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Acute Care Hospital

Lee's Summit Medical Center

Lees Summit, Missouri · Jackson County · Emergency services listed

Lee's Summit Medical Center is an acute care hospital at 2100 SE Blue Parkway, Lees Summit, MO 64063. Phone: (816) 282-5000. 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 30, 2026).

Summary

Lee's Summit Medical Center is an acute care hospital in Lees Summit, Missouri. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 104 services, specialties and programs. Medicare lists 336 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(816) 282‑5000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
336Doctors and clinicians
104Services listed

Quick answers

Does Lee's Summit Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lee's Summit Medical Center. In a medical emergency, call 911.
Where is Lee's Summit Medical Center?
2100 SE Blue Parkway, Lees Summit, MO 64063, in Jackson County, Missouri.
What is the phone number of Lee's Summit Medical Center?
(816) 282-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Lee's Summit Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Lee's Summit Medical Center for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Lee's Summit Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.0577; 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][14][16][21]

Conditions treated[6][7][10][14][17][20]

Treatments[5][6][7][14][15][16][17][20]

Procedures[6][7][11][14][15][16][18]

Programs and centers[5][6][7][10][11][14][16][17][18][19]

  • Joint Care Program
  • Cardiac rehabilitation
  • PV Clinic (vascular disease screening)
  • Care Connect ER follow-up
  • Chest Pain Center (accredited by the American College of Cardiology)
  • Stroke Center
  • PV Clinic (peripheral vascular)
  • Women's Center
  • Sexual Assault Nurse Examiner (SANE) program
  • Patient surgery text updates (Informer)
  • Pediatric emergency care

Emergency care (hospital website)[4][5][9][10][13][14]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center (Joint Commission-recognized); Missouri TCD Level II

Visiting and practical information

VisitingVisitors welcome 24/7; hours may vary by department, ask your nurse. Visitation may be temporarily limited for patient well-being[8]
ParkingFree parking is offered at the facilities[4]

Recognition[4][5][13]

  • Primary Stroke Center (Joint Commission-recognized)
  • Chest Pain Center (American College of Cardiology)
  • Missouri Time Critical Diagnosis Level II (stroke and STEMI)
  • The Joint Commission Gold Seal of Approval (Hospital Accreditation)
  • The Joint Commission Advanced Certification in Stroke (Primary Stroke Center)
  • Missouri Time Critical Diagnosis System Level II STEMI Designated Hospital
  • Missouri Time Critical Diagnosis System Level II Stroke Designated Hospital
  • Commission on Cancer Regionally Accredited Cancer Center
  • American College of Radiology Gold Seal of Accreditation (CT, mammography, MRI, nuclear medicine, ultrasound)
  • American Association of Cardiovascular and Pulmonary Rehabilitation Certified Cardiac Rehabilitation Program
  • College of American Pathologists Accredited Laboratory Program
  • American Academy of Sleep Medicine Accreditation
  • American Nurses Credentialing Center Pathways to Excellence Designated Hospital

Doctors and clinicians (336)

336 doctors and other clinicians list Lee's Summit Medical Center 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 (336)

And 312 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 Lees Summit

All hospitals in Lees Summit · Hospitals in Jackson 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 →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

  • Four B Corp1.2 mi · Lees Summit, MO · Pharmacy
  • Walgreen Co1.2 mi · Lees Summit, MO · Pharmacy
  • Hy-Vee Inc3.4 mi · Lees Summit, MO · Community/retail pharmacy

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well76%National average: 80%
“Always” got help as soon as they wanted63%National average: 64%
Staff “always” explained medicines before giving them54%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean71%National average: 73%
Completed surveys518Response rate: 26%

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.

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Surgical site infections after colon surgery0.946No different from the national benchmark
MRSA bloodstream infections0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.444No different from the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

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 attack patients12.3%
Deaths within 30 days: heart failure patients10.6%
Deaths within 30 days: pneumonia patients12.6%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients10.8%
Serious complications (patient safety indicator PSI-90)0.88No different from the national rate
Complications after hip or knee replacement4%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

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)17.9%
Readmitted within 30 days: heart attack14.5%
Readmitted within 30 days: heart failure23.9%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: hip or knee replacement7.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)179 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)67%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 Lee's Summit Medical Center, 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 Score0.0577Lower 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 attack1.0135More readmissions than expected
Heart failure1.0032More readmissions than expected
Pneumonia1.0575More readmissions than expected
COPD (chronic lung disease)0.9752Fewer readmissions than expected
Hip or knee replacement1.0161More readmissions than expected
No result publishedCoronary 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 Score27.75 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)8.00 out of 100
Person and community engagement (patient survey)28.00 out of 100
Safety (infections and sepsis care)55.00 out of 100
Efficiency and cost reduction (Medicare spending)20.00 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, ratio0.96Below 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 Lees SummitBest hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Lee's Summit Medical Center 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 83 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) In the file: OP VISIT LEVEL 3 NP $1,379.27 $1,379.27 $179.31 – $1,172.38
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates
  • Aetna Better Health — MCD: $413.78
  • Aetna Coventry — FamilyHealthPlanMCD: $317.23
  • Anthem MissouriCare — MissouriCareMGMCD: $179.31
  • BCBS — FreedomNetworkSelect: $372.40
  • CCO, Inc. — COMM: $1,172.38
  • CCO, Inc. — WORKERSCOMPPPO: $1,172.38
  • College Park Family Care Center — COMM: $593.09
  • CorVel Corporation — MOWC: $896.53
  • Coventry — MedicareAdvantage: $303.44
  • Coventry — WCOMP: $554.47
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP $1,321.46 $1,321.46 $171.79 – $1,123.24
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates
  • Aetna Better Health — MCD: $396.44
  • Aetna Coventry — FamilyHealthPlanMCD: $303.94
  • Anthem MissouriCare — MissouriCareMGMCD: $171.79
  • BCBS — FreedomNetworkSelect: $356.79
  • CCO, Inc. — COMM: $1,123.24
  • CCO, Inc. — WORKERSCOMPPPO: $1,123.24
  • College Park Family Care Center — COMM: $568.23
  • CorVel Corporation — MOWC: $858.95
  • Coventry — MedicareAdvantage: $290.72
  • Coventry — WCOMP: $531.23
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP $1,762.81 $1,762.81 $229.17 – $1,498.39
New patient office visit (about 60–74 minutes): 10 of 23 insurance plan rates
  • Aetna Better Health — MCD: $528.84
  • Aetna Coventry — FamilyHealthPlanMCD: $405.45
  • Anthem MissouriCare — MissouriCareMGMCD: $229.17
  • BCBS — FreedomNetworkSelect: $475.96
  • CCO, Inc. — COMM: $1,498.39
  • CCO, Inc. — WORKERSCOMPPPO: $1,498.39
  • College Park Family Care Center — COMM: $758.01
  • CorVel Corporation — MOWC: $1,145.83
  • Coventry — MedicareAdvantage: $387.82
  • Coventry — WCOMP: $708.65
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST $793.40 $793.40 $103.14 – $674.39
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates
  • Aetna Better Health — MCD: $238.02
  • Aetna Coventry — FamilyHealthPlanMCD: $182.48
  • Anthem MissouriCare — MissouriCareMGMCD: $103.14
  • BCBS — FreedomNetworkSelect: $214.22
  • CCO, Inc. — COMM: $674.39
  • CCO, Inc. — WORKERSCOMPPPO: $674.39
  • College Park Family Care Center — COMM: $341.16
  • CorVel Corporation — MOWC: $515.71
  • Coventry — MedicareAdvantage: $174.55
  • Coventry — WCOMP: $318.95
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST $1,710.21 $1,710.21 $222.33 – $1,453.68
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates
  • Aetna Better Health — MCD: $513.06
  • Aetna Coventry — FamilyHealthPlanMCD: $393.35
  • Anthem MissouriCare — MissouriCareMGMCD: $222.33
  • BCBS — FreedomNetworkSelect: $461.76
  • CCO, Inc. — COMM: $1,453.68
  • CCO, Inc. — WORKERSCOMPPPO: $1,453.68
  • College Park Family Care Center — COMM: $735.39
  • CorVel Corporation — MOWC: $1,111.64
  • Coventry — MedicareAdvantage: $376.25
  • Coventry — WCOMP: $687.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $69.04
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • BCBS — TRICARE: $69.04
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin Not listed in the file Not listed in the file $83.91
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • BCBS — TRICARE: $83.91
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT $2,730.20 $2,730.20 $617.03 – $2,320.67
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • BCBS — FreedomNetwork: $1,119.38
  • BCBS — FreedomNetworkSelect: $737.15
  • BCBS — Participating: $1,173.99
  • BCBS — PC: $1,119.38
  • BCBS — Traditional: $1,173.99
  • CCO, Inc. — COMM: $2,320.67
  • CCO, Inc. — WORKERSCOMPPPO: $2,320.67
  • CorVel Corporation — MOWC: $1,774.63
  • Coventry — WCOMP: $1,097.54
  • Coventry KC MO — WCOMP: $1,119.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $2,730.20 $2,730.20 $200 – $2,865
Emergency room visit (moderate): 10 of 20 insurance plan rates
  • Aetna — IVLHIX: $692
  • Aetna — KCCarePlus: $1,090
  • Aetna — Local: $1,350
  • Aetna — National: $1,878
  • Aetna Better Health — MCD: $109.20
  • Ambetter — Commercial-Exchange: $1,086
  • Amerigroup — MGMCD: $109.20
  • BCBS — Blue-Care(HMO): $1,220
  • BCBS — BlueAccess: $1,220
  • BCBS — Preferred-CareBlue(PPO): $1,220
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT $4,370.12 $4,370.12 $987.65 – $3,714.60
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • BCBS — FreedomNetwork: $1,791.75
  • BCBS — FreedomNetworkSelect: $1,179.93
  • BCBS — Participating: $1,879.15
  • BCBS — PC: $1,791.75
  • BCBS — Traditional: $1,879.15
  • CCO, Inc. — COMM: $3,714.60
  • CCO, Inc. — WORKERSCOMPPPO: $3,714.60
  • CorVel Corporation — MOWC: $2,840.58
  • Coventry — WCOMP: $1,756.79
  • Coventry KC MO — WCOMP: $1,791.75
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $4,370.12 $4,370.12 $300 – $6,457
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • Aetna — IVLHIX: $3,682
  • Aetna — KCCarePlus: $4,362
  • Aetna — Local: $5,745
  • Aetna — National: $7,092
  • Aetna Better Health — MCD: $109.20
  • Ambetter — Commercial-Exchange: $1,839
  • Amerigroup — MGMCD: $109.20
  • BCBS — Blue-Care(HMO): $3,064
  • BCBS — BlueAccess: $3,064
  • BCBS — Preferred-CareBlue(PPO): $3,064
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT $5,896.44 $5,896.44 $1,332.60 – $5,011.97
Emergency room visit (high): 10 of 22 insurance plan rates
  • BCBS — FreedomNetwork: $2,417.54
  • BCBS — FreedomNetworkSelect: $1,592.04
  • BCBS — Participating: $2,535.47
  • BCBS — PC: $2,417.54
  • BCBS — Traditional: $2,535.47
  • CCO, Inc. — COMM: $5,011.97
  • CCO, Inc. — WORKERSCOMPPPO: $5,011.97
  • CorVel Corporation — MOWC: $3,832.69
  • Coventry — WCOMP: $2,370.37
  • Coventry KC MO — WCOMP: $2,417.54
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $5,896.44 $5,896.44 $400 – $8,737
Emergency room visit (high): 10 of 20 insurance plan rates
  • Aetna — IVLHIX: $5,778
  • Aetna — KCCarePlus: $6,940
  • Aetna — Local: $9,113
  • Aetna — National: $11,251
  • Aetna Better Health — MCD: $109.20
  • Ambetter — Commercial-Exchange: $2,766
  • Amerigroup — MGMCD: $109.20
  • BCBS — Blue-Care(HMO): $4,910
  • BCBS — BlueAccess: $4,910
  • BCBS — Preferred-CareBlue(PPO): $4,910

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $924.91 $924.91 $4.56 – $6.65
Basic metabolic panel (blood test): 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $11.42
  • Aetna — KCCarePlus: $12.61
  • Aetna — Local: $16.75
  • Aetna — National: $20.64
  • Aetna Better Health — MCD: $8.80
  • Aetna Coventry — FamilyHealthPlanMCD: $7.99
  • Amerigroup — MGMCD: $8.80
  • BCBS — Blue-Care(HMO): $12.74
  • BCBS — BlueAccess: $12.74
  • BCBS — MCRHMO: $8.38
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM $924.91 $924.91 $120.24 – $786.17
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $172.03
  • Anthem MissouriCare — MissouriCareMGMCD: $120.24
  • BCBS — FreedomNetwork: $379.21
  • BCBS — FreedomNetworkSelect: $249.73
  • BCBS — Participating: $397.71
  • BCBS — PC: $379.21
  • BCBS — Traditional: $397.71
  • CCO, Inc. — COMM: $786.17
  • CCO, Inc. — WORKERSCOMPPPO: $786.17
  • College Park Family Care Center — COMM: $397.71
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier TC In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $924.91 $924.91 $15.06 – $18.63
Basic metabolic panel (blood test): rates for 4 insurance plans
  • CorVel Corporation — KSWC: $17.88
  • Multiplan — WCOMPKansas: $18.35
  • Multiplan — WCOMPMissouri: $15.06
  • OHA Network — KansasWCOMP: $18.63
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $1,373.92 $1,373.92 $5.69 – $10.56
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $14.26
  • Aetna — KCCarePlus: $15.74
  • Aetna — Local: $20.91
  • Aetna — National: $25.77
  • Aetna Better Health — MCD: $10.98
  • Aetna Coventry — FamilyHealthPlanMCD: $9.97
  • Amerigroup — MGMCD: $10.98
  • BCBS — Blue-Care(HMO): $15.91
  • BCBS — BlueAccess: $15.91
  • BCBS — MCRHMO: $10.45
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL $1,373.92 $1,373.92 $178.61 – $1,167.83
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $255.55
  • Anthem MissouriCare — MissouriCareMGMCD: $178.61
  • BCBS — FreedomNetwork: $563.31
  • BCBS — FreedomNetworkSelect: $370.96
  • BCBS — Participating: $590.79
  • BCBS — PC: $563.31
  • BCBS — Traditional: $590.79
  • CCO, Inc. — COMM: $1,167.83
  • CCO, Inc. — WORKERSCOMPPPO: $1,167.83
  • College Park Family Care Center — COMM: $590.79
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier TC In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $1,373.92 $1,373.92 $18.69 – $23.13
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • CorVel Corporation — KSWC: $22.19
  • Multiplan — WCOMPKansas: $22.78
  • Multiplan — WCOMPMissouri: $18.69
  • OHA Network — KansasWCOMP: $23.13
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $437.51 $437.51 $25.80 – $47.81
Obstetric blood test panel: 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $64.54
  • Aetna — KCCarePlus: $71.24
  • Aetna — Local: $94.66
  • Aetna — National: $116.66
  • Aetna Better Health — MCD: $49.72
  • Aetna Coventry — FamilyHealthPlanMCD: $45.18
  • Amerigroup — MGMCD: $49.72
  • BCBS — Blue-Care(HMO): $110.95
  • BCBS — BlueAccess: $110.95
  • BCBS — MCRHMO: $47.33
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OB PANEL $437.51 $437.51 $56.88 – $371.88
Obstetric blood test panel: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $81.38
  • Anthem MissouriCare — MissouriCareMGMCD: $56.88
  • BCBS — FreedomNetwork: $179.38
  • BCBS — FreedomNetworkSelect: $118.13
  • BCBS — Participating: $188.13
  • BCBS — PC: $179.38
  • BCBS — Traditional: $188.13
  • CCO, Inc. — COMM: $371.88
  • CCO, Inc. — WORKERSCOMPPPO: $371.88
  • College Park Family Care Center — COMM: $188.13
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · modifier TC In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $437.51 $437.51 $85.14 – $105.36
Obstetric blood test panel: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $101.10
  • Multiplan — WCOMPKansas: $103.76
  • Multiplan — WCOMPMissouri: $85.14
  • OHA Network — KansasWCOMP: $105.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester $518.12 $518.12 $7.22 – $13.39
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $18.08
  • Aetna — KCCarePlus: $19.95
  • Aetna — Local: $26.52
  • Aetna — National: $32.68
  • Aetna Better Health — MCD: $13.93
  • Aetna Coventry — FamilyHealthPlanMCD: $12.65
  • Amerigroup — MGMCD: $13.93
  • BCBS — Blue-Care(HMO): $20.15
  • BCBS — BlueAccess: $20.15
  • BCBS — MCRHMO: $13.26
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $518.12 $518.12 $67.36 – $440.40
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $96.37
  • Anthem MissouriCare — MissouriCareMGMCD: $67.36
  • BCBS — FreedomNetwork: $212.43
  • BCBS — FreedomNetworkSelect: $139.89
  • BCBS — Participating: $222.79
  • BCBS — PC: $212.43
  • BCBS — Traditional: $222.79
  • CCO, Inc. — COMM: $440.40
  • CCO, Inc. — WORKERSCOMPPPO: $440.40
  • College Park Family Care Center — COMM: $222.79
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier TC In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester $518.12 $518.12 $23.88 – $29.55
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • CorVel Corporation — KSWC: $28.36
  • Multiplan — WCOMPKansas: $29.10
  • Multiplan — WCOMPMissouri: $23.88
  • OHA Network — KansasWCOMP: $29.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $1,149.43 $1,149.43 $4.68 – $6.82
Kidney function panel: 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $11.72
  • Aetna — KCCarePlus: $12.94
  • Aetna — Local: $17.19
  • Aetna — National: $21.19
  • Aetna Better Health — MCD: $9.03
  • Aetna Coventry — FamilyHealthPlanMCD: $8.20
  • Amerigroup — MGMCD: $9.03
  • BCBS — Blue-Care(HMO): $13.06
  • BCBS — BlueAccess: $13.06
  • BCBS — MCRHMO: $8.59
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $1,149.43 $1,149.43 $149.43 – $977.02
Kidney function panel: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $213.79
  • Anthem MissouriCare — MissouriCareMGMCD: $149.43
  • BCBS — FreedomNetwork: $471.27
  • BCBS — FreedomNetworkSelect: $310.35
  • BCBS — Participating: $494.25
  • BCBS — PC: $471.27
  • BCBS — Traditional: $494.25
  • CCO, Inc. — COMM: $977.02
  • CCO, Inc. — WORKERSCOMPPPO: $977.02
  • College Park Family Care Center — COMM: $494.25
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier TC In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $1,149.43 $1,149.43 $15.58 – $19.28
Kidney function panel: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $18.50
  • Multiplan — WCOMPKansas: $18.98
  • Multiplan — WCOMPMissouri: $15.58
  • OHA Network — KansasWCOMP: $19.28
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase $1,112.95 $1,112.95 $4.41 – $8.17
Liver function panel: 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $11.03
  • Aetna — KCCarePlus: $12.17
  • Aetna — Local: $16.18
  • Aetna — National: $19.93
  • Aetna Better Health — MCD: $8.50
  • Aetna Coventry — FamilyHealthPlanMCD: $7.72
  • Amerigroup — MGMCD: $8.50
  • BCBS — Blue-Care(HMO): $12.28
  • BCBS — BlueAccess: $12.28
  • BCBS — MCRHMO: $8.09
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $1,112.95 $1,112.95 $144.68 – $946.01
Liver function panel: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $207.01
  • Anthem MissouriCare — MissouriCareMGMCD: $144.68
  • BCBS — FreedomNetwork: $456.31
  • BCBS — FreedomNetworkSelect: $300.50
  • BCBS — Participating: $478.57
  • BCBS — PC: $456.31
  • BCBS — Traditional: $478.57
  • CCO, Inc. — COMM: $946.01
  • CCO, Inc. — WORKERSCOMPPPO: $946.01
  • College Park Family Care Center — COMM: $478.57
Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier TC In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase $1,112.95 $1,112.95 $14.54 – $17.99
Liver function panel: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $17.26
  • Multiplan — WCOMPKansas: $17.72
  • Multiplan — WCOMPMissouri: $14.54
  • OHA Network — KansasWCOMP: $17.99
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $414.47 $414.47 $2.99 – $7.73
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $4.28
  • Aetna — KCCarePlus: $4.72
  • Aetna — Local: $6.28
  • Aetna — National: $7.73
  • Aetna Better Health — MCD: $3.30
  • Aetna Coventry — FamilyHealthPlanMCD: $2.99
  • Amerigroup — MGMCD: $3.30
  • BCBS — Blue-Care(HMO): $4.77
  • BCBS — BlueAccess: $4.77
  • BCBS — MCRHMO: $3.14
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO $414.47 $414.47 $53.88 – $352.30
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $77.09
  • Anthem MissouriCare — MissouriCareMGMCD: $53.88
  • BCBS — FreedomNetwork: $169.93
  • BCBS — FreedomNetworkSelect: $111.91
  • BCBS — Participating: $178.22
  • BCBS — PC: $169.93
  • BCBS — Traditional: $178.22
  • CCO, Inc. — COMM: $352.30
  • CCO, Inc. — WORKERSCOMPPPO: $352.30
  • College Park Family Care Center — COMM: $178.22
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · modifier TC In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $414.47 $414.47 $5.71 – $7.07
Urine test (automated, with microscope): rates for 4 insurance plans
  • CorVel Corporation — KSWC: $6.78
  • Multiplan — WCOMPKansas: $6.96
  • Multiplan — WCOMPMissouri: $5.71
  • OHA Network — KansasWCOMP: $7.07
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: PROTEIN UR QUAL MAN $237.96 $237.96 $30.93 – $202.27
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $44.26
  • Anthem MissouriCare — MissouriCareMGMCD: $30.93
  • BCBS — FreedomNetwork: $97.56
  • BCBS — FreedomNetworkSelect: $64.25
  • BCBS — Participating: $102.32
  • BCBS — PC: $97.56
  • BCBS — Traditional: $102.32
  • CCO, Inc. — COMM: $202.27
  • CCO, Inc. — WORKERSCOMPPPO: $202.27
  • College Park Family Care Center — COMM: $102.32
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: PH UR MANUAL $247.56 $247.56 $32.18 – $210.43
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $46.05
  • Anthem MissouriCare — MissouriCareMGMCD: $32.18
  • BCBS — FreedomNetwork: $101.50
  • BCBS — FreedomNetworkSelect: $66.84
  • BCBS — Participating: $106.45
  • BCBS — PC: $101.50
  • BCBS — Traditional: $106.45
  • CCO, Inc. — COMM: $210.43
  • CCO, Inc. — WORKERSCOMPPPO: $210.43
  • College Park Family Care Center — COMM: $106.45
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: GLUC UR QUAL MANUAL $220.65 $220.65 $28.68 – $187.55
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $41.04
  • Anthem MissouriCare — MissouriCareMGMCD: $28.68
  • BCBS — FreedomNetwork: $90.47
  • BCBS — FreedomNetworkSelect: $59.58
  • BCBS — Participating: $94.88
  • BCBS — PC: $90.47
  • BCBS — Traditional: $94.88
  • CCO, Inc. — COMM: $187.55
  • CCO, Inc. — WORKERSCOMPPPO: $187.55
  • College Park Family Care Center — COMM: $94.88
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: NITRITES UR AUTO $239.35 $239.35 $31.12 – $203.45
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $44.52
  • Anthem MissouriCare — MissouriCareMGMCD: $31.12
  • BCBS — FreedomNetwork: $98.13
  • BCBS — FreedomNetworkSelect: $64.62
  • BCBS — Participating: $102.92
  • BCBS — PC: $98.13
  • BCBS — Traditional: $102.92
  • CCO, Inc. — COMM: $203.45
  • CCO, Inc. — WORKERSCOMPPPO: $203.45
  • College Park Family Care Center — COMM: $102.92
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO $372.25 $372.25 $48.39 – $316.41
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $69.24
  • Anthem MissouriCare — MissouriCareMGMCD: $48.39
  • BCBS — FreedomNetwork: $152.62
  • BCBS — FreedomNetworkSelect: $100.51
  • BCBS — Participating: $160.07
  • BCBS — PC: $152.62
  • BCBS — Traditional: $160.07
  • CCO, Inc. — COMM: $316.41
  • CCO, Inc. — WORKERSCOMPPPO: $316.41
  • College Park Family Care Center — COMM: $160.07
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: BILIRUBIN UR AUTO $282.09 $282.09 $36.67 – $239.78
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $52.47
  • Anthem MissouriCare — MissouriCareMGMCD: $36.67
  • BCBS — FreedomNetwork: $115.66
  • BCBS — FreedomNetworkSelect: $76.16
  • BCBS — Participating: $121.30
  • BCBS — PC: $115.66
  • BCBS — Traditional: $121.30
  • CCO, Inc. — COMM: $239.78
  • CCO, Inc. — WORKERSCOMPPPO: $239.78
  • College Park Family Care Center — COMM: $121.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total $556.49 $556.49 $9.92 – $18.39
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $24.83
  • Aetna — KCCarePlus: $27.40
  • Aetna — Local: $36.42
  • Aetna — National: $44.88
  • Aetna Better Health — MCD: $19.13
  • Aetna Coventry — FamilyHealthPlanMCD: $17.38
  • Amerigroup — MGMCD: $19.13
  • BCBS — Blue-Care(HMO): $27.68
  • BCBS — BlueAccess: $27.68
  • BCBS — MCRHMO: $18.21
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL $556.49 $556.49 $72.34 – $473.02
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $103.51
  • Anthem MissouriCare — MissouriCareMGMCD: $72.34
  • BCBS — FreedomNetwork: $228.16
  • BCBS — FreedomNetworkSelect: $150.25
  • BCBS — Participating: $239.29
  • BCBS — PC: $228.16
  • BCBS — Traditional: $239.29
  • CCO, Inc. — COMM: $473.02
  • CCO, Inc. — WORKERSCOMPPPO: $473.02
  • College Park Family Care Center — COMM: $239.29
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · modifier TC In the file: Prostate specific antigen (PSA); total $556.49 $556.49 $32.70 – $40.47
PSA (prostate specific antigen) blood test: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $38.84
  • Multiplan — WCOMPKansas: $39.86
  • Multiplan — WCOMPMissouri: $32.70
  • OHA Network — KansasWCOMP: $40.47
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $147.75 $147.75 $19.21 – $125.59
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $27.48
  • Anthem MissouriCare — MissouriCareMGMCD: $19.21
  • BCBS — FreedomNetwork: $60.58
  • BCBS — FreedomNetworkSelect: $39.89
  • BCBS — Participating: $63.53
  • BCBS — PC: $60.58
  • BCBS — Traditional: $63.53
  • CCO, Inc. — COMM: $125.59
  • CCO, Inc. — WORKERSCOMPPPO: $125.59
  • College Park Family Care Center — COMM: $63.53
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) Not listed in the file Not listed in the file $15.75 – $40.99
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $22.68
  • Aetna — KCCarePlus: $25.03
  • Aetna — Local: $33.26
  • Aetna — National: $40.99
  • Aetna Better Health — MCD: $16.38
  • Aetna Coventry — FamilyHealthPlanMCD: $15.88
  • Amerigroup — MGMCD: $16.38
  • BCBS — Blue-Care(HMO): $25.27
  • BCBS — BlueAccess: $25.27
  • BCBS — MCRHMO: $16.63
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier TC In the file: Thyroid stimulating hormone (TSH) Not listed in the file Not listed in the file $30.11 – $37.26
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $35.76
  • Multiplan — WCOMPKansas: $36.70
  • Multiplan — WCOMPMissouri: $30.11
  • OHA Network — KansasWCOMP: $37.26
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Not listed in the file Not listed in the file $4.19 – $7.77
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $10.49
  • Aetna — KCCarePlus: $11.58
  • Aetna — Local: $15.39
  • Aetna — National: $18.96
  • Aetna Better Health — MCD: $6.86
  • Aetna Coventry — FamilyHealthPlanMCD: $7.34
  • Amerigroup — MGMCD: $6.86
  • BCBS — Blue-Care(HMO): $11.71
  • BCBS — BlueAccess: $11.71
  • BCBS — MCRHMO: $7.69
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier TC In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Not listed in the file Not listed in the file $14.02 – $17.34
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $16.64
  • Multiplan — WCOMPKansas: $17.08
  • Multiplan — WCOMPMissouri: $14.02
  • OHA Network — KansasWCOMP: $17.34
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $387.63 $387.63 $3.49 – $5.09
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $8.74
  • Aetna — KCCarePlus: $9.64
  • Aetna — Local: $12.81
  • Aetna — National: $15.79
  • Aetna Better Health — MCD: $6.73
  • Aetna Coventry — FamilyHealthPlanMCD: $6.11
  • Amerigroup — MGMCD: $6.73
  • BCBS — Blue-Care(HMO): $9.74
  • BCBS — BlueAccess: $9.74
  • BCBS — MCRHMO: $6.41
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED $387.63 $387.63 $50.39 – $329.49
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $72.10
  • Anthem MissouriCare — MissouriCareMGMCD: $50.39
  • BCBS — FreedomNetwork: $158.93
  • BCBS — FreedomNetworkSelect: $104.66
  • BCBS — Participating: $166.68
  • BCBS — PC: $158.93
  • BCBS — Traditional: $166.68
  • CCO, Inc. — COMM: $329.49
  • CCO, Inc. — WORKERSCOMPPPO: $329.49
  • College Park Family Care Center — COMM: $166.68
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier TC In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $387.63 $387.63 $11.42 – $14.14
Complete blood count (CBC), automated: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $13.57
  • Multiplan — WCOMPKansas: $13.92
  • Multiplan — WCOMPMissouri: $11.42
  • OHA Network — KansasWCOMP: $14.14
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; $318.55 $318.55 $2.32 – $4.29
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $5.79
  • Aetna — KCCarePlus: $6.39
  • Aetna — Local: $8.50
  • Aetna — National: $10.47
  • Aetna Better Health — MCD: $4.46
  • Aetna Coventry — FamilyHealthPlanMCD: $4.05
  • Amerigroup — MGMCD: $4.46
  • BCBS — Blue-Care(HMO): $5.90
  • BCBS — BlueAccess: $5.90
  • BCBS — MCRHMO: $4.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME $318.55 $318.55 $41.41 – $270.77
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $59.25
  • Anthem MissouriCare — MissouriCareMGMCD: $41.41
  • BCBS — FreedomNetwork: $130.61
  • BCBS — FreedomNetworkSelect: $86.01
  • BCBS — Participating: $136.98
  • BCBS — PC: $130.61
  • BCBS — Traditional: $136.98
  • CCO, Inc. — COMM: $270.77
  • CCO, Inc. — WORKERSCOMPPPO: $270.77
  • College Park Family Care Center — COMM: $136.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier TC In the file: Prothrombin time; $318.55 $318.55 $6.75 – $8.36
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • CorVel Corporation — KSWC: $8.02
  • Multiplan — WCOMPKansas: $8.23
  • Multiplan — WCOMPMissouri: $6.75
  • OHA Network — KansasWCOMP: $8.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood $356.92 $356.92 $3.25 – $6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
  • Aetna — IVLHIX: $8.11
  • Aetna — KCCarePlus: $8.96
  • Aetna — Local: $11.90
  • Aetna — National: $14.67
  • Aetna Better Health — MCD: $5.46
  • Aetna Coventry — FamilyHealthPlanMCD: $5.68
  • Amerigroup — MGMCD: $5.46
  • BCBS — Blue-Care(HMO): $12.64
  • BCBS — BlueAccess: $12.64
  • BCBS — MCRHMO: $5.95
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $356.92 $356.92 $46.40 – $303.38
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $66.39
  • Anthem MissouriCare — MissouriCareMGMCD: $46.40
  • BCBS — FreedomNetwork: $146.34
  • BCBS — FreedomNetworkSelect: $96.37
  • BCBS — Participating: $153.48
  • BCBS — PC: $146.34
  • BCBS — Traditional: $153.48
  • CCO, Inc. — COMM: $303.38
  • CCO, Inc. — WORKERSCOMPPPO: $303.38
  • College Park Family Care Center — COMM: $153.48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier TC In the file: Thromboplastin time, partial (PTT); plasma or whole blood $356.92 $356.92 $10.90 – $13.49
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • CorVel Corporation — KSWC: $12.95
  • Multiplan — WCOMPKansas: $13.29
  • Multiplan — WCOMPMissouri: $10.90
  • OHA Network — KansasWCOMP: $13.49

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) In the file: CT HEAD/BRAIN W/O CONT $11,546.43 $11,546.43 $1,501.04 – $9,814.47
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $2,147.64
  • Anthem MissouriCare — MissouriCareMGMCD: $1,501.04
  • BCBS — FreedomNetwork: $4,734.04
  • BCBS — FreedomNetworkSelect: $3,117.54
  • BCBS — Participating: $4,964.96
  • BCBS — PC: $4,734.04
  • BCBS — Traditional: $4,964.96
  • CCO, Inc. — COMM: $9,814.47
  • CCO, Inc. — WORKERSCOMPPPO: $9,814.47
  • College Park Family Care Center — COMM: $4,964.96
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material Not listed in the file Not listed in the file $129.77 – $245.18
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $474
  • Aetna — KCCarePlus: $500
  • Aetna — Local: $667
  • Aetna — National: $811
  • Aetna Better Health — MCD: $62.36
  • Aetna Coventry — FamilyHealthPlanMCD: $96.60
  • Amerigroup — MGMCD: $62.36
  • BCBS — Blue-Care(HMO): $248.45
  • BCBS — BlueAccess: $248.45
  • BCBS — Preferred-CareBlue(PPO): $248.45
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: Computed tomography, head or brain; without contrast material Not listed in the file Not listed in the file $95.78 – $118.53
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $113.74
  • Multiplan — WCOMPKansas: $116.74
  • Multiplan — WCOMPMissouri: $95.78
  • OHA Network — KansasWCOMP: $118.53
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT $18,488.39 $18,488.39 $2,403.49 – $15,715.13
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $3,438.84
  • Anthem MissouriCare — MissouriCareMGMCD: $2,403.49
  • BCBS — FreedomNetwork: $7,580.24
  • BCBS — FreedomNetworkSelect: $4,991.87
  • BCBS — Participating: $7,950.01
  • BCBS — PC: $7,580.24
  • BCBS — Traditional: $7,950.01
  • CCO, Inc. — COMM: $15,715.13
  • CCO, Inc. — WORKERSCOMPPPO: $15,715.13
  • College Park Family Care Center — COMM: $7,950.01
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $18,488.39 $18,488.39 $453.94 – $658.73
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $1,074
  • Aetna — KCCarePlus: $1,136
  • Aetna — Local: $1,514
  • Aetna — National: $1,836
  • Aetna Better Health — MCD: $214.96
  • Aetna Coventry — FamilyHealthPlanMCD: $326.74
  • Amerigroup — MGMCD: $214.96
  • BCBS — Blue-Care(HMO): $941.36
  • BCBS — BlueAccess: $941.36
  • BCBS — Preferred-CareBlue(PPO): $941.36
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $18,488.39 $18,488.39 $345.19 – $427.18
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $409.92
  • Multiplan — WCOMPKansas: $420.70
  • Multiplan — WCOMPMissouri: $345.19
  • OHA Network — KansasWCOMP: $427.18
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V $2,523.02 $2,523.02 $327.99 – $2,144.57
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $469.28
  • Anthem MissouriCare — MissouriCareMGMCD: $327.99
  • BCBS — FreedomNetwork: $1,034.44
  • BCBS — FreedomNetworkSelect: $681.22
  • BCBS — Participating: $1,084.90
  • BCBS — PC: $1,034.44
  • BCBS — Traditional: $1,084.90
  • CCO, Inc. — COMM: $2,144.57
  • CCO, Inc. — WORKERSCOMPPPO: $2,144.57
  • College Park Family Care Center — COMM: $1,084.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views $2,523.02 $2,523.02 $107.26 – $182.03
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $32.58
  • Aetna — KCCarePlus: $35.96
  • Aetna — Local: $47.78
  • Aetna — National: $58.88
  • Aetna Better Health — MCD: $50.69
  • Aetna Coventry — FamilyHealthPlanMCD: $71.77
  • Amerigroup — MGMCD: $50.69
  • BCBS — Blue-Care(HMO): $46.41
  • BCBS — BlueAccess: $46.41
  • BCBS — Preferred-CareBlue(PPO): $46.41
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, chest; 2 views $2,523.02 $2,523.02 $25.45 – $31.49
Chest X-ray, 2 views: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $30.22
  • Multiplan — WCOMPKansas: $31.01
  • Multiplan — WCOMPMissouri: $25.45
  • OHA Network — KansasWCOMP: $31.49
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS $3,624.85 $3,624.85 $471.23 – $3,081.12
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $674.22
  • Anthem MissouriCare — MissouriCareMGMCD: $471.23
  • BCBS — FreedomNetwork: $1,486.19
  • BCBS — FreedomNetworkSelect: $978.71
  • BCBS — Participating: $1,558.69
  • BCBS — PC: $1,486.19
  • BCBS — Traditional: $1,558.69
  • CCO, Inc. — COMM: $3,081.12
  • CCO, Inc. — WORKERSCOMPPPO: $3,081.12
  • College Park Family Care Center — COMM: $1,558.69
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views Not listed in the file Not listed in the file $129.77 – $245.18
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $59.25
  • Aetna — KCCarePlus: $65.39
  • Aetna — Local: $86.90
  • Aetna — National: $107.09
  • Aetna Better Health — MCD: $62.36
  • Aetna Coventry — FamilyHealthPlanMCD: $96.60
  • Amerigroup — MGMCD: $62.36
  • BCBS — Blue-Care(HMO): $62.10
  • BCBS — BlueAccess: $62.10
  • BCBS — Preferred-CareBlue(PPO): $62.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views Not listed in the file Not listed in the file $43.03 – $53.25
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $51.10
  • Multiplan — WCOMPKansas: $52.45
  • Multiplan — WCOMPMissouri: $43.03
  • OHA Network — KansasWCOMP: $53.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT $12,686.18 $12,686.18 $1,649.20 – $10,783.25
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $2,359.63
  • Anthem MissouriCare — MissouriCareMGMCD: $1,649.20
  • BCBS — FreedomNetwork: $5,201.33
  • BCBS — FreedomNetworkSelect: $3,425.27
  • BCBS — Participating: $5,455.06
  • BCBS — PC: $5,201.33
  • BCBS — Traditional: $5,455.06
  • CCO, Inc. — COMM: $10,783.25
  • CCO, Inc. — WORKERSCOMPPPO: $10,783.25
  • College Park Family Care Center — COMM: $5,455.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $12,686.18 $12,686.18 $289.24 – $517.79
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $1,074
  • Aetna — KCCarePlus: $1,136
  • Aetna — Local: $1,514
  • Aetna — National: $1,836
  • Aetna Better Health — MCD: $136.24
  • Aetna Coventry — FamilyHealthPlanMCD: $204.16
  • Amerigroup — MGMCD: $136.24
  • BCBS — Blue-Care(HMO): $622.32
  • BCBS — BlueAccess: $622.32
  • BCBS — Preferred-CareBlue(PPO): $622.32
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $12,686.18 $12,686.18 $196.66 – $243.36
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $233.53
  • Multiplan — WCOMPKansas: $239.67
  • Multiplan — WCOMPMissouri: $196.66
  • OHA Network — KansasWCOMP: $243.36
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST $13,122.38 $13,122.38 $1,705.91 – $11,154.02
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $2,440.76
  • Anthem MissouriCare — MissouriCareMGMCD: $1,705.91
  • BCBS — FreedomNetwork: $5,380.18
  • BCBS — FreedomNetworkSelect: $3,543.04
  • BCBS — Participating: $5,642.62
  • BCBS — PC: $5,380.18
  • BCBS — Traditional: $5,642.62
  • CCO, Inc. — COMM: $11,154.02
  • CCO, Inc. — WORKERSCOMPPPO: $11,154.02
  • College Park Family Care Center — COMM: $5,642.62
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) Not listed in the file Not listed in the file $216.87 – $314.71
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $474
  • Aetna — KCCarePlus: $500
  • Aetna — Local: $667
  • Aetna — National: $811
  • Aetna Better Health — MCD: $105.22
  • Aetna Coventry — FamilyHealthPlanMCD: $158.49
  • Amerigroup — MGMCD: $105.22
  • BCBS — Blue-Care(HMO): $381.73
  • BCBS — BlueAccess: $381.73
  • BCBS — Preferred-CareBlue(PPO): $381.73
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: Computed tomography, pelvis; with contrast material(s) Not listed in the file Not listed in the file $218.86 – $270.84
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $259.90
  • Multiplan — WCOMPKansas: $266.74
  • Multiplan — WCOMPMissouri: $218.86
  • OHA Network — KansasWCOMP: $270.84
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Not listed in the file Not listed in the file $289.24 – $419.72
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $1,074
  • Aetna — KCCarePlus: $1,136
  • Aetna — Local: $1,514
  • Aetna — National: $1,836
  • Aetna Better Health — MCD: $136.24
  • Aetna Coventry — FamilyHealthPlanMCD: $204.16
  • Amerigroup — MGMCD: $136.24
  • BCBS — Blue-Care(HMO): $690.73
  • BCBS — BlueAccess: $690.73
  • BCBS — Preferred-CareBlue(PPO): $690.73
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI LW JNT W/O CONT LT $13,559.12 $13,559.12 $1,762.69 – $11,525.25
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $2,522
  • Anthem MissouriCare — MissouriCareMGMCD: $1,762.69
  • BCBS — FreedomNetwork: $5,559.24
  • BCBS — FreedomNetworkSelect: $3,660.96
  • BCBS — Participating: $5,830.42
  • BCBS — PC: $5,559.24
  • BCBS — Traditional: $5,830.42
  • CCO, Inc. — COMM: $11,525.25
  • CCO, Inc. — WORKERSCOMPPPO: $11,525.25
  • College Park Family Care Center — COMM: $5,830.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI LW JNT W/O CONT RT $13,559.12 $13,559.12 $1,762.69 – $11,525.25
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $2,522
  • Anthem MissouriCare — MissouriCareMGMCD: $1,762.69
  • BCBS — FreedomNetwork: $5,559.24
  • BCBS — FreedomNetworkSelect: $3,660.96
  • BCBS — Participating: $5,830.42
  • BCBS — PC: $5,559.24
  • BCBS — Traditional: $5,830.42
  • CCO, Inc. — COMM: $11,525.25
  • CCO, Inc. — WORKERSCOMPPPO: $11,525.25
  • College Park Family Care Center — COMM: $5,830.42
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT $24,142.55 $24,142.55 $3,138.53 – $20,521.17
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $4,490.51
  • Anthem MissouriCare — MissouriCareMGMCD: $3,138.53
  • BCBS — FreedomNetwork: $9,898.45
  • BCBS — FreedomNetworkSelect: $6,518.49
  • BCBS — Participating: $10,381.30
  • BCBS — PC: $9,898.45
  • BCBS — Traditional: $10,381.30
  • CCO, Inc. — COMM: $20,521.17
  • CCO, Inc. — WORKERSCOMPPPO: $20,521.17
  • College Park Family Care Center — COMM: $10,381.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) $24,142.55 $24,142.55 $453.94 – $658.73
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $474
  • Aetna — KCCarePlus: $500
  • Aetna — Local: $667
  • Aetna — National: $811
  • Aetna Better Health — MCD: $214.96
  • Aetna Coventry — FamilyHealthPlanMCD: $326.74
  • Amerigroup — MGMCD: $214.96
  • BCBS — Blue-Care(HMO): $469.01
  • BCBS — BlueAccess: $469.01
  • BCBS — Preferred-CareBlue(PPO): $469.01
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: Computed tomography, abdomen and pelvis; with contrast material(s) $24,142.55 $24,142.55 $287.81 – $356.16
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $341.77
  • Multiplan — WCOMPKansas: $350.77
  • Multiplan — WCOMPMissouri: $287.81
  • OHA Network — KansasWCOMP: $356.16
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $5,980.28 $5,980.28 $777.44 – $5,083.24
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $1,112.33
  • Anthem MissouriCare — MissouriCareMGMCD: $777.44
  • BCBS — FreedomNetwork: $2,451.91
  • BCBS — FreedomNetworkSelect: $1,614.68
  • BCBS — Participating: $2,571.52
  • BCBS — PC: $2,451.91
  • BCBS — Traditional: $2,571.52
  • CCO, Inc. — COMM: $5,083.24
  • CCO, Inc. — WORKERSCOMPPPO: $5,083.24
  • College Park Family Care Center — COMM: $2,571.52
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete Not listed in the file Not listed in the file $129.77 – $188.31
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $127.09
  • Aetna — KCCarePlus: $140.26
  • Aetna — Local: $186.39
  • Aetna — National: $229.70
  • Aetna Better Health — MCD: $62.36
  • Aetna Coventry — FamilyHealthPlanMCD: $96.60
  • Amerigroup — MGMCD: $62.36
  • BCBS — Blue-Care(HMO): $180.64
  • BCBS — BlueAccess: $180.64
  • BCBS — Preferred-CareBlue(PPO): $180.64
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, abdominal, real time with image documentation; complete Not listed in the file Not listed in the file $108.28 – $134
Ultrasound of the abdomen, complete: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $128.58
  • Multiplan — WCOMPKansas: $131.97
  • Multiplan — WCOMPMissouri: $108.28
  • OHA Network — KansasWCOMP: $134
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI $5,188.73 $5,188.73 $674.53 – $4,410.42
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $965.10
  • Anthem MissouriCare — MissouriCareMGMCD: $674.53
  • BCBS — FreedomNetwork: $2,127.38
  • BCBS — FreedomNetworkSelect: $1,400.96
  • BCBS — Participating: $2,231.15
  • BCBS — PC: $2,127.38
  • BCBS — Traditional: $2,231.15
  • CCO, Inc. — COMM: $4,410.42
  • CCO, Inc. — WORKERSCOMPPPO: $4,410.42
  • College Park Family Care Center — COMM: $2,231.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day Not listed in the file Not listed in the file $129.77 – $188.31
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $135.61
  • Aetna — KCCarePlus: $149.67
  • Aetna — Local: $198.89
  • Aetna — National: $245.10
  • Aetna Better Health — MCD: $62.36
  • Aetna Coventry — FamilyHealthPlanMCD: $96.60
  • Amerigroup — MGMCD: $62.36
  • BCBS — Blue-Care(HMO): $180.64
  • BCBS — BlueAccess: $180.64
  • BCBS — Preferred-CareBlue(PPO): $180.64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day Not listed in the file Not listed in the file $121.23 – $150.02
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • CorVel Corporation — KSWC: $143.96
  • Multiplan — WCOMPKansas: $147.75
  • Multiplan — WCOMPMissouri: $121.23
  • OHA Network — KansasWCOMP: $150.02
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL $3,884.84 $3,884.84 $505.03 – $3,302.11
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $722.58
  • Anthem MissouriCare — MissouriCareMGMCD: $505.03
  • BCBS — FreedomNetwork: $1,592.78
  • BCBS — FreedomNetworkSelect: $1,048.91
  • BCBS — Participating: $1,670.48
  • BCBS — PC: $1,592.78
  • BCBS — Traditional: $1,670.48
  • CCO, Inc. — COMM: $3,302.11
  • CCO, Inc. — WORKERSCOMPPPO: $3,302.11
  • College Park Family Care Center — COMM: $1,670.48
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal Not listed in the file Not listed in the file $129.77 – $188.31
Transvaginal ultrasound: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $98.96
  • Aetna — KCCarePlus: $109.22
  • Aetna — Local: $145.14
  • Aetna — National: $178.86
  • Aetna Better Health — MCD: $62.36
  • Aetna Coventry — FamilyHealthPlanMCD: $96.60
  • Amerigroup — MGMCD: $62.36
  • BCBS — Blue-Care(HMO): $165.29
  • BCBS — BlueAccess: $165.29
  • BCBS — Preferred-CareBlue(PPO): $165.29
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, transvaginal Not listed in the file Not listed in the file $115.22 – $142.58
Transvaginal ultrasound: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $136.82
  • Multiplan — WCOMPKansas: $140.42
  • Multiplan — WCOMPMissouri: $115.22
  • OHA Network — KansasWCOMP: $142.58
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Not listed in the file Not listed in the file $109.98 – $159.59
Diagnostic mammogram, one breast: 10 of 34 insurance plan rates
  • Aetna — IVLHIX: $155.91
  • Aetna — KCCarePlus: $172.08
  • Aetna — Local: $228.67
  • Aetna — National: $281.80
  • Aetna Better Health — MCD: $50.13
  • Aetna Coventry — FamilyHealthPlanMCD: $114.77
  • Amerigroup — MGMCD: $50.13
  • BCBS — Blue-Care(HMO): $140.28
  • BCBS — BlueAccess: $140.28
  • BCBS — MCRHMO: $80.12
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT $1,219.56 $1,219.56 $158.54 – $1,036.63
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $226.84
  • Anthem MissouriCare — MissouriCareMGMCD: $158.54
  • BCBS — FreedomNetwork: $500.02
  • BCBS — FreedomNetworkSelect: $329.28
  • BCBS — Participating: $524.41
  • BCBS — PC: $500.02
  • BCBS — Traditional: $524.41
  • CCO, Inc. — COMM: $1,036.63
  • CCO, Inc. — WORKERSCOMPPPO: $1,036.63
  • College Park Family Care Center — COMM: $524.41
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT $1,219.56 $1,219.56 $158.54 – $1,036.63
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $226.84
  • Anthem MissouriCare — MissouriCareMGMCD: $158.54
  • BCBS — FreedomNetwork: $500.02
  • BCBS — FreedomNetworkSelect: $329.28
  • BCBS — Participating: $524.41
  • BCBS — PC: $500.02
  • BCBS — Traditional: $524.41
  • CCO, Inc. — COMM: $1,036.63
  • CCO, Inc. — WORKERSCOMPPPO: $1,036.63
  • College Park Family Care Center — COMM: $524.41
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $1,503.61 $1,503.61 $141.06 – $204.70
Diagnostic mammogram, both breasts: 10 of 34 insurance plan rates
  • Aetna — IVLHIX: $199.44
  • Aetna — KCCarePlus: $220.12
  • Aetna — Local: $292.51
  • Aetna — National: $360.46
  • Aetna Better Health — MCD: $62.28
  • Aetna Coventry — FamilyHealthPlanMCD: $144.97
  • Amerigroup — MGMCD: $62.28
  • BCBS — Blue-Care(HMO): $173.16
  • BCBS — BlueAccess: $173.16
  • BCBS — MCRHMO: $102.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI $1,503.61 $1,503.61 $195.47 – $1,278.07
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $279.67
  • Anthem MissouriCare — MissouriCareMGMCD: $195.47
  • BCBS — FreedomNetwork: $616.48
  • BCBS — FreedomNetworkSelect: $405.97
  • BCBS — Participating: $646.55
  • BCBS — PC: $616.48
  • BCBS — Traditional: $646.55
  • CCO, Inc. — COMM: $1,278.07
  • CCO, Inc. — WORKERSCOMPPPO: $1,278.07
  • College Park Family Care Center — COMM: $646.55
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $1,503.61 $1,503.61 $157.78 – $195.26
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • CorVel Corporation — KSWC: $187.37
  • Multiplan — WCOMPKansas: $192.30
  • Multiplan — WCOMPMissouri: $157.78
  • OHA Network — KansasWCOMP: $195.26
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI $1,115.38 $1,115.38 $145 – $948.07
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $207.46
  • Anthem MissouriCare — MissouriCareMGMCD: $145
  • BCBS — FreedomNetwork: $457.31
  • BCBS — FreedomNetworkSelect: $301.15
  • BCBS — Participating: $479.61
  • BCBS — PC: $457.31
  • BCBS — Traditional: $479.61
  • CCO, Inc. — COMM: $948.07
  • CCO, Inc. — WORKERSCOMPPPO: $948.07
  • College Park Family Care Center — COMM: $479.61
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Not listed in the file Not listed in the file $116.28 – $168.74
Screening mammogram, both breasts: 10 of 34 insurance plan rates
  • Aetna — IVLHIX: $164.74
  • Aetna — KCCarePlus: $181.83
  • Aetna — Local: $241.62
  • Aetna — National: $297.76
  • Aetna Better Health — MCD: $75.14
  • Aetna Coventry — FamilyHealthPlanMCD: $116.86
  • Amerigroup — MGMCD: $75.14
  • BCBS — Blue-Care(HMO): $175.86
  • BCBS — BlueAccess: $175.86
  • BCBS — MCRHMO: $84.77
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: MAMMO SCR CAD 1BRST $1,045.31 $1,045.31 $135.89 – $888.51
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Ambetter — Commercial-Exchange: $194.43
  • Anthem MissouriCare — MissouriCareMGMCD: $135.89
  • BCBS — FreedomNetwork: $428.58
  • BCBS — FreedomNetworkSelect: $282.23
  • BCBS — Participating: $449.48
  • BCBS — PC: $428.58
  • BCBS — Traditional: $449.48
  • CCO, Inc. — COMM: $888.51
  • CCO, Inc. — WORKERSCOMPPPO: $888.51
  • College Park Family Care Center — COMM: $449.48

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Not listed in the file Not listed in the file $12.58 – $3,775
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Aetna — KCCarePlus: $2,294
  • Aetna — Local: $2,890
  • Aetna — National: $3,775
  • Aetna Better Health — MCD: $28.75
  • Amerigroup — MGMCD: $28.75
  • BCBS — TRICARE: $12.58
  • HealthyBlue — MGMCD: $28.19
  • Sunflower State Health Plan — MCD: $28.47
  • Unicare — MGMCD: $28.75
  • United — KSMGMCD: $27.64
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CATH HRT LT/INJ L VENT $25,486.15 $25,486.15 $3,313.20 – $21,663.23
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $5,861.81
  • Anthem MissouriCare — MissouriCareMGMCD: $3,313.20
  • BCBS — FreedomNetwork: $10,449.32
  • BCBS — FreedomNetworkSelect: $6,881.26
  • BCBS — Participating: $10,959.04
  • BCBS — PC: $10,449.32
  • BCBS — Traditional: $10,959.04
  • CCO, Inc. — COMM: $21,663.23
  • CCO, Inc. — WORKERSCOMPPPO: $21,663.23
  • CorVel Corporation — MOWC: $16,566
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe Not listed in the file Not listed in the file $12,530
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $7,755
  • Aetna — KCCarePlus: $10,036
  • Aetna — Local: $13,381
  • Aetna — National: $16,520
  • Aetna Better Health — MCD: $2,371.16
  • Ambetter — Commercial-Exchange: $5,300
  • Amerigroup — MGMCD: $2,371.16
  • BCBS — Blue-Care(HMO): $6,309.26
  • BCBS — BlueAccess: $6,309.26
  • BCBS — Preferred-CareBlue(PPO): $6,309.26
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier 59 In the file: CATH HRT LT/INJ L VENT59 $25,486.15 $25,486.15 $3,313.20 – $21,663.23
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $5,861.81
  • Anthem MissouriCare — MissouriCareMGMCD: $3,313.20
  • BCBS — FreedomNetwork: $10,449.32
  • BCBS — FreedomNetworkSelect: $6,881.26
  • BCBS — Participating: $10,959.04
  • BCBS — PC: $10,449.32
  • BCBS — Traditional: $10,959.04
  • CCO, Inc. — COMM: $21,663.23
  • CCO, Inc. — WORKERSCOMPPPO: $21,663.23
  • CorVel Corporation — MOWC: $16,566
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor Not listed in the file Not listed in the file $6,477 – $17,214
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $6,477
  • Aetna — KCCarePlus: $10,457
  • Aetna — Local: $13,943
  • Aetna — National: $17,214
  • Aetna Better Health — MCD: $2,516.08
  • Ambetter — Commercial-Exchange: $16,143
  • Amerigroup — MGMCD: $2,516.08
  • BCBS — Blue-Care(HMO): $1,362.93
  • BCBS — BlueAccess: $1,362.93
  • BCBS — Preferred-CareBlue(PPO): $1,362.93
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · modifier 50 In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor Not listed in the file Not listed in the file $2,419.31 – $2,516.08
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans
  • Aetna Better Health — MCD: $2,516.08
  • Amerigroup — MGMCD: $2,516.08
  • HealthyBlue — MGMCD: $2,467.70
  • Sunflower State Health Plan — MCD: $2,491.89
  • Unicare — MGMCD: $2,516.08
  • United — KSMGMCD: $2,419.31
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, Not listed in the file Not listed in the file $6,477 – $40,759
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • Aetna — IVLHIX: $6,477
  • Aetna — KCCarePlus: $24,470
  • Aetna — Local: $32,575
  • Aetna — National: $40,279
  • Aetna Better Health — MCD: $7,835.89
  • Ambetter — Commercial-Exchange: $16,143
  • Amerigroup — MGMCD: $7,835.89
  • BCBS — Blue-Care(HMO): $20,924.83
  • BCBS — BlueAccess: $20,924.83
  • BCBS — Preferred-CareBlue(PPO): $20,924.83
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · modifier 50 In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, Not listed in the file Not listed in the file $7,534.51 – $7,835.89
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans
  • Aetna Better Health — MCD: $7,835.89
  • Amerigroup — MGMCD: $7,835.89
  • HealthyBlue — MGMCD: $7,685.20
  • Sunflower State Health Plan — MCD: $7,760.55
  • Unicare — MGMCD: $7,835.89
  • United — KSMGMCD: $7,534.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR $15,128.19 $15,128.19 $1,966.66 – $12,858.96
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $3,479.48
  • Ambetter — Commercial-Exchange: $2,813.84
  • Anthem MissouriCare — MissouriCareMGMCD: $1,966.66
  • BCBS — Blue-Care(HMO): $4,538.46
  • BCBS — BlueAccess: $4,538.46
  • BCBS — FreedomNetwork: $6,202.56
  • BCBS — FreedomNetworkSelect: $4,084.61
  • BCBS — Participating: $6,505.12
  • BCBS — PC: $6,202.56
  • BCBS — Preferred-CareBlue(PPO): $4,538.46
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist Not listed in the file Not listed in the file $1,459 – $4,000
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • Aetna — KCCarePlus: $2,430
  • Aetna — Local: $3,240
  • Aetna — National: $4,000
  • Aetna Better Health — MCD: $398.34
  • Amerigroup — MGMCD: $398.34
  • Cigna — Comm: $2,126
  • Cigna — LocalKC: $1,701
  • Cigna — SureFit/LocalPlus: $1,459
  • HealthyBlue — MGMCD: $390.68
  • Sunflower State Health Plan — MCD: $394.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 52 In the file: POLYSOMNOGRAPHY >4 PAR $8,789.19 $8,789.19 $1,142.59 – $7,470.81
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $2,021.51
  • Ambetter — Commercial-Exchange: $1,634.79
  • Anthem MissouriCare — MissouriCareMGMCD: $1,142.59
  • BCBS — Blue-Care(HMO): $2,636.76
  • BCBS — BlueAccess: $2,636.76
  • BCBS — FreedomNetwork: $3,603.57
  • BCBS — FreedomNetworkSelect: $2,373.08
  • BCBS — Participating: $3,779.35
  • BCBS — PC: $3,603.57
  • BCBS — Preferred-CareBlue(PPO): $2,636.76

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib Not listed in the file Not listed in the file $73.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna — IVLHIX: $40
  • Aetna — KCCarePlus: $43.82
  • Aetna — Local: $58.23
  • Aetna — National: $71.76
  • Aetna Better Health — MCD: $29.16
  • Amerigroup — MGMCD: $29.16
  • BCBS — Blue-Care(HMO): $73.15
  • BCBS — BlueAccess: $73.15
  • BCBS — MCRHMO: $27.94
  • BCBS — MCRPPO: $27.94
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT $243.13 $243.13 $31.61 – $206.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $55.92
  • Ambetter — Commercial-Exchange: $45.22
  • Anthem MissouriCare — MissouriCareMGMCD: $31.61
  • BCBS — FreedomNetwork: $99.68
  • BCBS — FreedomNetworkSelect: $65.65
  • BCBS — Participating: $104.55
  • BCBS — PC: $99.68
  • BCBS — Traditional: $104.55
  • CCO, Inc. — COMM: $206.66
  • CCO, Inc. — WORKERSCOMPPPO: $206.66
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT $243.13 $243.13 $31.61 – $206.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $55.92
  • Ambetter — Commercial-Exchange: $45.22
  • Anthem MissouriCare — MissouriCareMGMCD: $31.61
  • BCBS — FreedomNetwork: $99.68
  • BCBS — FreedomNetworkSelect: $65.65
  • BCBS — Participating: $104.55
  • BCBS — PC: $99.68
  • BCBS — Traditional: $104.55
  • CCO, Inc. — COMM: $206.66
  • CCO, Inc. — WORKERSCOMPPPO: $206.66
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact Not listed in the file Not listed in the file $212.25
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • Aetna — IVLHIX: $136.10
  • Aetna — KCCarePlus: $149.10
  • Aetna — Local: $198.14
  • Aetna — National: $244.17
  • Aetna Better Health — MCD: $74.69
  • Amerigroup — MGMCD: $74.69
  • BCBS — Blue-Care(HMO): $212.25
  • BCBS — BlueAccess: $212.25
  • BCBS — MCRHMO: $94.10
  • BCBS — MCRPPO: $94.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX $792.36 $792.36 $103.01 – $673.51
Physical therapy evaluation (low complexity): 10 of 31 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $182.24
  • Ambetter — Commercial-Exchange: $147.38
  • Anthem MissouriCare — MissouriCareMGMCD: $103.01
  • BCBS — FreedomNetwork: $324.87
  • BCBS — FreedomNetworkSelect: $213.94
  • BCBS — Participating: $340.71
  • BCBS — PC: $324.87
  • BCBS — Traditional: $340.71
  • CCO, Inc. — COMM: $673.51
  • CCO, Inc. — WORKERSCOMPPPO: $673.51
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact Not listed in the file Not listed in the file $82.81 – $89.50
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • BCBS — MCRHMO: $82.81
  • BCBS — MCRPPO: $82.81
  • Celtic — MCR: $85.32
  • Cigna — HealthspringMGMCR: $85.32
  • Coventry — MedicareAdvantage: $82.81
  • Devoted Health — MGMCR: $83.64
  • Humana — MCR: $83.64
  • Pyramid Life — MCR: $89.50
  • United — MGMCR: $85.32
  • United — VACCN: $83.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or Not listed in the file Not listed in the file $212.25
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • Aetna — IVLHIX: $136.10
  • Aetna — KCCarePlus: $149.10
  • Aetna — Local: $198.14
  • Aetna — National: $244.17
  • Aetna Better Health — MCD: $74.69
  • Amerigroup — MGMCD: $74.69
  • BCBS — Blue-Care(HMO): $212.25
  • BCBS — BlueAccess: $212.25
  • BCBS — MCRHMO: $94.10
  • BCBS — MCRPPO: $94.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX $792.36 $792.36 $103.01 – $673.51
Physical therapy evaluation (moderate complexity): 10 of 31 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $182.24
  • Ambetter — Commercial-Exchange: $147.38
  • Anthem MissouriCare — MissouriCareMGMCD: $103.01
  • BCBS — FreedomNetwork: $324.87
  • BCBS — FreedomNetworkSelect: $213.94
  • BCBS — Participating: $340.71
  • BCBS — PC: $324.87
  • BCBS — Traditional: $340.71
  • CCO, Inc. — COMM: $673.51
  • CCO, Inc. — WORKERSCOMPPPO: $673.51
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or Not listed in the file Not listed in the file $82.81 – $89.50
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • BCBS — MCRHMO: $82.81
  • BCBS — MCRPPO: $82.81
  • Celtic — MCR: $85.32
  • Cigna — HealthspringMGMCR: $85.32
  • Coventry — MedicareAdvantage: $82.81
  • Devoted Health — MGMCR: $83.64
  • Humana — MCR: $83.64
  • Pyramid Life — MCR: $89.50
  • United — MGMCR: $85.32
  • United — VACCN: $83.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o Not listed in the file Not listed in the file $212.25
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Aetna — IVLHIX: $136.10
  • Aetna — KCCarePlus: $149.10
  • Aetna — Local: $198.14
  • Aetna — National: $244.17
  • Aetna Better Health — MCD: $59.75
  • Amerigroup — MGMCD: $59.75
  • BCBS — Blue-Care(HMO): $212.25
  • BCBS — BlueAccess: $212.25
  • BCBS — MCRHMO: $94.10
  • BCBS — MCRPPO: $94.10
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX $792.36 $792.36 $103.01 – $673.51
Physical therapy evaluation (high complexity): 10 of 31 insurance plan rates
  • Aetna Coventry — FamilyHealthPlanMCD: $182.24
  • Ambetter — Commercial-Exchange: $147.38
  • Anthem MissouriCare — MissouriCareMGMCD: $103.01
  • BCBS — FreedomNetwork: $324.87
  • BCBS — FreedomNetworkSelect: $213.94
  • BCBS — Participating: $340.71
  • BCBS — PC: $324.87
  • BCBS — Traditional: $340.71
  • CCO, Inc. — COMM: $673.51
  • CCO, Inc. — WORKERSCOMPPPO: $673.51
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o Not listed in the file Not listed in the file $82.81 – $89.50
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • BCBS — MCRHMO: $82.81
  • BCBS — MCRPPO: $82.81
  • Celtic — MCR: $85.32
  • Cigna — HealthspringMGMCR: $85.32
  • Coventry — MedicareAdvantage: $82.81
  • Devoted Health — MGMCR: $83.64
  • Humana — MCR: $83.64
  • Pyramid Life — MCR: $89.50
  • United — MGMCR: $85.32
  • United — VACCN: $83.64
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Psychotherapy, 30 minutes with patient Moderate-Severe Patient Attributes Not listed in the file Not listed in the file $555
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $555
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Psychotherapy, 30 minutes with patient Mild Patient Attibutes Not listed in the file Not listed in the file $159
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $159
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Psychotherapy, 30 minutes with patient Moderate Patient Attributes Not listed in the file Not listed in the file $405
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $405
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: Psychotherapy, 45 minutes with patient Moderate Patient Attributes Not listed in the file Not listed in the file $405
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $405
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: Psychotherapy, 45 minutes with patient Mild Patient Attibutes Not listed in the file Not listed in the file $159
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $159
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: Psychotherapy, 45 minutes with patient Moderate-Severe Patient Attributes Not listed in the file Not listed in the file $555
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $555
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Psychotherapy, 60 minutes with patient Moderate-Severe Patient Attributes Not listed in the file Not listed in the file $555
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $555
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Psychotherapy, 60 minutes with patient Moderate Patient Attributes Not listed in the file Not listed in the file $405
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $405
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Psychotherapy, 60 minutes with patient Mild Patient Attibutes Not listed in the file Not listed in the file $159
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • American Therapy Services — COMM: $159
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) Not listed in the file Not listed in the file $225
Group psychotherapy: rates for 1 insurance plan
  • College Park Family Care Center — COMM: $225

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 Not listed in the file Not listed in the file $4,068 – $8,956
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • Aetna — IVLHIX: $4,068
  • Aetna — KCCarePlus: $5,441
  • Aetna — Local: $7,254
  • Aetna — National: $8,956
  • Aetna Better Health — MCD: $1,284.20
  • Ambetter — Commercial-Exchange: $9,040
  • Amerigroup — MGMCD: $1,284.20
  • Cigna — Comm: $7,791
  • Cigna — LocalKC: $6,233
  • Cigna — SureFit/LocalPlus: $5,347
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 Not listed in the file Not listed in the file $1,234.81 – $1,284.20
Removal of breast growth (open surgery): rates for 6 insurance plans
  • Aetna Better Health — MCD: $1,284.20
  • Amerigroup — MGMCD: $1,284.20
  • HealthyBlue — MGMCD: $1,259.51
  • Sunflower State Health Plan — MCD: $1,271.85
  • Unicare — MGMCD: $1,284.20
  • United — KSMGMCD: $1,234.81
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Not listed in the file Not listed in the file $21,881 – $33,344
Total hip replacement: 10 of 31 insurance plan rates
  • Aetna — IVLHIX: $17,773
  • Aetna — KCCarePlus: $21,881
  • Aetna — Local: $29,175
  • Aetna — National: $33,344
  • Aetna Better Health — MCD: $8,849.37
  • Ambetter — Commercial-Exchange: $21,244
  • Amerigroup — MGMCD: $8,849.37
  • BCBS — Blue-Care(HMO): $25,858
  • BCBS — BlueAccess: $25,858
  • BCBS — Preferred-CareBlue(PPO): $25,858
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Not listed in the file Not listed in the file $43,592
Total hip replacement: rates for 1 insurance plan
  • Multiplan — PrimaryNetwork: $43,592
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 50 In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Not listed in the file Not listed in the file $8,509.01 – $8,849.37
Total hip replacement: rates for 6 insurance plans
  • Aetna Better Health — MCD: $8,849.37
  • Amerigroup — MGMCD: $8,849.37
  • HealthyBlue — MGMCD: $8,679.19
  • Sunflower State Health Plan — MCD: $8,764.28
  • Unicare — MGMCD: $8,849.37
  • United — KSMGMCD: $8,509.01
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Not listed in the file Not listed in the file $17,773 – $33,344
Total knee replacement: 10 of 31 insurance plan rates
  • Aetna — IVLHIX: $17,773
  • Aetna — KCCarePlus: $21,881
  • Aetna — Local: $29,175
  • Aetna — National: $33,344
  • Aetna Better Health — MCD: $4,434.08
  • Ambetter — Commercial-Exchange: $21,244
  • Amerigroup — MGMCD: $4,434.08
  • BCBS — Blue-Care(HMO): $25,858
  • BCBS — BlueAccess: $25,858
  • BCBS — Preferred-CareBlue(PPO): $25,858
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Not listed in the file Not listed in the file $43,592
Total knee replacement: rates for 1 insurance plan
  • Multiplan — PrimaryNetwork: $43,592
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Not listed in the file Not listed in the file $4,263.54 – $4,434.08
Total knee replacement: rates for 6 insurance plans
  • Aetna Better Health — MCD: $4,434.08
  • Amerigroup — MGMCD: $4,434.08
  • HealthyBlue — MGMCD: $4,348.81
  • Sunflower State Health Plan — MCD: $4,391.45
  • Unicare — MGMCD: $4,434.08
  • United — KSMGMCD: $4,263.54
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele Not listed in the file Not listed in the file $1,339 – $9,733
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates
  • Aetna — IVLHIX: $4,068
  • Aetna — KCCarePlus: $5,441
  • Aetna — Local: $7,254
  • Aetna — National: $8,956
  • Aetna Better Health — MCD: $811.20
  • Ambetter — Commercial-Exchange: $9,040
  • Amerigroup — MGMCD: $811.20
  • Cigna — Comm: $7,791
  • Cigna — LocalKC: $6,233
  • Cigna — SureFit/LocalPlus: $5,347
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier 50 In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele Not listed in the file Not listed in the file $780 – $811.20
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Aetna Better Health — MCD: $811.20
  • Amerigroup — MGMCD: $811.20
  • HealthyBlue — MGMCD: $795.60
  • Sunflower State Health Plan — MCD: $803.40
  • Unicare — MGMCD: $811.20
  • United — KSMGMCD: $780
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula Not listed in the file Not listed in the file $5,690 – $13,216
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates
  • Aetna — IVLHIX: $5,690
  • Aetna — KCCarePlus: $8,029
  • Aetna — Local: $10,705
  • Aetna — National: $13,216
  • Aetna Better Health — MCD: $1,090.51
  • Ambetter — Commercial-Exchange: $9,040
  • Amerigroup — MGMCD: $1,090.51
  • Cigna — Comm: $10,540
  • Cigna — LocalKC: $8,432
  • Cigna — SureFit/LocalPlus: $7,235
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 50 In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula Not listed in the file Not listed in the file $1,048.57 – $1,090.51
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • Aetna Better Health — MCD: $1,090.51
  • Amerigroup — MGMCD: $1,090.51
  • HealthyBlue — MGMCD: $1,069.54
  • Sunflower State Health Plan — MCD: $1,080.03
  • Unicare — MGMCD: $1,090.51
  • United — KSMGMCD: $1,048.57
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12 Not listed in the file Not listed in the file $5,441 – $8,956
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $4,068
  • Aetna — KCCarePlus: $5,441
  • Aetna — Local: $7,254
  • Aetna — National: $8,956
  • Aetna Better Health — MCD: $1,972.98
  • Amerigroup — MGMCD: $1,972.98
  • Cigna — Comm: $7,791
  • Cigna — LocalKC: $6,233
  • Cigna — SureFit/LocalPlus: $5,347
  • CorVel Corporation — KSWC: $8,243.13
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier 50 In the file: Tonsillectomy and adenoidectomy; younger than age 12 Not listed in the file Not listed in the file $1,897.10 – $1,972.98
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans
  • Aetna Better Health — MCD: $1,972.98
  • Amerigroup — MGMCD: $1,972.98
  • HealthyBlue — MGMCD: $1,935.04
  • Sunflower State Health Plan — MCD: $1,954.01
  • Unicare — MGMCD: $1,972.98
  • United — KSMGMCD: $1,897.10
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep Not listed in the file Not listed in the file $1,178 – $3,334
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $1,178
  • Aetna — KCCarePlus: $1,542
  • Aetna — Local: $2,056
  • Aetna — National: $2,538
  • Aetna Better Health — MCD: $305.40
  • Amerigroup — MGMCD: $305.40
  • Cigna — Comm: $3,639
  • Cigna — LocalKC: $2,911
  • Cigna — SureFit/LocalPlus: $2,497
  • CorVel Corporation — KSWC: $1,412.54
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 50 In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep Not listed in the file Not listed in the file $293.65 – $305.40
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • Aetna Better Health — MCD: $305.40
  • Amerigroup — MGMCD: $305.40
  • HealthyBlue — MGMCD: $299.52
  • Sunflower State Health Plan — MCD: $302.46
  • Unicare — MGMCD: $305.40
  • United — KSMGMCD: $293.65
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Not listed in the file Not listed in the file $1,178 – $2,538
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $1,178
  • Aetna — KCCarePlus: $1,542
  • Aetna — Local: $2,056
  • Aetna — National: $2,538
  • Aetna Better Health — MCD: $305.40
  • Amerigroup — MGMCD: $305.40
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $1,412.54
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 50 In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Not listed in the file Not listed in the file $293.65 – $305.40
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • Aetna Better Health — MCD: $305.40
  • Amerigroup — MGMCD: $305.40
  • HealthyBlue — MGMCD: $299.52
  • Sunflower State Health Plan — MCD: $302.46
  • Unicare — MGMCD: $305.40
  • United — KSMGMCD: $293.65
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Not listed in the file Not listed in the file $1,178 – $3,334
Colonoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $1,178
  • Aetna — KCCarePlus: $1,542
  • Aetna — Local: $2,056
  • Aetna — National: $2,538
  • Aetna Better Health — MCD: $307.92
  • Amerigroup — MGMCD: $307.92
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $1,348.87
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 50 In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Not listed in the file Not listed in the file $296.08 – $307.92
Colonoscopy (diagnostic): rates for 6 insurance plans
  • Aetna Better Health — MCD: $307.92
  • Amerigroup — MGMCD: $307.92
  • HealthyBlue — MGMCD: $302
  • Sunflower State Health Plan — MCD: $304.96
  • Unicare — MGMCD: $307.92
  • United — KSMGMCD: $296.08
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple Not listed in the file Not listed in the file $1,542 – $2,538
Colonoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $1,178
  • Aetna — KCCarePlus: $1,542
  • Aetna — Local: $2,056
  • Aetna — National: $2,538
  • Aetna Better Health — MCD: $397.57
  • Amerigroup — MGMCD: $397.57
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $1,779.03
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 50 In the file: Colonoscopy, flexible; with biopsy, single or multiple Not listed in the file Not listed in the file $382.28 – $397.57
Colonoscopy with biopsy: rates for 6 insurance plans
  • Aetna Better Health — MCD: $397.57
  • Amerigroup — MGMCD: $397.57
  • HealthyBlue — MGMCD: $389.93
  • Sunflower State Health Plan — MCD: $393.75
  • Unicare — MGMCD: $397.57
  • United — KSMGMCD: $382.28
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Not listed in the file Not listed in the file $1,519 – $3,800
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $1,519
  • Aetna — KCCarePlus: $2,013
  • Aetna — Local: $2,684
  • Aetna — National: $3,314
  • Aetna Better Health — MCD: $397.57
  • Amerigroup — MGMCD: $397.57
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $1,779.03
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 50 In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Not listed in the file Not listed in the file $382.28 – $397.57
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • Aetna Better Health — MCD: $397.57
  • Amerigroup — MGMCD: $397.57
  • HealthyBlue — MGMCD: $389.93
  • Sunflower State Health Plan — MCD: $393.75
  • Unicare — MGMCD: $397.57
  • United — KSMGMCD: $382.28
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and Not listed in the file Not listed in the file $3,680 – $5,858
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $2,989
  • Aetna — KCCarePlus: $3,680
  • Aetna — Local: $4,907
  • Aetna — National: $5,858
  • Aetna Better Health — MCD: $243.36
  • Amerigroup — MGMCD: $243.36
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $1,779.03
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · modifier 50 In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and Not listed in the file Not listed in the file $234 – $243.36
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans
  • Aetna Better Health — MCD: $243.36
  • Amerigroup — MGMCD: $243.36
  • HealthyBlue — MGMCD: $238.68
  • Sunflower State Health Plan — MCD: $241.02
  • Unicare — MGMCD: $243.36
  • United — KSMGMCD: $234
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Not listed in the file Not listed in the file $2,927 – $5,858
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
  • Aetna — IVLHIX: $2,989
  • Aetna — KCCarePlus: $3,680
  • Aetna — Local: $4,907
  • Aetna — National: $5,858
  • Aetna Better Health — MCD: $590.16
  • Amerigroup — MGMCD: $590.16
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • HealthyBlue — MGMCD: $578.81
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 50 In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Not listed in the file Not listed in the file $567.46 – $590.16
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • Aetna Better Health — MCD: $590.16
  • Amerigroup — MGMCD: $590.16
  • HealthyBlue — MGMCD: $578.81
  • Sunflower State Health Plan — MCD: $584.48
  • Unicare — MGMCD: $590.16
  • United — KSMGMCD: $567.46
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy Not listed in the file Not listed in the file $267 – $18,308
Gallbladder removal by laparoscope: 10 of 26 insurance plan rates
  • Aetna — IVLHIX: $7,738
  • Aetna — KCCarePlus: $9,375
  • Aetna — Local: $12,500
  • Aetna — National: $15,556
  • Aetna Better Health — MCD: $1,943.95
  • Ambetter — Commercial-Exchange: $9,492
  • Amerigroup — MGMCD: $1,943.95
  • BCBS — Blue-Care(HMO): $2,822
  • BCBS — BlueAccess: $2,822
  • BCBS — Preferred-CareBlue(PPO): $267
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 50 In the file: Laparoscopy, surgical; cholecystectomy Not listed in the file Not listed in the file $1,869.18 – $1,943.95
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Aetna Better Health — MCD: $1,943.95
  • Amerigroup — MGMCD: $1,943.95
  • HealthyBlue — MGMCD: $1,906.56
  • Sunflower State Health Plan — MCD: $1,925.26
  • Unicare — MGMCD: $1,943.95
  • United — KSMGMCD: $1,869.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible Not listed in the file Not listed in the file $5,876 – $13,216
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $5,690
  • Aetna — KCCarePlus: $8,029
  • Aetna — Local: $10,705
  • Aetna — National: $13,216
  • Aetna Better Health — MCD: $1,165.59
  • Amerigroup — MGMCD: $1,165.59
  • Cigna — Comm: $10,540
  • Cigna — LocalKC: $8,432
  • Cigna — SureFit/LocalPlus: $7,235
  • CorVel Corporation — KSWC: $5,530.82
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: Repair initial inguinal hernia, age 5 years or older; reducible Not listed in the file Not listed in the file $1,120.76 – $1,165.59
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • Aetna Better Health — MCD: $1,165.59
  • Amerigroup — MGMCD: $1,165.59
  • HealthyBlue — MGMCD: $1,143.18
  • Sunflower State Health Plan — MCD: $1,154.38
  • Unicare — MGMCD: $1,165.59
  • United — KSMGMCD: $1,120.76
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Not listed in the file Not listed in the file $2,608 – $3,800
Prostate biopsy: 10 of 16 insurance plan rates
  • Aetna — IVLHIX: $2,989
  • Aetna Better Health — MCD: $686.21
  • Amerigroup — MGMCD: $686.21
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $3,221.58
  • HealthyBlue — MGMCD: $673.02
  • Multiplan — PrimaryNetwork: $4,562
  • Multiplan — WCOMPKansas: $3,306.36
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier 50 In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Not listed in the file Not listed in the file $659.82 – $686.21
Prostate biopsy: rates for 6 insurance plans
  • Aetna Better Health — MCD: $686.21
  • Amerigroup — MGMCD: $686.21
  • HealthyBlue — MGMCD: $673.02
  • Sunflower State Health Plan — MCD: $679.61
  • Unicare — MGMCD: $686.21
  • United — KSMGMCD: $659.82
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed; Not listed in the file Not listed in the file $1,995 – $20,036
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates
  • Aetna — IVLHIX: $7,738
  • Aetna — KCCarePlus: $9,375
  • Aetna — Local: $12,500
  • Aetna — National: $15,556
  • Ambetter — Commercial-Exchange: $9,492
  • Cigna — Comm: $18,308
  • Cigna — LocalKC: $14,647
  • Cigna — SureFit/LocalPlus: $12,565
  • CorVel Corporation — KSWC: $14,430.29
  • Multiplan — WCOMPKansas: $14,810.04
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Not listed in the file Not listed in the file $4,068 – $9,733
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • Aetna — IVLHIX: $4,068
  • Aetna — KCCarePlus: $5,441
  • Aetna — Local: $7,254
  • Aetna — National: $8,956
  • Aetna Better Health — MCD: $1,053.29
  • Ambetter — Commercial-Exchange: $9,040
  • Amerigroup — MGMCD: $1,053.29
  • Cigna — Comm: $7,791
  • Cigna — LocalKC: $6,233
  • Cigna — SureFit/LocalPlus: $5,347
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 50 In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Not listed in the file Not listed in the file $1,012.78 – $1,053.29
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
  • Aetna Better Health — MCD: $1,053.29
  • Amerigroup — MGMCD: $1,053.29
  • HealthyBlue — MGMCD: $1,033.04
  • Sunflower State Health Plan — MCD: $1,043.16
  • Unicare — MGMCD: $1,053.29
  • United — KSMGMCD: $1,012.78
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur Not listed in the file Not listed in the file $1,995 – $4,440
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • Aetna — IVLHIX: $2,255
  • Aetna — KCCarePlus: $3,158
  • Aetna — Local: $3,701
  • Aetna — National: $4,440
  • Aetna Better Health — MCD: $392.24
  • Amerigroup — MGMCD: $392.24
  • Cigna — Comm: $3,639
  • Cigna — LocalKC: $2,911
  • Cigna — SureFit/LocalPlus: $2,497
  • HealthyBlue — MGMCD: $384.69
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier 50 In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur Not listed in the file Not listed in the file $377.15 – $392.24
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
  • Aetna Better Health — MCD: $392.24
  • Amerigroup — MGMCD: $392.24
  • HealthyBlue — MGMCD: $384.69
  • Sunflower State Health Plan — MCD: $388.46
  • Unicare — MGMCD: $392.24
  • United — KSMGMCD: $377.15
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing Not listed in the file Not listed in the file $2,255 – $4,440
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $2,255
  • Aetna — KCCarePlus: $3,158
  • Aetna — Local: $3,701
  • Aetna — National: $4,440
  • Aetna Better Health — MCD: $307.08
  • Amerigroup — MGMCD: $307.08
  • Cigna — Comm: $3,639
  • Cigna — LocalKC: $2,911
  • Cigna — SureFit/LocalPlus: $2,497
  • CorVel Corporation — KSWC: $1,277.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing Not listed in the file Not listed in the file $295.27 – $307.08
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans
  • Aetna Better Health — MCD: $307.08
  • Amerigroup — MGMCD: $307.08
  • HealthyBlue — MGMCD: $301.18
  • Sunflower State Health Plan — MCD: $304.13
  • Unicare — MGMCD: $307.08
  • United — KSMGMCD: $295.27
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Not listed in the file Not listed in the file $2,989 – $6,291
Carpal tunnel release: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $2,989
  • Aetna — KCCarePlus: $3,680
  • Aetna — Local: $4,907
  • Aetna — National: $5,858
  • Aetna Better Health — MCD: $650.49
  • Amerigroup — MGMCD: $650.49
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $3,059.74
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Not listed in the file Not listed in the file $625.47 – $650.49
Carpal tunnel release: rates for 6 insurance plans
  • Aetna Better Health — MCD: $650.49
  • Amerigroup — MGMCD: $650.49
  • HealthyBlue — MGMCD: $637.98
  • Sunflower State Health Plan — MCD: $644.23
  • Unicare — MGMCD: $650.49
  • United — KSMGMCD: $625.47
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or Not listed in the file Not listed in the file $2,927 – $5,858
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $2,989
  • Aetna — KCCarePlus: $3,680
  • Aetna — Local: $4,907
  • Aetna — National: $5,858
  • Aetna Better Health — MCD: $535.39
  • Amerigroup — MGMCD: $535.39
  • Cigna — Comm: $3,800
  • Cigna — LocalKC: $3,040
  • Cigna — SureFit/LocalPlus: $2,608
  • CorVel Corporation — KSWC: $927.09
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier 50 In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or Not listed in the file Not listed in the file $514.80 – $535.39
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans
  • Aetna Better Health — MCD: $535.39
  • Amerigroup — MGMCD: $535.39
  • HealthyBlue — MGMCD: $525.10
  • Sunflower State Health Plan — MCD: $530.24
  • Unicare — MGMCD: $535.39
  • United — KSMGMCD: $514.80
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga Not listed in the file Not listed in the file $6,533 – $10,609
Cataract removal with lens implant: 10 of 23 insurance plan rates
  • Aetna — IVLHIX: $4,902
  • Aetna — KCCarePlus: $6,533
  • Aetna — Local: $8,710
  • Aetna — National: $10,609
  • Aetna Better Health — MCD: $785.12
  • Amerigroup — MGMCD: $785.12
  • Cigna — Comm: $11,584
  • Cigna — LocalKC: $9,267
  • Cigna — SureFit/LocalPlus: $7,950
  • CorVel Corporation — KSWC: $3,649.80
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga Not listed in the file Not listed in the file $754.92 – $785.12
Cataract removal with lens implant: rates for 6 insurance plans
  • Aetna Better Health — MCD: $785.12
  • Amerigroup — MGMCD: $785.12
  • HealthyBlue — MGMCD: $770.02
  • Sunflower State Health Plan — MCD: $777.57
  • Unicare — MGMCD: $785.12
  • United — KSMGMCD: $754.92

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care Not listed in the file Not listed in the file $1,995 – $7,733
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates
  • Aetna — IVLHIX: $3,654
  • Aetna — KCCarePlus: $4,713
  • Aetna — Local: $6,284
  • Aetna — National: $7,733
  • NHC Advantage — MGMCD: $2,550
  • NHC Advantage — MGMCR: $2,550
  • Universal Healthcare — MCR: $1,995
  • CorVel Corporation — KSWC: 33.25% (a percentage in the contract, not a dollar amount)
  • Multiplan — PrimaryNetwork: 49% (a percentage in the contract, not a dollar amount)
  • Multiplan — WCOMPKansas: 34.13% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care Not listed in the file Not listed in the file $4,713 – $7,733
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates
  • Aetna — IVLHIX: $3,654
  • Aetna — KCCarePlus: $4,713
  • Aetna — Local: $6,284
  • Aetna — National: $7,733
  • NHC Advantage — MGMCD: $2,550
  • NHC Advantage — MGMCR: $2,550
  • Universal Healthcare — MCR: $1,995
  • CorVel Corporation — KSWC: 33.25% (a percentage in the contract, not a dollar amount)
  • Multiplan — PrimaryNetwork: 49% (a percentage in the contract, not a dollar amount)
  • Multiplan — WCOMPKansas: 34.13% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p Not listed in the file Not listed in the file $4,713 – $7,733
Vaginal delivery after a previous C-section, with care before and after: 10 of 18 insurance plan rates
  • Aetna — IVLHIX: $3,654
  • Aetna — KCCarePlus: $4,713
  • Aetna — Local: $6,284
  • Aetna — National: $7,733
  • Aetna Better Health — MCD: $1,435.17
  • Amerigroup — MGMCD: $1,435.17
  • HealthyBlue — MGMCD: $1,407.57
  • NHC Advantage — MGMCD: $2,550
  • NHC Advantage — MGMCR: $2,550
  • Sunflower State Health Plan — MCD: $1,421.37
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · modifier 50 In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p Not listed in the file Not listed in the file $1,379.97 – $1,435.17
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans
  • Aetna Better Health — MCD: $1,435.17
  • Amerigroup — MGMCD: $1,435.17
  • HealthyBlue — MGMCD: $1,407.57
  • Sunflower State Health Plan — MCD: $1,421.37
  • Unicare — MGMCD: $1,435.17
  • United — KSMGMCD: $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) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Not listed in the file Not listed in the file $6,522 – $87,264.83
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 57 insurance plan rates
  • Aetna — IVLHIX: $104,940.10
  • Aetna — KCCarePlus: $121,502.38
  • Aetna — Local: $165,329.32
  • Aetna — National: $204,597.48
  • Aetna Better Health — MCD: $40,024.86
  • Aetna Coventry — FamilyHealthPlanMCD: $1,392
  • Ambetter — Commercial-Exchange: $110,545.64
  • Amerigroup — MGMCD: $40,024.86
  • BCBS — Blue-Care(HMO): $3,631
  • BCBS — BlueAccess: $3,631
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $12,599.40 – $29,413.16
Spinal fusion (not neck), without major complications: rates for 5 insurance plans
  • CorVel Corporation — KSWC: $28,224.75
  • Multiplan — WCOMPKansas: $28,967.50
  • Multiplan — WCOMPMissouri: $23,768.21
  • OHA Network — KansasWCOMP: $29,413.16
  • Sunflower State Health Plan — MCD: $12,599.40
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Not listed in the file Not listed in the file $17,999.17
Hip or knee replacement (major joint of the leg), without major complications: 10 of 57 insurance plan rates
  • Aetna — IVLHIX: $20,691.31
  • Aetna — KCCarePlus: $23,956.94
  • Aetna — Local: $32,598.41
  • Aetna — National: $40,341.01
  • Aetna Better Health — MCD: $11,891.44
  • Aetna Coventry — FamilyHealthPlanMCD: $1,392
  • Ambetter — Commercial-Exchange: $21,796.57
  • Amerigroup — MGMCD: $11,891.44
  • BCBS — Blue-Care(HMO): $31,627
  • BCBS — BlueAccess: $31,627
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $6,522 – $22,518.17
Neck (cervical) spinal fusion, without complications: 10 of 57 insurance plan rates
  • Aetna — IVLHIX: $26,187.83
  • Aetna — KCCarePlus: $30,320.95
  • Aetna — Local: $41,257.97
  • Aetna — National: $51,057.35
  • Aetna Better Health — MCD: $11,528.90
  • Aetna Coventry — FamilyHealthPlanMCD: $1,392
  • Ambetter — Commercial-Exchange: $31,209
  • Amerigroup — MGMCD: $11,528.90
  • BCBS — Blue-Care(HMO): $3,631
  • BCBS — BlueAccess: $3,631
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $6,522
Uterus and ovary surgery (not for cancer), without complications: 10 of 57 insurance plan rates
  • Aetna — IVLHIX: $13,308.99
  • Aetna — KCCarePlus: $15,409.49
  • Aetna — Local: $20,967.83
  • Aetna — National: $25,948
  • Aetna Better Health — MCD: $4,749.33
  • Aetna Coventry — FamilyHealthPlanMCD: $1,392
  • Ambetter — Commercial-Exchange: $14,019.91
  • Amerigroup — MGMCD: $4,749.33
  • BCBS — Blue-Care(HMO): $3,631
  • BCBS — BlueAccess: $3,631

Source: Lee's Summit Medical Center’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address2100 SE Blue Parkway, Lees Summit, MO 64063
CountyJackson County
StateMissouri
Phone(816) 282‑5000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating3 of 5 stars
CMS Certification Number260190
Name in Medicare recordsLEE'S SUMMIT MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitehcamidwest.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 Geocoder — map position used for distances

From the hospital’s website

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

  1. Lee's Summit Medical Center — hcamidwest.com
  2. Emergency Care — hcamidwest.com
  3. Cardiology — hcamidwest.com
  4. Orthopedic Care — hcamidwest.com
  5. For Visitors — hcamidwest.com
  6. Lee's Summit Medical Center — hcamidwest.com
  7. Emergency Care | Lee's Summit Medical Center — hcamidwest.com
  8. Cardiology | Lee's Summit Medical Center — hcamidwest.com
  9. Awards & Recognition | Lee's Summit Medical Center — hcamidwest.com
  10. Neurological Care | Lee's Summit Medical Center — hcamidwest.com
  11. Orthopedic Care | Lee's Summit Medical Center — hcamidwest.com
  12. Surgery | Lee's Summit Medical Center — hcamidwest.com
  13. Women's Care | Lee's Summit Medical Center — hcamidwest.com
  14. Pediatrics | Lee's Summit Medical Center — hcamidwest.com
  15. Surgery Text Message Updates | Lee's Summit Medical Center — hcamidwest.com
  16. Spine Care | Lee's Summit Medical Center — hcamidwest.com
  17. Specialties | Lee's Summit Medical Center — hcamidwest.com