SelfPayRates
Hospital Wichita, KS

Kansas Surgery & Recovery Center

Kansas Surgery & Recovery Center in Wichita, KS publishes cash prices for 99 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kansas median for 55 of 96 procedures and above it for 39. By typical cash price it ranks #20 of 55 Kansas hospitals and #2 of 5 hospitals in the Wichita, KS area, cheapest first. Click a procedure to compare it with other hospitals nearby.

2770 North Webb Road, Wichita, KS, 67226 Collected Sep 27, 2026 Source price file (316) 634-0090

Acute care hospital No emergency department CCN 170183 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs KansasOff list
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY ANKLE COMPLETE 3 VIEWS $190.05 $191.00 $42.41–$191.00 13% below —
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY ANKLE COMPLETE 3 VIEWS $190.05 $191.00 $42.41–$191.00 — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/CONT $1,880.55 $1,890.00 $161.35–$867.96 7% above 1%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/CONT $1,880.55 $1,890.00 $161.35–$867.96 — 1%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONT $1,358.18 $1,365.00 $219.08–$548.99 5% above —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONT $1,358.18 $1,365.00 $219.08–$548.99 — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST $1,567.13 $1,575.00 $323.67–$866.13 16% above —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST $1,567.13 $1,575.00 $323.67–$866.13 — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W & W/O CONT $1,985.03 $1,995.00 $323.67–$866.13 7% above —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W & W/O CONT $1,985.03 $1,995.00 $323.67–$866.13 — —
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT $1,567.13 $1,575.00 $161.35–$554.25 13% above —
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONT $1,567.13 $1,575.00 $161.35–$554.25 — —
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 13% above —
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 — —
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST $1,358.18 $1,365.00 $96.38–$534.00 38% above —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST $1,358.18 $1,365.00 $96.38–$534.00 — —
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST $1,358.18 $1,365.00 $96.38–$534.00 32% above —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST $1,358.18 $1,365.00 $96.38–$534.00 — —
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W & W/O CONTRAST $1,880.55 $1,890.00 $161.35–$564.67 50% above 1%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W & W/O CONTRAST $1,880.55 $1,890.00 $161.35–$564.67 — 1%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 19% above —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 — —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 37% above —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 — —
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT $1,567.13 $1,575.00 $161.35–$545.27 37% above —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONT $1,567.13 $1,575.00 $161.35–$545.27 — —
Chest X-ray, 2 views CPT 71046 X-RAY CHEST 2 VIEW $155.22 $156.00 $78.00–$156.00 33% below 1%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY CHEST 2 VIEW $155.22 $156.00 $78.00–$156.00 — 1%
Chest X-ray, single view CPT 71045 X-RAY CHEST 1 VIEW $155.22 $156.00 $78.00–$156.00 20% below 1%
Chest X-ray, single view inpatient CPT 71045 X-RAY CHEST 1 VIEW $155.22 $156.00 $78.00–$156.00 — 1%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASOUND RENAL $522.38 $525.00 $89.03–$251.26 27% above —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ULTRASOUND RENAL $522.38 $525.00 $89.03–$251.26 — —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 43% above —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONT $1,358.18 $1,365.00 $96.38–$534.00 — —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONT $1,567.13 $1,575.00 $161.35–$566.04 43% above —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONT $1,567.13 $1,575.00 $161.35–$566.04 — —
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX SCAN LOWER EXT ARTERIES BILATERAL $1,354.20 $1,361.00 $219.08–$548.99 — —
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX SCAN LOWER EXT ARTERIES BILATERAL $1,354.20 $1,361.00 $219.08–$548.99 — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX SCAN EXREMITY VEINS BILATERAL $1,354.20 $1,361.00 $219.08–$548.99 — —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX SCAN EXREMITY VEINS BILATERAL $1,354.20 $1,361.00 $219.08–$548.99 — —
Knee X-ray, 3 views CPT 73562 X-RAY KNEE 3 VIEWS $190.05 $191.00 $46.46–$191.00 19% below —
Knee X-ray, 3 views CPT 73562 X-RAY KNEE 4 VIEWS $205.97 $207.00 $46.46–$207.00 12% below —
Knee X-ray, 3 views inpatient CPT 73562 X-RAY KNEE 3 VIEWS $190.05 $191.00 $46.46–$191.00 — —
Knee X-ray, 3 views inpatient CPT 73562 X-RAY KNEE 4 VIEWS $205.97 $207.00 $46.46–$207.00 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMINAL LIMITED $127.36 $128.00 $64.75–$128.00 63% below 1%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMINAL LIMITED $127.36 $128.00 $64.75–$128.00 — 1%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W & W/O CONT-BILATERAL $2,847.69 $2,862.00 $527.13–$1,431.00 — 1%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST W & W/O CONT-BILATERAL $2,847.69 $2,862.00 $527.13–$1,431.00 — 1%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LOWER EXT W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 35% above —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LOWER EXT W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LOWER EXT W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,201.38 13% above —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LOWER EXT W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,201.38 — —
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 8% above —
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,907.00 14% above —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,907.00 — —
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 7% above —
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W CONT ONLY $1,607.92 $1,616.00 $323.67–$1,232.56 6% below 1%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & W/O CONT $2,044.73 $2,055.00 $323.67–$1,232.56 19% above —
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W CONT ONLY $1,607.92 $1,616.00 $323.67–$1,232.56 — 1%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/O CONT $2,044.73 $2,055.00 $323.67–$1,232.56 — —
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 12% above —
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W & W/O CONT $2,299.45 $2,311.00 $323.67–$1,221.95 30% above —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W & W/O CONT $2,299.45 $2,311.00 $323.67–$1,221.95 — —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 22% above —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,222.51 12% above —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,222.51 — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 21% above —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,242.67 13% above —
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O CONT $1,897.47 $1,907.00 $323.67–$1,242.67 — —
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 22% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPPER EXT W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 32% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPPER EXT W/O CONT $1,378.08 $1,385.00 $219.08–$1,044.00 — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND BLADDER $522.38 $525.00 $55.65–$251.26 55% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ULTRASOUND BLADDER $522.38 $525.00 $55.65–$251.26 — —
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY SHOULDER COMPLETE 2 VIEWS $190.05 $191.00 $43.88–$191.00 11% below —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY SHOULDER COMPLETE 2 VIEWS $190.05 $191.00 $43.88–$191.00 — —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI W/KUB $190.05 $191.00 $111.89–$191.00 65% below —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY UPPER GI W/KUB $190.05 $191.00 $111.89–$191.00 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN LEFT EXREMITY VEINS LTD $901.47 $906.00 $96.38–$503.00 39% above 1%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN RIGHT EXTREMITY VEINS LIMITE $901.47 $906.00 $96.38–$503.00 39% above 1%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX SCAN RIGHT EXTREMITY VEINS LIMITE $901.47 $906.00 $96.38–$503.00 — 1%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX SCAN LEFT EXREMITY VEINS LTD $901.47 $906.00 $96.38–$503.00 — 1%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY WRIST COMPLETE 3 VIEWS $190.05 $191.00 $43.58–$191.00 17% below —
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY WRIST COMPLETE 3 VIEWS $190.05 $191.00 $43.58–$191.00 — —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY HIP UNILATERAL W PELVIS 2-3 VIEWS $168.16 $169.00 $79.80–$169.00 35% below —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY HIP UNILATERAL W PELVIS 2-3 VIEWS $168.16 $169.00 $79.80–$169.00 — —
X-ray of the ankle, 2 views CPT 73600 X-RAY ANKLE 2 VIEWS $190.05 $191.00 $31.66–$191.00 at median —
X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY ANKLE 2 VIEWS $190.05 $191.00 $31.66–$191.00 — —
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY FINGERS 2 VIEWS $190.05 $191.00 $36.13–$191.00 14% above —
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY FINGERS 2 VIEWS $190.05 $191.00 $36.13–$191.00 — —
X-ray of the foot, 2 views CPT 73620 X-RAY FOOT 2 VIEWS $190.05 $191.00 $38.51–$191.00 1% above —
X-ray of the foot, 2 views inpatient CPT 73620 X-RAY FOOT 2 VIEWS $190.05 $191.00 $38.51–$191.00 — —
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY FOOT COMPLETE 3 VIEWS $190.05 $191.00 $42.41–$191.00 13% below —
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY FOOT COMPLETE 3 VIEWS $190.05 $191.00 $42.41–$191.00 — —
X-ray of the hand, 3 or more views CPT 73130 X-RAY HAND 3 VIEWS $190.05 $191.00 $42.41–$191.00 11% below —
X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY HAND 3 VIEWS $190.05 $191.00 $42.41–$191.00 — —
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY KNEE 1-2 VIEWS $190.05 $191.00 $40.06–$191.00 at median —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY KNEE 1-2 VIEWS $190.05 $191.00 $40.06–$191.00 — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY SPINE LUMBOSACRAL 2-3 VIEW $190.05 $191.00 $53.72–$191.00 31% below —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY SPINE LUMBOSACRAL 2-3 VIEW $190.05 $191.00 $53.72–$191.00 — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY SPINE THORACIC TWO VIEW $190.05 $191.00 $50.28–$191.00 14% below —
X-ray of the mid back (thoracic spine), 2 views one side CPT 72070 X-RAY RIBS UNILATERAL 2 VIEW $190.05 $191.00 $50.28–$191.00 14% below —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY SPINE THORACIC TWO VIEW $190.05 $191.00 $50.28–$191.00 — —
X-ray of the mid back (thoracic spine), 2 views inpatient one side CPT 72070 X-RAY RIBS UNILATERAL 2 VIEW $190.05 $191.00 $50.28–$191.00 — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY SPINE CERVICAL SPINE 2-3 VIEW $190.05 $191.00 $48.79–$191.00 24% below —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY SPINE CERVICAL SPINE 2-3 VIEW $190.05 $191.00 $48.79–$191.00 — —
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY PELVIS 1-2 VIEWS $190.05 $191.00 $38.91–$191.00 8% below —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY PELVIS 1-2 VIEWS $190.05 $191.00 $38.91–$191.00 — —

Lab tests

ProcedureCash price List priceInsurers payvs KansasOff list
AST (aspartate aminotransferase) enzyme test CPT 84450 AST, SGOT $9.95 $10.00 $2.18–$10.00 73% below 1%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST, SGOT $9.95 $10.00 $2.18–$10.00 — 1%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE-TYPE B $57.71 $58.00 $16.49–$58.00 55% below 1%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE-TYPE B $57.71 $58.00 $16.49–$58.00 — 1%
Basic metabolic panel (blood test) CPT 80048 BMP $19.90 $20.00 $3.55–$20.00 76% below 1%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP $19.90 $20.00 $3.55–$20.00 — 1%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY LEVEL 4 $159.20 $160.00 $21.06–$160.00 28% below 1%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATHOLOGY LEVEL 4 $159.20 $160.00 $21.06–$160.00 — 1%
Blood culture for bacteria CPT 87040 BLOOD CULTURES X1 $49.75 $50.00 $4.33–$34.53 34% below 1%
Blood culture for bacteria CPT 87040 CULT BACTERIAL, BLOOD AEROBIC $49.75 $50.00 $4.33–$34.53 34% below 1%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURES X1 $49.75 $50.00 $4.33–$34.53 — 1%
Blood culture for bacteria inpatient CPT 87040 CULT BACTERIAL, BLOOD AEROBIC $49.75 $50.00 $4.33–$34.53 — 1%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NON-COVERED VENIPUNCTURE $9.95 $10.00 $3.60–$10.00 45% below 1%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NON-COVERED VENIPUNCTURE $9.95 $10.00 $3.60–$10.00 — 1%
Blood glucose (sugar) test CPT 82947 GLUCOSE, BLOOD $8.96 $9.00 $1.65–$9.00 72% below —
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BLOOD $8.96 $9.00 $1.65–$9.00 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $24.88 $25.00 $2.18–$17.45 48% below —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $24.88 $25.00 $2.18–$17.45 — —
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN $59.70 $60.00 $15.65–$60.00 45% below 1%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN $59.70 $60.00 $15.65–$60.00 — 1%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $29.85 $30.00 $3.26–$16.28 27% below 1%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $29.85 $30.00 $3.26–$16.28 — 1%
Complete blood count (CBC), no differential CPT 85027 CBC $23.88 $24.00 $2.72–$15.76 49% below 1%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC $23.88 $24.00 $2.72–$15.76 — 1%
Comprehensive metabolic panel (blood test) CPT 80053 ..TESTING MED NON GYN $19.90 $20.00 $4.44–$20.00 81% below 1%
Comprehensive metabolic panel (blood test) CPT 80053 CMP $19.90 $20.00 $4.44–$20.00 81% below 1%
Comprehensive metabolic panel (blood test) CPT 80053 ..TESTING DIC SCREEN $19.90 $20.00 $4.44–$20.00 81% below 1%
Comprehensive metabolic panel (blood test) CPT 80053 ..TESTING PROTIME $19.90 $20.00 $4.44–$20.00 81% below 1%
Comprehensive metabolic panel (blood test) CPT 80053 ..TESTING WOUND CULTURE $19.90 $20.00 $4.44–$20.00 81% below 1%
Comprehensive metabolic panel (blood test) CPT 80053 ..TESTING ELECTROLYTES $19.90 $20.00 $4.44–$20.00 81% below 1%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 ..TESTING ELECTROLYTES $19.90 $20.00 $4.44–$20.00 — 1%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP $19.90 $20.00 $4.44–$20.00 — 1%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 ..TESTING DIC SCREEN $19.90 $20.00 $4.44–$20.00 — 1%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 ..TESTING PROTIME $19.90 $20.00 $4.44–$20.00 — 1%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 ..TESTING WOUND CULTURE $19.90 $20.00 $4.44–$20.00 — 1%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 ..TESTING MED NON GYN $19.90 $20.00 $4.44–$20.00 — 1%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER $85.07 $85.50 $4.28–$49.16 27% below 1%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER $85.07 $85.50 $4.28–$49.16 — 1%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $39.80 $40.00 $5.72–$40.00 55% below 1%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $39.80 $40.00 $5.72–$40.00 — 1%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1, HIV2 $49.75 $50.00 $5.76–$46.03 37% below 1%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1, HIV2 $49.75 $50.00 $5.76–$46.03 — 1%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $41.79 $42.00 $4.08–$32.80 40% below 1%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $41.79 $42.00 $4.08–$32.80 — 1%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B $24.88 $25.00 $4.34–$25.00 58% below —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B $24.88 $25.00 $4.34–$25.00 — —
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $44.78 $45.00 $5.99–$45.00 41% below —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $44.78 $45.00 $5.99–$45.00 — —
Iron blood test (serum iron) CPT 83540 IRON PANEL $19.90 $20.00 $2.72–$20.00 54% below 1%
Iron blood test (serum iron) inpatient CPT 83540 IRON PANEL $19.90 $20.00 $2.72–$20.00 — 1%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $19.90 $20.00 $3.65–$20.00 72% below 1%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $19.90 $20.00 $3.65–$20.00 — 1%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $31.84 $32.00 $2.89–$23.01 49% below 1%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $31.84 $32.00 $2.89–$23.01 — 1%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $29.85 $30.00 $3.43–$24.78 68% below 1%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $29.85 $30.00 $3.43–$24.78 — 1%
Magnesium blood test CPT 83735 MAGNESIUM $39.80 $40.00 $2.81–$22.13 26% below 1%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $39.80 $40.00 $2.81–$22.13 — 1%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL $74.63 $75.00 $7.72–$61.06 28% below —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL $74.63 $75.00 $7.72–$61.06 — —
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $22.39 $22.50 $2.52–$17.80 49% below —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $22.39 $22.50 $2.52–$17.80 — —
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR $19.40 $19.50 $1.80–$13.29 37% below 1%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR $19.40 $19.50 $1.80–$13.29 — 1%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS, GROUP A $59.70 $60.00 $6.94–$60.00 13% below 1%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS, GROUP A $59.70 $60.00 $6.94–$60.00 — 1%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE $79.60 $80.00 $2.38–$80.00 67% above 1%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE $79.60 $80.00 $2.38–$80.00 — 1%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE $14.93 $15.00 $1.13–$8.83 54% below —
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE $14.93 $15.00 $1.13–$8.83 — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT BY FECAL $33.83 $34.00 $6.69–$34.00 34% below 1%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD OCCULT BY FECAL $33.83 $34.00 $6.69–$34.00 — 1%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $44.78 $45.00 $7.06–$45.00 50% below —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $44.78 $45.00 $7.06–$45.00 — —
Uric acid blood test CPT 84550 URIC ACID, BLOOD $14.93 $15.00 $1.90–$15.00 60% below —
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD $14.93 $15.00 $1.90–$15.00 — —
Urinalysis with microscope exam, automated CPT 81001 UA W/CULTURE IF INDICATED $9.95 $10.00 $1.33–$10.00 71% below 1%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/CULTURE IF INDICATED $9.95 $10.00 $1.33–$10.00 — 1%
Urinalysis with microscope exam, manual CPT 81000 UA NON AUTO W/MICROSCOPY $14.93 $15.00 $1.69–$10.38 25% below —
Urinalysis with microscope exam, manual inpatient CPT 81000 UA NON AUTO W/MICROSCOPY $14.93 $15.00 $1.69–$10.38 — —
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICROSCOPY $9.95 $10.00 $0.95–$7.07 56% below 1%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICROSCOPY $9.95 $10.00 $0.95–$7.07 — 1%
Urinalysis without microscope exam, manual CPT 81002 UA NON AUTO W/O MICROSCOPY $10.95 $11.00 $1.46–$7.66 38% below —
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON AUTO W/O MICROSCOPY $10.95 $11.00 $1.46–$7.66 — —
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE $34.83 $35.00 $3.39–$26.57 35% below —
Urine culture for bacteria, with colony count CPT 87086 CULT BACTERIAL, QUANTITATIVE $34.83 $35.00 $3.39–$26.57 35% below —
Urine culture for bacteria, with colony count CPT 87086 GENTAMYCIN LEVEL $62.69 $63.00 $3.39–$26.57 18% above —
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE $34.83 $35.00 $3.39–$26.57 — —
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT BACTERIAL, QUANTITATIVE $34.83 $35.00 $3.39–$26.57 — —
Urine culture for bacteria, with colony count inpatient CPT 87086 GENTAMYCIN LEVEL $62.69 $63.00 $3.39–$26.57 — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs KansasOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $1,414.89 $1,422.00 $593.08–$1,422.00 152% above 1%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $1,414.89 $1,422.00 $593.08–$1,422.00 — 1%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAPHY $713.42 $717.00 $49.58–$382.00 4% above —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAPHY $713.42 $717.00 $49.58–$382.00 — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs KansasOff list
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION THERAPY 1ST HR $212.93 $214.00 $97.13–$214.00 13% below 1%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION THERAPY 1ST HR $212.93 $214.00 $97.13–$214.00 — 1%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY 1ST HR $212.93 $214.00 $97.13–$214.00 19% below 1%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY 1ST HR $212.93 $214.00 $97.13–$214.00 — 1%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THERPEUTIC/PROPHYLACTIC/DIAG $83.58 $84.00 $42.00–$84.00 25% above 1%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THERPEUTIC/PROPHYLACTIC/DIAG $83.58 $84.00 $42.00–$84.00 — 1%
Neuromuscular re-education, 15 minutes CPT 97112 THER NEURO REEDUCATION, 15MIN $81.59 $82.00 $29.80–$82.00 6% above 1%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 THER NEURO REEDUCATION, 15MIN $81.59 $82.00 $29.80–$82.00 — 1%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISES $58.71 $59.00 $26.78–$59.00 25% below —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISES $58.71 $59.00 $26.78–$59.00 — —

Vaccines

ProcedureCash price List priceInsurers payvs KansasOff list
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B P/F 10 MCG/.5 SDV 10 $116.20 $116.78 $58.39–$90.49 at median —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B P/F 10 MCG/.5 SDV 10 $116.20 $116.78 $58.39–$90.49 — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF INFLUENZA VACCINE/OTHER $68.66 $69.00 $34.50–$69.00 81% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF INFLUENZA VACCINE/OTHER $68.66 $69.00 $34.50–$69.00 — —

Source file: https://irp.cdn-website.com/fa377abf/files/uploaded/481148580_kansas-surgery---recovery-center-llc_standardcharges.csv