Hospital Dodge City, KS

Minneola District Hospital Nbr 2

Minneola District Hospital Nbr 2 in Minneola, KS publishes cash prices for 170 common procedures listed here, from its own machine-readable price file updated Jul 21, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kansas median for 143 of 169 procedures and above it for 21. By typical cash price it ranks #7 of 55 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

212 S Main St Minneola KS 67865 Collected Sep 27, 2026 Source price file (620) 885-4264

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171368 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs KansasOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries $451.50 $645.00 $38.38–$645.00 25% below 30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine $59.50 $85.00 $72.25–$403.45 81% below 30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function $1,689.80 $2,414.00 $1,532.17–$2,414.00 11% below 30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract $402.50 $575.00 $368.00–$575.00 26% below 30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views $52.50 $75.00 $63.75–$403.45 81% below 30%

Lab tests

ProcedureCash price List priceInsurers payvs KansasOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level $24.50 $35.00 $11.36–$35.00 34% below 30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level $22.40 $32.00 $11.11–$32.00 40% below 30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel $126.00 $180.00 $115.20–$180.00 39% below 30%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each $207.90 $297.00 $15.51–$297.00 573% above 30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment $80.50 $115.00 $27.79–$115.00 25% below 30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder $42.00 $60.00 $38.40–$60.00 40% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level $70.00 $100.00 $64.00–$100.00 46% below 30%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) $21.00 $30.00 $19.20–$30.00 74% below 30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity $178.50 $255.00 $163.20–$255.00 19% below 30%
Blood culture for bacteria CPT 87040 Bacterial blood culture $35.00 $50.00 $32.00–$50.00 53% below 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $11.90 $17.00 $10.88–$17.00 35% below 30%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level $10.50 $15.00 $8.64–$15.00 68% below 30%
Blood lead test CPT 83655 Lead level $28.00 $40.00 $24.36–$40.00 46% below 30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $35.00 $50.00 $32.00–$50.00 39% below 30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) $90.30 $129.00 $82.56–$210.75 3% above 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation $25.90 $37.00 $23.68–$37.00 46% below 30%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique $89.60 $128.00 $75.32–$128.00 17% below 30%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 $52.50 $75.00 $48.00–$75.00 39% below 30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 $52.50 $75.00 $48.00–$75.00 43% below 30%
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 $112.00 $160.00 $102.40–$160.00 18% below 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique $94.50 $135.00 $75.32–$135.00 17% below 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) $40.60 $58.00 $37.12–$58.00 53% below 30%
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 $16.80 $24.00 $13.36–$24.00 59% below 30%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $16.80 $24.00 $13.90–$24.00 64% below 30%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $25.20 $36.00 $22.68–$36.00 76% below 30%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative $68.60 $98.00 $62.72–$98.00 41% below 30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level $73.50 $105.00 $67.20–$105.00 43% below 30%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) $115.50 $165.00 $105.60–$165.00 32% below 30%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level $66.50 $95.00 $60.80–$95.00 42% below 30%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level $154.00 $220.00 $24.56–$220.00 30% below 30%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level $49.00 $70.00 $44.80–$70.00 45% below 30%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum $61.60 $88.00 $56.32–$88.00 37% below 30%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free $80.50 $115.00 $73.60–$115.00 37% below 30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free $31.50 $45.00 $28.80–$45.00 48% below 30%
Free testosterone test CPT 84402 Testosterone (hormone) level, free $101.50 $145.00 $92.80–$145.00 28% below 30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose $21.70 $31.00 $19.84–$31.00 55% below 30%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens $45.50 $65.00 $41.60–$65.00 51% below 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique $98.00 $140.00 $75.32–$140.00 4% below 30%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool $94.50 $135.00 $31.18–$135.00 17% below 30%
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 $56.00 $80.00 $51.20–$80.00 39% below 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level $30.80 $44.00 $28.16–$44.00 55% below 30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement $45.50 $65.00 $41.60–$65.00 37% below 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen $24.50 $35.00 $22.40–$35.00 59% below 30%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $42.00 $60.00 $38.40–$60.00 44% below 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification $262.50 $375.00 $91.91–$375.00 14% below 30%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 $59.50 $85.00 $54.40–$85.00 37% below 30%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 $52.50 $75.00 $48.00–$75.00 40% below 30%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level $161.00 $230.00 $147.20–$230.00 30% below 30%
Insulin blood test CPT 83525 Insulin measurement, total $49.00 $70.00 $44.80–$70.00 39% below 30%
Iron blood test (serum iron) CPT 83540 Iron level $28.00 $40.00 $25.60–$40.00 35% below 30%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $38.50 $55.00 $35.20–$55.00 39% below 30%
Kidney function blood test panel CPT 80069 Kidney function blood test panel $63.00 $90.00 $20.32–$90.00 11% below 30%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level $66.50 $95.00 $60.80–$95.00 40% below 30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level $28.70 $41.00 $26.24–$41.00 54% below 30%
Liver function blood test panel CPT 80076 Liver function blood test panel $32.90 $47.00 $30.08–$47.00 64% below 30%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $70.00 $100.00 $64.00–$100.00 43% below 30%
Magnesium blood test CPT 83735 Magnesium level $27.30 $39.00 $24.96–$39.00 49% below 30%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $63.00 $90.00 $57.60–$90.00 33% below 30%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) $33.60 $48.00 $19.50–$48.00 27% below 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free $53.20 $76.00 $48.64–$76.00 42% below 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total $91.00 $130.00 $67.95–$130.00 12% below 30%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level $143.50 $205.00 $131.20–$205.00 28% below 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood $24.50 $35.00 $22.40–$35.00 45% below 30%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level $66.50 $95.00 $60.80–$95.00 40% below 30%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level $73.50 $105.00 $67.20–$105.00 43% below 30%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $18.20 $26.00 $16.08–$26.00 41% below 30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation $43.40 $62.00 $28.15–$62.00 21% below 30%
Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus $56.00 $80.00 $51.20–$80.00 18% below 30%
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) $56.00 $80.00 $51.20–$80.00 19% below 30%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $28.00 $40.00 $25.60–$40.00 41% below 30%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) $31.50 $45.00 $28.80–$45.00 46% below 30%
Stool ova and parasites exam CPT 87177 Smear for parasites $31.50 $45.00 $28.80–$45.00 48% below 30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors $14.00 $20.00 $12.41–$20.00 48% below 30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $17.50 $25.00 $16.00–$25.00 51% below 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon $122.50 $175.00 $112.00–$175.00 35% below 30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total $98.00 $140.00 $89.60–$140.00 32% below 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement $49.00 $70.00 $44.80–$70.00 37% below 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $44.80 $64.00 $40.96–$64.00 50% below 30%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique $91.00 $130.00 $83.20–$130.00 34% below 30%
Uric acid blood test CPT 84550 Uric acid level, blood $35.00 $50.00 $14.72–$50.00 6% below 30%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated $14.00 $20.00 $9.72–$20.00 59% below 30%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test $11.90 $17.00 $9.20–$17.00 47% below 30%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test $13.30 $19.00 $10.36–$19.00 24% below 30%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine $28.00 $40.00 $25.60–$40.00 47% below 30%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $23.10 $33.00 $21.12–$33.00 50% below 30%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level $52.50 $75.00 $48.00–$75.00 40% below 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level $199.50 $285.00 $182.40–$285.00 19% below 30%
Zinc blood test CPT 84630 Zinc level $21.00 $30.00 $19.20–$30.00 64% below 30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level $56.00 $80.00 $51.20–$80.00 41% below 30%

Surgery and procedures

ProcedureCash price List priceInsurers payvs KansasOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Primary removal of adenoids (younger than 12 years) $3,227.00 $4,610.00 $2,950.40–$4,610.00 37% above 30%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Repair of anterior cruciate ligament of knee using an endoscope $7,889.00 $11,270.00 $7,212.80–$11,270.00 17% below 30%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope $7,458.50 $10,655.00 $6,819.20–$10,655.00 at median 30%
Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face $240.80 $344.00 $220.16–$344.00 34% below 30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $159.60 $228.00 $193.80–$403.45 72% below 30%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens $2,541.00 $3,630.00 $2,323.20–$3,630.00 21% below 30%
Complex cataract surgery with lens implant CPT 66982 Complex removal of cataract with insertion of prosthetic lens $2,471.00 $3,530.00 $2,259.20–$3,530.00 23% below 30%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of stent in ureter using an endoscope $3,633.00 $5,190.00 $3,321.60–$5,190.00 15% above 30%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of eardrum with placement of eardrum tube under general anesthesia $1,207.50 $1,725.00 $1,104.00–$1,725.00 16% below 30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance $1,074.50 $1,535.00 $982.40–$1,535.00 12% below 30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of drug into eye $267.40 $382.00 $244.48–$382.00 — 30%
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 $651.00 $930.00 $595.20–$930.00 34% below 30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament $315.00 $450.00 $31.33–$50.83 118% above 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $367.50 $525.00 $330.53–$525.00 67% above 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $388.50 $555.00 $330.53–$555.00 77% above 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint $367.50 $525.00 $330.53–$525.00 — 30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint $315.00 $450.00 $30.03–$168.00 39% above 30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint $318.50 $455.00 $291.20–$455.00 40% above 30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint $318.50 $455.00 $291.20–$455.00 — 30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint $315.00 $450.00 $29.37–$45.53 48% above 30%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Repair of inside or outside knee joint cartilage using an endoscope $4,315.50 $6,165.00 $3,945.60–$6,165.00 at median 30%
Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope $3,823.40 $5,462.00 $3,495.68–$5,462.00 1% above 30%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Removal of both knee cartilages using an endoscope $3,823.40 $5,462.00 $3,495.68–$5,462.00 6% below 30%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Removal or shaving of knee joint cartilage using an endoscope $3,823.40 $5,462.00 $3,495.68–$5,462.00 6% below 30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser $854.00 $1,220.00 $780.80–$1,220.00 29% below 30%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance $1,143.10 $1,633.00 $1,045.12–$1,633.00 5% below 30%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal $553.00 $790.00 $505.60–$790.00 30% below 30%
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 $1,050.00 $1,500.00 $93.64–$289.31 1% above 30%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $301.00 $430.00 $275.20–$430.00 20% below 30%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $654.50 $935.00 $598.40–$935.00 at median 30%
Prostate biopsy CPT 55700 Biopsy of prostate gland $1,400.00 $2,000.00 $1,157.46–$2,000.00 at median 30%
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 $756.00 $1,080.00 $691.20–$1,080.00 59% below 30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $920.50 $1,315.00 $841.60–$1,315.00 9% below 30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $920.50 $1,315.00 $841.60–$1,315.00 13% below 30%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Partial removal of collar bone at shoulder using an endoscope $3,227.00 $4,610.00 $2,950.40–$4,610.00 24% below 30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope $3,608.50 $5,155.00 $3,299.20–$5,155.00 29% below 30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $525.00 $750.00 $53.08–$130.75 at median 30%
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 $4,203.50 $6,005.00 $3,843.20–$6,005.00 4% below 30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth $595.00 $850.00 $38.38–$850.00 129% above 30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth $595.00 $850.00 $217.71–$850.00 129% above 30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Biopsy of related skin growth, first growth $595.00 $850.00 $217.71–$850.00 — 30%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $812.00 $1,160.00 $742.40–$1,160.00 8% below 30%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles $315.00 $450.00 $33.42–$46.92 110% above 30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth $1,540.00 $2,200.00 $1,408.00–$2,200.00 22% below 30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope $353.50 $505.00 $138.33–$241.74 45% below 30%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs KansasOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $486.50 $695.00 $444.80–$695.00 16% below 30%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $486.50 $695.00 $444.80–$695.00 16% below 30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products $486.50 $695.00 $444.80–$695.00 — 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $42.00 $60.00 $38.40–$60.00 63% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $138.60 $198.00 $41.77–$198.00 21% above 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction or sputum production $42.00 $60.00 $38.40–$60.00 — 30%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less $336.00 $480.00 $307.20–$480.00 15% below 30%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less $336.00 $480.00 $307.20–$480.00 15% below 30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Administration of chemotherapy into vein, 1 hour or less $336.00 $480.00 $307.20–$480.00 — 30%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report $175.70 $251.00 $160.64–$251.00 95% above 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $157.50 $225.00 $144.00–$225.00 14% below 30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $252.00 $360.00 $230.40–$360.00 31% above 30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making $252.00 $360.00 $230.40–$360.00 — 30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $385.00 $550.00 $352.00–$550.00 41% above 30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making $385.00 $550.00 $352.00–$550.00 — 30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $654.50 $935.00 $598.40–$935.00 67% above 30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making $654.50 $935.00 $598.40–$935.00 — 30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $1,015.00 $1,450.00 $928.00–$1,450.00 58% above 30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making $1,015.00 $1,450.00 $928.00–$1,450.00 — 30%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) $336.00 $480.00 $307.20–$480.00 41% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $217.00 $310.00 $198.40–$310.00 11% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $217.00 $310.00 $198.40–$310.00 11% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes $217.00 $310.00 $198.40–$310.00 — 30%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $217.00 $310.00 $198.40–$310.00 18% below 30%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $217.00 $310.00 $198.40–$310.00 18% below 30%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $217.00 $310.00 $198.40–$310.00 — 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $35.00 $50.00 $42.50–$403.45 48% below 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $50.40 $72.00 $46.08–$72.00 25% below 30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle $50.40 $72.00 $46.08–$72.00 — 30%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $98.00 $140.00 $38.38–$140.00 35% below 30%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $98.00 $140.00 $38.38–$140.00 51% below 30%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $161.00 $230.00 $38.38–$230.00 42% below 30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $141.40 $202.00 $38.38–$202.00 22% above 30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $252.00 $360.00 $38.38–$360.00 21% above 30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $126.00 $180.00 $38.38–$180.00 7% below 30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $178.50 $255.00 $38.38–$255.00 3% above 30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $80.50 $115.00 $73.60–$115.00 23% below 30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem $90.30 $129.00 $69.01–$129.00 24% below 30%

Vaccines

ProcedureCash price List priceInsurers payvs KansasOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine $217.00 $310.00 $198.40–$310.00 2% below 30%
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 $28.00 $40.00 $24.76–$40.00 12% below 30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $360.50 $515.00 $329.60–$515.00 10% below 30%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage $105.00 $150.00 $96.00–$150.00 15% below 30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vaccine split virus, preservative free $55.30 $79.00 $50.56–$87.61 35% below 30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps, and rubella vaccine $119.00 $170.00 $108.80–$170.00 at median 30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine $192.50 $275.00 $176.00–$275.00 24% below 30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B $283.50 $405.00 $259.20–$405.00 9% below 30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $336.00 $480.00 $307.20–$480.00 11% below 30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent $157.50 $225.00 $144.00–$225.00 6% below 30%
Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle $348.80 $498.29 $318.91–$515.50 39% below 30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) $38.50 $55.00 $35.20–$55.00 38% below 30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) $63.00 $90.00 $57.60–$90.00 11% below 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $17.50 $25.00 $8.08–$403.45 54% below 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $50.40 $72.00 $8.08–$72.00 33% above 30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of vaccine $50.40 $72.00 $8.08–$72.00 — 30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine $10.50 $15.00 $8.08–$15.00 56% below 30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine $14.00 $20.00 $8.08–$403.45 41% below 30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine, each additional vaccine $10.50 $15.00 $8.08–$15.00 — 30%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMDHMINNEOLAKS&type=CDMWithoutLabel&fileType=CSV