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Acute Care Hospital

LMH

Lawrence, Kansas · Douglas County · Emergency services listed

Summary

LMH is an acute care hospital in Lawrence, Kansas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 59 services, specialties and programs. Medicare lists 556 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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

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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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
174Beds (hospital website)
59Services listed

Quick answers

Does LMH have an emergency room?
Yes. Medicare (CMS) data lists emergency services at LMH. In a medical emergency, call 911.
Where is LMH?
325 Maine Street, Lawrence, KS 66044, in Douglas County, Kansas.
What is the phone number of LMH?
(785) 505-5000, as listed by Medicare (CMS).
What is the Medicare star rating of LMH?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][7][8][9]

Conditions treated[6][7][8][9]

Treatments[6][7][9]

Procedures[7][9][10]

  • Total hip and knee replacement
  • Vascular surgery
  • Interventional radiology
  • 3D mammography
  • Cancer screening and diagnostic tests
  • Heart and vascular diagnostic testing

Programs and centers[4][7][9][10][11]

  • Advanced Primary Stroke Center
  • Commission on Cancer-accredited cancer program
  • Cancer Survivorship Program
  • Cancer second opinion consultation
  • Heart failure care
  • Family Birthing Center
  • Athletic training services
  • Skilled Nursing Unit
  • CMS TEAM (Transforming Episode Accountability Model)

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

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

Interpreters and languagesFree interpreter services in over 200 languages plus American Sign Language; language services listed as available 24/7[4][13]
Patient portalMy Patient Portal

Recognition[4][6][10][12]

  • Level IV Trauma Center (Kansas Department of Health and Environment)
  • Joint Commission accredited hospital
  • Commission on Cancer accreditation (American College of Surgeons)
  • NAPBC accreditation, LMH Health Cancer Center (2022)
  • ACC Heart Failure Accreditation (June 2024)
  • Joint Commission Advanced Certification, Primary Stroke Center
  • Joint Commission Advanced Certification, Total Hip and Knee Replacement
  • Blue Distinction Center for Knee and Hip Replacement (2025)
  • Blue Distinction Center for Maternity Care (2018, 2020, 2024)
  • High 5 for Mom and Baby Premier (2020)
  • Digital Health Most Wired (CHIME)
  • U.S. News Best Nursing Home for Short-Term Rehabilitation, Skilled Nursing Unit (2023, 2024)

Doctors and clinicians (556)

556 doctors and other clinicians list LMH 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 (556)

And 532 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean79%National average: 74%
Area around the room “always” quiet at night56%National average: 60%
Completed surveys690Response rate: 22%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients10.3%
Deaths within 30 days: heart failure patients13.8%
Deaths within 30 days: pneumonia patients15.6%
Deaths within 30 days: COPD patients9%
Deaths within 30 days: stroke patients8.6%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.85No different from the national rate
Complications after hip or knee replacement4.4%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14%
Readmitted within 30 days: heart failure23.5%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19.2%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement7%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)208 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)58%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 62 common services exactly as LMH lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN $461.75 $115.44 $52.41 – $429.43
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $294.13
  • AETNA — AETNA NATIONAL: $383.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $263.66
  • CIGNA — CIGNA PPO: $308.45
  • EDW — EDW: $109.97
  • FIRST HEALTH — FIRST HEALTH: $429.43
  • NON CONTRACTED — SISCO: $369.40
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $319.99
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Level 4 OP Services New $646.50 $161.63 $109.97 – $601.25
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • AETNA — AETNA LOCAL: $411.82
  • AETNA — AETNA NATIONAL: $536.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $137.93
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $145.19
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $418.29
  • CIGNA — CIGNA HMO: $369.15
  • CIGNA — CIGNA PPO: $431.86
  • EDW — EDW: $109.97
  • FIRST HEALTH — FIRST HEALTH: $601.25
  • NON CONTRACTED — SISCO: $517.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN $646.50 $161.63 $52.41 – $601.25
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $411.82
  • AETNA — AETNA NATIONAL: $536.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $369.15
  • CIGNA — CIGNA PPO: $431.86
  • EDW — EDW: $109.97
  • FIRST HEALTH — FIRST HEALTH: $601.25
  • NON CONTRACTED — SISCO: $517.20
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $448.02
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · modifier 25 In the file: OFFICE O/P NEW MOD 45 MIN $646.50 $161.63 $52.41 – $601.25
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $411.82
  • AETNA — AETNA NATIONAL: $536.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $369.15
  • CIGNA — CIGNA PPO: $431.86
  • EDW — EDW: $109.97
  • FIRST HEALTH — FIRST HEALTH: $601.25
  • NON CONTRACTED — SISCO: $517.20
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $448.02
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN $848.25 $212.06 $52.41 – $788.87
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $540.34
  • AETNA — AETNA NATIONAL: $704.05
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $484.35
  • CIGNA — CIGNA PPO: $566.63
  • EDW — EDW: $109.97
  • FIRST HEALTH — FIRST HEALTH: $788.87
  • NON CONTRACTED — SISCO: $678.60
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $587.84
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN $461.75 $115.44 $52.41 – $429.43
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $294.13
  • AETNA — AETNA NATIONAL: $383.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $263.66
  • CIGNA — CIGNA PPO: $308.45
  • EDW — EDW: $88.54
  • FIRST HEALTH — FIRST HEALTH: $429.43
  • NON CONTRACTED — SISCO: $369.40
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $319.99
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: LEVEL 3 ANTI-COAGUL VISIT - EST PT $439.75 $109.94 $52.41 – $408.97
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $280.12
  • AETNA — AETNA NATIONAL: $364.99
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $251.10
  • CIGNA — CIGNA PPO: $293.75
  • EDW — EDW: $88.54
  • FIRST HEALTH — FIRST HEALTH: $408.97
  • NON CONTRACTED — SISCO: $351.80
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $304.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 25 In the file: OFFICE O/P EST LOW 20 MIN $461.75 $115.44 $52.41 – $429.43
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $294.13
  • AETNA — AETNA NATIONAL: $383.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $263.66
  • CIGNA — CIGNA PPO: $308.45
  • EDW — EDW: $88.54
  • FIRST HEALTH — FIRST HEALTH: $429.43
  • NON CONTRACTED — SISCO: $369.40
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $319.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: LEVEL 4 ANTI-COAGUL VISIT - EST PT $586.50 $146.63 $52.41 – $545.45
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $373.60
  • AETNA — AETNA NATIONAL: $486.80
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $334.89
  • CIGNA — CIGNA PPO: $391.78
  • EDW — EDW: $88.54
  • FIRST HEALTH — FIRST HEALTH: $545.45
  • NON CONTRACTED — SISCO: $469.20
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $406.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN $646.50 $161.63 $52.41 – $601.25
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $411.82
  • AETNA — AETNA NATIONAL: $536.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $369.15
  • CIGNA — CIGNA PPO: $431.86
  • EDW — EDW: $88.54
  • FIRST HEALTH — FIRST HEALTH: $601.25
  • NON CONTRACTED — SISCO: $517.20
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $448.02
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OBA Level 4 -greater IV $1,345.25 $336.31 $52.41 – $1,251.08
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • AETNA — AETNA LOCAL: $856.92
  • AETNA — AETNA NATIONAL: $1,116.56
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $52.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $55.17
  • CIGNA — CIGNA HMO: $768.14
  • CIGNA — CIGNA PPO: $898.63
  • EDW — EDW: $88.54
  • FIRST HEALTH — FIRST HEALTH: $1,251.08
  • NON CONTRACTED — SISCO: $1,076.20
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $932.26
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Level 3, ER Facility Fee $1,575 $393.75 $106.05 – $1,575
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,575
  • AETNA — AETNA NATIONAL: $1,307.25
  • ALLWELL — ALLWELL MEDICARE: $280.43
  • AMBETTER — AMBETTER: $426.12
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $556.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $586.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,019.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $280.42
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $236.04
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Level 3,ER Facility Fee w/25 $1,575 $393.75 $106.05 – $1,575
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,575
  • AETNA — AETNA NATIONAL: $1,307.25
  • ALLWELL — ALLWELL MEDICARE: $280.43
  • AMBETTER — AMBETTER: $426.12
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $556.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $586.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,019.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $280.42
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $236.04
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 27 In the file: Level 3, ER Facility Fee $1,575 $393.75 $106.05 – $1,575
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,575
  • AETNA — AETNA NATIONAL: $1,307.25
  • ALLWELL — ALLWELL MEDICARE: $280.43
  • AMBETTER — AMBETTER: $426.12
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $556.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $586.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,019.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $280.42
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $236.04
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM $2,400 $600 $106.05 – $2,232
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,896
  • AETNA — AETNA NATIONAL: $1,992
  • ALLWELL — ALLWELL MEDICARE: $428.64
  • AMBETTER — AMBETTER: $651.36
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $949.44
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $999.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,552.80
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $428.64
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $363
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: Level 4,ER Facility Fee w/25 $2,400 $600 $106.05 – $2,232
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,896
  • AETNA — AETNA NATIONAL: $1,992
  • ALLWELL — ALLWELL MEDICARE: $428.64
  • AMBETTER — AMBETTER: $651.36
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $949.44
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $999.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,552.80
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $428.64
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $363
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 27 In the file: EMERGENCY DEPT VISIT MOD MDM $2,400 $600 $106.05 – $2,232
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,896
  • AETNA — AETNA NATIONAL: $1,992
  • ALLWELL — ALLWELL MEDICARE: $428.64
  • AMBETTER — AMBETTER: $651.36
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $949.44
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $999.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,552.80
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $428.64
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $363
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Level 5, ER Facility Fee $2,646 $661.50 $106.05 – $2,485
Emergency room visit (high): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $2,396
  • AETNA — AETNA NATIONAL: $2,196.18
  • ALLWELL — ALLWELL MEDICARE: $611.78
  • AMBETTER — AMBETTER: $929.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,475.61
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,553.28
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,711.96
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $611.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $522.66
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: Level 5,ER Facility Fee w/25 $2,646 $661.50 $106.05 – $2,485
Emergency room visit (high): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $2,396
  • AETNA — AETNA NATIONAL: $2,196.18
  • ALLWELL — ALLWELL MEDICARE: $611.78
  • AMBETTER — AMBETTER: $929.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,475.61
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,553.28
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,711.96
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $611.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $522.66
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 27 In the file: Level 5, ER Facility Fee $2,646 $661.50 $106.05 – $2,485
Emergency room visit (high): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $2,396
  • AETNA — AETNA NATIONAL: $2,196.18
  • ALLWELL — ALLWELL MEDICARE: $611.78
  • AMBETTER — AMBETTER: $929.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,475.61
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,553.28
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,711.96
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $611.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $106.05
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $522.66

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PNL TOTAL CA $222.50 $55.63 $7.61 – $206.93
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $9.31
  • AETNA — AETNA NATIONAL: $184.68
  • ALLWELL — ALLWELL MEDICARE: $8.63
  • AMBETTER — AMBETTER: $13.11
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $17.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $18.83
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $143.96
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.63
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.54
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.61
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: BASIC METABOLIC PNL TOTAL CA $222.50 $55.63 $7.61 – $206.93
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $9.31
  • AETNA — AETNA NATIONAL: $184.68
  • ALLWELL — ALLWELL MEDICARE: $8.63
  • AMBETTER — AMBETTER: $13.11
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $17.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $18.83
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $143.96
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.63
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.54
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.61
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier XE In the file: BASIC METABOLIC PNL TOTAL CA $222.50 $55.63 $7.61 – $206.93
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $9.31
  • AETNA — AETNA NATIONAL: $184.68
  • ALLWELL — ALLWELL MEDICARE: $8.63
  • AMBETTER — AMBETTER: $13.11
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $17.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $18.83
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $143.96
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.63
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.54
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL $396 $99 $9.50 – $368.28
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $11.63
  • AETNA — AETNA NATIONAL: $328.68
  • ALLWELL — ALLWELL MEDICARE: $10.77
  • AMBETTER — AMBETTER: $16.37
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $20.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $21.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $256.21
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $10.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $10.67
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $9.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier Q1 In the file: COMPREHEN METABOLIC PANEL $396 $99 $9.50 – $368.28
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $11.63
  • AETNA — AETNA NATIONAL: $328.68
  • ALLWELL — ALLWELL MEDICARE: $10.77
  • AMBETTER — AMBETTER: $16.37
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $20.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $21.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $256.21
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $10.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $10.67
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $9.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier Q0 In the file: COMPREHEN METABOLIC PANEL $396 $99 $9.50 – $368.28
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $11.63
  • AETNA — AETNA NATIONAL: $328.68
  • ALLWELL — ALLWELL MEDICARE: $10.77
  • AMBETTER — AMBETTER: $16.37
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $20.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $21.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $256.21
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $10.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $10.67
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $9.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HRA Lipid Panel (Heart Risk Assessment) $33 $8.25 $12.05 – $33
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $14.74
  • AETNA — AETNA NATIONAL: $27.39
  • ALLWELL — ALLWELL MEDICARE: $13.66
  • AMBETTER — AMBETTER: $20.75
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $33
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $33
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $21.35
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $13.66
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $13.52
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $12.05
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $356.25 $89.06 $12.05 – $331.31
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $14.74
  • AETNA — AETNA NATIONAL: $295.69
  • ALLWELL — ALLWELL MEDICARE: $13.66
  • AMBETTER — AMBETTER: $20.75
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $39.32
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $41.39
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $230.49
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $13.66
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $13.52
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $12.05
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Take Heart Lipid $8.50 $2.13 $4.85 – $8.67
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $8.50
  • AETNA — AETNA NATIONAL: $7.06
  • ALLWELL — ALLWELL MEDICARE: $8.67
  • AMBETTER — AMBETTER: $8.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $8.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $5.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.50
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.59
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $8.50
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel $279.25 $69.81 $7.81 – $259.70
Kidney function panel: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $9.55
  • AETNA — AETNA NATIONAL: $231.78
  • ALLWELL — ALLWELL MEDICARE: $8.85
  • AMBETTER — AMBETTER: $13.45
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $18.49
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $19.46
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $180.67
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.85
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.81
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 91 In the file: Renal Function Panel $279.25 $69.81 $7.81 – $259.70
Kidney function panel: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $9.55
  • AETNA — AETNA NATIONAL: $231.78
  • ALLWELL — ALLWELL MEDICARE: $8.85
  • AMBETTER — AMBETTER: $13.45
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $18.49
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $19.46
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $180.67
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.85
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.81
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier XE In the file: Renal Function Panel $279.25 $69.81 $7.81 – $259.70
Kidney function panel: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $9.55
  • AETNA — AETNA NATIONAL: $231.78
  • ALLWELL — ALLWELL MEDICARE: $8.85
  • AMBETTER — AMBETTER: $13.45
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $18.49
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $19.46
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $180.67
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.85
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.77
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.81
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel $265.25 $66.31 $7.35 – $246.68
Liver function panel: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $8.99
  • AETNA — AETNA NATIONAL: $220.16
  • ALLWELL — ALLWELL MEDICARE: $8.33
  • AMBETTER — AMBETTER: $12.66
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $29.02
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $30.55
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $171.62
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.33
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.25
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.35
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 91 In the file: Hepatic Function Panel $265.25 $66.31 $7.35 – $246.68
Liver function panel: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $8.99
  • AETNA — AETNA NATIONAL: $220.16
  • ALLWELL — ALLWELL MEDICARE: $8.33
  • AMBETTER — AMBETTER: $12.66
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $29.02
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $30.55
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $171.62
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.33
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.25
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.35
Liver function panel CPT 80076 · Inpatient or outpatient · modifier XP In the file: Hepatic Function Panel $265.25 $66.31 $7.35 – $246.68
Liver function panel: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $8.99
  • AETNA — AETNA NATIONAL: $220.16
  • ALLWELL — ALLWELL MEDICARE: $8.33
  • AMBETTER — AMBETTER: $12.66
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $29.02
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $30.55
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $171.62
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.33
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.25
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $7.35
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE $210.25 $52.56 $2.85 – $195.53
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $3.49
  • AETNA — AETNA NATIONAL: $174.51
  • ALLWELL — ALLWELL MEDICARE: $3.23
  • AMBETTER — AMBETTER: $4.91
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8.84
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $9.30
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $136.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $3.23
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $3.20
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $2.85
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier Q0 In the file: URINALYSIS AUTO W/SCOPE $210.25 $52.56 $2.85 – $195.53
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $3.49
  • AETNA — AETNA NATIONAL: $174.51
  • ALLWELL — ALLWELL MEDICARE: $3.23
  • AMBETTER — AMBETTER: $4.91
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8.84
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $9.30
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $136.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $3.23
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $3.20
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $2.85
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier PD In the file: URINALYSIS AUTO W/SCOPE $210.25 $52.56 $2.85 – $195.53
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $3.49
  • AETNA — AETNA NATIONAL: $174.51
  • ALLWELL — ALLWELL MEDICARE: $3.23
  • AMBETTER — AMBETTER: $4.91
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8.84
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $9.30
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $136.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $3.23
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $3.20
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $2.85
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: LUS Urine Dipstick, POC $25.50 $6.38 $3.04 – $25.50
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $3.83
  • AETNA — AETNA NATIONAL: $21.17
  • ALLWELL — ALLWELL MEDICARE: $3.55
  • AMBETTER — AMBETTER: $5.39
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $9.44
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $9.93
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $16.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $3.55
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $3.04
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $3.13
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Total Protein, Urine Qualitative $10.50 $2.63 $3.04 – $10.50
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $3.83
  • AETNA — AETNA NATIONAL: $8.72
  • ALLWELL — ALLWELL MEDICARE: $3.55
  • AMBETTER — AMBETTER: $5.39
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $9.44
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $9.93
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $6.79
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $3.55
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $3.04
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $3.13
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier XU In the file: Total Protein, Urine Qualitative $10.50 $2.63 $3.04 – $10.50
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $3.83
  • AETNA — AETNA NATIONAL: $8.72
  • ALLWELL — ALLWELL MEDICARE: $3.55
  • AMBETTER — AMBETTER: $5.39
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $9.44
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $9.93
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $6.79
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $3.55
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $3.04
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $3.13
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urine Dipstick, Point of Care $26.75 $6.69 $1.93 – $26.75
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $2.48
  • AETNA — AETNA NATIONAL: $22.20
  • ALLWELL — ALLWELL MEDICARE: $2.30
  • AMBETTER — AMBETTER: $3.49
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8.37
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $8.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $17.31
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $2.30
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $1.93
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $2.03
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis, Dipstick Only $121.75 $30.44 $1.93 – $113.23
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $2.48
  • AETNA — AETNA NATIONAL: $101.05
  • ALLWELL — ALLWELL MEDICARE: $2.30
  • AMBETTER — AMBETTER: $3.49
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8.37
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $8.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $78.77
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $2.30
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $1.93
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $2.03
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL $249.75 $62.44 $16.55 – $232.27
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $20.24
  • AETNA — AETNA NATIONAL: $207.29
  • ALLWELL — ALLWELL MEDICARE: $18.76
  • AMBETTER — AMBETTER: $28.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $61.86
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $65.12
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $161.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $18.76
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $18.57
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $16.55
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier Q1 In the file: ASSAY OF PSA TOTAL $249.75 $62.44 $16.55 – $232.27
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $20.24
  • AETNA — AETNA NATIONAL: $207.29
  • ALLWELL — ALLWELL MEDICARE: $18.76
  • AMBETTER — AMBETTER: $28.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $61.86
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $65.12
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $161.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $18.76
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $18.57
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $16.55
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier GA In the file: ASSAY OF PSA TOTAL $249.75 $62.44 $16.55 – $253.75
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • AETNA — AETNA LOCAL: $20.24
  • AETNA — AETNA NATIONAL: $207.29
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $61.86
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $65.12
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $161.59
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $18.57
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $16.55
  • CIGNA — CIGNA HMO: $142.61
  • CIGNA — CIGNA MEDICARE: $249.75
  • CIGNA — CIGNA PPO: $166.83
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Take Heart TSH $8.50 $2.13 $4.85 – $8.67
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $8.50
  • AETNA — AETNA NATIONAL: $7.06
  • ALLWELL — ALLWELL MEDICARE: $8.67
  • AMBETTER — AMBETTER: $8.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $8.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $5.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8.50
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $8.59
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $8.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Pregnancy TSH (Thyroid Stimulating Hormone) with Reflex $338 $84.50 $15.12 – $314.34
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $18.49
  • AETNA — AETNA NATIONAL: $280.54
  • ALLWELL — ALLWELL MEDICARE: $17.14
  • AMBETTER — AMBETTER: $26.04
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $40.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $42.13
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $218.69
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $17.14
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $15.91
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $15.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE $355 $88.75 $15.12 – $330.15
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $18.49
  • AETNA — AETNA NATIONAL: $294.65
  • ALLWELL — ALLWELL MEDICARE: $17.14
  • AMBETTER — AMBETTER: $26.04
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $40.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $42.13
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $229.69
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $17.14
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $15.91
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $15.12
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete Blood Count, with Differential $221.25 $55.31 $6.67 – $205.76
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $8.55
  • AETNA — AETNA NATIONAL: $183.64
  • ALLWELL — ALLWELL MEDICARE: $7.93
  • AMBETTER — AMBETTER: $12.04
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $12.17
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $12.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $143.15
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $7.93
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $6.67
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $6.99
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete Blood Count - POC $51.50 $12.88 $6.67 – $51.50
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • AETNA — AETNA LOCAL: $32.81
  • AETNA — AETNA NATIONAL: $42.75
  • ALLWELL — ALLWELL MEDICARE: $7.93
  • AMBETTER — AMBETTER: $12.90
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $51.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $51.50
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $7.93
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $6.67
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $6.99
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICARE: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier Q0 In the file: Complete Blood Count, with Differential $221.25 $55.31 $6.67 – $205.76
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $8.55
  • AETNA — AETNA NATIONAL: $183.64
  • ALLWELL — ALLWELL MEDICARE: $7.93
  • AMBETTER — AMBETTER: $12.04
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $12.17
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $12.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $143.15
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $7.93
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $6.67
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $6.99
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED $172 $43 $5.82 – $159.96
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $7.12
  • AETNA — AETNA NATIONAL: $142.76
  • ALLWELL — ALLWELL MEDICARE: $6.60
  • AMBETTER — AMBETTER: $10.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $12.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $13.31
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $111.28
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $6.60
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $6.53
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $5.82
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: COMPLETE CBC AUTOMATED $172 $43 $5.82 – $159.96
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $7.12
  • AETNA — AETNA NATIONAL: $142.76
  • ALLWELL — ALLWELL MEDICARE: $6.60
  • AMBETTER — AMBETTER: $10.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $12.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $13.31
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $111.28
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $6.60
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $6.53
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $5.82
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier XU In the file: COMPLETE CBC AUTOMATED $172 $43 $5.82 – $159.96
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $7.12
  • AETNA — AETNA NATIONAL: $142.76
  • ALLWELL — ALLWELL MEDICARE: $6.60
  • AMBETTER — AMBETTER: $10.03
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $12.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $13.31
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $111.28
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $6.60
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $6.53
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $5.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Inhibitor Assay, PT, Reflex to 1:1 Mix $148.75 $37.19 $3.86 – $138.34
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $4.72
  • AETNA — AETNA NATIONAL: $123.46
  • ALLWELL — ALLWELL MEDICARE: $4.38
  • AMBETTER — AMBETTER: $6.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $14.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $15.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $96.24
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $4.38
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $4.33
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $3.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT, Protime with INR $126.25 $31.56 $3.86 – $117.41
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $4.72
  • AETNA — AETNA NATIONAL: $104.79
  • ALLWELL — ALLWELL MEDICARE: $4.38
  • AMBETTER — AMBETTER: $6.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $14.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $15.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $81.68
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $4.38
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $4.33
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $3.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $120.25 $30.06 $3.86 – $111.83
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $4.72
  • AETNA — AETNA NATIONAL: $99.81
  • ALLWELL — ALLWELL MEDICARE: $4.38
  • AMBETTER — AMBETTER: $6.65
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $14.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $15.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $77.80
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $4.38
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $4.33
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $3.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT-D Heparin Reflex Bill $111.25 $27.81 $5.30 – $103.46
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $6.62
  • AETNA — AETNA NATIONAL: $92.34
  • ALLWELL — ALLWELL MEDICARE: $6.13
  • AMBETTER — AMBETTER: $9.32
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $20.51
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $21.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $71.98
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $6.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $5.30
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $5.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Reflex PTT Inhibitor Screen, 1 hour, 1:1 Mix $124 $31 $5.30 – $115.32
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $6.62
  • AETNA — AETNA NATIONAL: $102.92
  • ALLWELL — ALLWELL MEDICARE: $6.13
  • AMBETTER — AMBETTER: $9.32
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $20.51
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $21.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $80.23
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $6.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $5.30
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $5.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL $148.75 $37.19 $5.30 – $138.34
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $6.62
  • AETNA — AETNA NATIONAL: $123.46
  • ALLWELL — ALLWELL MEDICARE: $6.13
  • AMBETTER — AMBETTER: $9.32
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $20.51
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $21.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $96.24
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $6.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $5.30
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $5.41

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE $2,677.25 $669.31 $60.56 – $2,489.84
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $2,222.12
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,732.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier TC In the file: CT HEAD/BRAIN W/O DYE $2,677.25 $669.31 $60.56 – $2,489.84
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $2,222.12
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,732.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier XU In the file: CT HEAD/BRAIN W/O DYE $2,677.25 $669.31 $60.56 – $2,489.84
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $2,222.12
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,732.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE $5,539 $1,384.75 $208.76 – $5,151.27
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $4,597.37
  • ALLWELL — ALLWELL MEDICARE: $358.40
  • AMBETTER — AMBETTER: $544.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,583.73
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $358.39
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $372.11
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $304.45
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier PN In the file: MRI BRAIN STEM W/O & W/DYE $5,539 $1,384.75 $131.23 – $5,151.27
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $4,597.37
  • ALLWELL — ALLWELL MEDICARE: $156.22
  • AMBETTER — AMBETTER: $156.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,583.73
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $156.20
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $372.11
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $304.45
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier TC In the file: MRI BRAIN STEM W/O & W/DYE $5,539 $1,384.75 $208.76 – $5,151.27
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $4,597.37
  • ALLWELL — ALLWELL MEDICARE: $358.40
  • AMBETTER — AMBETTER: $544.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,583.73
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $358.39
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $208.76
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $304.45
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS $587.50 $146.88 $49.23 – $546.38
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $374.24
  • AETNA — AETNA NATIONAL: $487.63
  • ALLWELL — ALLWELL MEDICARE: $89.40
  • AMBETTER — AMBETTER: $135.85
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $205.90
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $216.73
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $380.11
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $89.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $49.23
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $75.06
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS $587.50 $146.88 $49.23 – $546.38
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $374.24
  • AETNA — AETNA NATIONAL: $487.63
  • ALLWELL — ALLWELL MEDICARE: $89.40
  • AMBETTER — AMBETTER: $135.85
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $205.90
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $216.73
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $380.11
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $89.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $49.23
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $75.06
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier PO In the file: X-RAY EXAM CHEST 2 VIEWS $587.50 $146.88 $49.23 – $546.38
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $374.24
  • AETNA — AETNA NATIONAL: $487.63
  • ALLWELL — ALLWELL MEDICARE: $89.40
  • AMBETTER — AMBETTER: $135.85
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $205.90
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $216.73
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $380.11
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $89.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $49.23
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $75.06
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS $1,200 $300 $60.56 – $1,116
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $764.40
  • AETNA — AETNA NATIONAL: $996
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $338.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $356.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $776.40
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS $1,200 $300 $60.56 – $1,116
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $764.40
  • AETNA — AETNA NATIONAL: $996
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $338.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $356.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $776.40
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier XU In the file: X-RAY EXAM L-2 SPINE 4/>VWS $1,200 $300 $60.56 – $1,116
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $764.40
  • AETNA — AETNA NATIONAL: $996
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $338.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $356.64
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $776.40
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MR L-Spine W/O Contrast $4,462 $1,115.50 $132.31 – $4,149.66
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $3,703.46
  • ALLWELL — ALLWELL MEDICARE: $245.12
  • AMBETTER — AMBETTER: $372.46
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $2,886.91
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $245.11
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $235.86
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $206.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier TC In the file: MR L-Spine W/O Contrast $4,462 $1,115.50 $132.31 – $4,149.66
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $3,703.46
  • ALLWELL — ALLWELL MEDICARE: $245.12
  • AMBETTER — AMBETTER: $372.46
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $2,886.91
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $245.11
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $132.31
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $206.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier PN In the file: MR L-Spine W/O Contrast $4,462 $1,115.50 $89.75 – $4,149.66
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $3,703.46
  • ALLWELL — ALLWELL MEDICARE: $106.85
  • AMBETTER — AMBETTER: $106.83
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $2,886.91
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $106.83
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $235.86
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $206.06
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE $3,160.75 $790.19 $102.18 – $2,939.50
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $2,623.42
  • ALLWELL — ALLWELL MEDICARE: $180.18
  • AMBETTER — AMBETTER: $273.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $2,045.01
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $180.18
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $102.18
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $151.76
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier PN In the file: CT PELVIS W/DYE $3,160.75 $790.19 $65.98 – $2,939.50
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $2,623.42
  • ALLWELL — ALLWELL MEDICARE: $78.54
  • AMBETTER — AMBETTER: $78.53
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $2,045.01
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $78.53
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $102.18
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $151.76
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier TC In the file: CT PELVIS W/DYE $3,160.75 $790.19 $102.18 – $2,939.50
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $2,623.42
  • ALLWELL — ALLWELL MEDICARE: $180.18
  • AMBETTER — AMBETTER: $273.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $2,045.01
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $180.18
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $102.18
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $151.76
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MR Hip Bilateral $8,957 $2,239.25 $132.31 – $8,330.01
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $7,434.31
  • ALLWELL — ALLWELL MEDICARE: $245.12
  • AMBETTER — AMBETTER: $372.46
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $5,795.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $245.11
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $235.86
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $206.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI JNT OF LWR EXTRE W/O DYE $4,478.50 $1,119.63 $132.31 – $4,165.01
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $3,717.16
  • ALLWELL — ALLWELL MEDICARE: $245.12
  • AMBETTER — AMBETTER: $372.46
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $2,897.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $245.11
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $235.86
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $206.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI JNT OF LWR EXTRE W/O DYE $8,957 $2,239.25 $132.31 – $8,330.01
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,721
  • AETNA — AETNA NATIONAL: $7,434.31
  • ALLWELL — ALLWELL MEDICARE: $540.81
  • AMBETTER — AMBETTER: $821.80
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $754.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $794.25
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $5,795.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $540.80
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $353.78
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $206.06
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST $6,051.75 $1,512.94 $208.76 – $5,628.13
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $5,022.95
  • ALLWELL — ALLWELL MEDICARE: $358.40
  • AMBETTER — AMBETTER: $544.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,915.48
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $358.39
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $208.76
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $304.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 26 In the file: CT ABD & PELVIS W/CONTRAST $6,051.75 $1,512.94 $208.76 – $5,628.13
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $5,022.95
  • ALLWELL — ALLWELL MEDICARE: $358.40
  • AMBETTER — AMBETTER: $544.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,915.48
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $358.39
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $208.76
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $304.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 59 In the file: CT ABD & PELVIS W/CONTRAST $6,051.75 $1,512.94 $208.76 – $5,628.13
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,835
  • AETNA — AETNA NATIONAL: $5,022.95
  • ALLWELL — ALLWELL MEDICARE: $358.40
  • AMBETTER — AMBETTER: $544.60
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $656.06
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $690.59
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,915.48
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $358.39
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $208.76
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $304.45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdominal Sono $1,646.50 $411.63 $60.56 – $1,531.25
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,048.82
  • AETNA — AETNA NATIONAL: $1,366.60
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $206.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $217.78
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,065.29
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier XU In the file: US Abdominal Sono $1,646.50 $411.63 $60.56 – $1,531.25
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,048.82
  • AETNA — AETNA NATIONAL: $1,366.60
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $206.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $217.78
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,065.29
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PN In the file: US Abdominal Sono $1,646.50 $411.63 $39.32 – $1,531.25
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,048.82
  • AETNA — AETNA NATIONAL: $1,366.60
  • ALLWELL — ALLWELL MEDICARE: $46.82
  • AMBETTER — AMBETTER: $46.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $206.89
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $217.78
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,065.29
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $46.81
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB greater14 Wks Single 1st/Gestation $624.75 $156.19 $60.56 – $581.02
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $397.97
  • AETNA — AETNA NATIONAL: $518.54
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $181.53
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $191.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $404.21
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier TC In the file: US OB greater14 Wks Single 1st/Gestation $624.75 $156.19 $60.56 – $581.02
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $397.97
  • AETNA — AETNA NATIONAL: $518.54
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $181.53
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $191.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $404.21
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB $1,139.25 $284.81 $60.56 – $1,059.50
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $725.70
  • AETNA — AETNA NATIONAL: $945.58
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $181.53
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $191.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $737.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PO In the file: TRANSVAGINAL US NON-OB $1,139.25 $284.81 $60.56 – $1,059.50
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $725.70
  • AETNA — AETNA NATIONAL: $945.58
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $181.53
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $191.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $737.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier XU In the file: TRANSVAGINAL US NON-OB $1,139.25 $284.81 $60.56 – $1,059.50
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $725.70
  • AETNA — AETNA NATIONAL: $945.58
  • ALLWELL — ALLWELL MEDICARE: $107.40
  • AMBETTER — AMBETTER: $163.20
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $181.53
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $191.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $737.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $107.40
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $60.56
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $90.66

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: CV Left Hrt Cath W/Ventrclgrphy $12,798.75 $3,199.69 $2,302.76 – $11,902.84
Left heart catheterization (diagnostic): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $11,715
  • AETNA — AETNA NATIONAL: $10,622.96
  • ALLWELL — ALLWELL MEDICARE: $3,330.39
  • AMBETTER — AMBETTER: $5,060.73
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $8,359.82
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $8,799.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $8,280.79
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $3,330.33
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $2,302.76
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $2,741.93
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: CV COMPRE EPS W/O INDUCTION $18,274.75 $4,568.69 $2,443.50 – $16,995.52
Heart rhythm study (electrophysiology evaluation): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $4,983
  • AETNA — AETNA NATIONAL: $15,168.04
  • ALLWELL — ALLWELL MEDICARE: $8,012.49
  • AMBETTER — AMBETTER: $12,175.47
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $15,533.54
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $16,447.28
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $11,823.76
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $8,012.34
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $2,443.50
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $6,468.72
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Single - Sleep Staging, 4 Or More $9,493.25 $2,373.31 $386.85 – $8,828.72
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $599.02
  • AETNA — AETNA NATIONAL: $7,879.40
  • ALLWELL — ALLWELL MEDICARE: $882.17
  • AMBETTER — AMBETTER: $1,340.51
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,736.72
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,828.13
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $6,142.13
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $882.16
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $386.85
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $867.31
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Single - Sleep Staging, 4 Or More Prof Fee $1,782 $445.50 $386.85 – $1,782
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • AETNA — AETNA LOCAL: $1,135.13
  • AETNA — AETNA NATIONAL: $1,479.06
  • ALLWELL — ALLWELL MEDICARE: $882.17
  • AMBETTER — AMBETTER: $1,340.51
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,736.72
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,782
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,152.95
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $882.16
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $386.85
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $867.31
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: Single - Sleep Staging, 4 Or More $9,493.25 $2,373.31 $299.51 – $8,828.72
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $299.51
  • AETNA — AETNA NATIONAL: $3,939.70
  • ALLWELL — ALLWELL MEDICARE: $441.09
  • AMBETTER — AMBETTER: $670.26
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,736.72
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,828.13
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $6,142.13
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $441.08
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $386.85
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $867.31

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier CO In the file: OT Therapeutic Exer Ea 15 Min OTA $219.75 $54.94 $25.31 – $204.37
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $26.51
  • AETNA — AETNA NATIONAL: $182.39
  • ALLWELL — ALLWELL MEDICARE: $28.13
  • AMBETTER — AMBETTER: $42.75
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $77.72
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $81.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $142.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $28.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $28.32
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $25.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier CQ In the file: PT Therapeutic Exer Ea 15 Min PTA $219.75 $54.94 $24.76 – $204.37
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $26.51
  • AETNA — AETNA NATIONAL: $182.39
  • ALLWELL — ALLWELL MEDICARE: $24.76
  • AMBETTER — AMBETTER: $36.33
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $77.72
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $81.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $142.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $28.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $28.32
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $25.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT Therapeutic Exer Ea 15 Min $219.75 $54.94 $25.31 – $204.37
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $26.51
  • AETNA — AETNA NATIONAL: $182.39
  • ALLWELL — ALLWELL MEDICARE: $28.13
  • AMBETTER — AMBETTER: $42.75
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $77.72
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $81.81
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $142.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $28.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $28.32
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $25.31
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $394.50 $98.63 $72.54 – $366.89
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $90.42
  • AETNA — AETNA NATIONAL: $327.44
  • ALLWELL — ALLWELL MEDICARE: $95.14
  • AMBETTER — AMBETTER: $144.57
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $189.40
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $199.37
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $255.24
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $95.14
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $72.54
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $86.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $437.25 $109.31 $72.54 – $406.64
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $90.42
  • AETNA — AETNA NATIONAL: $362.92
  • ALLWELL — ALLWELL MEDICARE: $95.14
  • AMBETTER — AMBETTER: $144.57
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $164.69
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $173.36
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $282.90
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $95.14
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $72.54
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $86.18
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $480.50 $120.13 $58.02 – $446.87
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $90.42
  • AETNA — AETNA NATIONAL: $398.82
  • ALLWELL — ALLWELL MEDICARE: $95.14
  • AMBETTER — AMBETTER: $144.57
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $164.69
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $173.36
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $310.88
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $95.14
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $58.02
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $86.18

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Exc Breast Cyst, Tumor, Lesion $9,614.75 $2,403.69 $512.68 – $8,941.72
Removal of breast growth (open surgery): 10 of 26 insurance plan rates
  • AETNA — AETNA LOCAL: $6,124.60
  • AETNA — AETNA NATIONAL: $7,980.24
  • ALLWELL — ALLWELL MEDICARE: $4,022.27
  • AMBETTER — AMBETTER: $6,112.09
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $6,536.70
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $6,880.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $6,220.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $4,022.20
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $1,247.16
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $3,264.39
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $4,145 – $20,875.63
Total hip replacement: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 79 In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $4,145 – $20,875.63
Total hip replacement: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $4,145 – $18,637.37
Total knee replacement: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 79 In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $4,145 – $18,637.37
Total knee replacement: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,059.06 – $7,352.81
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,916.07 – $6,081.35
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $296.59 – $3,967.42
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $296.59 – $2,044.72
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XU In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $296.59 – $2,044.72
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XS In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $296.59 – $3,907.26
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $299.04 – $2,150.44
Colonoscopy (diagnostic): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 74 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $299.04 – $3,842
Colonoscopy (diagnostic): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier PT In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $299.04 – $3,842
Colonoscopy (diagnostic): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $386.10 – $1,433.65
Colonoscopy with biopsy: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 22 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $386.10 – $3,842
Colonoscopy with biopsy: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 33 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $386.10 – $3,842
Colonoscopy with biopsy: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $386.10 – $2,986.22
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier XS In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $386.10 – $3,842
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 33 In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $386.10 – $3,842
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $573.13 – $3,659.75
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier GA In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $573.13 – $3,659.75
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 53 In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $573.13 – $3,659.75
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $1,887.87 – $11,825.02
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,131.97 – $12,981.34
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE $5,323.25 $1,330.81 $666.42 – $4,950.62
Prostate biopsy: 10 of 14 insurance plan rates
  • AETNA — AETNA LOCAL: $3,390.91
  • AETNA — AETNA NATIONAL: $4,418.30
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $3,496.87
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $3,680.92
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,444.14
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $666.42
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $1,746.31
  • CIGNA — CIGNA HMO: $3,039.58
  • CIGNA — CIGNA PPO: $3,555.93
  • FIRST HEALTH — FIRST HEALTH: $4,950.62
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: US Transrectal Biopsy $5,589.50 $1,397.38 $666.42 – $5,198.24
Prostate biopsy: 10 of 14 insurance plan rates
  • AETNA — AETNA LOCAL: $3,560.51
  • AETNA — AETNA NATIONAL: $4,639.29
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $3,496.87
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $3,680.92
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $3,616.41
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $666.42
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $1,746.31
  • CIGNA — CIGNA HMO: $3,191.60
  • CIGNA — CIGNA PPO: $3,733.79
  • FIRST HEALTH — FIRST HEALTH: $5,198.24
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,022.91 – $6,771.41
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC $3,025 $756.25 $380.92 – $2,813.25
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,926.93
  • AETNA — AETNA NATIONAL: $2,510.75
  • ALLWELL — ALLWELL MEDICARE: $725.14
  • AMBETTER — AMBETTER: $1,101.90
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,559.27
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,641.34
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,957.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $725.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $380.92
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $590.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Nerve Block Epidural Lumbar/Sacral $3,025 $756.25 $380.92 – $2,813.25
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,926.93
  • AETNA — AETNA NATIONAL: $2,510.75
  • ALLWELL — ALLWELL MEDICARE: $725.14
  • AMBETTER — AMBETTER: $1,101.90
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,559.27
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,641.34
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,957.18
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $725.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $380.92
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $590.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier 53 In the file: NJX INTERLAMINAR LMBR/SAC $1,030 $257.50 $380.92 – $1,030
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $656.11
  • AETNA — AETNA NATIONAL: $854.90
  • ALLWELL — ALLWELL MEDICARE: $725.14
  • AMBETTER — AMBETTER: $1,030
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,030
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,030
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $666.41
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $725.13
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $380.92
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $590.36
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Nerve Blk Paravert Lumb/Sacr Sgl $2,897.75 $724.44 $298.22 – $2,694.91
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,845.87
  • AETNA — AETNA NATIONAL: $2,405.13
  • ALLWELL — ALLWELL MEDICARE: $908.61
  • AMBETTER — AMBETTER: $1,380.68
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,519.75
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,599.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,874.84
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $908.59
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $298.22
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $758.96
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier RT In the file: NJX AA&/STRD TFRM EPI L/S 1 $2,337 $584.25 $298.22 – $2,173.41
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,488.67
  • AETNA — AETNA NATIONAL: $1,939.71
  • ALLWELL — ALLWELL MEDICARE: $908.61
  • AMBETTER — AMBETTER: $1,380.68
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,519.75
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,599.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,512.04
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $908.59
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $298.22
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $758.96
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier LT In the file: NJX AA&/STRD TFRM EPI L/S 1 $2,337 $584.25 $298.22 – $2,173.41
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • AETNA — AETNA LOCAL: $1,488.67
  • AETNA — AETNA NATIONAL: $1,939.71
  • ALLWELL — ALLWELL MEDICARE: $908.61
  • AMBETTER — AMBETTER: $1,380.68
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS BLUE CHOICE: $1,519.75
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CAP: $1,599.74
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: $1,512.04
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD MEDICARE: $908.59
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID KANSAS: $298.22
  • BLUE CROSS BLUE SHIELD — HEALTHY BLUE MEDICAID MISSOURI: $758.96
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $631.72 – $6,435.73
Carpal tunnel release: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $762.47 – $6,207.61
Cataract removal with lens implant: rates for 6 insurance plans
  • AETNA — AETNA NATIONAL: 83% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 93% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $1,093.37 – $60,491.54
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 90% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
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 $1,093.37 – $59,298.22
Neck (cervical) spinal fusion, without complications: rates for 5 insurance plans
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 90% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)
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 $1,093.37 – $34,698.87
Uterus and ovary surgery (not for cancer), without complications: rates for 5 insurance plans
  • BLUE CROSS BLUE SHIELD — BLUE CROSS BLUE SHIELD KANSAS CITY: 64.7% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA HMO: 57.1% (a percentage in the contract, not a dollar amount)
  • CIGNA — CIGNA PPO: 66.8% (a percentage in the contract, not a dollar amount)
  • FIRST HEALTH — FIRST HEALTH: 90% (a percentage in the contract, not a dollar amount)
  • NON CONTRACTED — SISCO: 80% (a percentage in the contract, not a dollar amount)

Source: LMH’s standard charges file (lmh.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (lmh.org), because the hospital has no cms-hpt.txt file; both are 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
Address325 Maine Street, Lawrence, KS 66044
CountyDouglas County
StateKansas
Phone(785) 505‑5000
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number170137
Profile levelMedicare data + hospital website
Name on the hospital’s websiteLMH Health
Official websitelmh.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. LMH Health — lmh.org
  2. LMH Health Locations — lmh.org
  3. Emergency Medicine | LMH Health — lmh.org
  4. Heart & Vascular Department | Lawrence Memorial Hospital — lmh.org
  5. Surgery | LMH Health — lmh.org
  6. Services | LMH Health — lmh.org
  7. Awards & Recognition | LMH Health — lmh.org
  8. My Patient Portal | LMH Health — lmh.org
  9. About Us | LMH Health — lmh.org
  10. Patients & Visitors | LMH Health — lmh.org