Kansas Spine & Specialty Hospital
Kansas Spine & Specialty Hospital in Wichita, KS publishes cash prices for 173 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 82 of 172 procedures and above it for 80. By typical cash price it ranks #31 of 55 Kansas hospitals and #3 of 5 hospitals in the Wichita, KS area, cheapest first. Click a procedure to compare it with other hospitals nearby.
3333 North Webb Road,Wichita,KS,67226 Collected Sep 27, 2026 Source price file (316) 462-5310
Acute care hospital No emergency department CCN 170196 · 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 2 actions for a hospital named Kansas Spine & Specialty Hospital in Wichita, KS:
- Nov 30, 2023 Warning notice
- Mar 18, 2024 Case closed
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 |
|---|---|---|---|---|---|
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $495.20 | $761.84 | $157.62–$257.34 | 10% above | 35% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $237.05 | $364.69 | $77.47–$153.39 | 3% below | 35% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $124.01 | $190.78 | $77.47–$127.68 | 50% below | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $1,829.91 | $2,815.24 | $157.62–$857.88 | 4% above | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $1,025.82 | $1,578.18 | $214.41–$462.11 | 21% below | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $1,056.59 | $1,625.53 | $214.41–$462.11 | 18% below | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $1,660.99 | $2,555.37 | $313.51–$511.86 | 23% above | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,710.82 | $2,632.03 | $313.51–$511.86 | 27% above | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $1,851.73 | $2,848.82 | $313.51–$511.86 | at median | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $1,907.28 | $2,934.28 | $313.51–$511.86 | 3% above | 35% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,056.59 | $1,625.53 | $157.62–$462.11 | 24% below | 35% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $1,025.82 | $1,578.18 | $93.95–$462.11 | 15% below | 35% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,056.59 | $1,625.53 | $93.95–$462.11 | 12% below | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $1,056.59 | $1,625.53 | $93.95–$462.11 | 8% above | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,025.82 | $1,578.18 | $93.95–$462.11 | at median | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,056.59 | $1,625.53 | $93.95–$462.11 | 3% above | 35% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $1,056.59 | $1,625.53 | $157.62–$462.11 | 8% below | 35% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $1,351.55 | $2,079.30 | $157.62–$462.11 | 8% above | 35% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,392.09 | $2,141.68 | $157.62–$462.11 | 11% above | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $1,025.82 | $1,578.18 | $93.95–$462.11 | 10% below | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $1,056.59 | $1,625.53 | $93.95–$462.11 | 7% below | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $1,025.82 | $1,578.18 | $93.95–$462.11 | 3% above | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $1,056.59 | $1,625.53 | $93.95–$462.11 | 6% above | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,056.59 | $1,625.53 | $157.62–$462.11 | 8% below | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $500.06 | $769.32 | $214.41–$390.43 | — | 35% |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $235.85 | $362.84 | $78.20–$127.68 | 2% above | 35% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $242.92 | $373.73 | $78.20–$127.68 | 5% above | 35% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $235.85 | $362.84 | $78.20–$127.68 | 22% above | 35% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $242.92 | $373.73 | $78.20–$127.68 | 25% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $1,025.82 | $1,578.18 | $93.95–$462.11 | 8% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $1,056.59 | $1,625.53 | $93.95–$462.11 | 11% above | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $1,025.82 | $1,578.18 | $157.62–$462.11 | 6% below | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $1,056.59 | $1,625.53 | $157.62–$462.11 | 3% below | 35% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $788.41 | $1,212.94 | $214.41–$390.43 | 7% above | 35% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $242.92 | $373.73 | $78.20–$127.68 | 4% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $251.36 | $386.71 | $93.95–$153.39 | 28% below | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $325.00 | $500.00 | $93.95–$462.11 | 49% below | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $804.77 | $1,238.11 | $214.41–$531.47 | 21% below | 35% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,989.40 | $3,060.61 | $214.41–$531.47 | 57% above | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $2,568.83 | $3,952.05 | $313.51–$531.47 | 54% above | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $2,645.90 | $4,070.61 | $313.51–$531.47 | 58% above | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $1,931.46 | $2,971.47 | $214.41–$531.47 | 50% above | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,989.40 | $3,060.61 | $214.41–$531.47 | 55% above | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $2,568.83 | $3,952.05 | $313.51–$531.47 | 50% above | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $2,645.90 | $4,070.61 | $313.51–$531.47 | 54% above | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,931.46 | $2,971.47 | $214.41–$531.47 | 57% above | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,989.40 | $3,060.61 | $214.41–$531.47 | 62% above | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $2,568.83 | $3,952.05 | $313.51–$531.47 | 45% above | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $2,645.90 | $4,070.61 | $313.51–$531.47 | 49% above | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $1,931.46 | $2,971.47 | $214.41–$531.47 | 72% above | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,989.40 | $3,060.61 | $214.41–$531.47 | 77% above | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $2,568.83 | $3,952.05 | $313.51–$531.47 | 51% above | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $2,645.90 | $4,070.61 | $313.51–$531.47 | 56% above | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $1,931.46 | $2,971.47 | $214.41–$531.47 | 70% above | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,989.40 | $3,060.61 | $214.41–$531.47 | 75% above | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $1,931.46 | $2,971.47 | $313.51–$531.47 | 15% above | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $1,956.31 | $3,009.71 | $313.51–$531.47 | 16% above | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $1,931.46 | $2,971.47 | $214.41–$531.47 | 71% above | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $1,989.40 | $3,060.61 | $214.41–$531.47 | 77% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $804.77 | $1,238.11 | $214.41–$531.47 | 23% below | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $244.04 | $375.45 | $93.95–$153.39 | 43% below | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS | $235.85 | $362.84 | $78.20–$129.93 | 8% below | 35% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $235.85 | $362.84 | $78.20–$127.68 | 12% above | 35% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $242.92 | $373.73 | $78.20–$127.68 | 16% above | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS | $235.85 | $362.84 | $78.20–$127.68 | 24% above | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS | $235.85 | $362.84 | $93.95–$153.39 | 14% below | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $242.92 | $373.73 | $93.95–$153.39 | 11% below | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $398.28 | $612.74 | $93.95–$186.07 | at median | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $410.23 | $631.12 | $93.95–$186.07 | 3% above | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $235.85 | $362.84 | $93.95–$153.39 | 6% above | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $242.92 | $373.73 | $93.95–$153.39 | 10% above | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $235.85 | $362.84 | $78.20–$127.68 | 5% below | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $242.92 | $373.73 | $78.20–$127.68 | 3% below | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $235.85 | $362.84 | $93.95–$153.39 | 14% above | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $242.92 | $373.73 | $93.95–$153.39 | 18% above | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $182.15 | $280.23 | $78.20–$127.68 | 19% below | 35% |
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) | $39.33 | $60.51 | $5.19–$8.48 | 5% above | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $38.41 | $59.09 | $5.08–$8.29 | 3% above | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $353.86 | $544.40 | $46.68–$76.21 | 71% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $38.82 | $59.73 | $5.12–$8.35 | 26% above | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $60.61 | $93.24 | $12.69–$20.72 | 44% below | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $89.78 | $138.12 | $11.85–$19.34 | 28% above | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $159.71 | $245.70 | $38.47–$62.82 | 24% above | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $228.06 | $350.86 | $38.47–$62.82 | 78% above | 35% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $61.10 | $94.00 | $8.29–$13.54 | 25% below | 35% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $62.93 | $96.82 | $8.29–$13.54 | 23% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $168.42 | $259.11 | $46.82–$76.45 | 24% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $173.47 | $266.88 | $46.82–$76.45 | 21% below | 35% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $74.48 | $114.59 | $10.11–$16.51 | 1% below | 35% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $76.72 | $118.03 | $10.11–$16.51 | 2% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $15.11 | $23.24 | $9.15–$14.94 | 17% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $15.56 | $23.94 | $9.15–$14.94 | 15% below | 35% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $28.29 | $43.52 | $3.85–$6.29 | 13% below | 35% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $29.14 | $44.83 | $3.85–$6.29 | 10% below | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $45.65 | $70.23 | $7.37–$12.03 | 20% below | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $47.02 | $72.34 | $7.37–$12.03 | 18% below | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $21.55 | $33.15 | $119.56–$195.20 | 75% below | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $22.19 | $34.14 | $119.56–$195.20 | 75% below | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $15.00 | $23.07 | $5.08–$8.29 | 69% below | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $15.44 | $23.76 | $5.08–$8.29 | 68% below | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $104.90 | $161.39 | $36.52–$59.63 | 3% below | 35% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $45.68 | $70.27 | $20.39–$33.30 | 47% below | 35% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $43.05 | $66.23 | $20.39–$33.30 | 53% below | 35% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $1,706.25 | $2,625.00 | $50.28–$82.10 | 1150% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $77.01 | $118.48 | $34.39–$56.14 | 32% below | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $96.67 | $148.72 | $13.12–$21.42 | 12% above | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $99.57 | $153.18 | $13.12–$21.42 | 15% above | 35% |
| 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 | $33.57 | $51.64 | $7.61–$12.43 | 17% below | 35% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $34.57 | $53.19 | $7.61–$12.43 | 15% below | 35% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $46.70 | $71.84 | $6.34–$10.35 | at median | 35% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $48.10 | $74.00 | $6.34–$10.35 | 3% above | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $100.65 | $154.84 | $10.35–$16.90 | 4% below | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $103.67 | $159.49 | $10.35–$16.90 | 1% below | 35% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $21.06 | $32.40 | $9.98–$16.29 | 82% below | 35% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $165.19 | $254.14 | $21.79–$35.57 | 29% above | 35% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $201.60 | $310.15 | $27.38–$44.70 | 19% above | 35% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $207.64 | $319.45 | $27.38–$44.70 | 23% above | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $134.06 | $206.25 | $18.21–$29.73 | 17% above | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $138.09 | $212.44 | $18.21–$29.73 | 21% above | 35% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $98.28 | $151.20 | $13.36–$21.81 | 11% above | 35% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $101.23 | $155.74 | $13.36–$21.81 | 14% above | 35% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $109.27 | $168.11 | $14.41–$23.52 | 11% above | 35% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $122.23 | $188.05 | $16.60–$27.10 | 4% below | 35% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $125.90 | $193.69 | $16.60–$27.10 | 1% below | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $65.07 | $100.11 | $8.84–$14.43 | 7% above | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $67.02 | $103.11 | $8.84–$14.43 | 10% above | 35% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $183.68 | $282.59 | $24.96–$40.75 | 29% above | 35% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $189.20 | $291.07 | $24.96–$40.75 | 33% above | 35% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $66.70 | $102.62 | — | 60% below | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $77.01 | $118.48 | $34.39–$56.14 | 24% below | 35% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $107.81 | $165.86 | $16.51–$21.06 | 79% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $70.06 | $107.78 | $9.52–$15.54 | 1% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $72.16 | $111.01 | $9.52–$15.54 | 4% above | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $79.82 | $122.80 | $10.53–$17.18 | 10% above | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $74.53 | $114.66 | $10.12–$16.53 | 26% above | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $76.77 | $118.10 | $10.12–$16.53 | 30% above | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $102.96 | $158.40 | $13.98–$22.83 | 36% above | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $106.05 | $163.15 | $13.98–$22.83 | 40% above | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $318.30 | $489.69 | $41.98–$53.55 | 5% above | 35% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $100.65 | $154.84 | $12.69–$20.72 | 11% above | 35% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $103.67 | $159.49 | $12.69–$20.72 | 15% above | 35% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $125.33 | $192.82 | $17.56–$28.67 | 46% below | 35% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $34.41 | $52.94 | $11.20–$18.29 | 57% below | 35% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $48.15 | $74.08 | $6.34–$10.35 | 12% above | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $63.05 | $97.00 | $8.57–$13.98 | at median | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $64.94 | $99.91 | $8.57–$13.98 | 3% above | 35% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $62.66 | $96.40 | $8.51–$13.89 | 12% below | 35% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $64.54 | $99.29 | $8.51–$13.89 | 9% below | 35% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $133.61 | $205.55 | $18.15–$29.63 | 21% above | 35% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $137.62 | $211.72 | $18.15–$29.63 | 24% above | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $49.67 | $76.42 | $6.75–$11.02 | 20% below | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $51.16 | $78.71 | $6.75–$11.02 | 18% below | 35% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $60.69 | $93.37 | $8.01–$13.07 | 34% below | 35% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $122.90 | $189.07 | $16.69–$27.25 | 1% above | 35% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $126.58 | $194.74 | $16.69–$27.25 | 4% above | 35% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $48.36 | $74.40 | $6.57–$10.72 | 10% below | 35% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $49.81 | $76.63 | $6.57–$10.72 | 8% below | 35% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $29.26 | $45.02 | $12.62–$20.61 | 69% below | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $136.68 | $210.28 | $18.02–$29.42 | 48% above | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $132.70 | $204.16 | $18.02–$29.42 | 28% above | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $136.68 | $210.28 | $18.02–$29.42 | 32% above | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $297.76 | $458.09 | $40.45–$66.05 | 48% above | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $306.69 | $471.83 | $40.45–$66.05 | 53% above | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $43.28 | $66.59 | $5.89–$9.62 | 2% below | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $44.58 | $68.59 | $5.89–$9.62 | 1% above | 35% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $150.48 | $231.50 | $20.44–$33.38 | 37% above | 35% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $154.99 | $238.45 | $20.44–$33.38 | 41% above | 35% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $143.99 | $221.53 | $18.99–$31.01 | 12% above | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $28.33 | $43.59 | $4.20–$6.86 | 8% below | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $29.19 | $44.90 | $4.20–$6.86 | 6% below | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $29.54 | $45.45 | $12.35–$20.16 | 47% below | 35% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $40.97 | $63.03 | $5.56–$9.07 | 14% below | 35% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $42.20 | $64.92 | $5.56–$9.07 | 11% below | 35% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $14.21 | $21.86 | $14.10–$23.02 | 76% below | 35% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $14.64 | $22.52 | $14.10–$23.02 | 75% below | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $5.75 | $8.85 | $2.65–$4.32 | 82% below | 35% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $66.14 | $101.75 | $8.72–$14.24 | 9% above | 35% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $24.15 | $37.16 | $4.29–$7.01 | 11% below | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $31.73 | $48.81 | $4.18–$6.83 | 11% below | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $185.13 | $284.81 | $60.74–$99.17 | 2% below | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $186.25 | $286.54 | $25.29–$41.30 | 30% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $191.84 | $295.14 | $25.29–$41.30 | 34% above | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $104.98 | $161.50 | $14.26–$23.28 | 34% above | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $108.13 | $166.35 | $14.26–$23.28 | 38% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $121.18 | $186.43 | $16.46–$26.88 | 35% above | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $124.81 | $192.02 | $16.46–$26.88 | 39% above | 35% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $32.62 | $50.18 | $4.43–$7.23 | 13% below | 35% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $33.60 | $51.69 | $4.43–$7.23 | 10% below | 35% |
| Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED | $22.30 | $34.30 | $3.94–$6.43 | 13% above | 35% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $22.96 | $35.33 | $3.94–$6.43 | 16% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $18.47 | $28.41 | $3.41–$5.57 | 5% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $19.02 | $29.26 | $3.41–$5.57 | 8% above | 35% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $58.22 | $89.57 | $7.91–$12.91 | 9% above | 35% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $59.97 | $92.26 | $7.91–$12.91 | 13% above | 35% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $47.02 | $72.34 | $8.44–$13.78 | 2% above | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $103.30 | $158.93 | $14.78–$24.13 | 17% above | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $106.41 | $163.70 | $14.78–$24.13 | 21% above | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $213.53 | $328.50 | $29.01–$47.36 | 13% below | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $219.93 | $338.36 | $29.01–$47.36 | 10% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $43.49 | $66.91 | $14.75–$24.08 | 54% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $111.87 | $172.10 | $14.75–$24.08 | 18% above | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| 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 | $2,851.63 | $4,387.13 | $11,537.36–$24,938.69 | 47% below | 35% |
| Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $285.48 | $439.20 | $220.22–$450.34 | 21% below | 35% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $581.81 | $895.09 | $220.22–$450.34 | 61% above | 35% |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $1,761.30 | $2,709.69 | $3,167.69–$5,171.74 | 44% below | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $895.36 | $1,377.47 | $634.33–$1,035.65 | 26% below | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $1,170.79 | $1,801.22 | $634.33–$1,035.65 | 4% below | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $173.35 | $266.69 | $180.29–$294.35 | 17% below | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $273.45 | $420.69 | $115.68–$450.34 | 89% above | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $619.50 | $953.08 | $115.68–$450.34 | 328% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $428.21 | $658.79 | $275.83–$450.34 | 95% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $563.31 | $866.63 | $275.83–$450.34 | 156% above | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $273.45 | $420.69 | $253.05–$450.34 | 21% above | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $281.65 | $433.31 | $253.05–$450.34 | 24% above | 35% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $281.65 | $433.31 | $115.68–$450.34 | 33% above | 35% |
| Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $3,522.60 | $5,419.39 | $2,940.36–$4,800.59 | 7% below | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,170.79 | $1,801.22 | $634.33–$1,035.65 | 2% below | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,385.44 | $2,131.45 | $634.33–$1,035.65 | 16% above | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $236.65 | $364.08 | $750.00–$1,297.68 | 77% below | 35% |
| 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 | $1,142.26 | $1,757.32 | $750.00–$1,297.68 | 10% above | 35% |
| 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 | $7,045.21 | $10,838.79 | $6,520.73–$10,646.10 | at median | 35% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT | $4,888.52 | $7,520.80 | $6,520.73–$10,646.10 | at median | 35% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $110.16 | $169.48 | $253.05–$450.34 | 71% below | 35% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE | $428.21 | $658.79 | $253.05–$450.34 | 14% above | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $1,776.65 | $2,733.31 | $1,754.80–$2,864.98 | 4% below | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $3,717.25 | $5,718.85 | $1,754.80–$2,864.98 | 101% above | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $4,875.00 | $7,500.00 | $3,167.69–$5,171.74 | 28% below | 35% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $7,974.20 | $12,268.00 | $3,167.69–$5,171.74 | 17% above | 35% |
| 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/< | $78.97 | $121.49 | $180.29–$294.35 | 68% below | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $1,794.38 | $2,760.58 | $352.20–$1,035.65 | 243% above | 35% |
| 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 | $4,529.06 | $6,967.79 | $4,818.33–$7,866.66 | 4% above | 35% |
| Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $10,593.04 | $16,296.98 | $11,537.36–$32,361.75 | at median | 35% |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $4,529.06 | $6,967.79 | $11,537.36–$18,836.51 | 50% below | 35% |
| Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $4,730.32 | $7,277.41 | $12,000.00–$25,725.07 | 3% below | 35% |
| Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER | $2,465.81 | $3,793.56 | $656.89–$2,359.20 | 71% above | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $533.23 | $820.36 | $275.83–$450.34 | 255% above | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $549.23 | $844.97 | $275.83–$450.34 | 266% above | 35% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $4,025.83 | $6,193.59 | $2,714.33–$7,866.66 | at median | 35% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $5,535.52 | $8,516.19 | $4,818.33–$7,866.66 | at median | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $108.16 | $166.40 | $166.40–$596.42 | 66% below | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $3,371.62 | $5,187.10 | $227.23–$596.42 | 946% above | 35% |
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 BLD/BLD COMPNT | $706.23 | $1,086.50 | $386.76–$647.28 | 23% above | 35% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,375.06 | $2,115.47 | $742.30–$1,211.92 | 107% above | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $87.72 | $134.96 | $53.01–$123.36 | 52% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $97.50 | $150.00 | $53.01–$123.36 | 47% below | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $114.86 | $176.71 | $108.44–$312.06 | 53% below | 35% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $111.51 | $171.56 | $108.44–$312.06 | 58% below | 35% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $114.86 | $176.71 | $108.44–$312.06 | 57% below | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $122.73 | $188.82 | $35.12–$105.63 | 84% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $126.41 | $194.48 | $35.12–$105.63 | 89% above | 35% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $197.87 | $304.41 | $66.26–$108.18 | 31% above | 35% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $183.57 | $282.42 | $82.63–$177.30 | 9% below | 35% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $239.06 | $367.79 | $137.37–$242.16 | 14% below | 35% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $127.53 | $196.20 | $38.41–$62.70 | 10% above | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES | $22.60 | $34.77 | $33.67–$54.98 | 19% below | 35% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $61.63 | $94.81 | $33.67–$54.98 | 121% above | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $157.74 | $242.68 | $82.63–$191.52 | 24% below | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $118.52 | $182.34 | $53.80–$87.84 | 12% below | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $140.46 | $216.09 | $66.10–$129.09 | 19% below | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $87.36 | $134.40 | $28.93–$47.23 | 16% below | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $162.50 | $250.00 | $28.93–$47.23 | 56% above | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $77.06 | $118.55 | $32.32–$52.77 | 2% below | 35% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria 2025-2026 Formula PFS | $73.29 | $112.75 | $24.76 | 129% above | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 PFS | $395.75 | $608.85 | $167.20 | 136% above | 35% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE; 23-VALENT | $474.89 | $730.60 | $167.20 | 184% above | 35% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/80b49e7e4d81721153e53e7620151ead/charges/mrf