montgomery County — All Products Physician Facility: $158.91
  • Montgomery County — All Products Physician Non Facility: $189.86
  • Montgomery County — Midlevels Facility: $108.06
  • Montgomery County — Midlevels Non Facility: $129.11
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $161.37
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • BCBS — All Products: $161.37
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 $330 $231 $67.01 – $157.80
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $81.19
  • Aetna — Medicare Advantage Non Facility: $119.93
  • Kansas Superior Select — Medicare Advantage Facility: $125.81
  • Kansas Superior Select — Medicare Advantage Non Facility: $130.03
  • Montgomery County — All Products Physician Facility: $98.54
  • Montgomery County — All Products Physician Non Facility: $157.80
  • Montgomery County — Midlevels Facility: $67.01
  • Montgomery County — Midlevels Non Facility: $107.30
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $146.07
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • BCBS — All Products: $146.07
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 $379 $265.30 $81.39 – $182.71
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $98.62
  • Aetna — Medicare Advantage Non Facility: $138.86
  • Kansas Superior Select — Medicare Advantage Facility: $145.23
  • Kansas Superior Select — Medicare Advantage Non Facility: $150.56
  • Montgomery County — All Products Physician Facility: $119.69
  • Montgomery County — All Products Physician Non Facility: $182.71
  • Montgomery County — Midlevels Facility: $81.39
  • Montgomery County — Midlevels Non Facility: $124.24
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $176.08
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • BCBS — All Products: $176.08
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER FAC ED VISIT LOW MDM $496.30 $347.41 $251.05 – $459.41
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $251.05
  • Ambetter — All Products: $288.70
  • BCBS — All Products: $407.79
  • BCBS — Medicare Advantage: $251.05
  • Celtic Sunflower — Managed Medicaid - Clinic: $106.05
  • Celtic Sunflower — Managed Medicaid - Hospital: $107.10
  • ChoiceCare (First Health Network) — All Products: $446.67
  • Health Partners of Kansas, Inc — All Products: $446.67
  • Healthy Blue — Managed Medicaid: $107.10
  • Humana — Medicare Advantage: $251.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER FAC LEVEL III $496.30 $347.41 $251.05 – $459.41
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $251.05
  • Ambetter — All Products: $288.70
  • BCBS — All Products: $407.79
  • BCBS — Medicare Advantage: $251.05
  • Celtic Sunflower — Managed Medicaid - Clinic: $106.05
  • Celtic Sunflower — Managed Medicaid - Hospital: $107.10
  • ChoiceCare (First Health Network) — All Products: $446.67
  • Health Partners of Kansas, Inc — All Products: $446.67
  • Healthy Blue — Managed Medicaid: $107.10
  • Humana — Medicare Advantage: $251.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER FAC LEVEL III $106 $74.20 $55.47 – $106.05
Emergency room visit (moderate): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $67.22
  • Aetna — Medicare Advantage Non Facility: $62
  • Kansas Superior Select — Medicare Advantage Facility: $68.75
  • Kansas Superior Select — Medicare Advantage Non Facility: $67.22
  • Montgomery County — All Products Physician Facility: $81.58
  • Montgomery County — All Products Physician Non Facility: $81.58
  • Montgomery County — Midlevels Facility: $55.47
  • Montgomery County — Midlevels Non Facility: $55.47
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $106.05
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER FAC LEVEL IV $709 $496.30 $383.74 – $702.24
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $383.74
  • Ambetter — All Products: $441.30
  • BCBS — All Products: $695.24
  • BCBS — Medicare Advantage: $383.74
  • Celtic Sunflower — Managed Medicaid - Clinic: $106.05
  • Celtic Sunflower — Managed Medicaid - Hospital: $107.10
  • ChoiceCare (First Health Network) — All Products: $638.10
  • Health Partners of Kansas, Inc — All Products: $638.10
  • Healthy Blue — Managed Medicaid: $107.10
  • Humana — Medicare Advantage: $383.74
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER FAC LEVEL IV W/ PROC $709 $496.30 $383.74 – $702.24
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $383.74
  • Ambetter — All Products: $441.30
  • BCBS — All Products: $695.24
  • BCBS — Medicare Advantage: $383.74
  • Celtic Sunflower — Managed Medicaid - Clinic: $106.05
  • Celtic Sunflower — Managed Medicaid - Hospital: $107.10
  • ChoiceCare (First Health Network) — All Products: $638.10
  • Health Partners of Kansas, Inc — All Products: $638.10
  • Healthy Blue — Managed Medicaid: $107.10
  • Humana — Medicare Advantage: $383.74
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER FAC LEVEL IV $201 $140.70 $94.35 – $138.75
Emergency room visit (moderately high): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $114.33
  • Aetna — Medicare Advantage Non Facility: $105.45
  • Kansas Superior Select — Medicare Advantage Facility: $117.12
  • Kansas Superior Select — Medicare Advantage Non Facility: $114.33
  • Montgomery County — All Products Physician Facility: $138.75
  • Montgomery County — All Products Physician Non Facility: $138.75
  • Montgomery County — Midlevels Facility: $94.35
  • Montgomery County — Midlevels Non Facility: $94.35
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $106.05
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER FAC LEVEL V $1,337.30 $936.11 $547.68 – $1,002.26
Emergency room visit (high): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $547.68
  • Ambetter — All Products: $629.84
  • BCBS — All Products: $1,080.54
  • BCBS — Medicare Advantage: $547.68
  • Celtic Sunflower — Managed Medicaid - Clinic: $106.05
  • Celtic Sunflower — Managed Medicaid - Hospital: $107.10
  • ChoiceCare (First Health Network) — All Products: $1,203.57
  • Health Partners of Kansas, Inc — All Products: $1,203.57
  • Healthy Blue — Managed Medicaid: $107.10
  • Humana — Medicare Advantage: $547.68
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER FAC LEVEL V W/ PROC $1,337.30 $936.11 $547.68 – $1,002.26
Emergency room visit (high): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $547.68
  • Ambetter — All Products: $629.84
  • BCBS — All Products: $1,080.54
  • BCBS — Medicare Advantage: $547.68
  • Celtic Sunflower — Managed Medicaid - Clinic: $106.05
  • Celtic Sunflower — Managed Medicaid - Hospital: $107.10
  • ChoiceCare (First Health Network) — All Products: $1,203.57
  • Health Partners of Kansas, Inc — All Products: $1,203.57
  • Healthy Blue — Managed Medicaid: $107.10
  • Humana — Medicare Advantage: $547.68
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER FAC LEVEL V $296 $207.20 $106.05 – $201.64
Emergency room visit (high): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $166.15
  • Aetna — Medicare Advantage Non Facility: $153.24
  • Kansas Superior Select — Medicare Advantage Facility: $169.80
  • Kansas Superior Select — Medicare Advantage Non Facility: $166.15
  • Montgomery County — All Products Physician Facility: $201.64
  • Montgomery County — All Products Physician Non Facility: $201.64
  • Montgomery County — Midlevels Facility: $137.11
  • Montgomery County — Midlevels Non Facility: $137.11
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $106.05

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 PANEL $119 $83.30 $8.46 – $15.48
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $8.46
  • Ambetter — All Products: $9.73
  • BCBS — All Products: $19.65
  • BCBS — Medicare Advantage: $8.46
  • Celtic Sunflower — Managed Medicaid - Clinic: $8.54
  • Celtic Sunflower — Managed Medicaid - Hospital: $8.63
  • ChoiceCare (First Health Network) — All Products: $107.10
  • Health Partners of Kansas, Inc — All Products: $107.10
  • Healthy Blue — Managed Medicaid: $8.63
  • Humana — Medicare Advantage: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier QW In the file: BASIC METABOLIC PANEL $23 $16.10 $7.59 – $14.95
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Montgomery County — All Products Physician Facility: $7.59
  • Montgomery County — All Products Physician Non Facility: $7.59
  • Montgomery County — Midlevels Facility: $14.95
  • Montgomery County — Midlevels Non Facility: $14.95
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEM PROFILE $233.35 $163.35 $10.56 – $19.32
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $10.56
  • Ambetter — All Products: $12.14
  • BCBS — All Products: $22.68
  • BCBS — Medicare Advantage: $10.56
  • Celtic Sunflower — Managed Medicaid - Clinic: $10.67
  • Celtic Sunflower — Managed Medicaid - Hospital: $10.77
  • ChoiceCare (First Health Network) — All Products: $210.02
  • Health Partners of Kansas, Inc — All Products: $210.02
  • Healthy Blue — Managed Medicaid: $10.77
  • Humana — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $233.35 $163.35 $10.56 – $19.32
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $10.56
  • Ambetter — All Products: $12.14
  • BCBS — All Products: $22.68
  • BCBS — Medicare Advantage: $10.56
  • Celtic Sunflower — Managed Medicaid - Clinic: $10.67
  • Celtic Sunflower — Managed Medicaid - Hospital: $10.77
  • ChoiceCare (First Health Network) — All Products: $210.02
  • Health Partners of Kansas, Inc — All Products: $210.02
  • Healthy Blue — Managed Medicaid: $10.77
  • Humana — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $29 $20.30 $18.85
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • Montgomery County — All Products Physician Facility: $19.32
  • Montgomery County — All Products Physician Non Facility: $19.32
  • Montgomery County — Midlevels Facility: $18.85
  • Montgomery County — Midlevels Non Facility: $18.85
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $10.67
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $441.55 $309.09 $47.81 – $87.49
Obstetric blood test panel: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $47.81
  • Ambetter — All Products: $54.98
  • BCBS — All Products: $89.39
  • BCBS — Medicare Advantage: $47.81
  • Celtic Sunflower — Managed Medicaid - Clinic: $48.29
  • Celtic Sunflower — Managed Medicaid - Hospital: $48.77
  • ChoiceCare (First Health Network) — All Products: $397.40
  • Health Partners of Kansas, Inc — All Products: $397.40
  • Healthy Blue — Managed Medicaid: $48.77
  • Humana — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $148.10 $103.67 $13.39 – $24.50
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $13.39
  • Ambetter — All Products: $15.40
  • BCBS — All Products: $43.18
  • BCBS — Medicare Advantage: $13.39
  • Celtic Sunflower — Managed Medicaid - Clinic: $13.52
  • Celtic Sunflower — Managed Medicaid - Hospital: $13.66
  • ChoiceCare (First Health Network) — All Products: $133.29
  • Health Partners of Kansas, Inc — All Products: $133.29
  • Healthy Blue — Managed Medicaid: $13.66
  • Humana — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier QW In the file: LIPID PANEL $37 $25.90 $12.21 – $24.05
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Montgomery County — All Products Physician Facility: $12.21
  • Montgomery County — All Products Physician Non Facility: $12.21
  • Montgomery County — Midlevels Facility: $24.05
  • Montgomery County — Midlevels Non Facility: $24.05
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $156.65 $109.66 $8.68 – $15.88
Kidney function panel: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $8.68
  • Ambetter — All Products: $9.98
  • BCBS — All Products: $20.32
  • BCBS — Medicare Advantage: $8.68
  • Celtic Sunflower — Managed Medicaid - Clinic: $8.77
  • Celtic Sunflower — Managed Medicaid - Hospital: $8.85
  • ChoiceCare (First Health Network) — All Products: $140.99
  • Health Partners of Kansas, Inc — All Products: $140.99
  • Healthy Blue — Managed Medicaid: $8.85
  • Humana — Medicare Advantage: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier QW In the file: RENAL FUNCTION PANEL $24 $16.80 $7.92 – $15.60
Kidney function panel: rates for 4 insurance plans
  • Montgomery County — All Products Physician Facility: $7.92
  • Montgomery County — All Products Physician Non Facility: $7.92
  • Montgomery County — Midlevels Facility: $15.60
  • Montgomery County — Midlevels Non Facility: $15.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $135.30 $94.71 $8.17 – $14.95
Liver function panel: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $8.17
  • Ambetter — All Products: $9.40
  • BCBS — All Products: $31.88
  • BCBS — Medicare Advantage: $8.17
  • Celtic Sunflower — Managed Medicaid - Clinic: $8.25
  • Celtic Sunflower — Managed Medicaid - Hospital: $8.33
  • ChoiceCare (First Health Network) — All Products: $121.77
  • Health Partners of Kansas, Inc — All Products: $121.77
  • Healthy Blue — Managed Medicaid: $8.33
  • Humana — Medicare Advantage: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL $23 $16.10 $14.95
Liver function panel: rates for 5 insurance plans
  • Montgomery County — All Products Physician Facility: $14.95
  • Montgomery County — All Products Physician Non Facility: $14.95
  • Montgomery County — Midlevels Facility: $14.95
  • Montgomery County — Midlevels Non Facility: $14.95
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $8.25
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/MICRO C&S IF IND $81.65 $57.16 $3.17 – $5.80
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3.17
  • Ambetter — All Products: $3.65
  • BCBS — All Products: $9.72
  • BCBS — Medicare Advantage: $3.17
  • Celtic Sunflower — Managed Medicaid - Clinic: $3.20
  • Celtic Sunflower — Managed Medicaid - Hospital: $3.23
  • ChoiceCare (First Health Network) — All Products: $73.49
  • Health Partners of Kansas, Inc — All Products: $73.49
  • Healthy Blue — Managed Medicaid: $3.23
  • Humana — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/MICRO ONLY $81.65 $57.16 $3.17 – $5.80
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3.17
  • Ambetter — All Products: $3.65
  • BCBS — All Products: $9.72
  • BCBS — Medicare Advantage: $3.17
  • Celtic Sunflower — Managed Medicaid - Clinic: $3.20
  • Celtic Sunflower — Managed Medicaid - Hospital: $3.23
  • ChoiceCare (First Health Network) — All Products: $73.49
  • Health Partners of Kansas, Inc — All Products: $73.49
  • Healthy Blue — Managed Medicaid: $3.23
  • Humana — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/MICRO W/C&S $81.65 $57.16 $3.17 – $5.80
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3.17
  • Ambetter — All Products: $3.65
  • BCBS — All Products: $9.72
  • BCBS — Medicare Advantage: $3.17
  • Celtic Sunflower — Managed Medicaid - Clinic: $3.20
  • Celtic Sunflower — Managed Medicaid - Hospital: $3.23
  • ChoiceCare (First Health Network) — All Products: $73.49
  • Health Partners of Kansas, Inc — All Products: $73.49
  • Healthy Blue — Managed Medicaid: $3.23
  • Humana — Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KETONE URINE $29.15 $20.41 $3.48 – $6.37
Urine test (manual, without microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3.48
  • Ambetter — All Products: $4
  • BCBS — All Products: $10.36
  • BCBS — Medicare Advantage: $3.48
  • Celtic Sunflower — Managed Medicaid - Clinic: $3.04
  • Celtic Sunflower — Managed Medicaid - Hospital: $3.07
  • ChoiceCare (First Health Network) — All Products: $26.24
  • Health Partners of Kansas, Inc — All Products: $26.24
  • Healthy Blue — Managed Medicaid: $3.07
  • Humana — Medicare Advantage: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, OB DPSTCK ONLY $29.15 $20.41 $3.48 – $6.37
Urine test (manual, without microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3.48
  • Ambetter — All Products: $4
  • BCBS — All Products: $10.36
  • BCBS — Medicare Advantage: $3.48
  • Celtic Sunflower — Managed Medicaid - Clinic: $3.04
  • Celtic Sunflower — Managed Medicaid - Hospital: $3.07
  • ChoiceCare (First Health Network) — All Products: $26.24
  • Health Partners of Kansas, Inc — All Products: $26.24
  • Healthy Blue — Managed Medicaid: $3.07
  • Humana — Medicare Advantage: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK ONLY $29.15 $20.41 $3.48 – $6.37
Urine test (manual, without microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3.48
  • Ambetter — All Products: $4
  • BCBS — All Products: $10.36
  • BCBS — Medicare Advantage: $3.48
  • Celtic Sunflower — Managed Medicaid - Clinic: $3.04
  • Celtic Sunflower — Managed Medicaid - Hospital: $3.07
  • ChoiceCare (First Health Network) — All Products: $26.24
  • Health Partners of Kansas, Inc — All Products: $26.24
  • Healthy Blue — Managed Medicaid: $3.07
  • Humana — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PH URINE AUTO DIPSTICK $33.55 $23.49 $2.25 – $4.12
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $2.25
  • Ambetter — All Products: $2.59
  • BCBS — All Products: $9.20
  • BCBS — Medicare Advantage: $2.25
  • Celtic Sunflower — Managed Medicaid - Clinic: $1.93
  • Celtic Sunflower — Managed Medicaid - Hospital: $1.95
  • ChoiceCare (First Health Network) — All Products: $30.20
  • Health Partners of Kansas, Inc — All Products: $30.20
  • Healthy Blue — Managed Medicaid: $1.95
  • Humana — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTEIN URINE DIPSTICK $33.55 $23.49 $2.25 – $4.12
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $2.25
  • Ambetter — All Products: $2.59
  • BCBS — All Products: $9.20
  • BCBS — Medicare Advantage: $2.25
  • Celtic Sunflower — Managed Medicaid - Clinic: $1.93
  • Celtic Sunflower — Managed Medicaid - Hospital: $1.95
  • ChoiceCare (First Health Network) — All Products: $30.20
  • Health Partners of Kansas, Inc — All Products: $30.20
  • Healthy Blue — Managed Medicaid: $1.95
  • Humana — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPECIFIC GRAVITY $33.55 $23.49 $2.25 – $4.12
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $2.25
  • Ambetter — All Products: $2.59
  • BCBS — All Products: $9.20
  • BCBS — Medicare Advantage: $2.25
  • Celtic Sunflower — Managed Medicaid - Clinic: $1.93
  • Celtic Sunflower — Managed Medicaid - Hospital: $1.95
  • ChoiceCare (First Health Network) — All Products: $30.20
  • Health Partners of Kansas, Inc — All Products: $30.20
  • Healthy Blue — Managed Medicaid: $1.95
  • Humana — Medicare Advantage: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL $212.10 $148.47 $18.39 – $33.65
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $18.39
  • Ambetter — All Products: $21.15
  • BCBS — All Products: $67.95
  • BCBS — Medicare Advantage: $18.39
  • Celtic Sunflower — Managed Medicaid - Clinic: $18.57
  • Celtic Sunflower — Managed Medicaid - Hospital: $18.76
  • ChoiceCare (First Health Network) — All Products: $190.89
  • Health Partners of Kansas, Inc — All Products: $190.89
  • Healthy Blue — Managed Medicaid: $18.76
  • Humana — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSA TOTAL $51 $35.70 $18.57 – $33.65
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • Montgomery County — All Products Physician Facility: $33.65
  • Montgomery County — All Products Physician Non Facility: $33.65
  • Montgomery County — Midlevels Facility: $33.15
  • Montgomery County — Midlevels Non Facility: $33.15
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $18.57
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $174.85 $122.40 $16.80 – $30.74
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $16.80
  • Ambetter — All Products: $19.32
  • BCBS — All Products: $43.97
  • BCBS — Medicare Advantage: $16.80
  • Celtic Sunflower — Managed Medicaid - Clinic: $15.91
  • Celtic Sunflower — Managed Medicaid - Hospital: $16.07
  • ChoiceCare (First Health Network) — All Products: $157.37
  • Health Partners of Kansas, Inc — All Products: $157.37
  • Healthy Blue — Managed Medicaid: $16.07
  • Humana — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: TSH W/RFLX T4 FREE $174.85 $122.40 $43.71 – $157.37
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • Ambetter — All Products: $43.71
  • Celtic Sunflower — Managed Medicaid - Clinic: $78.68
  • Celtic Sunflower — Managed Medicaid - Hospital: $78.68
  • ChoiceCare (First Health Network) — All Products: $157.37
  • Health Partners of Kansas, Inc — All Products: $157.37
  • Montgomery County — All Products: $57.70
  • Multiplan — All Products: $148.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier QW In the file: TSH $47 $32.90 $15.51 – $30.55
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • Montgomery County — All Products Physician Facility: $15.51
  • Montgomery County — All Products Physician Non Facility: $15.51
  • Montgomery County — Midlevels Facility: $30.55
  • Montgomery County — Midlevels Non Facility: $30.55
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF $104.95 $73.47 $7.77 – $14.22
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $7.77
  • Ambetter — All Products: $8.94
  • BCBS — All Products: $13.36
  • BCBS — Medicare Advantage: $7.77
  • Celtic Sunflower — Managed Medicaid - Clinic: $6.67
  • Celtic Sunflower — Managed Medicaid - Hospital: $6.73
  • ChoiceCare (First Health Network) — All Products: $94.46
  • Health Partners of Kansas, Inc — All Products: $94.46
  • Healthy Blue — Managed Medicaid: $6.73
  • Humana — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier QW In the file: CBC W/AUTO DIFF $22 $15.40 $7.26 – $14.30
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Montgomery County — All Products Physician Facility: $7.26
  • Montgomery County — All Products Physician Non Facility: $7.26
  • Montgomery County — Midlevels Facility: $14.30
  • Montgomery County — Midlevels Non Facility: $14.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO NO DIFF $82.80 $57.96 $6.47 – $11.84
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $6.47
  • Ambetter — All Products: $7.44
  • BCBS — All Products: $13.90
  • BCBS — Medicare Advantage: $6.47
  • Celtic Sunflower — Managed Medicaid - Clinic: $6.53
  • Celtic Sunflower — Managed Medicaid - Hospital: $6.60
  • ChoiceCare (First Health Network) — All Products: $74.52
  • Health Partners of Kansas, Inc — All Products: $74.52
  • Healthy Blue — Managed Medicaid: $6.60
  • Humana — Medicare Advantage: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC AUTO NO DIFF $18 $12.60 $11.70
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Montgomery County — All Products Physician Facility: $11.84
  • Montgomery County — All Products Physician Non Facility: $11.84
  • Montgomery County — Midlevels Facility: $11.70
  • Montgomery County — Midlevels Non Facility: $11.70
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $6.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME $62.70 $43.89 $4.29 – $7.85
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $4.29
  • Ambetter — All Products: $4.93
  • BCBS — All Products: $16.08
  • BCBS — Medicare Advantage: $4.29
  • Celtic Sunflower — Managed Medicaid - Clinic: $4.33
  • Celtic Sunflower — Managed Medicaid - Hospital: $4.38
  • ChoiceCare (First Health Network) — All Products: $56.43
  • Health Partners of Kansas, Inc — All Products: $56.43
  • Healthy Blue — Managed Medicaid: $4.38
  • Humana — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: PROTIME POCT $62.70 $43.89 $15.68 – $56.43
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Ambetter — All Products: $15.68
  • Celtic Sunflower — Managed Medicaid - Clinic: $28.22
  • Celtic Sunflower — Managed Medicaid - Hospital: $28.22
  • ChoiceCare (First Health Network) — All Products: $56.43
  • Health Partners of Kansas, Inc — All Products: $56.43
  • Montgomery County — All Products: $20.69
  • Multiplan — All Products: $53.30
  • United Healthcare — All Products: $54.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier QW In the file: PROTIME $11 $7.70 $3.63 – $7.15
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • Montgomery County — All Products Physician Facility: $3.63
  • Montgomery County — All Products Physician Non Facility: $3.63
  • Montgomery County — Midlevels Facility: $7.15
  • Montgomery County — Midlevels Non Facility: $7.15
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT $75.40 $52.78 $6.01 – $11
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $6.01
  • Ambetter — All Products: $6.91
  • BCBS — All Products: $22.53
  • BCBS — Medicare Advantage: $6.01
  • Celtic Sunflower — Managed Medicaid - Clinic: $5.30
  • Celtic Sunflower — Managed Medicaid - Hospital: $5.36
  • ChoiceCare (First Health Network) — All Products: $67.86
  • Health Partners of Kansas, Inc — All Products: $67.86
  • Healthy Blue — Managed Medicaid: $5.36
  • Humana — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PTT $17 $11.90 $11.05
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • Montgomery County — All Products Physician Facility: $11
  • Montgomery County — All Products Physician Non Facility: $11
  • Montgomery County — Midlevels Facility: $11.05
  • Montgomery County — Midlevels Non Facility: $11.05
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $5.30

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 In the file: CT HEAD W/O CONTRAST $2,136 $1,495.20 $96.15 – $175.95
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $96.15
  • Ambetter — All Products: $110.57
  • BCBS — All Products: $480.41
  • BCBS — Medicare Advantage: $96.15
  • Celtic Sunflower — Managed Medicaid - Clinic: $107.95
  • Celtic Sunflower — Managed Medicaid - Hospital: $109.02
  • ChoiceCare (First Health Network) — All Products: $1,922.40
  • Health Partners of Kansas, Inc — All Products: $1,922.40
  • Healthy Blue — Managed Medicaid: $109.02
  • Humana — Medicare Advantage: $96.15
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/BRAIN W/O DYE Not listed in the file Not listed in the file $59.96 – $61.16
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $60.56
  • Celtic Sunflower — Managed Medicaid - Hospital: $61.16
  • Healthy Blue — Managed Medicaid: $61.16
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $60.56
  • UHCCP — Managed Medicaid: $59.96
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE $4,115.40 $2,880.78 $320.84 – $587.14
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $320.84
  • Ambetter — All Products: $368.97
  • BCBS — All Products: $552.52
  • BCBS — Medicare Advantage: $320.84
  • Celtic Sunflower — Managed Medicaid - Clinic: $372.11
  • Celtic Sunflower — Managed Medicaid - Hospital: $375.80
  • ChoiceCare (First Health Network) — All Products: $3,703.86
  • Health Partners of Kansas, Inc — All Products: $3,703.86
  • Healthy Blue — Managed Medicaid: $375.80
  • Humana — Medicare Advantage: $320.84
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $206.69 – $210.82
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $208.76
  • Celtic Sunflower — Managed Medicaid - Hospital: $210.82
  • Healthy Blue — Managed Medicaid: $210.82
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $208.76
  • UHCCP — Managed Medicaid: $206.69
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST PA AND LATERAL $346.15 $242.31 $80.03 – $146.46
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $80.03
  • Ambetter — All Products: $92.04
  • BCBS — All Products: $150.77
  • BCBS — Medicare Advantage: $80.03
  • Celtic Sunflower — Managed Medicaid - Clinic: $155.77
  • Celtic Sunflower — Managed Medicaid - Hospital: $155.77
  • ChoiceCare (First Health Network) — All Products: $311.54
  • Health Partners of Kansas, Inc — All Products: $311.54
  • Humana — Medicare Advantage: $80.03
  • Kansas Superior Select — Medicare Advantage: $82.43
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CX CHEST 2 VIEW $346.15 $242.31 $80.03 – $146.46
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $80.03
  • Ambetter — All Products: $92.04
  • BCBS — All Products: $150.77
  • BCBS — Medicare Advantage: $80.03
  • Celtic Sunflower — Managed Medicaid - Clinic: $155.77
  • Celtic Sunflower — Managed Medicaid - Hospital: $155.77
  • ChoiceCare (First Health Network) — All Products: $311.54
  • Health Partners of Kansas, Inc — All Products: $311.54
  • Humana — Medicare Advantage: $80.03
  • Kansas Superior Select — Medicare Advantage: $82.43
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier TC In the file: CHEST PA AND LATERAL $40 $28 $17.60 – $25.88
Chest X-ray, 2 views: rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $21.32
  • Aetna — Medicare Advantage Non Facility: $19.67
  • Kansas Superior Select — Medicare Advantage Facility: $21.64
  • Kansas Superior Select — Medicare Advantage Non Facility: $21.32
  • Montgomery County — All Products Physician Facility: $25.88
  • Montgomery County — All Products Physician Non Facility: $25.88
  • Montgomery County — Midlevels Facility: $17.60
  • Montgomery County — Midlevels Non Facility: $17.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS $558.85 $391.20 $96.15 – $175.95
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $96.15
  • Ambetter — All Products: $110.57
  • BCBS — All Products: $248.10
  • BCBS — Medicare Advantage: $96.15
  • Celtic Sunflower — Managed Medicaid - Clinic: $91.76
  • Celtic Sunflower — Managed Medicaid - Hospital: $92.67
  • ChoiceCare (First Health Network) — All Products: $502.97
  • Health Partners of Kansas, Inc — All Products: $502.97
  • Healthy Blue — Managed Medicaid: $92.67
  • Humana — Medicare Advantage: $96.15
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS $68.40 $47.88 $31.20 – $60.56
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $37.80
  • Aetna — Medicare Advantage Non Facility: $34.87
  • Kansas Superior Select — Medicare Advantage Facility: $36.57
  • Kansas Superior Select — Medicare Advantage Non Facility: $37.80
  • Montgomery County — All Products Physician Facility: $45.88
  • Montgomery County — All Products Physician Non Facility: $45.88
  • Montgomery County — Midlevels Facility: $31.20
  • Montgomery County — Midlevels Non Facility: $31.20
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $60.56
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $59.96 – $61.16
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $60.56
  • Celtic Sunflower — Managed Medicaid - Hospital: $61.16
  • Healthy Blue — Managed Medicaid: $61.16
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $60.56
  • UHCCP — Managed Medicaid: $59.96
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONTRAST $3,366.60 $2,356.62 $219.43 – $401.56
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $219.43
  • Ambetter — All Products: $252.35
  • BCBS — All Products: $552.52
  • BCBS — Medicare Advantage: $219.43
  • Celtic Sunflower — Managed Medicaid - Clinic: $235.86
  • Celtic Sunflower — Managed Medicaid - Hospital: $238.19
  • ChoiceCare (First Health Network) — All Products: $3,029.94
  • Health Partners of Kansas, Inc — All Products: $3,029.94
  • Healthy Blue — Managed Medicaid: $238.19
  • Humana — Medicare Advantage: $219.43
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $131 – $133.62
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $132.31
  • Celtic Sunflower — Managed Medicaid - Hospital: $133.62
  • Healthy Blue — Managed Medicaid: $133.62
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $132.31
  • UHCCP — Managed Medicaid: $131
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST $2,871.15 $2,009.81 $161.31 – $295.19
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $161.31
  • Ambetter — All Products: $185.51
  • BCBS — All Products: $480.41
  • BCBS — Medicare Advantage: $161.31
  • Celtic Sunflower — Managed Medicaid - Clinic: $154.82
  • Celtic Sunflower — Managed Medicaid - Hospital: $156.36
  • ChoiceCare (First Health Network) — All Products: $2,584.04
  • Health Partners of Kansas, Inc — All Products: $2,584.04
  • Healthy Blue — Managed Medicaid: $156.36
  • Humana — Medicare Advantage: $161.31
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $101.17 – $103.19
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $102.18
  • Celtic Sunflower — Managed Medicaid - Hospital: $103.19
  • Healthy Blue — Managed Medicaid: $103.19
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $102.18
  • UHCCP — Managed Medicaid: $101.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $219.43 – $401.56
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $219.43
  • Ambetter — All Products: $252.35
  • BCBS — All Products: $552.52
  • BCBS — Medicare Advantage: $219.43
  • Celtic Sunflower — Managed Medicaid - Clinic: $235.86
  • Celtic Sunflower — Managed Medicaid - Hospital: $238.19
  • Healthy Blue — Managed Medicaid: $238.19
  • Humana — Medicare Advantage: $219.43
  • Kansas Superior Select — Medicare Advantage: $226.01
  • Montgomery County — All Products: $401.56
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: MRI LWR EXT JNT W/O CON LTD LT $1,942.35 $1,359.65 $485.59 – $1,748.12
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • Ambetter — All Products: $485.59
  • Celtic Sunflower — Managed Medicaid - Clinic: $874.06
  • Celtic Sunflower — Managed Medicaid - Hospital: $874.06
  • ChoiceCare (First Health Network) — All Products: $1,748.12
  • Health Partners of Kansas, Inc — All Products: $1,748.12
  • Montgomery County — All Products: $640.98
  • Multiplan — All Products: $1,651
  • United Healthcare — All Products: $1,689.84
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: MRI LWR EXT JNT W/O CON LTD RT $1,942.35 $1,359.65 $485.59 – $1,748.12
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • Ambetter — All Products: $485.59
  • Celtic Sunflower — Managed Medicaid - Clinic: $874.06
  • Celtic Sunflower — Managed Medicaid - Hospital: $874.06
  • ChoiceCare (First Health Network) — All Products: $1,748.12
  • Health Partners of Kansas, Inc — All Products: $1,748.12
  • Montgomery County — All Products: $640.98
  • Multiplan — All Products: $1,651
  • United Healthcare — All Products: $1,689.84
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD AND PELVIS W/CONTRAST $3,932.50 $2,752.75 $320.84 – $587.14
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $320.84
  • Ambetter — All Products: $368.97
  • BCBS — All Products: $480.41
  • BCBS — Medicare Advantage: $320.84
  • Celtic Sunflower — Managed Medicaid - Clinic: $316.30
  • Celtic Sunflower — Managed Medicaid - Hospital: $319.43
  • ChoiceCare (First Health Network) — All Products: $3,539.25
  • Health Partners of Kansas, Inc — All Products: $3,539.25
  • Healthy Blue — Managed Medicaid: $319.43
  • Humana — Medicare Advantage: $320.84
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 & PELVIS W/CONTRAST Not listed in the file Not listed in the file $206.69 – $210.82
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $208.76
  • Celtic Sunflower — Managed Medicaid - Hospital: $210.82
  • Healthy Blue — Managed Medicaid: $210.82
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $208.76
  • UHCCP — Managed Medicaid: $206.69
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE $496.35 $347.45 $96.15 – $175.95
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $96.15
  • Ambetter — All Products: $110.57
  • BCBS — All Products: $151.50
  • BCBS — Medicare Advantage: $96.15
  • Celtic Sunflower — Managed Medicaid - Clinic: $91.76
  • Celtic Sunflower — Managed Medicaid - Hospital: $92.67
  • ChoiceCare (First Health Network) — All Products: $446.72
  • Health Partners of Kansas, Inc — All Products: $446.72
  • Healthy Blue — Managed Medicaid: $92.67
  • Humana — Medicare Advantage: $96.15
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: ER PRO US ABDOMEN COMPLETE $103.20 $72.24 $30.45 – $44.78
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $36.89
  • Aetna — Medicare Advantage Non Facility: $34.03
  • Kansas Superior Select — Medicare Advantage Facility: $37.55
  • Kansas Superior Select — Medicare Advantage Non Facility: $36.89
  • Montgomery County — All Products Physician Facility: $44.78
  • Montgomery County — All Products Physician Non Facility: $44.78
  • Montgomery County — Midlevels Facility: $30.45
  • Montgomery County — Midlevels Non Facility: $30.45
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $59.96 – $61.16
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $60.56
  • Celtic Sunflower — Managed Medicaid - Hospital: $61.16
  • Healthy Blue — Managed Medicaid: $61.16
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $60.56
  • UHCCP — Managed Medicaid: $59.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $335.85 $235.10 $96.15 – $175.95
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $96.15
  • Ambetter — All Products: $110.57
  • BCBS — All Products: $132.93
  • BCBS — Medicare Advantage: $96.15
  • Celtic Sunflower — Managed Medicaid - Clinic: $91.76
  • Celtic Sunflower — Managed Medicaid - Hospital: $92.67
  • ChoiceCare (First Health Network) — All Products: $302.27
  • Health Partners of Kansas, Inc — All Products: $302.27
  • Healthy Blue — Managed Medicaid: $92.67
  • Humana — Medicare Advantage: $96.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: OB US >/= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $59.96 – $61.16
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $60.56
  • Celtic Sunflower — Managed Medicaid - Hospital: $61.16
  • Healthy Blue — Managed Medicaid: $61.16
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $60.56
  • UHCCP — Managed Medicaid: $59.96
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAG NON-OB $314.35 $220.05 $96.15 – $175.95
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $96.15
  • Ambetter — All Products: $110.57
  • BCBS — All Products: $132.93
  • BCBS — Medicare Advantage: $96.15
  • Celtic Sunflower — Managed Medicaid - Clinic: $91.76
  • Celtic Sunflower — Managed Medicaid - Hospital: $92.67
  • ChoiceCare (First Health Network) — All Products: $282.92
  • Health Partners of Kansas, Inc — All Products: $282.92
  • Healthy Blue — Managed Medicaid: $92.67
  • Humana — Medicare Advantage: $96.15
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US TRANSVAG NON-OB $261 $182.70 $91.49 – $134.54
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $110.86
  • Aetna — Medicare Advantage Non Facility: $102.25
  • Kansas Superior Select — Medicare Advantage Facility: $111.34
  • Kansas Superior Select — Medicare Advantage Non Facility: $110.86
  • Montgomery County — All Products Physician Facility: $134.54
  • Montgomery County — All Products Physician Non Facility: $134.54
  • Montgomery County — Midlevels Facility: $91.49
  • Montgomery County — Midlevels Non Facility: $91.49
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $91.76
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US TRANSVAG NON OB $233 $163.10 $91.49 – $134.54
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $110.86
  • Aetna — Medicare Advantage Non Facility: $102.25
  • Kansas Superior Select — Medicare Advantage Facility: $111.34
  • Kansas Superior Select — Medicare Advantage Non Facility: $110.86
  • Montgomery County — All Products Physician Facility: $134.54
  • Montgomery County — All Products Physician Non Facility: $134.54
  • Montgomery County — Midlevels Facility: $91.49
  • Montgomery County — Midlevels Non Facility: $91.49
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $91.76
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $168.11 – $307.64
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $168.11
  • Ambetter — All Products: $193.33
  • BCBS — All Products: $123.22
  • BCBS — Medicare Advantage: $168.11
  • Celtic Sunflower — Managed Medicaid - Clinic: $100.82
  • Celtic Sunflower — Managed Medicaid - Hospital: $101.82
  • Healthy Blue — Managed Medicaid: $101.82
  • Humana — Medicare Advantage: $168.11
  • Kansas Superior Select — Medicare Advantage: $173.15
  • Montgomery County — All Products: $307.64
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GY In the file: DX MAMMO INCL CAD UNI CHNG LT $186.85 $130.80 $46.71 – $168.17
Diagnostic mammogram, one breast: rates for 7 insurance plans
  • Ambetter — All Products: $46.71
  • Celtic Sunflower — Managed Medicaid - Clinic: $84.08
  • Celtic Sunflower — Managed Medicaid - Hospital: $84.08
  • ChoiceCare (First Health Network) — All Products: $168.17
  • Health Partners of Kansas, Inc — All Products: $168.17
  • Montgomery County — All Products: $61.66
  • Multiplan — All Products: $158.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GY In the file: DX MAMMO INCL CAD UNI CHNG RT $186.85 $130.80 $46.71 – $168.17
Diagnostic mammogram, one breast: rates for 7 insurance plans
  • Ambetter — All Products: $46.71
  • Celtic Sunflower — Managed Medicaid - Clinic: $84.08
  • Celtic Sunflower — Managed Medicaid - Hospital: $84.08
  • ChoiceCare (First Health Network) — All Products: $168.17
  • Health Partners of Kansas, Inc — All Products: $168.17
  • Montgomery County — All Products: $61.66
  • Multiplan — All Products: $158.82
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $213.08 – $389.94
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $213.08
  • Ambetter — All Products: $245.04
  • BCBS — All Products: $123.22
  • BCBS — Medicare Advantage: $213.08
  • Celtic Sunflower — Managed Medicaid - Clinic: $127.19
  • Celtic Sunflower — Managed Medicaid - Hospital: $128.45
  • Healthy Blue — Managed Medicaid: $128.45
  • Humana — Medicare Advantage: $213.08
  • Kansas Superior Select — Medicare Advantage: $219.47
  • Montgomery County — All Products: $389.94
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GY In the file: DX MAMMO INCL CAD BIL $283.65 $198.56 $70.91 – $255.29
Diagnostic mammogram, both breasts: rates for 7 insurance plans
  • Ambetter — All Products: $70.91
  • Celtic Sunflower — Managed Medicaid - Clinic: $127.64
  • Celtic Sunflower — Managed Medicaid - Hospital: $127.64
  • ChoiceCare (First Health Network) — All Products: $255.29
  • Health Partners of Kansas, Inc — All Products: $255.29
  • Montgomery County — All Products: $93.60
  • Multiplan — All Products: $241.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $59.88 – $61.08
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $60.48
  • Celtic Sunflower — Managed Medicaid - Hospital: $61.08
  • Healthy Blue — Managed Medicaid: $61.08
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $60.48
  • UHCCP — Managed Medicaid: $59.88
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $172.34 – $315.38
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $172.34
  • Ambetter — All Products: $198.19
  • BCBS — All Products: $161
  • BCBS — Medicare Advantage: $172.34
  • Celtic Sunflower — Managed Medicaid - Clinic: $103.05
  • Celtic Sunflower — Managed Medicaid - Hospital: $104.07
  • Healthy Blue — Managed Medicaid: $104.07
  • Humana — Medicare Advantage: $172.34
  • Kansas Superior Select — Medicare Advantage: $177.51
  • Montgomery County — All Products: $315.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QL In the file: MAMMOGRAPHY SCREENING, DIGITAL $209.60 $146.72 $52.40 – $188.64
Screening mammogram, both breasts: rates for 7 insurance plans
  • Ambetter — All Products: $52.40
  • Celtic Sunflower — Managed Medicaid - Clinic: $94.32
  • Celtic Sunflower — Managed Medicaid - Hospital: $94.32
  • ChoiceCare (First Health Network) — All Products: $188.64
  • Health Partners of Kansas, Inc — All Products: $188.64
  • Montgomery County — All Products: $69.17
  • Multiplan — All Products: $178.16
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier JW In the file: MAMMOGRAPHY SCREENING, DIGITAL $292 $204.40 $96.36 – $189.80
Screening mammogram, both breasts: rates for 4 insurance plans
  • Montgomery County — All Products Physician Facility: $96.36
  • Montgomery County — All Products Physician Non Facility: $96.36
  • Montgomery County — Midlevels Facility: $189.80
  • Montgomery County — Midlevels Non Facility: $189.80

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE $40 $28 $10 – $36
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Ambetter — All Products: $10
  • BCBS — All Products: $31.48
  • Celtic Sunflower — Managed Medicaid - Clinic: $27.92
  • Celtic Sunflower — Managed Medicaid - Hospital: $28.19
  • ChoiceCare (First Health Network) — All Products: $36
  • Health Partners of Kansas, Inc — All Products: $36
  • Healthy Blue — Managed Medicaid: $28.19
  • Montgomery County — All Products: $13.20
  • Multiplan — All Products: $34
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $27.92
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE $40 $28 $12.04 – $27.92
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $14.60
  • Aetna — Medicare Advantage Non Facility: $13.46
  • Kansas Superior Select — Medicare Advantage Facility: $13.67
  • Kansas Superior Select — Medicare Advantage Non Facility: $14.60
  • Montgomery County — All Products Physician Facility: $17.71
  • Montgomery County — All Products Physician Non Facility: $17.71
  • Montgomery County — Midlevels Facility: $12.04
  • Montgomery County — Midlevels Non Facility: $12.04
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $27.92
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $2,981.46 – $5,456.08
Left heart catheterization (diagnostic): rates for 9 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $2,981.46
  • Ambetter — All Products: $3,428.68
  • BCBS — All Products: $6,121.61
  • BCBS — Medicare Advantage: $2,981.46
  • Humana — Medicare Advantage: $2,981.46
  • Kansas Superior Select — Medicare Advantage: $3,070.91
  • Montgomery County — All Products: $5,456.08
  • United Healthcare — Medicare Advantage: $2,981.46
  • Wellcare — Medicare Advantage: $2,981.46
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $7,173.02 – $13,126.62
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $7,173.02
  • Ambetter — All Products: $8,248.97
  • BCBS — Medicare Advantage: $7,173.02
  • Celtic Sunflower — Managed Medicaid - Clinic: $2,443.50
  • Celtic Sunflower — Managed Medicaid - Hospital: $2,467.70
  • Healthy Blue — Managed Medicaid: $2,467.70
  • Humana — Medicare Advantage: $7,173.02
  • Kansas Superior Select — Medicare Advantage: $7,388.21
  • Montgomery County — All Products: $13,126.62
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $2,443.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $24,037.86 – $43,989.29
Heart rhythm study with ablation for atrial fibrillation: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $24,037.86
  • Ambetter — All Products: $27,643.54
  • BCBS — All Products: $30,665.38
  • BCBS — Medicare Advantage: $24,037.86
  • Celtic Sunflower — Managed Medicaid - Clinic: $7,609.86
  • Celtic Sunflower — Managed Medicaid - Hospital: $7,685.20
  • Healthy Blue — Managed Medicaid: $7,685.20
  • Humana — Medicare Advantage: $24,037.86
  • Kansas Superior Select — Medicare Advantage: $24,759
  • Montgomery County — All Products: $43,989.29
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAM $3,944.70 $2,761.29 $789.75 – $1,445.24
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $789.75
  • Ambetter — All Products: $908.21
  • BCBS — All Products: $1,271.74
  • BCBS — Medicare Advantage: $789.75
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,775.12
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,775.12
  • ChoiceCare (First Health Network) — All Products: $3,550.23
  • Health Partners of Kansas, Inc — All Products: $3,550.23
  • Humana — Medicare Advantage: $789.75
  • Kansas Superior Select — Medicare Advantage: $813.44
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: POLYSOMNOGRAM $193.65 $135.56 $521.36 – $766.71
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $631.77
  • Aetna — Medicare Advantage Non Facility: $582.70
  • Kansas Superior Select — Medicare Advantage Facility: $589.86
  • Kansas Superior Select — Medicare Advantage Non Facility: $631.77
  • Montgomery County — All Products Physician Facility: $766.71
  • Montgomery County — All Products Physician Non Facility: $766.71
  • Montgomery County — Midlevels Facility: $521.36
  • Montgomery County — Midlevels Non Facility: $521.36
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: POLYSOMNOGRAM LTD $3,312.90 $2,319.03 $828.23 – $2,981.61
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Ambetter — All Products: $828.23
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,490.81
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,490.81
  • ChoiceCare (First Health Network) — All Products: $2,981.61
  • Health Partners of Kansas, Inc — All Products: $2,981.61
  • Montgomery County — All Products: $1,093.26
  • Multiplan — All Products: $2,815.97
  • United Healthcare — All Products: $2,882.22

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: THERAPEUTIC EXERCISES Not listed in the file Not listed in the file $37.31 – $68.28
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $37.31
  • Ambetter — All Products: $42.91
  • BCBS — All Products: $56.91
  • BCBS — Medicare Advantage: $37.31
  • Celtic Sunflower — Managed Medicaid - Clinic: $28.32
  • Celtic Sunflower — Managed Medicaid - Hospital: $28.60
  • Healthy Blue — Managed Medicaid: $28.60
  • Humana — Medicare Advantage: $37.31
  • Kansas Superior Select — Medicare Advantage: $38.43
  • Montgomery County — All Products: $68.28
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISES $126.45 $88.52 $31.61 – $113.81
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Ambetter — All Products: $31.61
  • Celtic Sunflower — Managed Medicaid - Clinic: $56.90
  • Celtic Sunflower — Managed Medicaid - Hospital: $56.90
  • ChoiceCare (First Health Network) — All Products: $113.81
  • Health Partners of Kansas, Inc — All Products: $113.81
  • Montgomery County — All Products: $41.73
  • Multiplan — All Products: $107.48
  • United Healthcare — All Products: $110.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISES $126.45 $88.52 $31.61 – $113.81
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Ambetter — All Products: $31.61
  • Celtic Sunflower — Managed Medicaid - Clinic: $56.90
  • Celtic Sunflower — Managed Medicaid - Hospital: $56.90
  • ChoiceCare (First Health Network) — All Products: $113.81
  • Health Partners of Kansas, Inc — All Products: $113.81
  • Montgomery County — All Products: $41.73
  • Multiplan — All Products: $107.48
  • United Healthcare — All Products: $110.01
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $126.43 – $231.37
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $126.43
  • Ambetter — All Products: $145.39
  • BCBS — All Products: $138.69
  • BCBS — Medicare Advantage: $126.43
  • Celtic Sunflower — Managed Medicaid - Clinic: $72.54
  • Celtic Sunflower — Managed Medicaid - Hospital: $73.26
  • Healthy Blue — Managed Medicaid: $73.26
  • Humana — Medicare Advantage: $126.43
  • Kansas Superior Select — Medicare Advantage: $130.22
  • Montgomery County — All Products: $231.37
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVALUATION; LOW $250.15 $175.11 $62.54 – $225.14
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Ambetter — All Products: $62.54
  • Celtic Sunflower — Managed Medicaid - Clinic: $112.57
  • Celtic Sunflower — Managed Medicaid - Hospital: $112.57
  • ChoiceCare (First Health Network) — All Products: $225.14
  • Health Partners of Kansas, Inc — All Products: $225.14
  • Montgomery County — All Products: $82.55
  • Multiplan — All Products: $212.63
  • United Healthcare — All Products: $217.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $126.43 – $231.37
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $126.43
  • Ambetter — All Products: $145.39
  • BCBS — All Products: $120.60
  • BCBS — Medicare Advantage: $126.43
  • Celtic Sunflower — Managed Medicaid - Clinic: $72.54
  • Celtic Sunflower — Managed Medicaid - Hospital: $73.26
  • Healthy Blue — Managed Medicaid: $73.26
  • Humana — Medicare Advantage: $126.43
  • Kansas Superior Select — Medicare Advantage: $130.22
  • Montgomery County — All Products: $231.37
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVALUATION; MOD $260.15 $182.11 $65.04 – $234.14
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Ambetter — All Products: $65.04
  • Celtic Sunflower — Managed Medicaid - Clinic: $117.07
  • Celtic Sunflower — Managed Medicaid - Hospital: $117.07
  • ChoiceCare (First Health Network) — All Products: $234.14
  • Health Partners of Kansas, Inc — All Products: $234.14
  • Montgomery County — All Products: $85.85
  • Multiplan — All Products: $221.13
  • United Healthcare — All Products: $226.33
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $126.43 – $231.37
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $126.43
  • Ambetter — All Products: $145.39
  • BCBS — All Products: $120.60
  • BCBS — Medicare Advantage: $126.43
  • Celtic Sunflower — Managed Medicaid - Clinic: $58.02
  • Celtic Sunflower — Managed Medicaid - Hospital: $58.60
  • Healthy Blue — Managed Medicaid: $58.60
  • Humana — Medicare Advantage: $126.43
  • Kansas Superior Select — Medicare Advantage: $130.22
  • Montgomery County — All Products: $231.37
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVALUATION; HIGH $270.15 $189.11 $67.54 – $243.14
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Ambetter — All Products: $67.54
  • Celtic Sunflower — Managed Medicaid - Clinic: $121.57
  • Celtic Sunflower — Managed Medicaid - Hospital: $121.57
  • ChoiceCare (First Health Network) — All Products: $243.14
  • Health Partners of Kansas, Inc — All Products: $243.14
  • Montgomery County — All Products: $89.15
  • Multiplan — All Products: $229.63
  • United Healthcare — All Products: $235.03
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $163.24 – $298.72
Psychotherapy, 30 minutes: rates for 9 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $163.24
  • Ambetter — All Products: $187.72
  • BCBS — All Products: $84.11
  • BCBS — Medicare Advantage: $163.24
  • Humana — Medicare Advantage: $163.24
  • Kansas Superior Select — Medicare Advantage: $168.13
  • Montgomery County — All Products: $298.72
  • United Healthcare — Medicare Advantage: $163.24
  • Wellcare — Medicare Advantage: $163.24
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $163.24 – $298.72
Psychotherapy, 45 minutes: rates for 9 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $163.24
  • Ambetter — All Products: $187.72
  • BCBS — All Products: $100.21
  • BCBS — Medicare Advantage: $163.24
  • Humana — Medicare Advantage: $163.24
  • Kansas Superior Select — Medicare Advantage: $168.13
  • Montgomery County — All Products: $298.72
  • United Healthcare — Medicare Advantage: $163.24
  • Wellcare — Medicare Advantage: $163.24
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $163.24 – $298.72
Psychotherapy, 60 minutes: rates for 9 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $163.24
  • Ambetter — All Products: $187.72
  • BCBS — All Products: $151.19
  • BCBS — Medicare Advantage: $163.24
  • Humana — Medicare Advantage: $163.24
  • Kansas Superior Select — Medicare Advantage: $168.13
  • Montgomery County — All Products: $298.72
  • United Healthcare — Medicare Advantage: $163.24
  • Wellcare — Medicare Advantage: $163.24
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $163.24 – $298.72
Family psychotherapy, without the patient: rates for 8 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $163.24
  • Ambetter — All Products: $187.72
  • BCBS — Medicare Advantage: $163.24
  • Humana — Medicare Advantage: $163.24
  • Kansas Superior Select — Medicare Advantage: $168.13
  • Montgomery County — All Products: $298.72
  • United Healthcare — Medicare Advantage: $163.24
  • Wellcare — Medicare Advantage: $163.24
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $163.24 – $298.72
Family psychotherapy, with the patient: rates for 9 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $163.24
  • Ambetter — All Products: $187.72
  • BCBS — All Products: $127.22
  • BCBS — Medicare Advantage: $163.24
  • Humana — Medicare Advantage: $163.24
  • Kansas Superior Select — Medicare Advantage: $168.13
  • Montgomery County — All Products: $298.72
  • United Healthcare — Medicare Advantage: $163.24
  • Wellcare — Medicare Advantage: $163.24
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $93.43 – $170.97
Group psychotherapy: rates for 9 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $93.43
  • Ambetter — All Products: $107.44
  • BCBS — All Products: $29.62
  • BCBS — Medicare Advantage: $93.43
  • Humana — Medicare Advantage: $93.43
  • Kansas Superior Select — Medicare Advantage: $96.23
  • Montgomery County — All Products: $170.97
  • United Healthcare — Medicare Advantage: $93.43
  • Wellcare — Medicare Advantage: $93.43

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION $1,054 $737.80 $312.63 – $1,247.16
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $378.83
  • Aetna — Medicare Advantage Non Facility: $491.41
  • Kansas Superior Select — Medicare Advantage Facility: $491.37
  • Kansas Superior Select — Medicare Advantage Non Facility: $532.79
  • Montgomery County — All Products Physician Facility: $459.75
  • Montgomery County — All Products Physician Non Facility: $646.59
  • Montgomery County — Midlevels Facility: $312.63
  • Montgomery County — Midlevels Non Facility: $439.68
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $1,247.16
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $3,600.86 – $6,589.57
Removal of breast growth (open surgery): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3,600.86
  • Ambetter — All Products: $4,140.98
  • BCBS — All Products: $4,786.60
  • BCBS — Medicare Advantage: $3,600.86
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,247.16
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,259.51
  • Healthy Blue — Managed Medicaid: $1,259.51
  • Humana — Medicare Advantage: $3,600.86
  • Kansas Superior Select — Medicare Advantage: $3,708.88
  • Montgomery County — All Products: $6,589.57
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $11,807.18 – $21,607.14
Total hip replacement: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $11,807.18
  • Ambetter — All Products: $13,578.26
  • BCBS — All Products: $16,083.53
  • BCBS — Medicare Advantage: $11,807.18
  • Celtic Sunflower — Managed Medicaid - Clinic: $8,594.10
  • Celtic Sunflower — Managed Medicaid - Hospital: $8,679.19
  • Healthy Blue — Managed Medicaid: $8,679.19
  • Humana — Medicare Advantage: $11,807.18
  • Kansas Superior Select — Medicare Advantage: $12,161.40
  • Montgomery County — All Products: $21,607.14
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $11,807.18 – $21,607.14
Total knee replacement: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $11,807.18
  • Ambetter — All Products: $13,578.26
  • BCBS — All Products: $16,083.53
  • BCBS — Medicare Advantage: $11,807.18
  • Celtic Sunflower — Managed Medicaid - Clinic: $4,306.18
  • Celtic Sunflower — Managed Medicaid - Hospital: $4,348.81
  • Healthy Blue — Managed Medicaid: $4,348.81
  • Humana — Medicare Advantage: $11,807.18
  • Kansas Superior Select — Medicare Advantage: $12,161.40
  • Montgomery County — All Products: $21,607.14
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $780 – $4,055.76
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • BCBS — All Products: $4,055.76
  • Celtic Sunflower — Managed Medicaid - Clinic: $787.80
  • Celtic Sunflower — Managed Medicaid - Hospital: $795.60
  • Healthy Blue — Managed Medicaid: $795.60
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $787.80
  • UHCCP — Managed Medicaid: $780
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $3,009.12 – $5,506.69
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3,009.12
  • Ambetter — All Products: $3,460.49
  • BCBS — All Products: $4,055.76
  • BCBS — Medicare Advantage: $3,009.12
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,059.06
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,069.54
  • Healthy Blue — Managed Medicaid: $1,069.54
  • Humana — Medicare Advantage: $3,009.12
  • Kansas Superior Select — Medicare Advantage: $3,099.39
  • Montgomery County — All Products: $5,506.69
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $5,444.21 – $9,962.91
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $5,444.21
  • Ambetter — All Products: $6,260.84
  • BCBS — All Products: $7,394.58
  • BCBS — Medicare Advantage: $5,444.21
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,916.07
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,935.04
  • Healthy Blue — Managed Medicaid: $1,935.04
  • Humana — Medicare Advantage: $5,444.21
  • Kansas Superior Select — Medicare Advantage: $5,607.54
  • Montgomery County — All Products: $9,962.91
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH $1,291.55 $904.09 $834.12 – $1,526.43
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $834.12
  • Ambetter — All Products: $959.23
  • BCBS — All Products: $1,171.95
  • BCBS — Medicare Advantage: $834.12
  • Celtic Sunflower — Managed Medicaid - Clinic: $296.59
  • Celtic Sunflower — Managed Medicaid - Hospital: $299.52
  • ChoiceCare (First Health Network) — All Products: $1,162.40
  • Health Partners of Kansas, Inc — All Products: $1,162.40
  • Healthy Blue — Managed Medicaid: $299.52
  • Humana — Medicare Advantage: $834.12
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH $548 $383.60 $87.79 – $368.76
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $106.38
  • Aetna — Medicare Advantage Non Facility: $280.26
  • Kansas Superior Select — Medicare Advantage Facility: $268.86
  • Kansas Superior Select — Medicare Advantage Non Facility: $303.86
  • Montgomery County — All Products Physician Facility: $129.10
  • Montgomery County — All Products Physician Non Facility: $368.76
  • Montgomery County — Midlevels Facility: $87.79
  • Montgomery County — Midlevels Non Facility: $250.76
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $296.59
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $731 $511.70 $98.24 – $478.13
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $119.05
  • Aetna — Medicare Advantage Non Facility: $363.38
  • Kansas Superior Select — Medicare Advantage Facility: $347.31
  • Kansas Superior Select — Medicare Advantage Non Facility: $393.98
  • Montgomery County — All Products Physician Facility: $144.48
  • Montgomery County — All Products Physician Non Facility: $478.13
  • Montgomery County — Midlevels Facility: $98.24
  • Montgomery County — Midlevels Non Facility: $325.13
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $296.59
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $834.12 – $1,526.43
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $834.12
  • Ambetter — All Products: $959.23
  • BCBS — All Products: $1,171.95
  • BCBS — Medicare Advantage: $834.12
  • Celtic Sunflower — Managed Medicaid - Clinic: $296.59
  • Celtic Sunflower — Managed Medicaid - Hospital: $299.52
  • Healthy Blue — Managed Medicaid: $299.52
  • Humana — Medicare Advantage: $834.12
  • Kansas Superior Select — Medicare Advantage: $859.14
  • Montgomery County — All Products: $1,526.43
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY $678 $474.60 $130.54 – $433.15
Colonoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $158.19
  • Aetna — Medicare Advantage Non Facility: $329.19
  • Kansas Superior Select — Medicare Advantage Facility: $320.06
  • Kansas Superior Select — Medicare Advantage Non Facility: $356.92
  • Montgomery County — All Products Physician Facility: $191.98
  • Montgomery County — All Products Physician Non Facility: $433.15
  • Montgomery County — Midlevels Facility: $130.54
  • Montgomery County — Midlevels Non Facility: $294.54
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $299.04
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $855.24 – $1,565.09
Colonoscopy (diagnostic): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $855.24
  • Ambetter — All Products: $983.53
  • BCBS — All Products: $1,321.08
  • BCBS — Medicare Advantage: $855.24
  • Celtic Sunflower — Managed Medicaid - Clinic: $299.04
  • Celtic Sunflower — Managed Medicaid - Hospital: $302
  • Healthy Blue — Managed Medicaid: $302
  • Humana — Medicare Advantage: $855.24
  • Kansas Superior Select — Medicare Advantage: $880.90
  • Montgomery County — All Products: $1,565.09
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY $866 $606.20 $141.23 – $549.26
Colonoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $171.13
  • Aetna — Medicare Advantage Non Facility: $417.44
  • Kansas Superior Select — Medicare Advantage Facility: $404.16
  • Kansas Superior Select — Medicare Advantage Non Facility: $452.59
  • Montgomery County — All Products Physician Facility: $207.69
  • Montgomery County — All Products Physician Non Facility: $549.26
  • Montgomery County — Midlevels Facility: $141.23
  • Montgomery County — Midlevels Non Facility: $373.50
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $386.10
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,100.50 – $2,013.91
Colonoscopy with biopsy: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $1,100.50
  • Ambetter — All Products: $1,265.57
  • BCBS — All Products: $1,473.85
  • BCBS — Medicare Advantage: $1,100.50
  • Celtic Sunflower — Managed Medicaid - Clinic: $386.10
  • Celtic Sunflower — Managed Medicaid - Hospital: $389.93
  • Healthy Blue — Managed Medicaid: $389.93
  • Humana — Medicare Advantage: $1,100.50
  • Kansas Superior Select — Medicare Advantage: $1,133.51
  • Montgomery County — All Products: $2,013.91
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL $913 $639.10 $178.07 – $574.38
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $215.77
  • Aetna — Medicare Advantage Non Facility: $436.53
  • Kansas Superior Select — Medicare Advantage Facility: $426.19
  • Kansas Superior Select — Medicare Advantage Non Facility: $473.29
  • Montgomery County — All Products Physician Facility: $261.86
  • Montgomery County — All Products Physician Non Facility: $574.38
  • Montgomery County — Midlevels Facility: $178.07
  • Montgomery County — Midlevels Non Facility: $390.58
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $386.10
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,100.50 – $2,013.91
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $1,100.50
  • Ambetter — All Products: $1,265.57
  • BCBS — All Products: $1,473.85
  • BCBS — Medicare Advantage: $1,100.50
  • Celtic Sunflower — Managed Medicaid - Clinic: $386.10
  • Celtic Sunflower — Managed Medicaid - Hospital: $389.93
  • Healthy Blue — Managed Medicaid: $389.93
  • Humana — Medicare Advantage: $1,100.50
  • Kansas Superior Select — Medicare Advantage: $1,133.51
  • Montgomery County — All Products: $2,013.91
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 $1,100.50 – $2,013.91
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $1,100.50
  • Ambetter — All Products: $1,265.57
  • BCBS — Medicare Advantage: $1,100.50
  • Celtic Sunflower — Managed Medicaid - Clinic: $236.34
  • Celtic Sunflower — Managed Medicaid - Hospital: $238.68
  • Healthy Blue — Managed Medicaid: $238.68
  • Humana — Medicare Advantage: $1,100.50
  • Kansas Superior Select — Medicare Advantage: $1,133.51
  • Montgomery County — All Products: $2,013.91
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $236.34
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLON CA SCRN NOT HI RSK IND $677 $473.90 $130.69 – $573.13
Screening colonoscopy (not high risk): rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $158.36
  • Aetna — Medicare Advantage Non Facility: $329.36
  • Kansas Superior Select — Medicare Advantage Facility: $320.25
  • Kansas Superior Select — Medicare Advantage Non Facility: $357.09
  • Montgomery County — All Products Physician Facility: $192.19
  • Montgomery County — All Products Physician Non Facility: $433.36
  • Montgomery County — Midlevels Facility: $130.69
  • Montgomery County — Midlevels Non Facility: $294.69
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $573.13
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $855.24 – $1,565.09
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $855.24
  • Ambetter — All Products: $983.53
  • BCBS — All Products: $1,139.64
  • BCBS — Medicare Advantage: $855.24
  • Celtic Sunflower — Managed Medicaid - Clinic: $573.13
  • Celtic Sunflower — Managed Medicaid - Hospital: $578.81
  • Healthy Blue — Managed Medicaid: $578.81
  • Humana — Medicare Advantage: $855.24
  • Kansas Superior Select — Medicare Advantage: $880.90
  • Montgomery County — All Products: $1,565.09
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $1,422 $995.40 $483.09 – $1,887.87
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $585.39
  • Aetna — Medicare Advantage Non Facility: $539.92
  • Kansas Superior Select — Medicare Advantage Facility: $624.54
  • Kansas Superior Select — Medicare Advantage Non Facility: $585.39
  • Montgomery County — All Products Physician Facility: $710.43
  • Montgomery County — All Products Physician Non Facility: $710.43
  • Montgomery County — Midlevels Facility: $483.09
  • Montgomery County — Midlevels Non Facility: $483.09
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $1,887.87
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $5,559.81 – $10,174.45
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $5,559.81
  • Ambetter — All Products: $6,393.78
  • BCBS — All Products: $7,292.95
  • BCBS — Medicare Advantage: $5,559.81
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,887.87
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,906.56
  • Healthy Blue — Managed Medicaid: $1,906.56
  • Humana — Medicare Advantage: $5,559.81
  • Kansas Superior Select — Medicare Advantage: $5,726.61
  • Montgomery County — All Products: $10,174.45
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 $1,122 $785.40 $388.24 – $1,131.97
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $470.45
  • Aetna — Medicare Advantage Non Facility: $433.91
  • Kansas Superior Select — Medicare Advantage Facility: $496.26
  • Kansas Superior Select — Medicare Advantage Non Facility: $470.45
  • Montgomery County — All Products Physician Facility: $570.94
  • Montgomery County — All Products Physician Non Facility: $570.94
  • Montgomery County — Midlevels Facility: $388.24
  • Montgomery County — Midlevels Non Facility: $388.24
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $1,131.97
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $3,292.74 – $6,025.71
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $3,292.74
  • Ambetter — All Products: $3,786.65
  • BCBS — All Products: $4,411.33
  • BCBS — Medicare Advantage: $3,292.74
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,131.97
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,143.18
  • Healthy Blue — Managed Medicaid: $1,143.18
  • Humana — Medicare Advantage: $3,292.74
  • Kansas Superior Select — Medicare Advantage: $3,391.52
  • Montgomery County — All Products: $6,025.71
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF PROSTATE $538 $376.60 $228.59
Prostate biopsy: rates for 5 insurance plans
  • Kansas Superior Select — Medicare Advantage Facility: $228.59
  • Montgomery County — All Products Physician Facility: $177.54
  • Montgomery County — All Products Physician Non Facility: $177.54
  • Montgomery County — Midlevels Facility: $349.70
  • Montgomery County — Midlevels Non Facility: $349.70
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $2,560.64
Prostate biopsy: rates for 1 insurance plan
  • BCBS — All Products: $2,560.64
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 $9,775.80 – $17,889.72
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans
  • Allwell Sunflower — Medicare Advantage HMO: $9,775.80
  • Ambetter — All Products: $11,242.17
  • BCBS — All Products: $13,014.03
  • BCBS — Medicare Advantage: $9,775.80
  • Humana — Medicare Advantage: $9,775.80
  • Kansas Superior Select — Medicare Advantage: $10,069.07
  • Montgomery County — All Products: $17,889.72
  • United Healthcare — Medicare Advantage: $9,775.80
  • Wellcare — Medicare Advantage: $9,775.80
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY $2,860 $2,002 $159.99 – $1,439.28
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $193.87
  • Aetna — Medicare Advantage Non Facility: $1,093.85
  • Kansas Superior Select — Medicare Advantage Facility: $1,164.84
  • Kansas Superior Select — Medicare Advantage Non Facility: $1,185.96
  • Montgomery County — All Products Physician Facility: $235.28
  • Montgomery County — All Products Physician Non Facility: $1,439.28
  • Montgomery County — Midlevels Facility: $159.99
  • Montgomery County — Midlevels Non Facility: $978.71
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $1,022.91
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $2,977.05 – $5,447.99
Hysteroscopy with biopsy of the uterus lining: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $2,977.05
  • Ambetter — All Products: $3,423.60
  • BCBS — All Products: $3,974.41
  • BCBS — Medicare Advantage: $2,977.05
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,022.91
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,033.04
  • Healthy Blue — Managed Medicaid: $1,033.04
  • Humana — Medicare Advantage: $2,977.05
  • Kansas Superior Select — Medicare Advantage: $3,066.36
  • Montgomery County — All Products: $5,447.99
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $1,364 $954.80 $649.17 – $1,187.98
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $649.17
  • Ambetter — All Products: $746.54
  • BCBS — All Products: $1,141.80
  • BCBS — Medicare Advantage: $649.17
  • Celtic Sunflower — Managed Medicaid - Clinic: $380.92
  • Celtic Sunflower — Managed Medicaid - Hospital: $384.69
  • ChoiceCare (First Health Network) — All Products: $1,227.60
  • Health Partners of Kansas, Inc — All Products: $1,227.60
  • Healthy Blue — Managed Medicaid: $384.69
  • Humana — Medicare Advantage: $649.17
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC $523 $366.10 $71.39 – $380.92
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $86.51
  • Aetna — Medicare Advantage Non Facility: $237.84
  • Kansas Superior Select — Medicare Advantage Facility: $240.90
  • Kansas Superior Select — Medicare Advantage Non Facility: $257.87
  • Montgomery County — All Products Physician Facility: $104.99
  • Montgomery County — All Products Physician Non Facility: $312.95
  • Montgomery County — Midlevels Facility: $71.39
  • Montgomery County — Midlevels Non Facility: $212.81
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $380.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ SINGLE FORAMEN EPIDURAL $949.75 $664.83 $813.41 – $1,488.54
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $813.41
  • Ambetter — All Products: $935.42
  • BCBS — All Products: $1,112.86
  • BCBS — Medicare Advantage: $813.41
  • Celtic Sunflower — Managed Medicaid - Clinic: $298.22
  • Celtic Sunflower — Managed Medicaid - Hospital: $301.18
  • ChoiceCare (First Health Network) — All Products: $854.78
  • Health Partners of Kansas, Inc — All Products: $854.78
  • Healthy Blue — Managed Medicaid: $301.18
  • Humana — Medicare Advantage: $813.41
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INJ SINGLE FORAMEN EPIDURAL $467 $326.90 $79.59 – $303.88
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans
  • Aetna — Medicare Advantage Facility: $96.45
  • Aetna — Medicare Advantage Non Facility: $230.95
  • Kansas Superior Select — Medicare Advantage Facility: $231.08
  • Kansas Superior Select — Medicare Advantage Non Facility: $250.39
  • Montgomery County — All Products Physician Facility: $117.05
  • Montgomery County — All Products Physician Non Facility: $303.88
  • Montgomery County — Midlevels Facility: $79.59
  • Montgomery County — Midlevels Non Facility: $206.64
  • Multiplan (PHCS Medicaid network) — Managed Medicaid Facility: $298.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJ AA STRD TFRM EPI L/S 1 BIL $1,425 $997.50 $356.25 – $1,282.50
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • Ambetter — All Products: $356.25
  • Celtic Sunflower — Managed Medicaid - Clinic: $641.25
  • Celtic Sunflower — Managed Medicaid - Hospital: $641.25
  • ChoiceCare (First Health Network) — All Products: $1,282.50
  • Health Partners of Kansas, Inc — All Products: $1,282.50
  • Montgomery County — All Products: $470.25
  • Multiplan — All Products: $1,211.25
  • United Healthcare — All Products: $1,239.75
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,795.84 – $3,286.38
Carpal tunnel release: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $1,795.84
  • Ambetter — All Products: $2,065.21
  • BCBS — All Products: $1,624.08
  • BCBS — Medicare Advantage: $1,795.84
  • Celtic Sunflower — Managed Medicaid - Clinic: $631.72
  • Celtic Sunflower — Managed Medicaid - Hospital: $637.98
  • Healthy Blue — Managed Medicaid: $637.98
  • Humana — Medicare Advantage: $1,795.84
  • Kansas Superior Select — Medicare Advantage: $1,849.71
  • Montgomery County — All Products: $3,286.38
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $505.81 – $925.63
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $505.81
  • Ambetter — All Products: $581.68
  • BCBS — All Products: $910.01
  • BCBS — Medicare Advantage: $505.81
  • Celtic Sunflower — Managed Medicaid - Clinic: $519.95
  • Celtic Sunflower — Managed Medicaid - Hospital: $525.10
  • Healthy Blue — Managed Medicaid: $525.10
  • Humana — Medicare Advantage: $505.81
  • Kansas Superior Select — Medicare Advantage: $520.98
  • Montgomery County — All Products: $925.63
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,122.41 – $3,884
Cataract removal with lens implant: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $2,122.41
  • Ambetter — All Products: $2,440.77
  • BCBS — All Products: $2,860.91
  • BCBS — Medicare Advantage: $2,122.41
  • Celtic Sunflower — Managed Medicaid - Clinic: $762.47
  • Celtic Sunflower — Managed Medicaid - Hospital: $770.02
  • Healthy Blue — Managed Medicaid: $770.02
  • Humana — Medicare Advantage: $2,122.41
  • Kansas Superior Select — Medicare Advantage: $2,186.08
  • Montgomery County — All Products: $3,884

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRICAL CARE $3,477 $2,433.90 $1,682.75 – $2,474.64
Vaginal delivery, with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $2,039.10
  • Aetna — Medicare Advantage Non Facility: $1,880.72
  • Kansas Superior Select — Medicare Advantage Facility: $2,257.02
  • Kansas Superior Select — Medicare Advantage Non Facility: $2,039.10
  • Montgomery County — All Products Physician Facility: $2,474.64
  • Montgomery County — All Products Physician Non Facility: $2,474.64
  • Montgomery County — Midlevels Facility: $1,682.75
  • Montgomery County — Midlevels Non Facility: $1,682.75
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY $3,846 $2,692.20 $1,864.76 – $2,742.30
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage Facility: $2,259.66
  • Aetna — Medicare Advantage Non Facility: $2,084.15
  • Kansas Superior Select — Medicare Advantage Facility: $2,492.86
  • Kansas Superior Select — Medicare Advantage Non Facility: $2,259.66
  • Montgomery County — All Products Physician Facility: $2,742.30
  • Montgomery County — All Products Physician Non Facility: $2,742.30
  • Montgomery County — Midlevels Facility: $1,864.76
  • Montgomery County — Midlevels Non Facility: $1,864.76
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,379.97 – $1,407.57
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
  • Celtic Sunflower — Managed Medicaid - Clinic: $1,393.77
  • Celtic Sunflower — Managed Medicaid - Hospital: $1,407.57
  • Healthy Blue — Managed Medicaid: $1,407.57
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $1,393.77
  • UHCCP — Managed Medicaid: $1,379.97

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 AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $35,074.08 – $104,930.51
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $89,513.92
  • Ambetter — All Products: $102,941.01
  • BCBS — Medicare Advantage: $89,513.92
  • Celtic Sunflower — Managed Medicaid - Hospital: $35,775.56
  • Healthy Blue — Managed Medicaid: $35,775.56
  • Humana — Medicare Advantage: $89,513.92
  • Kansas Superior Select — Medicare Advantage: $92,199.34
  • Montgomery County — All Products: $104,930.51
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $35,424.82
  • UHCCP — Managed Medicaid: $35,074.08
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 $35,074.08 – $104,930.51
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan
  • BCBS — All Products: $89,103.90
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 AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $10,420.56 – $49,781.40
Hip or knee replacement (major joint of the leg), without major complications: 10 of 12 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $17,851.82
  • Ambetter — All Products: $20,529.59
  • BCBS — Medicare Advantage: $17,851.82
  • Celtic Sunflower — Managed Medicaid - Hospital: $10,628.97
  • Healthy Blue — Managed Medicaid: $10,628.97
  • Humana — Medicare Advantage: $17,851.82
  • Kansas Superior Select — Medicare Advantage: $18,387.37
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $10,524.77
  • UHCCP — Managed Medicaid: $10,420.56
  • United Healthcare — All Products: $49,781.40
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 joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $10,420.56 – $49,781.40
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
  • Montgomery County — All Products: $20,689.42
  • ChoiceCare (First Health Network) — All Products: 90% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (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 $10,420.56 – $49,781.40
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • BCBS — All Products: $22,152.04
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 $10,102.86 – $40,185.30
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $22,338.22
  • Ambetter — All Products: $25,688.95
  • BCBS — All Products: $22,534.91
  • BCBS — Medicare Advantage: $22,338.22
  • Celtic Sunflower — Managed Medicaid - Hospital: $10,304.92
  • Healthy Blue — Managed Medicaid: $10,304.92
  • Humana — Medicare Advantage: $22,338.22
  • Kansas Superior Select — Medicare Advantage: $23,008.37
  • Montgomery County — All Products: $26,185.43
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $10,203.89
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 $4,161.87 – $14,131.97
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates
  • Allwell Sunflower — Medicare Advantage HMO: $12,288.67
  • Ambetter — All Products: $14,131.97
  • BCBS — All Products: $10,492.93
  • BCBS — Medicare Advantage: $12,288.67
  • Celtic Sunflower — Managed Medicaid - Hospital: $4,245.11
  • Healthy Blue — Managed Medicaid: $4,245.11
  • Humana — Medicare Advantage: $12,288.67
  • Kansas Superior Select — Medicare Advantage: $12,657.33
  • Montgomery County — All Products: $13,307.77
  • Multiplan (PHCS Medicaid network) — Managed Medicaid: $4,203.49

Source: Labette Health’s standard charges file (labettehealth.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 28, 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 typeAcute Care Hospital
Address1902 South US Hwy 59, Parsons, KS 67357
CountyLabette County
StateKansas
Phone(620) 421‑4880
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number170120
Name in Medicare recordsLABETTE HEALTH
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(620) 421‑4881[6][9][10]
Official websitelabettehealth.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

  1. Home | Labette Health — labettehealth.com
  2. Cancer Center of Kansas-Parsons | Labette Health — labettehealth.com
  3. Patient portal | Labette Health — labettehealth.com
  4. Orthopedics | Labette Health — labettehealth.com
  5. Surgical services | Labette Health — labettehealth.com
  6. Patient information | Labette Health — labettehealth.com
  7. Visitor information | Labette Health — labettehealth.com
  8. General Surgery Clinic | Labette Health — labettehealth.com
  9. 340B Drug Pricing Program | Labette Health — labettehealth.com