Osborne County Memorial Hospital
Osborne County Memorial Hospital in Osborne, KS publishes cash prices for 278 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 140 of 274 procedures and above it for 125. By typical cash price it ranks #35 of 65 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
237 W Harrison Street Suite 100, Osborne, KS 67473 Collected Sep 27, 2026 Source price file (785) 346-2121
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171364 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Osborne County Memorial Hospital in Osborne, KS:
- Apr 10, 2023 Met requirements
- Aug 20, 2024 Warning notice
- Sep 3, 2024 Case closed
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 Xr Ankle Complete Bilateral | $181.00 | $213.00 | $23.00–$202.00 | — | 15% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete Left | $164.00 | $193.00 | $23.00–$183.00 | 26% below | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Ankle Brachial Index | $654.00 | $769.00 | $515.00–$731.00 | 8% above | 15% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr Esophagus | $337.00 | $397.00 | $266.00–$377.00 | 25% below | 15% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body | $848.00 | $998.00 | $669.00–$948.00 | 23% below | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Left Complete | $196.00 | $231.00 | $78.00–$219.00 | 21% below | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Right Complete | $196.00 | $231.00 | $78.00–$219.00 | 21% below | 15% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Right Limited | $163.00 | $192.00 | $60.00–$182.00 | 35% below | 15% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Left Limited | $163.00 | $192.00 | $60.00–$182.00 | 35% below | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W | $1,428.00 | $1,680.00 | $367.00–$1,596.00 | 19% below | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest W/ + W/o Contrast | $1,428.00 | $1,680.00 | $1,126.00–$1,596.00 | 19% below | 15% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Calcium Scoring | $213.00 | $250.00 | $168.00–$238.00 | 1% above | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen + Pelvis W/o Contrast | $1,159.00 | $1,364.00 | $914.00–$1,296.00 | 10% below | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,176.00 | $1,384.00 | $927.00–$1,315.00 | 22% below | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen + Pelvis W/ + W/o Contrast | $1,194.00 | $1,405.00 | $941.00–$1,335.00 | 36% below | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Chest/abdomen/pelvis W/ Contrast | $1,194.00 | $1,405.00 | $941.00–$1,335.00 | 36% below | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Chest/abdomen/pelvis W + W/o Contrast | $1,278.00 | $1,504.00 | $1,008.00–$1,429.00 | 31% below | 15% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast | $926.00 | $1,089.00 | $730.00–$1,035.00 | 33% below | 15% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $891.00 | $1,048.00 | $702.00–$996.00 | 23% below | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast | $876.00 | $1,031.00 | $691.00–$979.00 | 13% below | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $876.00 | $1,031.00 | $691.00–$979.00 | 17% below | 15% |
| CT scan of the head with contrast CPT 70460 Ct Head Or Brain W/ Contrast | $894.00 | $1,052.00 | $705.00–$999.00 | 22% below | 15% |
| CT scan of the head without and with contrast CPT 70470 Ct Head Or Brain W/ + W/o Contrast | $921.00 | $1,083.00 | $726.00–$1,029.00 | 27% below | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast | $876.00 | $1,031.00 | $691.00–$979.00 | 23% below | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast | $876.00 | $1,031.00 | $691.00–$979.00 | 13% below | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $894.00 | $1,052.00 | $705.00–$999.00 | 22% below | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Doppler Bilateral | $842.00 | $990.00 | $311.00–$941.00 | — | 15% |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views | $184.00 | $216.00 | $145.00–$205.00 | 20% below | 15% |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $145.00 | $170.00 | $114.00–$162.00 | 26% below | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $400.00 | $470.00 | $315.00–$447.00 | 3% below | 15% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Bone Density Dexa Axial Skeleton | $342.00 | $402.00 | $269.00–$382.00 | 7% above | 15% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bd Bone Density Dexa App Skeleton | $119.00 | $140.00 | $94.00–$133.00 | 21% below | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax W/o Contrast | $876.00 | $1,031.00 | $691.00–$979.00 | 9% below | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 Ct Thorax W/o Cntrst | $1,278.00 | $1,504.00 | $223.00–$1,429.00 | 33% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax W/ Contrast | $894.00 | $1,052.00 | $705.00–$999.00 | 18% below | 15% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $201.00 | $237.00 | $123.00–$225.00 | 8% below | 15% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $197.00 | $232.00 | $123.00–$220.00 | at median | 15% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Le Arterial Duplex Bilateral | $745.00 | $876.00 | $378.00–$832.00 | — | 15% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Ue Venous Duplex Bilateral | $745.00 | $876.00 | $587.00–$832.00 | — | 15% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Le Venous Doppler Bilateral | $745.00 | $876.00 | $295.00–$832.00 | — | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo 2d Comp W/ Color Flow Doppler | $2,228.00 | $2,621.00 | $1,756.00–$2,490.00 | 14% above | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unattended | $356.00 | $419.00 | $281.00–$398.00 | at median | 15% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography W/cpap 4+add Par 6+ | $2,686.00 | $3,160.00 | $2,117.00–$3,002.00 | at median | 15% |
| Knee X-ray, 3 views both sides CPT 73562 Xr Knee 3 Views Bilateral | $210.00 | $247.00 | $25.00–$235.00 | — | 15% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left | $201.00 | $237.00 | $25.00–$225.00 | 14% below | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited | $300.00 | $353.00 | $237.00–$335.00 | 5% below | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Lung Cancer Screening | $746.00 | $878.00 | $588.00–$834.00 | 18% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $1,247.00 | $1,467.00 | $452.00–$1,394.00 | 11% above | 15% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 73723 Mri Le Joint W/ + W/o Contrast Bilateral | $1,247.00 | $1,467.00 | $553.00–$1,408.00 | — | 15% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Right | $1,194.00 | $1,405.00 | $553.00–$1,408.00 | 29% below | 15% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $1,071.00 | $1,260.00 | $844.00–$1,197.00 | 15% below | 15% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast | $1,194.00 | $1,405.00 | $941.00–$1,335.00 | 28% below | 15% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast | $1,159.00 | $1,364.00 | $914.00–$1,296.00 | 10% below | 15% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $1,194.00 | $1,405.00 | $941.00–$1,335.00 | 30% below | 15% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $1,159.00 | $1,364.00 | $914.00–$1,296.00 | 5% below | 15% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W/ + W/o Contrast | $1,194.00 | $1,405.00 | $941.00–$1,335.00 | 33% below | 15% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/o Contrast | $1,159.00 | $1,364.00 | $914.00–$1,296.00 | at median | 15% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W/ + W/o Contrast | $1,194.00 | $1,405.00 | $941.00–$1,335.00 | 29% below | 15% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/o Contrast | $1,159.00 | $1,364.00 | $914.00–$1,296.00 | at median | 15% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast | $1,194.00 | $1,405.00 | $941.00–$1,335.00 | 28% below | 15% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast | $1,159.00 | $1,364.00 | $914.00–$1,296.00 | 1% above | 15% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Right | $1,159.00 | $1,364.00 | $452.00–$1,296.00 | 2% above | 15% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Left | $1,159.00 | $1,364.00 | $452.00–$1,296.00 | 2% above | 15% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Spect Multi Rest/stress | $2,790.00 | $3,282.00 | $2,199.00–$3,118.00 | 2% above | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvis Non Ob Limited | $475.00 | $559.00 | $375.00–$531.00 | 41% above | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non Ob Complete | $496.00 | $584.00 | $391.00–$555.00 | 43% above | 15% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $355.00 | $418.00 | $280.00–$397.00 | 4% below | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Pregnancy 1st Trimester | $290.00 | $341.00 | $228.00–$324.00 | 9% below | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnancy Limited | $338.00 | $398.00 | $267.00–$378.00 | 7% above | 15% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $201.00 | $237.00 | $131.00–$225.00 | — | 15% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Xr Shoulder Complete Bilateral | $184.00 | $216.00 | $25.00–$205.00 | — | 15% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete Left | $167.00 | $196.00 | $25.00–$186.00 | 23% below | 15% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $2,376.00 | $2,795.00 | $1,873.00–$2,655.00 | at median | 15% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $289.00 | $340.00 | $228.00–$323.00 | 9% below | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Transvaginal Ob | $426.00 | $501.00 | $62.00–$476.00 | 19% above | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Pregnancy Transvaginal | $426.00 | $501.00 | $336.00–$476.00 | 19% above | 15% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $496.00 | $583.00 | $391.00–$554.00 | 12% above | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum (Contents) | $300.00 | $353.00 | $237.00–$335.00 | 12% below | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/neck Soft Tissue | $700.00 | $824.00 | $552.00–$783.00 | 15% above | 15% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr Upper Gi Single Contrast Study | $532.00 | $626.00 | $62.00–$595.00 | 1% below | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Right | $700.00 | $824.00 | $202.00–$783.00 | 5% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Left | $700.00 | $824.00 | $202.00–$783.00 | 5% above | 15% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 Xr Wrist Complete Bilateral | $228.00 | $268.00 | $23.00–$255.00 | — | 15% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete Left | $210.00 | $247.00 | $23.00–$235.00 | 9% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip 2-3 Viewleft | $213.00 | $250.00 | $45.00–$238.00 | 17% below | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Lt W/ Pelvis | $213.00 | $250.00 | $168.00–$238.00 | 17% below | 15% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 View | $168.00 | $198.00 | $133.00–$188.00 | 22% below | 15% |
| X-ray of the ankle, 2 views both sides CPT 73600 Xr Ankle 2 Views Bilateral | $150.00 | $177.00 | $21.00–$168.00 | — | 15% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left | $150.00 | $177.00 | $21.00–$168.00 | 21% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit Right | $133.00 | $156.00 | $18.00–$148.00 | 21% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger Thumb 1 View Right | $133.00 | $156.00 | $18.00–$148.00 | 21% below | 15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2nd Digit Left | $133.00 | $156.00 | $18.00–$148.00 | 21% below | 15% |
| X-ray of the foot, 2 views both sides CPT 73620 Xr Foot 2 Views Bilateral | $182.00 | $214.00 | $21.00–$203.00 | — | 15% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left | $165.00 | $194.00 | $21.00–$184.00 | 13% below | 15% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 Xr Foot Complete Bilateral | $223.00 | $262.00 | $23.00–$249.00 | — | 15% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete Left | $205.00 | $241.00 | $23.00–$229.00 | 6% below | 15% |
| X-ray of the hand, 3 or more views both sides CPT 73130 Xr Hand Complete Bilateral | $217.00 | $255.00 | $23.00–$242.00 | — | 15% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete Left | $200.00 | $235.00 | $23.00–$223.00 | 9% below | 15% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Xr Knee 1 Or 2 Views Bilateral | $182.00 | $214.00 | $23.00–$203.00 | — | 15% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Left | $173.00 | $204.00 | $23.00–$194.00 | 9% below | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Or 3 Views | $201.00 | $237.00 | $159.00–$225.00 | 27% below | 15% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $309.00 | $364.00 | $244.00–$346.00 | 22% below | 15% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views | $156.00 | $183.00 | $123.00–$174.00 | 30% below | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones Minimum 3 Views | $201.00 | $237.00 | $159.00–$225.00 | 14% below | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views | $201.00 | $237.00 | $159.00–$225.00 | 19% below | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views | $157.00 | $185.00 | $124.00–$176.00 | 24% below | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx Minimum 2 Views | $201.00 | $237.00 | $159.00–$225.00 | 13% below | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $42.00 | $49.00 | $6.00–$47.00 | 13% above | 14% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $42.00 | $49.00 | $6.00–$47.00 | 15% above | 14% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (G2) Ige Qst | $26.00 | $30.00 | $6.00–$29.00 | 13% below | 13% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide (Ccp) Ab (Igg) Qst | $116.00 | $137.00 | $16.00–$130.00 | 7% above | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 Lupus (12) Panel Qst- Ana | $55.00 | $65.00 | $18.00–$62.00 | 22% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Multiplex, W/ Rflx To Dsdnaqst | $55.00 | $65.00 | $18.00–$62.00 | 22% below | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Ifa Screen W/refl To Titer And Pattern, Ifa Qst | $85.00 | $100.00 | $18.00–$95.00 | 21% above | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide | $250.00 | $294.00 | $41.00–$279.00 | 95% above | 15% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $85.00 | $100.00 | $10.00–$95.00 | 4% above | 15% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology Level 4 | $214.00 | $252.00 | $46.00–$239.00 | 5% below | 15% |
| Blood culture for bacteria CPT 87040 Culture, Blood Qst | $95.00 | $112.00 | $18.00–$106.00 | 24% above | 15% |
| Blood culture for bacteria CPT 87040 Culture, Blood With Reflex To Molecular Idqst | $95.00 | $112.00 | $18.00–$106.00 | 24% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipuncture | $18.00 | $21.00 | $6.00–$20.00 | at median | 14% |
| Blood glucose (sugar) test CPT 82947 .Glucose Fingerstick Poc Re | $20.00 | $24.00 | $6.00–$23.00 | 36% below | 17% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $32.00 | $38.00 | $6.00–$36.00 | 3% above | 16% |
| Blood lead test CPT 83655 83655 Heavy Metals Panel, 24 Hour Urine Qst | $68.00 | $80.00 | $12.00–$76.00 | 30% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Rapid Pregnancy Test With Qc | $79.00 | $93.00 | $11.00–$88.00 | 38% above | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Aborh Gl | $237.00 | $279.00 | $6.00–$265.00 | 146% above | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein Qst | $42.00 | $49.00 | $10.00–$47.00 | 13% below | 14% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $49.00 | $58.00 | $10.00–$55.00 | 2% above | 16% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile Toxin B,ql Real Time Pcr Qst | $128.00 | $150.00 | $47.00–$143.00 | 13% above | 15% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 Qst | $120.00 | $141.00 | $27.00–$134.00 | 15% above | 15% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 Qst | $121.00 | $142.00 | $27.00–$135.00 | 31% above | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Rna, Tma Qst | $110.00 | $129.00 | $52.00–$123.00 | 4% below | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $109.00 | $128.00 | $18.00–$122.00 | 22% above | 15% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $55.00 | $65.00 | $18.00–$62.00 | 35% above | 15% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $49.00 | $58.00 | $17.00–$55.00 | 11% above | 16% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $139.00 | $163.00 | $13.00–$155.00 | 33% above | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer, Quantitative Qst | $121.00 | $142.00 | $29.00–$135.00 | 4% above | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $128.00 | $150.00 | $29.00–$143.00 | 10% above | 15% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate Qst | $105.00 | $124.00 | $28.00–$118.00 | 18% below | 15% |
| Estradiol blood test CPT 82670 Estradiol Qst | $164.00 | $193.00 | $22.00–$183.00 | 3% below | 15% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Qst | $107.00 | $126.00 | $23.00–$120.00 | 7% below | 15% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool Qst | $235.00 | $277.00 | $23.00–$263.00 | 2% above | 15% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Qst | $68.00 | $80.00 | $17.00–$76.00 | 20% below | 15% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $71.00 | $84.00 | $19.00–$80.00 | 28% below | 15% |
| Folate (folic acid) blood test CPT 82746 Folate, Serum Qst | $94.00 | $111.00 | $19.00–$105.00 | 4% below | 15% |
| Free T3 thyroid hormone test CPT 84481 T3, Free Qst | $121.00 | $142.00 | $25.00–$135.00 | 5% below | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine Index | $60.00 | $70.00 | $14.00–$67.00 | 3% below | 14% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free Qst | $60.00 | $70.00 | $14.00–$67.00 | 3% below | 14% |
| Free testosterone test CPT 84402 Testosterone, Freeqst | $98.00 | $115.00 | $26.00–$109.00 | 32% below | 15% |
| Free testosterone test CPT 84402 Testosterone, Free, Lc/ms/ms Qst | $295.00 | $347.00 | $26.00–$330.00 | 105% above | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gluc 1 Hr Post | $27.00 | $32.00 | $8.00–$30.00 | 43% below | 16% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Ag, Eia, Stool Qst | $240.00 | $282.00 | $17.00–$268.00 | 118% above | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Antigen/antibody,fourth Generation W/rfl Qst | $83.00 | $98.00 | $31.00–$93.00 | 11% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Qst | $45.00 | $53.00 | $13.00–$50.00 | 30% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $78.00 | $92.00 | $13.00–$87.00 | 21% above | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Ql Qst | $75.00 | $88.00 | $16.00–$84.00 | 1% above | 15% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis Panel, Acute W/reflex To Confirmation Qst | $31.00 | $36.00 | $19.00–$34.00 | 48% below | 14% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 Hepatitis Panel, General Qst | $54.00 | $64.00 | $19.00–$61.00 | 9% below | 16% |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 Rl Hepatitis C Antibody (Bill Item Id: 4435538) | $55.00 | $65.00 | $25.00–$62.00 | 27% below | 15% |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 Hepatitis Panel, General Qst | $68.00 | $80.00 | $25.00–$76.00 | 10% below | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna, Quantitative Real Time Pcr Qst | $234.00 | $275.00 | $53.00–$261.00 | 2% below | 15% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1/2 Igg,type Specific Ab Herpeselect Qst | $85.00 | $100.00 | $23.00–$95.00 | 10% below | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Hsv 1/2 Ab (Igm), Ifa W/rfl To Titer Qst | $87.00 | $102.00 | $23.00–$97.00 | 1% above | 15% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hs-crpqst | $77.00 | $90.00 | $12.00–$86.00 | 15% below | 14% |
| Homocysteine blood test CPT 83090 Homocysteine Qst | $220.00 | $259.00 | $13.00–$246.00 | at median | 15% |
| Insulin blood test CPT 83525 Insulin Qst | $73.00 | $86.00 | $18.00–$82.00 | 9% below | 15% |
| Iron blood test (serum iron) CPT 83540 Iron And Total Iron Binding Capacity Qst | $42.00 | $49.00 | $6.00–$47.00 | 2% below | 14% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $60.00 | $70.00 | $6.00–$67.00 | 40% above | 14% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $58.00 | $68.00 | $8.00–$65.00 | 9% below | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 Iron And Total Iron Binding Capacity Qst | $60.00 | $71.00 | $8.00–$67.00 | 6% below | 15% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $83.00 | $98.00 | $11.00–$93.00 | 15% above | 15% |
| LH (luteinizing hormone) test CPT 83002 Lh Qst | $107.00 | $126.00 | $23.00–$120.00 | 3% below | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $39.00 | $46.00 | $11.00–$44.00 | 37% below | 15% |
| Liver function blood test panel CPT 80076 Liver function blood test | $83.00 | $98.00 | $9.00–$93.00 | 1% above | 15% |
| Lyme disease antibody test CPT 86618 86618 Antibody Borrelia Burgdorferi Lyme Disease Qst (5885251) | $88.00 | $103.00 | $26.00–$98.00 | 28% below | 15% |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab W/refl To Blot (Igg, Igm) Qst | $96.00 | $113.00 | $26.00–$107.00 | 21% below | 15% |
| Magnesium blood test CPT 83735 Magnesium Level | $32.00 | $38.00 | $7.00–$36.00 | 38% below | 16% |
| Magnesium blood test CPT 83735 Magnesium, 24-hour Urine (W/o Creatinine) Qst | $46.00 | $54.00 | $7.00–$51.00 | 11% below | 15% |
| Measles (rubeola) antibody test CPT 86765 86765 Mmr (Igg) Panel (Measles, Mumps, Rubella) Qst | $132.00 | $155.00 | $26.00–$147.00 | 32% above | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Rapid Mono Screen With Qc | $56.00 | $66.00 | $9.00–$63.00 | 26% above | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 .Mono Screen Fingerstick Poc Re | $64.00 | $75.00 | $9.00–$71.00 | 44% above | 15% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $9.00 | $10.00 | $7.00–$44.00 | 90% below | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $107.00 | $126.00 | $23.00–$120.00 | 2% above | 15% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact (Without Calcium) Qst | $183.00 | $215.00 | $37.00–$204.00 | 9% below | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $60.00 | $70.00 | $16.00–$67.00 | 42% above | 14% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Qnatalqst | $2,872.00 | $3,379.00 | $1,163.00–$3,210.00 | 26% above | 15% |
| Progesterone blood test CPT 84144 Progesterone Qst | $85.00 | $100.00 | $23.00–$95.00 | 23% below | 15% |
| Prolactin blood test CPT 84146 Prolactin Qst | $105.00 | $124.00 | $23.00–$118.00 | 18% below | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $28.00 | $33.00 | $12.00–$31.00 | 9% below | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 U Drug Scrn W Qc | $179.00 | $210.00 | $20.00–$200.00 | 224% above | 15% |
| Rapid flu test (influenza antigen) CPT 87804 Rapid Influenza A And B With Qc | $128.00 | $150.00 | $23.00–$143.00 | 88% above | 15% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A Screen With Qc | $68.00 | $80.00 | $23.00–$76.00 | 5% below | 15% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $45.00 | $53.00 | $11.00–$50.00 | 6% below | 15% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Qst | $45.00 | $53.00 | $11.00–$50.00 | 6% below | 15% |
| Rheumatoid factor (RF) test CPT 86431 86431 Lupus (12) Panel Qstrheumatoid Factor | $237.00 | $279.00 | $11.00–$265.00 | 398% above | 15% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies (Igg, Igm) Diagnostic Qst | $38.00 | $45.00 | $12.00–$43.00 | 34% below | 16% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $54.00 | $63.00 | $12.00–$60.00 | 65% above | 14% |
| Stool ova and parasites exam CPT 87177 Ova And Parasites, Stool Conc And Perm Smear Qst | $49.00 | $58.00 | $20.00–$55.00 | 19% below | 16% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Gastroccult | $15.00 | $18.00 | $5.00–$17.00 | 44% below | 17% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood Screen X3 With Qc | $111.00 | $131.00 | $23.00–$124.00 | 115% above | 15% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Rapid Occult Blood Screen Stool With Qc | $111.00 | $131.00 | $23.00–$124.00 | 115% above | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr (Dx) W/refl Titer And Confirmatory Testing Qst | $36.00 | $42.00 | $7.00–$40.00 | 1% below | 14% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-tb Gold Plus, 1 Tubeqst | $192.00 | $226.00 | $76.00–$215.00 | at median | 15% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 Testosterone, Fr(dialysis) And Total(lc/ms/ms) Qst | $72.00 | $85.00 | $22.00–$81.00 | 50% below | 15% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Males (Adult), Ia Qst | $154.00 | $181.00 | $22.00–$172.00 | 7% above | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Lupus (12) Panel Qstmicrosomal Ab's | $101.00 | $119.00 | $22.00–$113.00 | 29% above | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies Qst | $106.00 | $125.00 | $22.00–$119.00 | 35% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $68.00 | $80.00 | $20.00–$76.00 | 22% below | 15% |
| Uric acid blood test CPT 84550 Uric Acid | $40.00 | $47.00 | $6.00–$45.00 | 10% above | 15% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $18.00 | $21.00 | $5.00–$20.00 | 45% below | 14% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $18.00 | $21.00 | $5.00–$20.00 | 24% below | 14% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $31.00 | $36.00 | $4.00–$34.00 | 37% above | 14% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $17.00 | $20.00 | $4.00–$19.00 | 6% below | 15% |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine, Routine Qst | $49.00 | $58.00 | $16.00–$55.00 | 8% below | 16% |
| Urine pregnancy test, read by color change CPT 81025 Rapid Pregnancy Test Urine With Qc | $56.00 | $66.00 | $8.00–$63.00 | 24% above | 15% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy (81025) | $64.00 | $75.00 | $8.00–$71.00 | 41% above | 15% |
| Urine pregnancy test, read by color change CPT 81025 .Pregnancy Test Urine Poc Re | $72.00 | $85.00 | $8.00–$81.00 | 59% above | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Qst | $69.00 | $81.00 | $19.00–$77.00 | 22% below | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $69.00 | $81.00 | $19.00–$77.00 | 22% below | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Cardio Iq Vitamin D, 25-hydroxyqst | $79.00 | $93.00 | $35.00–$165.00 | 68% below | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Questassured 25-oh Vit D, (D2,d3), Lc/ms/ms Qst | $273.00 | $321.00 | $35.00–$305.00 | 11% above | 15% |
| Zinc blood test CPT 84630 Zinc Qst | $77.00 | $90.00 | $19.00–$86.00 | 32% above | 14% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 Quad Screen Qst | $71.00 | $84.00 | $19.00–$80.00 | 25% below | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Bhcg Quant | $93.00 | $109.00 | $19.00–$104.00 | 2% below | 15% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Anes Crna 64615 Chemodenerv Musc Migraine | $171.00 | $201.00 | $96.00–$191.00 | 50% below | 15% |
| Botox injections for chronic migraine CPT 64615 Tr 64615 Chemodenerv Musc Migraine Charge | $496.00 | $583.00 | $198.00–$554.00 | 44% above | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Er 27786 Clsd Tx Distal Fibula Wo Mn | $2,473.00 | $2,909.00 | $444.00–$2,764.00 | 458% above | 15% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Er 28470 Clsd Trmt Metatarsal Pro Wo Mn | $1,816.00 | $2,136.00 | $310.00–$2,029.00 | 368% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Er 92960 Cardioversion Elective | $1,275.00 | $1,500.00 | $482.00–$1,425.00 | 113% above | 15% |
| Carpal tunnel release, open surgery CPT 64721 Or 64721 Carpal Tunnel Surgery | $1,935.00 | $2,277.00 | $596.00–$2,163.00 | 23% above | 15% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Or 54150 Circumcision W/regionl Block Charge | $400.00 | $470.00 | $315.00–$2,561.00 | 4% below | 15% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $1,771.00 | $2,084.00 | $825.00–$1,980.00 | 49% above | 15% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $1,576.00 | $1,854.00 | $795.00–$1,761.00 | 4% above | 15% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $1,576.00 | $1,854.00 | $320.00–$1,761.00 | 75% above | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Or 52000 Cystourethroscopy Charge | $1,576.00 | $1,854.00 | $326.00–$1,761.00 | 50% above | 15% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Or 58120 Dilate & Curettage Diag Non Ob | $2,484.00 | $2,922.00 | $402.00–$3,974.00 | 82% above | 15% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Tr 58120 Dilation & Curettage Dx&/ther Nonobstetric | $3,221.00 | $3,789.00 | $402.00–$3,974.00 | 136% above | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Cl 17000 Destruct Any Method 1st Lesion | $361.00 | $425.00 | $109.00–$404.00 | 215% above | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Tr 17000 Destruct Any Meth 1st Lesion Charge | $378.00 | $445.00 | $109.00–$423.00 | 229% above | 15% |
| Earwax removal with instruments, one ear CPT 69210 Er 69210 Remove Impact Ear Wax W Instrmt | $571.00 | $672.00 | $75.00–$638.00 | 474% above | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Tr 58100 Biopsy Of Uterine Lining | $350.00 | $412.00 | $176.00–$391.00 | 47% above | 15% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Or 62321 Inject Spine Crv/thrc W/img | $1,200.00 | $1,412.00 | $349.00–$1,341.00 | 5% above | 15% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Or 64493 Inj Pvrt Facet Jnt L/s Single | $694.00 | $817.00 | $243.00–$1,113.00 | 24% below | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Or 45330 Sigmoidoscopy Flexible Diag | $963.00 | $1,133.00 | $259.00–$1,140.00 | 10% above | 15% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $6,386.00 | $7,513.00 | $1,077.00–$7,293.00 | 16% above | 15% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Or 47563 Lap Chole W/cholangio | $7,013.00 | $8,251.00 | $1,159.00–$7,838.00 | 23% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Tr 10060 I&d Abscess Simple Single | $368.00 | $433.00 | $169.00–$411.00 | 67% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Or 10060 I&d Abscess Simple Single | $944.00 | $1,111.00 | $169.00–$1,055.00 | 329% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Cl 10060 Incis & Drain Abscess Simple | $944.00 | $1,111.00 | $169.00–$1,055.00 | 329% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Er 10060 I&d Abscess Simple/single | $989.00 | $1,164.00 | $169.00–$1,106.00 | 350% above | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Obs 10060 Incision & Drainage Abscess Simple/single | $1,751.00 | $2,060.00 | $169.00–$1,957.00 | 697% above | 15% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $4,542.00 | $5,343.00 | $727.00–$5,076.00 | 19% above | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Er 20550 Inj Tendon Sheath/ligament | $178.00 | $209.00 | $90.00–$199.00 | 4% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Anes Crna 20610 Drn/inj Maj Joint/bursa Wo | $472.00 | $555.00 | $37.00–$527.00 | 71% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Tr 20610 Drn/inj Maj Jnt/bursa Wo Us Charge | $497.00 | $585.00 | $107.00–$556.00 | 80% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Or 20610 Drain/inj Joint/bursa Wo Us | $497.00 | $585.00 | $107.00–$556.00 | 80% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Cl 20610 Drn/inj Major Joint/bursa Wo Us | $497.00 | $585.00 | $107.00–$556.00 | 80% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Er 20610 Drn/inj Major Joint/bursa Wo Us | $524.00 | $616.00 | $107.00–$585.00 | 90% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Or 20605 Arthrocent/asp/inj Int Jnt Wo Us Charge | $434.00 | $510.00 | $88.00–$485.00 | 85% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Anes Crna 20605 Drain/inj Jnt/bursa W/o Us | $472.00 | $555.00 | $88.00–$527.00 | 102% above | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Or 44970 Laparoscopic Appendectomy | $6,496.00 | $7,642.00 | $841.00–$7,293.00 | 39% above | 15% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Or 49650 Lap Ing Hernia Repair Init | $8,573.00 | $10,086.00 | $623.00–$9,582.00 | 249% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Cl 12031 Int Rpr S/a/t/ext 2.5 Cm/< | $1,242.00 | $1,461.00 | $361.00–$1,388.00 | 228% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Er 12031 Intrmd Rpr Sate 2.5cm Or Less | $1,301.00 | $1,531.00 | $361.00–$1,454.00 | 243% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Or 12031 Intmd Rpr S/a/t/ext 2.5 Cm/< Charge | $1,576.00 | $1,854.00 | $361.00–$1,761.00 | 316% above | 15% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $1,200.00 | $1,412.00 | $344.00–$1,341.00 | 2% above | 15% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance | $801.00 | $942.00 | $213.00–$895.00 | at median | 15% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $691.00 | $813.00 | $545.00–$1,113.00 | 28% below | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Cl 11400 Excis Benign Les Tal 0.5cm Or < | $1,323.00 | $1,557.00 | $166.00–$1,479.00 | 602% above | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Or 11440 Excis Ben Les Fel 0.5 Or Less | $949.00 | $1,117.00 | $202.00–$1,061.00 | 401% above | 15% |
| Nail removal (partial or complete), one nail CPT 11730 Er 11730 Avulsn Nail Plate Part/com Simp | $166.00 | $195.00 | $131.00–$248.00 | 17% above | 15% |
| Nail removal (partial or complete), one nail CPT 11730 Tr 11730 Avulsn Nail Plate Part/comp Simp Charge | $355.00 | $418.00 | $153.00–$397.00 | 150% above | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 Anes Crna 64405 Inj Great Occipital Nerve | $110.00 | $129.00 | $86.00–$319.00 | 69% below | 15% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Or 64635 Destroy Lumb/sac Facet Jnt | $2,022.00 | $2,379.00 | $597.00–$2,441.00 | 10% above | 15% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $2,834.00 | $3,334.00 | $720.00–$4,787.00 | 20% above | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple | $150.00 | $177.00 | $119.00–$1,076.00 | 46% below | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 Er 10120 I&r Frgn Body Subcu Tiss Simple | $1,314.00 | $1,546.00 | $201.00–$1,469.00 | 374% above | 15% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Or G0121 Screen Colonoscopy Not High Risk | $1,401.00 | $1,648.00 | $1,104.00–$1,566.00 | 48% above | 15% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Or G0105 Screen Colonoscopy High Risk | $1,401.00 | $1,648.00 | $1,104.00–$1,566.00 | 38% above | 15% |
| Short arm cast (elbow to hand) CPT 29075 Tr 29075 Application Forearm Cast | $540.00 | $635.00 | $123.00–$603.00 | 124% above | 15% |
| Short arm cast (elbow to hand) CPT 29075 Er 29075 Application Of Forearm Cast | $540.00 | $635.00 | $123.00–$603.00 | 124% above | 15% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application Of Short Arm Splint; Static | $255.00 | $300.00 | $96.00–$285.00 | 47% above | 15% |
| Short arm splint (forearm and hand) CPT 29125 Tr 29125 Apply Forearm Splint | $266.00 | $313.00 | $96.00–$297.00 | 53% above | 15% |
| Short arm splint (forearm and hand) CPT 29125 Er 29125 Apply Forearm Splint | $366.00 | $430.00 | $96.00–$409.00 | 111% above | 15% |
| Short leg cast (below the knee) CPT 29405 Er 29405 Apply Short Leg Walking Cast | $347.00 | $408.00 | $127.00–$388.00 | 42% above | 15% |
| Short leg splint (calf to foot) CPT 29515 Er 29515 Application Lower Leg Splint | $282.00 | $332.00 | $102.00–$315.00 | 67% above | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Tr 12001 Repair Spl Sthf 2.5cm Or Less Charge | $625.00 | $735.00 | $222.00–$698.00 | 162% above | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Er 12001 Simple Rpr Sthf 2.5cm Or Less | $650.00 | $765.00 | $222.00–$727.00 | 172% above | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Tr 11104 Punch Bx Skin Single Lesion | $762.00 | $896.00 | $170.00–$851.00 | 107% above | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Or 11104 Punch Bx Skin Single Lesion | $762.00 | $896.00 | $170.00–$851.00 | 107% above | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Cl 11104 Punch Bx Skin Single Lesion | $762.00 | $896.00 | $170.00–$851.00 | 107% above | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Cl 11600 11600 Excis Mal Les Tal 0.5cm Or Less | $772.00 | $908.00 | $265.00–$863.00 | 209% above | 15% |
| Skin tag removal, up to 15 tags CPT 11200 Or 11200 Removal Of Skin Tags Up To 15 | $762.00 | $896.00 | $129.00–$851.00 | 441% above | 15% |
| Skin tag removal, up to 15 tags CPT 11200 Cl 11200 Removal Of Skin Tags Up To 15 | $806.00 | $948.00 | $129.00–$901.00 | 472% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Anes Crna 62270 Spinal Puncture Diag | $110.00 | $129.00 | $86.00–$433.00 | 80% below | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Or 12002 Rpr S/n/ax/gen/trnk 2.6-7.5cm | $545.00 | $641.00 | $237.00–$609.00 | 96% above | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Er 12002 Simple Rpr Sthf 2.6cm-7.5cm | $571.00 | $672.00 | $237.00–$638.00 | 105% above | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Or 12011 Rpr F/e/e/n/l/m 2.5 Cm/< | $567.00 | $667.00 | $235.00–$634.00 | 100% above | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Er 12011 Simple Rpr Face 2.5cm Or Less | $594.00 | $699.00 | $235.00–$664.00 | 110% above | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Cl 11102 Tangntl Bx Skin Single Les | $762.00 | $896.00 | $135.00–$851.00 | 176% above | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Er 11102 Tangntl Bx Skin Single Les | $798.00 | $939.00 | $135.00–$892.00 | 189% above | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Or 11102 Tangntl Bx Skin Single Les | $811.00 | $954.00 | $135.00–$906.00 | 194% above | 15% |
| Thoracentesis with imaging guidance CPT 32555 Tr 32555 Aspirate Pleura W/ Imaging | $1,077.00 | $1,267.00 | $849.00–$1,204.00 | 23% above | 15% |
| Thoracentesis with imaging guidance CPT 32555 Or 32555 Aspirate Pleura With Imaging | $1,457.00 | $1,714.00 | $859.00–$1,628.00 | 66% above | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Anes Crna 20552 Inj Trigger Points 1 Or 2 | $425.00 | $500.00 | $84.00–$475.00 | 103% above | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Er 20552 Inj Trigger Point 1 Or 2 Muscl | $434.00 | $511.00 | $84.00–$485.00 | 107% above | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Tr 20552 Inj Trigger Point 1 Or 2 Muscl Charge | $553.00 | $650.00 | $84.00–$618.00 | 164% above | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Or 20552 Inj Single/mlt Trigger Point 1/2 Muscles | $1,428.00 | $1,680.00 | $84.00–$1,596.00 | 582% above | 15% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 Us Biopsy Breast Bilateral | $2,048.00 | $2,409.00 | $896.00–$2,289.00 | — | 15% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Cl 19083 Bx Breast W/device 1st Lesion Ultrasound Guid | $1,954.00 | $2,299.00 | $896.00–$2,184.00 | at median | 15% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Or 19083 Breast 1st Lesion Us Imag | $1,954.00 | $2,299.00 | $896.00–$2,184.00 | at median | 15% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Us Biopsy Breast Right | $2,048.00 | $2,409.00 | $896.00–$2,289.00 | 5% above | 15% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Us Biopsy Breast Left | $2,048.00 | $2,409.00 | $896.00–$2,289.00 | 5% above | 15% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Or 43249 Egd Esoph Dilate <30mm | $3,026.00 | $3,560.00 | $1,588.00–$3,382.00 | 67% above | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $1,374.00 | $1,617.00 | $535.00–$1,536.00 | 3% above | 15% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Or 43248 Egd W/guidewire Ins Fl Dilation | $1,300.00 | $1,529.00 | $561.00–$1,453.00 | 38% above | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $1,298.00 | $1,527.00 | $463.00–$1,451.00 | 7% above | 15% |
| Wart removal, up to 14 warts CPT 17110 Or 17110 Destruct B9 Lesion 1-14 | $1,183.00 | $1,392.00 | $148.00–$1,322.00 | 526% above | 15% |
| Wart removal, up to 14 warts CPT 17110 Cl 17110 Destruct Benign Lesion 1-14 | $1,183.00 | $1,392.00 | $148.00–$1,322.00 | 526% above | 15% |
| Wart removal, up to 14 warts CPT 17110 Er 17110 Destruct B9 Lesion 1-14 | $1,239.00 | $1,458.00 | $148.00–$1,385.00 | 556% above | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Cl 11042 Debride Subq Tissue 1st 20sqcm/< | $275.00 | $324.00 | $178.00–$451.00 | 11% below | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Er 11042 Debride Subq Tissue 20 Sq Cm/< | $348.00 | $409.00 | $178.00–$451.00 | 12% above | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-12hrs (Per Day) | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-4hrs (Per Day) | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-8hrs (Per Day) | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Obsrv Blood Admin 1st Hr Charge | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Obsrv Blood Admin Ea Addl Hr | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-4hrs (Per Day) | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-8hrs (Per Day) | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-12hrs (Per Day) | $643.00 | $757.00 | $58.00–$719.00 | 11% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-16 Hrs (Per Day) | $876.00 | $1,030.00 | $58.00–$979.00 | 51% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-16hrs (Per Day) | $923.00 | $1,086.00 | $58.00–$1,032.00 | 60% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Tr 36430 Blood Admin 0-24hrs (Per Day) | $1,068.00 | $1,257.00 | $58.00–$1,194.00 | 85% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 Er 36430 Blood Admin 0-24hrs (Per Day) | $1,151.00 | $1,354.00 | $58.00–$1,286.00 | 99% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/nopress Inhalation Trmt | $138.00 | $162.00 | $23.00–$254.00 | 20% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Obs Inhalation Trmt (Aerosol/neb) Charge | $327.00 | $385.00 | $23.00–$366.00 | 185% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Tr 94640 Inhalation Trmt (Aerosol/neb) Charge | $327.00 | $385.00 | $23.00–$366.00 | 185% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Svn/mdi Treatment | $327.00 | $385.00 | $23.00–$366.00 | 185% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Er 94640 Pressurized/nopress Inhal Trmt | $434.00 | $510.00 | $23.00–$485.00 | 278% above | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 Er 96413 Iv Infu Chemo Intital Up To 1 Hr | $447.00 | $526.00 | $242.00–$500.00 | 11% above | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 Tr 96413 Chemo Therapeutic Initial Charge | $447.00 | $526.00 | $242.00–$500.00 | 11% above | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 Obsrv Iv Inf Chem/comp Ini To 1hr Charge | $447.00 | $526.00 | $242.00–$500.00 | 11% above | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 99291critical Care | $2,029.00 | $2,387.00 | $358.00–$2,268.00 | 174% above | 15% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $621.00 | $730.00 | $31.00–$694.00 | 661% above | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg (Resp) | $215.00 | $253.00 | $28.00–$240.00 | 23% above | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281level 1 | $263.00 | $309.00 | $30.00–$294.00 | 93% above | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282level 2 | $527.00 | $620.00 | $58.00–$589.00 | 154% above | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283level 3 | $810.00 | $953.00 | $91.00–$905.00 | 186% above | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284level 4 | $1,381.00 | $1,625.00 | $168.00–$1,544.00 | 226% above | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285level 5 | $2,146.00 | $2,525.00 | $249.00–$2,399.00 | 214% above | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Trace Only Wo Int & Rpt | $445.00 | $523.00 | $117.00–$497.00 | 22% below | 15% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $111.00 | $130.00 | $87.00–$185.00 | 61% below | 15% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $98.00 | $115.00 | $77.00–$152.00 | 58% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360- Hydration, First Hour | $286.00 | $337.00 | $82.00–$320.00 | 13% above | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Tr 96360 Iv Hydra. Initial 31-90 Min Charge | $286.00 | $337.00 | $82.00–$320.00 | 13% above | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Obs Iv Infus Hydrat Init 31 Min-1hr Charge | $286.00 | $337.00 | $82.00–$320.00 | 13% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 Tr Iv Infusion Initial Non-cvrd Charge 16-90 Min | $286.00 | $337.00 | $100.00–$320.00 | 6% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 Tr Iv Inf Therp 1st Hr Repeat Visit Charge 16-90 Min | $286.00 | $337.00 | $100.00–$320.00 | 6% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 96365- Iv Therapy Initial 16-90 Min | $286.00 | $337.00 | $100.00–$320.00 | 6% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 Obs Iv Infu Ther Initial 16-90 Min Charge | $286.00 | $337.00 | $100.00–$320.00 | 6% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 Tr 96365 Iv Ther. Initial 16-90 Min Charge | $315.00 | $371.00 | $100.00–$352.00 | 17% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Obs Im Or Sq Injection Per Stick Charge | $87.00 | $102.00 | $32.00–$97.00 | 30% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Obs Im Or Sq Inj With Iv Charge | $87.00 | $102.00 | $32.00–$97.00 | 30% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Er 96372 Im Or Sq Inj With Iv | $87.00 | $102.00 | $32.00–$97.00 | 30% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Dnu96372- Subq/im Injection | $87.00 | $102.00 | $32.00–$97.00 | 30% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tr 96372 Im Or Sq Injection Per Stick | $119.00 | $140.00 | $32.00–$133.00 | 78% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tr Im/sq With Iv Charge | $119.00 | $140.00 | $32.00–$133.00 | 78% above | 15% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Units 97112 | $75.00 | $88.00 | $46.00–$84.00 | 4% below | 15% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Charges 97112 | $76.00 | $89.00 | $46.00–$85.00 | 3% below | 15% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $136.00 | $160.00 | $101.00–$152.00 | 10% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $167.00 | $196.00 | $101.00–$214.00 | 17% below | 15% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $197.00 | $232.00 | $155.00–$294.00 | 27% below | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Cl 99202 Op Specialty New Pt Level Ii Or 15-29 Min | $105.00 | $124.00 | $68.00–$118.00 | 8% below | 15% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutrtn Ther Initial Assess 15mn | $30.00 | $35.00 | $15.00–$53.00 | 1% above | 14% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Low Complex Units 97165 | $149.00 | $175.00 | $117.00–$166.00 | 10% below | 15% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt High Complex Units 97163 | $148.00 | $174.00 | $117.00–$165.00 | 29% below | 15% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Low Complex Units 97161 | $148.00 | $174.00 | $117.00–$165.00 | 10% below | 15% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Moderate Complex Units 97162 | $148.00 | $174.00 | $117.00–$165.00 | 19% below | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units 97140 | $75.00 | $88.00 | $41.00–$84.00 | 1% below | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Charge Units 97140 | $76.00 | $89.00 | $41.00–$85.00 | 1% above | 15% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $75.00 | $88.00 | $44.00–$84.00 | 4% below | 15% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $55.00 | $65.00 | $44.00–$100.00 | 63% below | 15% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $76.00 | $89.00 | $60.00–$133.00 | 58% below | 15% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $102.00 | $120.00 | $80.00–$199.00 | 58% below | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking/tobacco Cessation 3-10min | $39.00 | $46.00 | $21.00–$44.00 | 31% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Tr 99215 Wound Care 76 Sq Cm > | $383.00 | $450.00 | $241.00–$428.00 | 69% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Tr 99215 Eval Level 5 Or 40-54 Min | $383.00 | $450.00 | $241.00–$428.00 | 69% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Cl 99215 Op Specialty Est Visit Level V Or 40-54 Min | $434.00 | $511.00 | $241.00–$485.00 | 92% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Cl 99213 Op Specialty Est Visit Level Iii Or 20-29 Min | $167.00 | $196.00 | $121.00–$186.00 | 24% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tr 99213 Eval Level 3 Or 20-29 Min | $298.00 | $350.00 | $121.00–$333.00 | 121% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Tr 99213 Wound Care 26-50 Sq Cm | $298.00 | $350.00 | $121.00–$333.00 | 121% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cl 99214 Pm Visit Level 4 Moderate Or 30-39 Min | $96.00 | $113.00 | $76.00–$189.00 | 42% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cl 99214 Op Specialty Est Visit Level Iv Or 30-39 Min | $114.00 | $134.00 | $90.00–$189.00 | 31% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Pulmonary Rehab Exercise | $125.00 | $147.00 | $98.00–$189.00 | 24% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Pulmonary Rehab Comp Eval | $125.00 | $147.00 | $98.00–$189.00 | 24% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214b Physical Icc | $170.00 | $200.00 | $134.00–$190.00 | 3% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Tr 99214 Eval Level 4 Or 30-39 Min | $340.00 | $400.00 | $172.00–$380.00 | 106% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Tr 99214 Wound Care 51-75 Sq Cm | $340.00 | $400.00 | $172.00–$380.00 | 106% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Cl 99212 Op Specialty Est Visit Level Ii Or 10-19 Min | $75.00 | $88.00 | $59.00–$85.00 | 25% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Tr 99212 Wound Care 11-25 Sq Cm Charge | $255.00 | $300.00 | $74.00–$285.00 | 155% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Tr 99212 Eval Level 2 Or 10-19 Min | $255.00 | $300.00 | $74.00–$285.00 | 155% above | 15% |
| Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen Eval Units 92523 | $210.00 | $247.00 | $116.00–$324.00 | 11% below | 15% |
| Speech therapy session, individual CPT 92507 Treatment Of Speech,lang,voice Units 92507 | $200.00 | $235.00 | $78.00–$223.00 | 44% above | 15% |
| Spirometry (breathing test) CPT 94010 Pf Breathing Capacity Test | $376.00 | $442.00 | $296.00–$420.00 | 25% above | 15% |
| Spirometry before and after a bronchodilator CPT 94060 Pf Bronchodilation Responsiveness Pre & Post Medication | $434.00 | $510.00 | $342.00–$485.00 | 1% below | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge 97530 | $74.00 | $87.00 | $56.00–$83.00 | 6% below | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Units | $74.00 | $87.00 | $56.00–$83.00 | 6% below | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Charges 97530 | $75.00 | $88.00 | $56.00–$84.00 | 5% below | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $86.00 | $101.00 | $68.00–$133.00 | 31% below | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tr Admin Influenza Vaccine Charge | $24.00 | $28.00 | $8.00–$32.00 | 38% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0010 Admin Hepatitis Badmin Charge (Hepatitis B Vaccine) | $24.00 | $28.00 | $8.00–$32.00 | 38% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0008 Admin Influenzaadmin Charge (Influenza Vaccine) | $24.00 | $28.00 | $8.00–$32.00 | 38% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tr 90471 Admin Immunization One Vaccine | $27.00 | $32.00 | $8.00–$32.00 | 31% below | 16% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Admin Im/sqadmin Charge (Vaccine) | $31.00 | $36.00 | $8.00–$34.00 | 21% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Obs Immunization Admin One Vaccine Charge | $31.00 | $36.00 | $8.00–$34.00 | 21% below | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Er Immunization Admin One Vaccine | $42.00 | $49.00 | $8.00–$47.00 | 8% above | 14% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G0009 Admin Pneumococcaladmin Charge (Pneumococcal Vaccine) | $65.00 | $77.00 | $8.00–$73.00 | 67% above | 16% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Obs Admin Pneumococcal Vaccine Charge | $70.00 | $82.00 | $8.00–$78.00 | 79% above | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Admin Im Addladmin Charge (Vaccine) | $26.00 | $31.00 | $8.00–$29.00 | 6% above | 16% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Tr 90472 Immunization Admin Addl Vaccine Charge | $26.00 | $31.00 | $8.00–$29.00 | 6% above | 16% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Er 90472 Immunization Admin Addl Vacc | $40.00 | $47.00 | $8.00–$45.00 | 63% above | 15% |