SelfPayRates
Hospital Manhattan, KS

Manhattan Surgical Hospital

Manhattan Surgical Hospital in Manhattan, KS publishes cash prices for 100 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 above the Kansas median for 70 of 99 procedures and below it for 26. By typical cash price it ranks #62 of 81 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1829 College Avenue, Manhattan, KS 66502 Collected Sep 27, 2026 Source price file (785) 776-5100

Acute care hospital No emergency department CCN 170190 · CMS hospital register NPI 1629053228

Scans and imaging

ProcedureCash price List priceInsurers payvs KansasOff list
Chest X-ray, single view CPT 71045 CHEST 1 VIEW $121.00 $242.00 $81.43–$95.31 38% below 50%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW $121.00 $242.00 $81.43–$95.31 — 50%
Shoulder X-ray, complete, 2 or more views CPT 73030 RT SHOULDER AP AND LAT $121.00 $242.00 $73.85–$108.22 47% below 50%
Shoulder X-ray, complete, 2 or more views CPT 73030 LT SHOULDER AP AND LAT $121.00 $242.00 $73.85–$108.22 47% below 50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 LT SHOULDER AP AND LAT $121.00 $242.00 $73.85–$108.22 — 50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RT SHOULDER AP AND LAT $121.00 $242.00 $73.85–$108.22 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RAD EXAM RIGHT HIP AP - LATERA $121.00 $242.00 $73.85–$133.62 55% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RAD EXAM LEFT AP - LATERAL HIP $121.00 $242.00 $73.85–$133.62 55% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD EXAM RIGHT HIP AP - LATERA $121.00 $242.00 $73.85–$133.62 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD EXAM LEFT AP - LATERAL HIP $121.00 $242.00 $73.85–$133.62 — 50%
X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAM, ABDOMEN 1 VIE $121.00 $242.00 $73.85–$103.91 42% below 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 RADIOLOGIC EXAM, ABDOMEN 1 VIE $121.00 $242.00 $73.85–$103.91 — 50%
X-ray of the knee, 1 or 2 views CPT 73560 RT KNEE AP AND LAT $121.00 $242.00 $40.83–$145.20 39% below 50%
X-ray of the knee, 1 or 2 views CPT 73560 LT KNEE AP AND LAT $121.00 $242.00 $40.83–$145.20 39% below 50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 LT KNEE AP AND LAT $121.00 $242.00 $40.83–$145.20 — 50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 RT KNEE AP AND LAT $121.00 $242.00 $40.83–$145.20 — 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP AND LAT $121.00 $242.00 $123.25 53% below 50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE AP AND LAT $121.00 $242.00 $123.25 — 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 AP PELVIS $121.00 $242.00 $97.47 43% below 50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 AP PELVIS $121.00 $242.00 $97.47 — 50%

Lab tests

ProcedureCash price List priceInsurers payvs KansasOff list
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Pathologst-PLS $35.50 $71.00 $60.69–$93.64 84% below 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue Exam By Pathologst-PLS $35.50 $71.00 $60.69–$93.64 — 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Charge (IH) $12.50 $25.00 $3.09–$8.18 31% below 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Charge (IH) $12.50 $25.00 $3.09–$8.18 — 50%
Blood lead test CPT 83655 Lead, Blood-SV $19.00 $38.00 $4.10 64% below 50%
Blood lead test inpatient CPT 83655 Lead, Blood-SV $19.00 $38.00 $4.10 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein-SV $8.00 $16.00 $1.59–$9.00 83% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein-SV $8.00 $16.00 $1.59–$9.00 — 50%
Iron blood test (serum iron) CPT 83540 Iron-SV $5.50 $11.00 $1.19 88% below 50%
Iron blood test (serum iron) inpatient CPT 83540 Iron-SV $5.50 $11.00 $1.19 — 50%
Iron-binding capacity (TIBC) test CPT 83550 TIBC(total iron bind cap)-SV $7.50 $15.00 $1.62 88% below 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC(total iron bind cap)-SV $7.50 $15.00 $1.62 — 50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH (parathyroid) Intact-SV $36.50 $73.00 $15.49 82% below 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (parathyroid) Intact-SV $36.50 $73.00 $15.49 — 50%
Urine pregnancy test, read by color change CPT 81025 HCG, Urine, Qualitative-SV $6.00 $12.00 $3.03–$24.00 87% below 50%
Urine pregnancy test, read by color change CPT 81025 Urine HCG (IH) $12.00 $24.00 $3.03–$24.00 74% below 50%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG, Urine, Qualitative-SV $6.00 $12.00 $3.03–$24.00 — 50%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine HCG (IH) $12.00 $24.00 $3.03–$24.00 — 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs KansasOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY PRIMARY UNDER AG $4,459.00 $8,918.00 $1,042.99–$5,350.80 38% above 50%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 ADENOIDECTOMY PRIMARY UNDER AG $4,459.00 $8,918.00 $1,042.99–$5,350.80 — 50%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRODESIS ANTERIOR INTERBODY $17,692.00 $35,384.00 $4,128.00–$11,667.00 68% above 50%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 ARTHRODESIS ANTERIOR INTERBODY $17,692.00 $35,384.00 $4,128.00–$11,667.00 — 50%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRSCP ANT CRUCIAT LIGA REPR $9,822.50 $19,645.00 $1,035.00–$18,190.00 4% above 50%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHRSCP ANT CRUCIAT LIGA REPR $9,822.50 $19,645.00 $1,035.00–$18,190.00 — 50%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY SHOULD W ROTATOR C $9,822.50 $19,645.00 $2,596.94–$6,500.95 46% above 50%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY SHOULD W ROTATOR C $9,822.50 $19,645.00 $2,596.94–$6,500.95 — 50%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORR HALX VALGUS SESAMOIDECTY $4,461.50 $8,923.00 $1,614.17 26% above 50%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 CORR HALX VALGUS SESAMOIDECTY $4,461.50 $8,923.00 $1,614.17 — 50%
Bunion correction with removal of part of the big toe joint CPT 28292 CORR HALLUX VALGUS W SESAMOIDE $4,461.50 $8,923.00 $1,470.47 32% above 50%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORR HALLUX VALGUS W SESAMOIDE $4,461.50 $8,923.00 $1,470.47 — 50%
Carpal tunnel release, open surgery CPT 64721 NEUROPLSTY/XPOS MEDIAN NRV CAR $2,685.00 $5,370.00 $625.47–$5,370.00 56% above 50%
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPLSTY/XPOS MEDIAN NRV CAR $2,685.00 $5,370.00 $625.47–$5,370.00 — 50%
Cataract surgery with lens implant CPT 66984 XTRACAPSUL CATARCT REM WO CYCL $3,136.00 $6,272.00 $754.92–$3,763.20 11% above 50%
Cataract surgery with lens implant inpatient CPT 66984 XTRACAPSUL CATARCT REM WO CYCL $3,136.00 $6,272.00 $754.92–$3,763.20 — 50%
Cervical biopsy CPT 57500 BX CERVIX SING/MULT /EXC LES W $1,197.50 $2,395.00 $222.08 286% above 50%
Cervical biopsy inpatient CPT 57500 BX CERVIX SING/MULT /EXC LES W $1,197.50 $2,395.00 $222.08 — 50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRC SURG EXC OT CLAMP/DEVICE/ $2,816.50 $5,633.00 $659.82–$2,108.00 1% above 50%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRC SURG EXC OT CLAMP/DEVICE/ $2,816.50 $5,633.00 $659.82–$2,108.00 — 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRC CLAMP/OTHER DORSL PENILE/ $2,816.50 $5,633.00 $98.29–$1,787.87 452% above 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRC CLAMP/OTHER DORSL PENILE/ $2,816.50 $5,633.00 $98.29–$1,787.87 — 50%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY FLEX REM TUMOR BY $1,621.00 $3,242.00 $90.94–$1,945.20 24% above 50%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY FLEX REM TUMOR BY $1,621.00 $3,242.00 $90.94–$1,945.20 — 50%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY $1,621.00 $3,242.00 $382.28–$1,945.20 7% above 50%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY $1,621.00 $3,242.00 $382.28–$1,945.20 — 50%
Colonoscopy, diagnostic CPT 45378 COLONOSCPY FLEX DX COLL SPECI $1,253.50 $2,507.00 $296.08–$1,807.00 23% above 50%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCPY FLEX DX COLL SPECI $1,253.50 $2,507.00 $296.08–$1,807.00 — 50%
Complex cataract surgery with lens implant CPT 66982 XTRACAPSUL CATARCT REM CMPLX W $3,136.00 $6,272.00 $1,264.57–$2,075.51 7% above 50%
Complex cataract surgery with lens implant inpatient CPT 66982 XTRACAPSUL CATARCT REM CMPLX W $3,136.00 $6,272.00 $1,264.57–$2,075.51 — 50%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETH INS URETERAL STENT $4,742.50 $9,485.00 $1,439.80–$2,976.24 36% above 50%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETH INS URETERAL STENT $4,742.50 $9,485.00 $1,439.80–$2,976.24 — 50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY SEPARATE PRO $918.00 $1,836.00 $254.64–$918.13 6% below 50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY SEPARATE PRO $918.00 $1,836.00 $254.64–$918.13 — 50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION&CURETTAGE, DX / TX NO $4,372.00 $8,744.00 $1,025.67 376% above 50%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION&CURETTAGE, DX / TX NO $4,372.00 $8,744.00 $1,025.67 — 50%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY W INS VENTIL TUBE $2,037.00 $4,074.00 $358.75–$2,444.40 41% above 50%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY W INS VENTIL TUBE $2,037.00 $4,074.00 $358.75–$2,444.40 — 50%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL/SINUS ENDO ETHMOIDECT TO $9,518.50 $19,037.00 $1,456.50–$1,865.63 at median 50%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL/SINUS ENDO ETHMOIDECT TO $9,518.50 $19,037.00 $1,456.50–$1,865.63 — 50%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NAS/SIN ENDO SURG REM TISS FRO $9,518.50 $19,037.00 $732.93–$3,149.81 28% below 50%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 NAS/SIN ENDO SURG REM TISS FRO $9,518.50 $19,037.00 $732.93–$3,149.81 — 50%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASAL/SINUS ENDO SURG +MAXILRY $5,069.50 $10,139.00 $258.75–$6,083.40 11% below 50%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 NASAL/SINUS ENDO SURG +MAXILRY $5,069.50 $10,139.00 $258.75–$6,083.40 — 50%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NAS/SIN ENDO MAXILLAR ANTROSTM $9,518.50 $19,037.00 $234.00–$5,843.19 76% above 50%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 NAS/SIN ENDO MAXILLAR ANTROSTM $9,518.50 $19,037.00 $234.00–$5,843.19 — 50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPR ANTERIOR ABDOMINAL HERNIA $4,852.50 $9,705.00 $1,481.90–$3,211.53 55% above 50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPR ANTERIOR ABDOMINAL HERNIA $4,852.50 $9,705.00 $1,481.90–$3,211.53 — 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMIDSCPY FLEX DX SPECI COLL $1,253.50 $2,507.00 $829.68 43% above 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMIDSCPY FLEX DX SPECI COLL $1,253.50 $2,507.00 $829.68 — 50%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURGICAL CHOLECYST $8,022.00 $16,044.00 $2,913.00–$5,309.40 46% above 50%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY SURGICAL CHOLECYST $8,022.00 $16,044.00 $2,913.00–$5,309.40 — 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLE W GRAMS $8,022.00 $16,044.00 $4,128.00–$9,626.40 41% above 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLE W GRAMS $8,022.00 $16,044.00 $4,128.00–$9,626.40 — 50%
Hammertoe correction surgery CPT 28285 CORR HAMMERTOE IPJFUSION P/T P $4,461.50 $8,923.00 $870.88 78% above 50%
Hammertoe correction surgery inpatient CPT 28285 CORR HAMMERTOE IPJFUSION P/T P $4,461.50 $8,923.00 $870.88 — 50%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INTERNAL AND $3,771.00 $7,542.00 $1,198.63–$2,495.64 205% above 50%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INTERNAL AND $3,771.00 $7,542.00 $1,198.63–$2,495.64 — 50%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY SURG W ENDOMETRIA $6,787.50 $13,575.00 $794.14–$6,924.00 111% above 50%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY SURG W ENDOMETRIA $6,787.50 $13,575.00 $794.14–$6,924.00 — 50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCPY SURG BX ENDOMETRI/ $4,372.00 $8,744.00 $1,165.72–$2,893.44 60% above 50%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCPY SURG BX ENDOMETRI/ $4,372.00 $8,744.00 $1,165.72–$2,893.44 — 50%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION INTRAUTERINE DEVICE $117.50 $235.00 $144.53 40% below 50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION INTRAUTERINE DEVICE $117.50 $235.00 $144.53 — 50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS (EX. CARBUNCLE) SI $273.00 $546.00 $63.28 12% above 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS (EX. CARBUNCLE) SI $273.00 $546.00 $63.28 — 50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA $4,852.50 $9,705.00 $1,282.16–$2,953.62 28% above 50%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INITIAL INGUINAL HERNIA $4,852.50 $9,705.00 $1,282.16–$2,953.62 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCNTSIS ASPR/INJ MAJ JT/B $406.00 $812.00 $252.86–$812.00 30% above 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCNTSIS ASPR/INJ MAJ JT/B $406.00 $812.00 $252.86–$812.00 — 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCNTSIS ASP/INJ INTMD JT/ $406.00 $812.00 $268.63 48% above 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCNTSIS ASP/INJ INTMD JT/ $406.00 $812.00 $268.63 — 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCNTSIS ASPIR/INJ SM JT/B $406.00 $812.00 $268.63 88% above 50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCNTSIS ASPIR/INJ SM JT/B $406.00 $812.00 $268.63 — 50%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 SCOPE, KNEE W MENISCUS REPAIR $4,461.50 $8,923.00 $524.29–$5,094.00 5% above 50%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 SCOPE, KNEE W MENISCUS REPAIR $4,461.50 $8,923.00 $524.29–$5,094.00 — 50%
Knee arthroscopy with meniscus trim CPT 29881 SCOPE KNEE SURG W MENISECTOMY $4,461.50 $8,923.00 $1,048.57–$5,094.00 17% above 50%
Knee arthroscopy with meniscus trim inpatient CPT 29881 SCOPE KNEE SURG W MENISECTOMY $4,461.50 $8,923.00 $1,048.57–$5,094.00 — 50%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 SCOP KNEE MNISCECTMY MED&LAT D $4,461.50 $8,923.00 $1,572.85–$5,353.80 16% above 50%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 SCOP KNEE MNISCECTMY MED&LAT D $4,461.50 $8,923.00 $1,572.85–$5,353.80 — 50%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE SURG DEBRID ARTIC CART CH $4,461.50 $8,923.00 $1,048.57–$5,094.00 15% above 50%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 KNEE SURG DEBRID ARTIC CART CH $4,461.50 $8,923.00 $1,048.57–$5,094.00 — 50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAP SURG TOT HYSTERECT 250G/< $14,315.50 $28,631.00 $3,023.43 331% above 50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 LAP SURG TOT HYSTERECT 250G/< $14,315.50 $28,631.00 $3,023.43 — 50%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP SURG REM ADNEXAL STRUC OOP $8,022.00 $16,044.00 $1,401.89–$5,309.40 164% above 50%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP SURG REM ADNEXAL STRUC OOP $8,022.00 $16,044.00 $1,401.89–$5,309.40 — 50%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 DISCISSION 2ND MEMB CATARACT L $754.50 $1,509.00 $322.61–$1,143.10 37% below 50%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 DISCISSION 2ND MEMB CATARACT L $754.50 $1,509.00 $322.61–$1,143.10 — 50%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ DX/TX SUBS LUMBAR/SACRAL W $952.00 $1,904.00 $433.99 17% below 50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DX/TX SUBS LUMBAR/SACRAL W $952.00 $1,904.00 $433.99 — 50%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LAMINOTOMY HEMILAMINECTMY 1 IN $9,822.50 $19,645.00 $11,539.86 44% above 50%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LAMINOTOMY HEMILAMINECTMY 1 IN $9,822.50 $19,645.00 $11,539.86 — 50%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAMINEC,FACETEC&FORAMINOTMY 1 $9,822.50 $19,645.00 $6,500.95 at median 50%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 LAMINEC,FACETEC&FORAMINOTMY 1 $9,822.50 $19,645.00 $6,500.95 — 50%
Miscarriage treatment with D&C, first trimester CPT 59820 TX MISSD ABORTION, COMPD SURG $4,372.00 $8,744.00 $1,012.56–$2,108.00 124% above 50%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TX MISSD ABORTION, COMPD SURG $4,372.00 $8,744.00 $1,012.56–$2,108.00 — 50%
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLATE PART/COMP SIM $273.00 $546.00 $180.82 84% above 50%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULS NAIL PLATE PART/COMP SIM $273.00 $546.00 $180.82 — 50%
Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY KNEE CONDYLE&PLAT $17,692.00 $35,384.00 $11,223.02 65% above 50%
Partial knee replacement (one compartment) inpatient CPT 27446 ARTHROPLASTY KNEE CONDYLE&PLAT $17,692.00 $35,384.00 $11,223.02 — 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL&NAILMATRIX PART/COMP $549.50 $1,099.00 $364.60 44% above 50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL&NAILMATRIX PART/COMP $549.50 $1,099.00 $364.60 — 50%
Removal of a breast lump, open surgery CPT 19120 EXC CYST/FIBADNMA/TUMR/TISS/DU $5,265.50 $10,531.00 $2,486.50 303% above 50%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST/FIBADNMA/TUMR/TISS/DU $5,265.50 $10,531.00 $2,486.50 — 50%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY $549.50 $1,099.00 $126.15–$340.42 91% above 50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FOREIGN BODY $549.50 $1,099.00 $126.15–$340.42 — 50%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 TOT THYROID LOBECTMY UNILAT WW $8,022.00 $16,044.00 $1,654.14–$4,128.00 41% above 50%
Removal of one lobe of the thyroid (lobectomy) inpatient one side CPT 60220 TOT THYROID LOBECTMY UNILAT WW $8,022.00 $16,044.00 $1,654.14–$4,128.00 — 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECT CANCR SCRN COLNSCPY N $1,253.50 $2,507.00 $826.31 32% above 50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLORECT CANCR SCRN COLNSCPY N $1,253.50 $2,507.00 $826.31 — 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCRN COLONSC $1,253.50 $2,507.00 $620.88–$826.31 23% above 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL CANCER SCRN COLONSC $1,253.50 $2,507.00 $620.88–$826.31 — 50%
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLSTY/SUBMUC RESECT /SCOR $4,459.00 $8,918.00 $929.98–$2,951.27 8% above 50%
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLSTY/SUBMUC RESECT /SCOR $4,459.00 $8,918.00 $929.98–$2,951.27 — 50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHO $4,742.50 $9,485.00 $1,557.79–$4,760.37 3% below 50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY EXTRACORPOREAL SHO $4,742.50 $9,485.00 $1,557.79–$4,760.37 — 50%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SCOPE SHOULD SURG DISTAL CLAVI $4,461.50 $8,923.00 $1,394.91–$1,401.70 15% above 50%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SCOPE SHOULD SURG DISTAL CLAVI $4,461.50 $8,923.00 $1,394.91–$1,401.70 — 50%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SCOPE SHOULD DECOMP W PART ACR $4,008.50 $8,017.00 $1,005.61–$8,017.00 4% below 50%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SCOPE SHOULD DECOMP W PART ACR $4,008.50 $8,017.00 $1,005.61–$8,017.00 — 50%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION $549.50 $1,099.00 $89.35 42% above 50%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION $549.50 $1,099.00 $89.35 — 50%
TURP (transurethral resection of the prostate) CPT 52601 XURETH ESURG RESECT PROSTATE C $6,990.00 $13,980.00 $2,553.00–$8,597.70 52% above 50%
TURP (transurethral resection of the prostate) inpatient CPT 52601 XURETH ESURG RESECT PROSTATE C $6,990.00 $13,980.00 $2,553.00–$8,597.70 — 50%
Tonsil and adenoid removal, age 12 or older CPT 42821 T&A OVER AGE 12 $4,459.00 $8,918.00 $1,971.77–$2,233.84 42% above 50%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 T&A OVER AGE 12 $4,459.00 $8,918.00 $1,971.77–$2,233.84 — 50%
Tonsil and adenoid removal, child under 12 CPT 42820 T&A UNDER AGE 12 $8,134.00 $16,268.00 $1,897.10–$9,760.80 93% above 50%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 T&A UNDER AGE 12 $8,134.00 $16,268.00 $1,897.10–$9,760.80 — 50%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY $4,459.00 $8,918.00 $1,042.99–$5,067.00 46% above 50%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY $4,459.00 $8,918.00 $1,042.99–$5,067.00 — 50%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY UNDER AGE 12 $8,134.00 $16,268.00 $1,897.10–$4,080.68 219% above 50%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TONSILLECTOMY UNDER AGE 12 $8,134.00 $16,268.00 $1,897.10–$4,080.68 — 50%
Total hip replacement CPT 27130 ARTHROPLSTY FEMORL PROSTH REPL $17,692.00 $35,384.00 $3,084.40–$18,211.50 146% above 50%
Total hip replacement inpatient CPT 27130 ARTHROPLSTY FEMORL PROSTH REPL $17,692.00 $35,384.00 $3,084.40–$18,211.50 — 50%
Total knee replacement CPT 27447 ARTHROPLSTY TOT KNEE CONDYL&PL $17,692.00 $35,384.00 $3,431.00–$35,384.00 117% above 50%
Total knee replacement inpatient CPT 27447 ARTHROPLSTY TOT KNEE CONDYL&PL $17,692.00 $35,384.00 $3,431.00–$35,384.00 — 50%
Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JT T $25,286.50 $50,573.00 $2,090.29–$48,881.00 249% above 50%
Total shoulder replacement inpatient CPT 23472 ARTHROPLASTY GLENOHUMERAL JT T $25,286.50 $50,573.00 $2,090.29–$48,881.00 — 50%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL OR COMPLET $8,022.00 $16,044.00 $3,840.25–$5,309.40 41% above 50%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY TOTAL OR COMPLET $8,022.00 $16,044.00 $3,840.25–$5,309.40 — 50%
Trigger finger release surgery CPT 26055 TRIGGER FINGER RELEASE $2,200.50 $4,401.00 $260.33–$1,807.00 46% above 50%
Trigger finger release surgery inpatient CPT 26055 TRIGGER FINGER RELEASE $2,200.50 $4,401.00 $260.33–$1,807.00 — 50%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP SURG W FULGURJ OVIDUCTS W/ $8,022.00 $16,044.00 $1,869.18–$9,080.40 89% above 50%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAP SURG W FULGURJ OVIDUCTS W/ $8,022.00 $16,044.00 $1,869.18–$9,080.40 — 50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD FLX XORAL XENDO BALOON DIL $2,608.50 $5,217.00 $616.42–$4,991.00 44% above 50%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD FLX XORAL XENDO BALOON DIL $2,608.50 $5,217.00 $616.42–$4,991.00 — 50%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GASTROINTESTINAL ENDOSCO $1,289.00 $2,578.00 $293.65–$1,807.00 2% below 50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GASTROINTESTINAL ENDOSCO $1,289.00 $2,578.00 $293.65–$1,807.00 — 50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD XORAL REM TUMOR/POLYP/LES $2,608.50 $5,217.00 $581.02–$1,726.30 72% above 50%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD XORAL REM TUMOR/POLYP/LES $2,608.50 $5,217.00 $581.02–$1,726.30 — 50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD FLX XORAL INS GUIDEWIRE+DI $1,289.00 $2,578.00 $310.65–$773.90 25% above 50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD FLX XORAL INS GUIDEWIRE+DI $1,289.00 $2,578.00 $310.65–$773.90 — 50%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLX XORAL DX SPECIMN COLL $1,289.00 $2,578.00 $293.65–$1,546.80 5% above 50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD FLX XORAL DX SPECIMN COLL $1,289.00 $2,578.00 $293.65–$1,546.80 — 50%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETH+URETER/PYELOSCPY +L $6,990.00 $13,980.00 $1,701.37–$4,626.21 at median 50%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETH+URETER/PYELOSCPY +L $6,990.00 $13,980.00 $1,701.37–$4,626.21 — 50%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTOURETH+URET/PYELOSCPY LITH $6,990.00 $13,980.00 $2,192.49–$8,388.00 38% above 50%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTOURETH+URET/PYELOSCPY LITH $6,990.00 $13,980.00 $2,192.49–$8,388.00 — 50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTMY UNI/BILAT POSTOP SEME $2,816.50 $5,633.00 $947.70–$1,807.00 — 50%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTMY UNI/BILAT POSTOP SEME $2,816.50 $5,633.00 $947.70–$1,807.00 — 50%
Wart removal, up to 14 warts CPT 17110 DESTR B9 LES OT SKINTAGS/CUTVA $273.00 $546.00 $189.79 45% above 50%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR B9 LES OT SKINTAGS/CUTVA $273.00 $546.00 $189.79 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCUTANEOUS TISS 1ST $549.50 $1,099.00 $201.50 70% above 50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBCUTANEOUS TISS 1ST $549.50 $1,099.00 $201.50 — 50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OTX DIST RAD EXTRA-ARTIC FX/EP $9,822.50 $19,645.00 $1,280.85–$6,500.95 144% above 50%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OTX DIST RAD EXTRA-ARTIC FX/EP $9,822.50 $19,645.00 $1,280.85–$6,500.95 — 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs KansasOff list
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ECG 12/> LEADS TRACING $81.50 $163.00 $126.86 50% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ROUTINE ECG 12/> LEADS TRACING $81.50 $163.00 $126.86 — 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERA ACTIVITY DIR 1-1 PAT CON $47.50 $95.00 $16.03–$66.50 40% below 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERA ACTIVITY DIR 1-1 PAT CON $47.50 $95.00 $16.03–$66.50 — 50%

Source file: https://hospitalpricetransparencyfiles.com/manhattan-surgical-hospital-llc/481202466_Manhattan-Surgical-Hospital-LLC_standardcharges.csv