HaysMed
HaysMed in Hays, KS publishes cash prices for 260 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 223 of 257 procedures and above it for 30. By typical cash price it ranks #4 of 55 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2220 Canterbury Dr,Hays,KS,67601 Collected Sep 27, 2026 Source price file (785) 623-5000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 170013 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $693.00 | $2,100.00 | $372.66–$819.85 | 24% below | 67% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $904.20 | $2,740.00 | $111.67–$480.41 | 5% below | 67% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $1,128.60 | $3,420.00 | $254.87–$560.71 | at median | 67% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $1,168.20 | $3,540.00 | $254.87–$560.71 | 4% above | 67% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT | $749.10 | $2,270.00 | $583.68–$1,284.10 | 79% below | 67% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $184.80 | $560.00 | $111.67–$245.67 | 17% below | 67% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $207.90 | $630.00 | $111.67–$245.67 | 6% below | 67% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $23.10 | $70.00 | $5.30–$11.66 | 38% below | 67% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $26.40 | $80.00 | $5.30–$11.66 | 29% below | 67% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $19.80 | $60.00 | $5.18–$11.40 | 47% below | 67% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $23.10 | $70.00 | $5.18–$11.40 | 38% below | 67% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $135.30 | $410.00 | $47.63–$104.79 | 35% below | 67% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $9.90 | $30.00 | $5.22–$11.48 | 68% below | 67% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $303.60 | $920.00 | $5.22–$11.48 | 883% above | 67% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $42.90 | $130.00 | $12.95–$28.49 | 60% below | 67% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $59.40 | $180.00 | $12.95–$28.49 | 45% below | 67% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $42.90 | $130.00 | $12.09–$29.53 | 39% below | 67% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $56.10 | $170.00 | $12.09–$29.53 | 20% below | 67% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $85.80 | $260.00 | $39.26–$86.37 | 33% below | 67% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $102.30 | $310.00 | $39.26–$86.37 | 20% below | 67% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $42.90 | $130.00 | $8.46–$18.61 | 47% below | 67% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $79.20 | $240.00 | $8.46–$18.61 | 3% below | 67% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $112.20 | $340.00 | $10.32–$25.60 | 49% above | 67% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $151.80 | $460.00 | $10.32–$25.60 | 102% above | 67% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $4.62 | $14.00 | $8.03–$20.55 | 75% below | 67% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $13.20 | $40.00 | $8.03–$20.55 | 28% below | 67% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $4.95 | $15.00 | $3.93–$8.65 | 85% below | 67% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $23.10 | $70.00 | $3.93–$8.65 | 29% below | 67% |
| Blood lead test CPT 83655 LEAD LEVEL | $29.70 | $90.00 | $12.11–$26.64 | 43% below | 67% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $42.90 | $130.00 | $12.11–$26.64 | 18% below | 67% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $52.80 | $160.00 | $7.52–$22.88 | 8% below | 67% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $62.70 | $190.00 | $7.52–$22.88 | 9% above | 67% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $59.40 | $180.00 | $140.50–$312.66 | 32% below | 67% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $112.20 | $340.00 | $140.50–$312.66 | 28% above | 67% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $28.38 | $86.00 | $5.18–$17.42 | 41% below | 67% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $46.20 | $140.00 | $5.18–$17.42 | 4% below | 67% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $82.50 | $250.00 | $37.27–$81.99 | 24% below | 67% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $85.80 | $260.00 | $37.27–$81.99 | 21% below | 67% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $69.30 | $210.00 | $20.81–$45.78 | 19% below | 67% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $102.30 | $310.00 | $20.81–$45.78 | 19% above | 67% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $72.60 | $220.00 | $20.81–$45.78 | 21% below | 67% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $79.20 | $240.00 | $20.81–$45.78 | 14% below | 67% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $46.20 | $140.00 | $51.31–$112.88 | 66% below | 67% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $49.50 | $150.00 | $51.31–$112.88 | 64% below | 67% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $62.70 | $190.00 | $35.09–$77.20 | 45% below | 67% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $89.10 | $270.00 | $35.09–$77.20 | 21% below | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $46.20 | $140.00 | $13.39–$29.46 | 47% below | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $51.48 | $156.00 | $13.39–$29.46 | 41% below | 67% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $28.05 | $85.00 | $7.77–$17.09 | 31% below | 67% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $46.20 | $140.00 | $7.77–$17.09 | 14% above | 67% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $33.00 | $100.00 | $6.47–$14.23 | 29% below | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $59.40 | $180.00 | $10.56–$23.23 | 43% below | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $102.30 | $310.00 | $10.56–$23.23 | 2% below | 67% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $59.40 | $180.00 | $10.18–$49.08 | 49% below | 67% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $89.10 | $270.00 | $10.18–$49.08 | 23% below | 67% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $59.40 | $180.00 | $22.23–$53.60 | 54% below | 67% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $89.10 | $270.00 | $22.23–$53.60 | 31% below | 67% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $75.90 | $230.00 | $27.94–$83.46 | 55% below | 67% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $85.80 | $260.00 | $27.94–$83.46 | 49% below | 67% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $69.30 | $210.00 | $18.58–$47.52 | 40% below | 67% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $72.60 | $220.00 | $18.58–$47.52 | 37% below | 67% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $75.90 | $230.00 | $16.37–$43.19 | 65% below | 67% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $128.70 | $390.00 | $16.37–$43.19 | 41% below | 67% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $59.40 | $180.00 | $13.63–$35.48 | 33% below | 67% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $52.80 | $160.00 | $14.70–$41.21 | 46% below | 67% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $56.10 | $170.00 | $14.70–$41.21 | 43% below | 67% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $66.00 | $200.00 | $16.94–$56.17 | 48% below | 67% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $72.60 | $220.00 | $16.94–$56.17 | 43% below | 67% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $33.00 | $100.00 | $9.02–$20.51 | 46% below | 67% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $52.80 | $160.00 | $9.02–$20.51 | 13% below | 67% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $66.00 | $200.00 | $25.47–$72.43 | 54% below | 67% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $82.50 | $250.00 | $25.47–$72.43 | 42% below | 67% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $23.10 | $70.00 | $4.75–$13.38 | 52% below | 67% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $26.40 | $80.00 | $4.75–$13.38 | 45% below | 67% |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $49.50 | $150.00 | $12.87–$32.48 | 46% below | 67% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $62.70 | $190.00 | $35.09–$77.20 | 39% below | 67% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $89.10 | $270.00 | $35.09–$77.20 | 13% below | 67% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $46.20 | $140.00 | $14.38–$31.64 | 59% below | 67% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $69.30 | $210.00 | $14.38–$31.64 | 39% below | 67% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $207.90 | $630.00 | $85.10–$187.22 | 39% below | 67% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $33.00 | $100.00 | $24.08–$52.98 | 64% below | 67% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $56.10 | $170.00 | $24.08–$52.98 | 39% below | 67% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $11.55 | $35.00 | $9.71–$23.96 | 83% below | 67% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $42.90 | $130.00 | $9.71–$23.96 | 38% below | 67% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $46.20 | $140.00 | $10.74–$30.91 | 36% below | 67% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $69.30 | $210.00 | $10.74–$30.91 | 5% below | 67% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $42.90 | $130.00 | $10.33–$22.73 | 28% below | 67% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $49.50 | $150.00 | $14.27–$31.39 | 35% below | 67% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $59.40 | $180.00 | $14.27–$31.39 | 21% below | 67% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $82.50 | $250.00 | $42.84–$94.25 | 73% below | 67% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $42.90 | $130.00 | $13.19–$42.35 | 55% below | 67% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $49.50 | $150.00 | $19.35–$44.70 | 43% below | 67% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $46.20 | $140.00 | $12.95–$40.84 | 49% below | 67% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $62.70 | $190.00 | $17.92–$117.72 | 73% below | 67% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $92.40 | $280.00 | $17.92–$117.72 | 60% below | 67% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $36.30 | $110.00 | $11.43–$33.81 | 55% below | 67% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $19.14 | $58.00 | $6.47–$17.08 | 55% below | 67% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $23.10 | $70.00 | $6.47–$17.08 | 46% below | 67% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $27.72 | $84.00 | $8.74–$27.48 | 56% below | 67% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $29.70 | $90.00 | $8.74–$27.48 | 53% below | 67% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $56.10 | $170.00 | $8.68–$19.10 | 21% below | 67% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $59.40 | $180.00 | $8.68–$19.10 | 17% below | 67% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $56.10 | $170.00 | $18.52–$46.37 | 49% below | 67% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $66.00 | $200.00 | $18.52–$46.37 | 40% below | 67% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $42.90 | $130.00 | $6.89–$18.51 | 31% below | 67% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $46.20 | $140.00 | $6.89–$18.51 | 26% below | 67% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $49.50 | $150.00 | $8.17–$21.25 | 46% below | 67% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $75.90 | $230.00 | $8.17–$21.25 | 18% below | 67% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $52.80 | $160.00 | $17.03–$51.12 | 57% below | 67% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $79.20 | $240.00 | $17.03–$51.12 | 35% below | 67% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $36.30 | $110.00 | $6.70–$17.23 | 33% below | 67% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $29.70 | $90.00 | $12.88–$45.51 | 68% below | 67% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $39.60 | $120.00 | $5.18–$13.00 | 14% below | 67% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $42.90 | $130.00 | $5.18–$13.00 | 7% below | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $39.60 | $120.00 | $18.39–$40.46 | 57% below | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $42.90 | $130.00 | $18.39–$40.46 | 53% below | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $50.16 | $152.00 | $18.39–$45.30 | 52% below | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $56.10 | $170.00 | $18.39–$45.30 | 46% below | 67% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $49.50 | $150.00 | $22.33–$58.54 | 46% below | 67% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $41.25 | $125.00 | $20.26–$44.57 | 59% below | 67% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $89.10 | $270.00 | $41.28–$103.34 | 56% below | 67% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $132.00 | $400.00 | $41.28–$103.34 | 34% below | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $36.30 | $110.00 | $6.01–$15.02 | 18% below | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $42.90 | $130.00 | $6.01–$15.02 | 3% below | 67% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $59.40 | $180.00 | $20.86–$47.81 | 46% below | 67% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $66.00 | $200.00 | $20.86–$47.81 | 40% below | 67% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $66.00 | $200.00 | $19.38–$52.93 | 49% below | 67% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $79.20 | $240.00 | $19.38–$52.93 | 38% below | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $6.93 | $21.00 | $4.29–$10.72 | 78% below | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $26.40 | $80.00 | $4.29–$10.72 | 15% below | 67% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION | $56.10 | $170.00 | $12.60–$27.72 | 2% above | 67% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $42.90 | $130.00 | $16.55–$36.56 | 37% below | 67% |
| Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS | $85.80 | $260.00 | $16.55–$36.56 | 26% above | 67% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $16.50 | $50.00 | $16.53–$36.56 | 76% below | 67% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $42.90 | $130.00 | $16.53–$36.56 | 38% below | 67% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $36.30 | $110.00 | $5.67–$17.16 | 24% below | 67% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $39.60 | $120.00 | $5.67–$17.16 | 17% below | 67% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $39.60 | $120.00 | $14.39–$31.66 | 32% below | 67% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $19.80 | $60.00 | $2.70–$8.54 | 39% below | 67% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $26.40 | $80.00 | $2.70–$8.54 | 18% below | 67% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $36.30 | $110.00 | $8.90–$20.94 | 40% below | 67% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $52.80 | $160.00 | $8.90–$20.94 | 13% below | 67% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $16.50 | $50.00 | $4.38–$9.64 | 39% below | 67% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $19.80 | $60.00 | $4.38–$9.64 | 27% below | 67% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $9.90 | $30.00 | $15.92–$35.02 | 81% below | 67% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $26.40 | $80.00 | $15.92–$35.02 | 48% below | 67% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $26.40 | $80.00 | $4.27–$10.84 | 26% below | 67% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $39.60 | $120.00 | $4.27–$10.84 | 11% above | 67% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $108.90 | $330.00 | $61.98–$136.36 | 43% below | 67% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $118.80 | $360.00 | $61.98–$136.36 | 37% below | 67% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $56.10 | $170.00 | $25.81–$69.90 | 61% below | 67% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $75.90 | $230.00 | $25.81–$69.90 | 47% below | 67% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $46.20 | $140.00 | $14.55–$33.98 | 41% below | 67% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $49.50 | $150.00 | $14.55–$33.98 | 37% below | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $46.20 | $140.00 | $16.80–$36.96 | 48% below | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $62.70 | $190.00 | $16.80–$36.96 | 30% below | 67% |
| Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE | $52.80 | $160.00 | $35.09–$77.20 | 62% below | 67% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $75.90 | $230.00 | $35.09–$77.20 | 45% below | 67% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $19.80 | $60.00 | $4.52–$9.94 | 47% below | 67% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $27.06 | $82.00 | $4.52–$9.94 | 28% below | 67% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $16.50 | $50.00 | $3.17–$6.97 | 52% below | 67% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $26.40 | $80.00 | $3.17–$6.97 | 23% below | 67% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $4.95 | $15.00 | $4.02–$10.36 | 75% below | 67% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $4.95 | $15.00 | $2.25–$6.13 | 78% below | 67% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $23.10 | $70.00 | $2.25–$6.13 | 2% above | 67% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $4.95 | $15.00 | $3.48–$7.66 | 72% below | 67% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $52.80 | $160.00 | $8.07–$20.25 | 1% below | 67% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $39.60 | $120.00 | $8.61–$18.94 | 14% below | 67% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $39.60 | $120.00 | $15.08–$38.27 | 55% below | 67% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $56.10 | $170.00 | $15.08–$38.27 | 36% below | 67% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $89.10 | $270.00 | $29.60–$145.62 | 64% below | 67% |
| Zinc blood test CPT 84630 ZINC LEVEL | $52.80 | $160.00 | $11.39–$25.06 | 9% below | 67% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $72.60 | $220.00 | $15.05–$40.24 | 24% below | 67% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $75.90 | $230.00 | $15.05–$40.24 | 20% below | 67% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $1,257.30 | $3,810.00 | $2,459.00–$7,791.41 | 46% below | 67% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $1,664.85 | $5,045.00 | $2,459.00–$30,171.17 | 69% below | 67% |
| Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $359.70 | $1,090.00 | $293.63–$2,484.00 | 1% below | 67% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $379.50 | $1,150.00 | $293.63–$2,484.00 | 5% above | 67% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $117.81 | $357.00 | $38.38–$579.66 | 71% below | 67% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE | $224.40 | $680.00 | $263.48–$680.00 | 45% below | 67% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $94.71 | $287.00 | $38.38–$579.66 | 71% below | 67% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA | $1,795.20 | $5,440.00 | $2,459.00–$7,689.26 | 49% below | 67% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $574.20 | $1,740.00 | $481.93–$1,553.22 | 2% above | 67% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $623.70 | $1,890.00 | $481.93–$2,484.00 | 11% above | 67% |
| Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $1,526.25 | $4,625.00 | $1,624.08–$4,588.96 | at median | 67% |
| Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION | $16,071.00 | $48,700.00 | $2,459.00–$61,424.51 | 40% below | 67% |
| Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB | $18,001.50 | $54,550.00 | $2,459.00–$61,424.51 | 33% below | 67% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $1,445.40 | $4,380.00 | $2,232.92–$4,912.42 | 31% below | 67% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE | $1,518.00 | $4,600.00 | $2,232.92–$4,912.42 | 285% above | 67% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $699.60 | $2,120.00 | $1,185.00–$1,969.00 | — | 67% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $140.58 | $426.00 | $38.38–$579.66 | 66% below | 67% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $375.38 | $1,137.50 | $1,137.50–$2,812.13 | 69% below | 67% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,584.00 | $4,800.00 | $1,278.24–$2,812.13 | 4% above | 67% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,023.00 | $3,100.00 | $993.38–$2,484.00 | 2% below | 67% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE | $2,514.60 | $7,620.00 | $2,459.00–$7,607.29 | 238% above | 67% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $51.15 | $155.00 | $38.38–$716.12 | 86% below | 67% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE | $1,518.00 | $4,600.00 | $325.51–$2,484.00 | 312% above | 67% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $8,639.40 | $26,180.00 | $2,459.00–$27,129.08 | 28% below | 67% |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $2,969.18 | $8,997.50 | $2,459.00–$8,283.77 | 6% below | 67% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $111.54 | $338.00 | $38.38–$1,638.65 | 89% below | 67% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $376.20 | $1,140.00 | $744.84–$1,638.65 | 64% below | 67% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $30.36 | $92.00 | $38.38–$471.48 | 72% below | 67% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $93.39 | $283.00 | $38.38–$1,267.42 | 79% below | 67% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $79.20 | $240.00 | $63.02–$240.00 | 3% below | 67% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $23.10 | $70.00 | $38.38–$138.64 | 72% below | 67% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $85.80 | $260.00 | $63.02–$260.00 | 3% above | 67% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS | $32.34 | $98.00 | $38.38–$475.13 | 86% below | 67% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $1,445.40 | $4,380.00 | $754.02–$2,484.00 | 19% above | 67% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL | $937.20 | $2,840.00 | $944.79–$2,484.00 | 4% below | 67% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $3,771.90 | $11,430.00 | $2,459.00–$15,213.62 | 17% below | 67% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE | $1,567.50 | $4,750.00 | $2,459.00–$15,213.62 | 32% below | 67% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $1,445.40 | $4,380.00 | $2,459.00–$8,414.01 | 67% below | 67% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $742.50 | $2,250.00 | $993.38–$2,484.00 | 13% below | 67% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $4,128.30 | $12,510.00 | $2,459.00–$14,207.12 | 26% below | 67% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $4,666.20 | $14,140.00 | $2,459.00–$14,207.12 | 18% below | 67% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $1,731.68 | $5,247.50 | $909.90–$5,247.50 | 50% below | 67% |
| Hammertoe correction surgery CPT 28285 CORRECTION OF TOE JOINT DEFORMITY | $1,196.80 | $3,626.68 | $2,459.00–$7,689.26 | 34% below | 67% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $115.50 | $350.00 | $38.38–$2,185.44 | 90% below | 67% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $2,514.60 | $7,620.00 | $993.38–$2,484.00 | 108% above | 67% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES | $171.60 | $520.00 | $47.99–$2,484.00 | 75% below | 67% |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $3,210.90 | $9,730.00 | $2,459.00–$11,755.88 | 10% below | 67% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $2,514.60 | $7,620.00 | $2,459.00–$7,607.29 | 21% below | 67% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $1,445.40 | $4,380.00 | $133.52–$2,484.00 | 623% above | 67% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $141.90 | $430.00 | $142.41–$2,484.00 | 2% below | 67% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $250.80 | $760.00 | $327.89–$721.36 | 14% above | 67% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $62.04 | $188.00 | $38.38–$312.66 | 61% below | 67% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE | $669.90 | $2,030.00 | $142.12–$2,484.00 | 319% above | 67% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $244.20 | $740.00 | $327.89–$2,484.00 | 8% above | 67% |
| Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $3,778.50 | $11,450.00 | $2,459.00–$7,689.26 | at median | 67% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $4,666.20 | $14,140.00 | $2,459.00–$14,207.12 | at median | 67% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $3,050.85 | $9,245.00 | $2,459.00–$24,980.32 | 74% below | 67% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $1,526.25 | $4,625.00 | $2,459.00–$14,207.12 | 77% below | 67% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $108.24 | $328.00 | $38.38–$955.33 | 68% below | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $798.60 | $2,420.00 | $754.02–$2,484.00 | 33% below | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $841.50 | $2,550.00 | $754.02–$2,484.00 | 30% below | 67% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $676.50 | $2,050.00 | $588.83–$2,484.00 | 15% below | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $861.30 | $2,610.00 | $944.79–$2,484.00 | 17% below | 67% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC | $3,504.60 | $10,620.00 | $2,459.00–$17,052.24 | 50% below | 67% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT | $2,719.20 | $8,240.00 | $2,459.00–$17,052.24 | 44% below | 67% |
| Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK | $1,486.10 | $4,503.33 | $2,459.00–$41,204.81 | 65% below | 67% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL REMOVAL OF BREAST | $2,501.40 | $7,580.00 | $2,459.00–$9,201.37 | at median | 67% |
| Mastectomy (total removal of the breast) CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST | $4,346.10 | $13,170.00 | $2,459.00–$15,604.51 | 18% above | 67% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $1,445.40 | $4,380.00 | $2,459.00–$7,607.29 | 26% below | 67% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $57.09 | $173.00 | $38.38–$1,664.15 | 69% below | 67% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS | $788.70 | $2,390.00 | $756.43–$2,484.00 | 324% above | 67% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $56.76 | $172.00 | $38.38–$1,664.15 | 70% below | 67% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $558.53 | $1,692.50 | $756.43–$2,484.00 | 199% above | 67% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $48.84 | $148.00 | $38.38–$471.48 | 65% below | 67% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $349.80 | $1,060.00 | $319.16–$2,484.00 | 6% below | 67% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $369.60 | $1,120.00 | $319.16–$2,484.00 | 1% below | 67% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $7,481.10 | $22,670.00 | $2,459.00–$24,562.38 | 65% below | 67% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $603.90 | $1,830.00 | $968.83–$2,484.00 | 8% below | 67% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $636.90 | $1,930.00 | $968.83–$2,131.43 | 3% below | 67% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL | $1,376.10 | $4,170.00 | $434.24–$2,484.00 | 260% above | 67% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $722.70 | $2,190.00 | $2,459.00–$2,484.00 | 48% below | 67% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE | $6,124.80 | $18,560.00 | $2,459.00–$24,980.32 | — | 67% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $412.50 | $1,250.00 | $434.24–$1,075.65 | 78% above | 67% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $1,023.00 | $3,100.00 | $993.38–$2,484.00 | 5% above | 67% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $1,023.00 | $3,100.00 | $993.38–$2,484.00 | at median | 67% |
| Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE | $718.08 | $2,176.00 | $2,176.00–$7,791.41 | 75% below | 67% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST | $37.62 | $114.00 | $38.38–$657.29 | 83% below | 67% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $29.70 | $90.00 | $38.38–$312.66 | 83% below | 67% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $148.50 | $450.00 | $142.12–$312.66 | 14% below | 67% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $35.31 | $107.00 | $38.38–$657.29 | 81% below | 67% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $31.02 | $94.00 | $38.38–$381.90 | 81% below | 67% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $171.60 | $520.00 | $173.59–$381.90 | 8% above | 67% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $204.60 | $620.00 | $214.31–$471.48 | 15% below | 67% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $207.90 | $630.00 | $214.31–$471.48 | 13% below | 67% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $58.08 | $176.00 | $38.38–$955.33 | 88% below | 67% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $264.00 | $800.00 | $434.24–$2,484.00 | 47% below | 67% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $40.59 | $123.00 | $38.38–$471.48 | 70% below | 67% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $597.30 | $1,810.00 | $433.29–$2,484.00 | 14% above | 67% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $221.10 | $670.00 | $214.31–$471.48 | 16% below | 67% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $237.60 | $720.00 | $214.31–$471.48 | 10% below | 67% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $204.60 | $620.00 | $214.31–$475.71 | 22% below | 67% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $227.70 | $690.00 | $214.31–$475.71 | 13% below | 67% |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $4,666.20 | $14,140.00 | $2,459.00–$12,600.32 | 7% above | 67% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH | $45.87 | $139.00 | $38.38–$955.33 | 82% below | 67% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $775.50 | $2,350.00 | $670.08–$1,474.18 | 12% below | 67% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) | $2,514.60 | $7,620.00 | $2,459.00–$7,791.41 | at median | 67% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $2,514.60 | $7,620.00 | $2,459.00–$13,911.72 | 8% below | 67% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) | $2,514.60 | $7,620.00 | $2,459.00–$7,791.41 | 7% below | 67% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS) | $2,514.60 | $7,620.00 | $2,459.00–$13,911.72 | 12% above | 67% |
| Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $3,024.45 | $9,165.00 | $2,459.00–$30,171.17 | 71% below | 67% |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $6,659.40 | $20,180.00 | $2,459.00–$30,171.17 | 27% below | 67% |
| Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $8,490.90 | $25,730.00 | $2,459.00–$41,204.81 | 74% above | 67% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $3,408.90 | $10,330.00 | $2,459.00–$14,207.12 | — | 67% |
| Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER | $1,445.40 | $4,380.00 | $1,717.64–$3,778.81 | 1% above | 67% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $254.10 | $770.00 | $327.89–$2,484.00 | 69% above | 67% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $267.30 | $810.00 | $327.89–$2,484.00 | 78% above | 67% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $1,501.50 | $4,550.00 | $2,049.76–$4,509.47 | 15% below | 67% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,501.50 | $4,550.00 | $968.83–$2,484.00 | 12% above | 67% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $750.75 | $2,275.00 | $2,049.76–$4,509.47 | 51% below | 67% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,501.50 | $4,550.00 | $968.83–$2,484.00 | 19% above | 67% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $2,514.60 | $7,620.00 | $2,459.00–$12,600.32 | 38% below | 67% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $173.25 | $525.00 | $38.38–$4,912.42 | 83% below | 67% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT | $1,188.00 | $3,600.00 | $2,232.92–$4,912.42 | 20% above | 67% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $50.49 | $153.00 | $38.38–$471.48 | 69% below | 67% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $514.80 | $1,560.00 | $434.24–$955.33 | 60% above | 67% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE | $3,052.50 | $9,250.00 | $2,459.00–$17,052.24 | 30% below | 67% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $293.70 | $890.00 | $471.26–$1,036.77 | 49% below | 67% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $330.00 | $1,000.00 | $471.26–$1,036.77 | 43% below | 67% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $184.80 | $560.00 | $1,185.00–$1,969.00 | — | 67% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $297.00 | $900.00 | $1,185.00–$1,969.00 | — | 67% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $339.90 | $1,030.00 | $352.83–$776.23 | 14% below | 67% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $382.80 | $1,160.00 | $352.83–$776.23 | 4% below | 67% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $1,320.00 | $4,000.00 | $882.36–$1,941.19 | 99% above | 67% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY | $534.60 | $1,620.00 | $230.64–$507.41 | 38% below | 67% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $141.90 | $430.00 | $90.08–$198.18 | 1% above | 67% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $191.40 | $580.00 | $164.01–$360.82 | 1% below | 67% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $280.50 | $850.00 | $164.01–$360.82 | 46% above | 67% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $462.00 | $1,400.00 | $291.59–$641.50 | 69% above | 67% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $693.00 | $2,100.00 | $445.72–$980.58 | 76% above | 67% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $957.00 | $2,900.00 | $636.15–$1,399.53 | 49% above | 67% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $557.70 | $1,690.00 | $230.64–$507.41 | 2% below | 67% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $191.40 | $580.00 | $227.21–$499.86 | 21% below | 67% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $201.30 | $610.00 | $227.21–$499.86 | 17% below | 67% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $207.90 | $630.00 | $227.21–$499.86 | 21% below | 67% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $18.15 | $55.00 | $55.00–$169.20 | 73% below | 67% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $62.70 | $190.00 | $76.91–$169.20 | 6% below | 67% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $53.79 | $163.00 | $38.38–$417.14 | 73% below | 67% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $56.10 | $170.00 | $31.06–$68.33 | 27% below | 67% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $45.87 | $139.00 | $38.38–$148.74 | 70% below | 67% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $118.80 | $360.00 | $67.61–$148.74 | 22% below | 67% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $135.30 | $410.00 | $101.00–$243.78 | 33% below | 67% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $45.87 | $139.00 | $38.38–$332.97 | 83% below | 67% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $45.87 | $139.00 | $38.38–$86.22 | 60% below | 67% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $99.00 | $300.00 | $39.19–$86.22 | 15% below | 67% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $23.10 | $70.00 | $14.70–$55.92 | 22% below | 67% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $89.10 | $270.00 | $95.69–$210.52 | 47% below | 67% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $148.50 | $450.00 | $93.27–$205.19 | 29% below | 67% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $95.70 | $290.00 | $93.27–$205.19 | 41% below | 67% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $125.40 | $380.00 | $93.27–$205.19 | 32% below | 67% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $49.50 | $150.00 | $26.31–$58.08 | 35% below | 67% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $52.80 | $160.00 | $27.58–$60.68 | 32% below | 67% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $44.55 | $135.00 | $38.38–$417.14 | 80% below | 67% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN | $61.05 | $185.00 | $38.38–$417.14 | 70% below | 67% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY; 30 MINUTES | $16.83 | $51.00 | $38.38–$417.14 | 92% below | 67% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY; 45 MINUTES | $32.01 | $97.00 | $38.38–$417.14 | 82% below | 67% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY; 1 HOUR | $29.70 | $90.00 | $38.38–$417.14 | 87% below | 67% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES | $6.60 | $20.00 | $20.00–$88.04 | 76% below | 67% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $26.40 | $80.00 | $37.24–$88.04 | 5% below | 67% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $45.87 | $139.00 | $38.38–$263.34 | 78% below | 67% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $168.30 | $510.00 | $119.70–$266.24 | 19% below | 67% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $112.20 | $340.00 | $54.90–$133.49 | 17% below | 67% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $122.10 | $370.00 | $80.68–$188.57 | 29% below | 67% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $138.60 | $420.00 | $80.68–$188.57 | 20% below | 67% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $92.40 | $280.00 | $29.52–$85.38 | 11% below | 67% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $105.60 | $320.00 | $29.52–$85.38 | 1% above | 67% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $231.00 | $700.00 | $116.15–$477.18 | 2% below | 67% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $105.60 | $320.00 | $72.88–$160.34 | 23% below | 67% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $52.80 | $160.00 | $32.98–$72.56 | 33% below | 67% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $108.90 | $330.00 | $69.01–$312.66 | 8% below | 67% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $122.10 | $370.00 | $69.01–$312.66 | 3% above | 67% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $66.00 | $200.00 | $200.00 | 70% below | 67% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE; TRIVALENT; SPLIT VIRUS; PRESERVATIVE-FREE; 0.5 ML DOSAGE | $12.54 | $38.00 | $28.00 | 61% below | 67% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2024-2025 Formula | $12.54 | $38.00 | $28.00 | 61% below | 67% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula | $12.54 | $38.00 | $28.00 | 61% below | 67% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $33.00 | $100.00 | $100.00 | 73% below | 67% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B | $33.00 | $100.00 | $95.25 | 72% below | 67% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE; ADULT DOSAGE (3 DOSE SCHEDULE) | $33.00 | $100.00 | $95.25 | 72% below | 67% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE | $53.79 | $163.00 | $104.59 | 37% below | 67% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula | $53.79 | $163.00 | $104.59 | 37% below | 67% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula | $53.79 | $163.00 | $104.59 | 37% below | 67% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Priorix | $28.05 | $85.00 | $85.00 | 76% below | 67% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $28.05 | $85.00 | $85.00 | 76% below | 67% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II | $123.42 | $374.00 | $131.54 | 4% above | 67% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $69.30 | $210.00 | $210.00 | 73% below | 67% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $66.00 | $200.00 | $200.00 | 79% below | 67% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE; 20 VALENT (PCV20); FOR INTRAMUSCULAR USE | $153.45 | $465.00 | $373.39 | 59% below | 67% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumovax 23 | $153.45 | $465.00 | $373.39 | 59% below | 67% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 | $153.45 | $465.00 | $373.39 | 59% below | 67% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE; 23-VALENT | $42.90 | $130.00 | $130.00 | 74% below | 67% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $160.05 | $485.00 | $167.20 | 4% below | 67% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $178.20 | $540.00 | $421.26 | 51% below | 67% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $466.62 | $1,414.00 | $319.75–$703.45 | 19% below | 67% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $14.52 | $44.00 | $44.00 | 76% below | 67% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac | $14.52 | $44.00 | $44.00 | 76% below | 67% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX | $58.41 | $177.00 | $57.20 | 5% below | 67% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $18.15 | $55.00 | $55.00 | 74% below | 67% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tenivac | $18.15 | $55.00 | $55.00 | 74% below | 67% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $64.51 | $195.49 | $67.14 | 9% below | 67% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $11.55 | $35.00 | $8.08–$169.20 | 70% below | 67% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $14.85 | $45.00 | $8.08–$169.20 | 61% below | 67% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $26.40 | $80.00 | $8.08 | 11% above | 67% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/6f60efe90f2bd980196135be8b8f4af0/charges/mrf