Sedan City Hospital
Sedan City Hospital in Sedan, KS publishes cash prices for 190 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 119 of 187 procedures and above it for 66. By typical cash price it ranks #28 of 81 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
300 W North Street, Sedan, KS 67361 Collected Sep 29, 2026 Source price file (620) 725-3115
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 171318 · CMS hospital register NPI 1033114277
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Sedan City Hospital in Sedan, KS:
- Sep 2, 2025 Corrective action plan requested
- Mar 9, 2026 Case closed
- May 11, 2026 Met requirements
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
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 |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 ABD FLAT AND UPRIGHT | $273.19 | $364.25 | $149.60–$364.25 | 6% above | 25% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABD FLAT AND UPRIGHT | $273.19 | $364.25 | $149.60–$364.25 | — | 25% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE - 3 VIEW (MIN) | $187.31 | $249.75 | $139.38–$249.75 | 19% below | 25% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE - 3 VIEW (MIN) | $187.31 | $249.75 | $139.38–$249.75 | — | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O CONTRAS | $1,253.25 | $1,671.00 | $1,671.00 | 20% above | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O CONTRAS | $1,253.25 | $1,671.00 | $1,671.00 | — | 25% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN/PELVIS WITH | $1,594.48 | $2,125.97 | $2,125.97 | 35% below | 25% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN/PELVIS WITH | $1,594.48 | $2,125.97 | $2,125.97 | — | 25% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $2,437.50 | $3,250.00 | $3,250.00 | 34% above | 25% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD | $2,437.50 | $3,250.00 | $3,250.00 | — | 25% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $2,418.75 | $3,225.00 | $3,225.00 | 35% above | 25% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK | $2,418.75 | $3,225.00 | $3,225.00 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST (DISECTION) | $1,939.50 | $2,586.00 | $1,143.85–$2,586.00 | 9% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST (PE) | $1,939.50 | $2,586.00 | $1,143.85–$2,586.00 | 9% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (DISECTION) | $1,939.50 | $2,586.00 | $1,143.85–$2,586.00 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (PE) | $1,939.50 | $2,586.00 | $1,143.85–$2,586.00 | — | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT PELVIS & ABDOMEN WO CONTRAS | $1,052.44 | $1,403.25 | $480.41–$1,403.25 | 22% below | 25% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT PELVIS & ABDOMEN WO CONTRAS | $1,052.44 | $1,403.25 | $480.41–$1,403.25 | — | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT PELVIS & ABDOMEN W/CONTRAST | $1,072.88 | $1,430.50 | $480.41–$1,430.50 | 29% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT PELVIS & ABDOMEN W/CONTRAST | $1,072.88 | $1,430.50 | $480.41–$1,430.50 | — | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT PELVIS & ABDOMEN W/WO CONTR | $1,251.00 | $1,668.00 | $480.41–$1,668.00 | 35% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT PELVIS & ABDOMEN W/WO CONTR | $1,251.00 | $1,668.00 | $480.41–$1,668.00 | — | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,072.88 | $1,430.50 | $1,430.50 | 22% below | 25% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST | $1,072.88 | $1,430.50 | $1,430.50 | — | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT RENAL STONE PROTOCOL | $1,052.44 | $1,403.25 | $1,403.25 | 9% below | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,052.44 | $1,403.25 | $480.41–$1,403.25 | 9% below | 25% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT RENAL STONE PROTOCOL | $1,052.44 | $1,403.25 | $1,403.25 | — | 25% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $1,052.44 | $1,403.25 | $480.41–$1,403.25 | — | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACE WO CONTRAST | $795.56 | $1,060.75 | $1,060.75 | 21% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL SINUSES WO C | $795.56 | $1,060.75 | $1,060.75 | 21% below | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACE WO CONTRAST | $795.56 | $1,060.75 | $1,060.75 | — | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLO FACIAL SINUSES WO C | $795.56 | $1,060.75 | $1,060.75 | — | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $1,037.25 | $1,383.00 | $480.41–$1,383.00 | 5% below | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $1,037.25 | $1,383.00 | $480.41–$1,383.00 | — | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $932.06 | $1,242.75 | $1,242.75 | 18% below | 25% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $932.06 | $1,242.75 | $1,242.75 | — | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $912.94 | $1,217.25 | $480.41–$1,217.25 | 14% below | 25% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $912.94 | $1,217.25 | $480.41–$1,217.25 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US, BILATERAL CAROTID DOPPLER | $359.77 | $479.69 | $479.69 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US, BILATERAL CAROTID DOPPLER | $359.77 | $479.69 | $479.69 | — | 25% |
| Chest X-ray, 2 views CPT 71046 CHEST PA AND LAT | $172.88 | $230.50 | $150.77–$230.50 | 25% below | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST PA AND LAT | $172.88 | $230.50 | $150.77–$230.50 | — | 25% |
| Chest X-ray, single view CPT 71045 CHEST PORTABLE | $108.75 | $145.00 | $123.58–$145.00 | 44% below | 25% |
| Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW | $131.25 | $175.00 | $175.00 | 33% below | 25% |
| Chest X-ray, single view inpatient CPT 71045 CHEST PORTABLE | $108.75 | $145.00 | $123.58–$145.00 | — | 25% |
| Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW | $131.25 | $175.00 | $175.00 | — | 25% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE | $179.81 | $239.75 | $114.29–$239.75 | 10% below | 25% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE | $179.81 | $239.75 | $114.29–$239.75 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US, RENAL/AORTA | $262.10 | $349.46 | $151.50–$349.46 | 36% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US, RENAL/AORTA | $262.10 | $349.46 | $151.50–$349.46 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/THORAX/WO CONTRAST | $1,052.44 | $1,403.25 | $480.41–$1,403.25 | at median | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST/THORAX/WO CONTRAST | $1,052.44 | $1,403.25 | $480.41–$1,403.25 | — | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/THORAX W/CONTRAST | $1,226.06 | $1,634.75 | $480.41–$1,634.75 | 5% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST/THORAX W/CONTRAST | $1,226.06 | $1,634.75 | $480.41–$1,634.75 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US, ARTERIAL DOPPLER, BILAT | $359.77 | $479.69 | $479.69 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US, ARTERIAL DOPPLER, BILAT | $359.77 | $479.69 | $479.69 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US, VENOUS DOPPLER, BILAT | $359.77 | $479.69 | $480.76–$479.69 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US, VENOUS DOPPLER, BILAT | $359.77 | $479.69 | $480.76–$479.69 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US, ECHOCARDIOGRAM COMPLETE | $286.51 | $382.01 | $1,532.17–$382.01 | 85% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US, ECHOCARDIOGRAM COMPLETE | $286.51 | $382.01 | $1,532.17–$382.01 | — | 25% |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEW | $146.25 | $195.00 | $195.00 | 26% below | 25% |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEW | $146.25 | $195.00 | $195.00 | — | 25% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3 VIEW MINIMUM | $162.19 | $216.25 | $151.46–$216.25 | 33% below | 25% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3 VIEW MINIMUM | $162.19 | $216.25 | $151.46–$216.25 | — | 25% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA MID/INNER EAR W | $780.19 | $1,040.25 | $1,040.25 | 28% below | 25% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA MID/INNER EAR W | $780.19 | $1,040.25 | $1,040.25 | — | 25% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM | $160.88 | $214.50 | $124.51–$214.50 | 25% below | 25% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM | $160.88 | $214.50 | $124.51–$214.50 | — | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE - 3 VIEW (LEFT) | $223.50 | $298.00 | $298.00 | 10% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE - 3 VIEW (RIGHT) | $223.50 | $298.00 | $149.60–$298.00 | 10% below | 25% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE - 3 VIEW (LEFT) | $223.50 | $298.00 | $298.00 | — | 25% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE - 3 VIEW (RIGHT) | $223.50 | $298.00 | $149.60–$298.00 | — | 25% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 VIEW MIN (RIGHT) | $214.13 | $285.50 | $216.50–$285.50 | 36% below | 25% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEW MIN (RIGHT) | $214.13 | $285.50 | $216.50–$285.50 | — | 25% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O CONTRAS | $1,253.25 | $1,671.00 | $1,671.00 | 14% above | 25% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O CONTRAS | $1,253.25 | $1,671.00 | $1,671.00 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US, ABDOMEN LIMITED | $262.10 | $349.46 | $132.93–$349.46 | 25% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US, ABDOMEN LIMITED | $262.10 | $349.46 | $132.93–$349.46 | — | 25% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US, EXTREMITY, NON VASCULAR | $139.18 | $185.57 | $185.57 | 56% below | 25% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US, EXTREMITY, NON VASCULAR | $139.18 | $185.57 | $185.57 | — | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 ANNUAL CT LUNG CANCER SCREEN | $482.81 | $643.75 | $480.41–$643.75 | 26% below | 25% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK/ W/CONTRAS | $1,013.25 | $1,351.00 | $480.41–$1,351.00 | 14% below | 25% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK/ W/CONTRAS | $1,013.25 | $1,351.00 | $480.41–$1,351.00 | — | 25% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTR | $801.00 | $1,068.00 | $480.41–$1,068.00 | 20% below | 25% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTR | $801.00 | $1,068.00 | $480.41–$1,068.00 | — | 25% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS BONY | $1,052.44 | $1,403.25 | $1,403.25 | 4% below | 25% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $1,052.44 | $1,403.25 | $1,403.25 | 4% below | 25% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS BONY | $1,052.44 | $1,403.25 | $1,403.25 | — | 25% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $1,052.44 | $1,403.25 | $1,403.25 | — | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US, BLADDER/PELVIC LIMITED | $262.10 | $349.46 | $349.46 | 19% below | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US, BLADDER/PELVIC LIMITED | $262.10 | $349.46 | $349.46 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US, PELVIC COMPLETE | $262.10 | $349.46 | $349.46 | 31% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US, PELVIC COMPLETE | $262.10 | $349.46 | $349.46 | — | 25% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL | $126.75 | $169.00 | $169.00 | 46% below | 25% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL | $126.75 | $169.00 | $169.00 | — | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL WITH CHEST | $225.00 | $300.00 | $199.78–$300.00 | 27% below | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL WITH CHEST | $225.00 | $300.00 | $199.78–$300.00 | — | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEW MINIMUM | $180.19 | $240.25 | $140.31–$240.25 | 21% below | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 VIEW MINIMUM | $180.19 | $240.25 | $140.31–$240.25 | — | 25% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3 VIEW MINIMUM | $130.31 | $173.75 | $173.75 | 58% below | 25% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3 VIEW MINIMUM | $130.31 | $173.75 | $173.75 | — | 25% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR, MINIMUM 2 VIEW | $148.88 | $198.50 | $198.50 | 39% below | 25% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 TIBIA FIBULA | $158.81 | $211.75 | $110.06–$211.75 | 35% below | 25% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR, MINIMUM 2 VIEW | $148.88 | $198.50 | $198.50 | — | 25% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 TIBIA FIBULA | $158.81 | $211.75 | $110.06–$211.75 | — | 25% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST | $932.06 | $1,242.75 | $1,242.75 | 9% below | 25% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST | $932.06 | $1,242.75 | $1,242.75 | — | 25% |
| Toe X-ray, 2 or more views CPT 73660 TOES | $148.88 | $198.50 | $198.50 | 18% below | 25% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOES | $148.88 | $198.50 | $198.50 | — | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US, PELVIC TRANSVAGINAL ONLY | $262.10 | $349.46 | $349.46 | 19% below | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US, PELVIC TRANSVAGINAL ONLY | $262.10 | $349.46 | $349.46 | — | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US, ABDOMEN COMPLETE | $262.10 | $349.46 | $349.46 | 43% below | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US, ABDOMEN COMPLETE | $262.10 | $349.46 | $349.46 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US, THYROID | $262.10 | $349.46 | $480.76–$349.46 | 58% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US, THYROID | $262.10 | $349.46 | $480.76–$349.46 | — | 25% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS | $180.94 | $241.25 | $241.25 | 22% below | 25% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS | $180.94 | $241.25 | $241.25 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US, VENOUS DOPPLER LOWER EXT | $230.92 | $307.89 | $480.76–$307.89 | 66% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US, VENOUS DOPPLER LOWER EXT | $230.92 | $307.89 | $480.76–$307.89 | — | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEW | $165.00 | $220.00 | $132.93–$220.00 | 31% below | 25% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3 VIEW | $165.00 | $220.00 | $132.93–$220.00 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP, UNILATERAL W/PELVIS | $111.00 | $148.00 | $148.00 | 58% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP, UNILATERAL; 2-3 VIEWS | $178.69 | $238.25 | $238.25 | 33% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP, UNILATERAL W/PELVIS | $111.00 | $148.00 | $148.00 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP, UNILATERAL; 2-3 VIEWS | $178.69 | $238.25 | $238.25 | — | 25% |
| X-ray of the abdomen, 1 view CPT 74018 ABD AP PORTABLE | $182.06 | $242.75 | $134.73–$242.75 | 13% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 KUB 1 VIEW ABDOMEN | $197.25 | $263.00 | $263.00 | 6% below | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABD AP PORTABLE | $182.06 | $242.75 | $134.73–$242.75 | — | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 KUB 1 VIEW ABDOMEN | $197.25 | $263.00 | $263.00 | — | 25% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS | $178.31 | $237.75 | $110.06–$237.75 | at median | 25% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGERS | $178.31 | $237.75 | $110.06–$237.75 | — | 25% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEW | $187.31 | $249.75 | $134.73–$249.75 | 19% below | 25% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEW | $187.31 | $249.75 | $134.73–$249.75 | — | 25% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEW | $195.00 | $260.00 | $136.59–$260.00 | 15% below | 25% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEW | $195.00 | $260.00 | $136.59–$260.00 | — | 25% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE AP AND LAT | $148.88 | $198.50 | $110.06–$198.50 | 25% below | 25% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE AP AND LAT | $148.88 | $198.50 | $110.06–$198.50 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE (min 2 views) | $220.50 | $294.00 | $174.69–$294.00 | 20% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE (min 2 views) | $220.50 | $294.00 | $174.69–$294.00 | — | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE WITH OBLIQUES | $336.94 | $449.25 | $449.25 | 15% below | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE WITH OBLIQUES | $336.94 | $449.25 | $449.25 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE AP AND LAT | $150.00 | $200.00 | $133.80–$200.00 | 35% below | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE AP AND LAT | $150.00 | $200.00 | $133.80–$200.00 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 2-3 VIEWS | $220.50 | $294.00 | $159.82–$294.00 | 15% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 2-3 VIEWS | $220.50 | $294.00 | $159.82–$294.00 | — | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 - 2 views | $166.50 | $222.00 | $222.00 | 21% below | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 - 2 views | $166.50 | $222.00 | $222.00 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM WITH COCCYX | $57.00 | $76.00 | $76.00 | 76% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX | $169.88 | $226.50 | $226.50 | 29% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM WITH COCCYX | $57.00 | $76.00 | $76.00 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX | $169.88 | $226.50 | $226.50 | — | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $147.15 | $196.20 | $118.38–$196.20 | 19% below | 25% |
| ACTH blood test inpatient CPT 82024 ACTH | $147.15 | $196.20 | $118.38–$196.20 | — | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT / SGPT | $49.50 | $66.00 | $11.36–$66.00 | 34% above | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT / SGPT | $49.50 | $66.00 | $11.36–$66.00 | — | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST / SGOT | $61.88 | $82.50 | $11.11–$82.50 | 67% above | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST / SGOT | $61.88 | $82.50 | $11.11–$82.50 | — | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE | $123.94 | $165.25 | $137.99–$165.25 | 42% below | 25% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE | $123.94 | $165.25 | $137.99–$165.25 | — | 25% |
| Albumin blood test CPT 82040 ALBUMIN | $46.13 | $61.50 | $10.63–$61.50 | 42% above | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $46.13 | $61.50 | $10.63–$61.50 | — | 25% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM | $147.15 | $196.20 | $196.20 | 22% below | 25% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM | $147.15 | $196.20 | $196.20 | — | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS | $44.63 | $59.50 | $11.11–$59.50 | 21% above | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS | $44.63 | $59.50 | $11.11–$59.50 | — | 25% |
| Ammonia blood test CPT 82140 AMMONIA | $117.00 | $156.00 | $49.38–$156.00 | 35% above | 25% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $117.00 | $156.00 | $49.38–$156.00 | — | 25% |
| Amylase blood test CPT 82150 AMYLASE | $52.13 | $69.50 | $25.05–$69.50 | 7% below | 25% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $52.13 | $69.50 | $25.05–$69.50 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB | $85.28 | $113.70 | $27.79–$113.70 | 11% below | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP AB | $85.28 | $113.70 | $27.79–$113.70 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $95.25 | $127.00 | $44.30–$127.00 | 36% above | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN | $95.25 | $127.00 | $44.30–$127.00 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, ROUTINE AEROBIC | $79.50 | $106.00 | $106.00 | 34% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE | $79.50 | $106.00 | $106.00 | 34% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, ROUTINE AEROBIC | $79.50 | $106.00 | $106.00 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE | $79.50 | $106.00 | $106.00 | — | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE | $66.75 | $89.00 | $19.65–$89.00 | 18% below | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE | $66.75 | $89.00 | $19.65–$89.00 | — | 25% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL | $99.19 | $132.25 | $21.30–$132.25 | 172% above | 25% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL | $99.19 | $132.25 | $21.30–$132.25 | — | 25% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD X1 | $88.50 | $118.00 | $38.41–$118.00 | 1% above | 25% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD X 2 | $177.00 | $236.00 | $76.82–$236.00 | 101% above | 25% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD X1 | $88.50 | $118.00 | $38.41–$118.00 | — | 25% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD X 2 | $177.00 | $236.00 | $76.82–$236.00 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $11.63 | $15.50 | $12.05–$15.50 | 35% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $11.63 | $15.50 | $12.05–$15.50 | — | 25% |
| Blood lead test CPT 83655 LEAD | $95.25 | $127.00 | $127.00 | 80% above | 25% |
| Blood lead test inpatient CPT 83655 LEAD | $95.25 | $127.00 | $127.00 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $59.25 | $79.00 | $34.32–$79.00 | at median | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $59.25 | $79.00 | $34.32–$79.00 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $23.25 | $31.00 | $31.00 | 78% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $23.25 | $31.00 | $31.00 | — | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $31.50 | $42.00 | $42.00 | 1% above | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $31.50 | $42.00 | $42.00 | — | 25% |
| C-peptide blood test CPT 84681 C-PEPTIDE, SERUM | $162.75 | $217.00 | $217.00 | 55% above | 25% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE, SERUM | $162.75 | $217.00 | $217.00 | — | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $40.01 | $53.35 | $26.14–$53.35 | 17% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $40.01 | $53.35 | $26.14–$53.35 | — | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $81.56 | $108.75 | $108.75 | 15% below | 25% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $81.56 | $108.75 | $108.75 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 (NASAL) | $96.00 | $128.00 | $128.00 | 30% below | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 (NASAL) | $96.00 | $128.00 | $128.00 | — | 25% |
| Calcium blood test, total CPT 82310 CALCIUM, TOTAL | $59.44 | $79.25 | $79.25 | 76% above | 25% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, TOTAL | $59.44 | $79.25 | $79.25 | — | 25% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $104.06 | $138.75 | $138.75 | 6% below | 25% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $104.06 | $138.75 | $138.75 | — | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM | $56.63 | $75.50 | $75.50 | 39% below | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM | $56.63 | $75.50 | $75.50 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $116.25 | $155.00 | $43.18–$155.00 | 26% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $116.25 | $155.00 | $43.18–$155.00 | — | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $61.50 | $82.00 | $13.36–$82.00 | 45% above | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $61.50 | $82.00 | $13.36–$82.00 | — | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $56.25 | $75.00 | $13.90–$75.00 | 24% above | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $56.25 | $75.00 | $13.90–$75.00 | — | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC | $60.00 | $80.00 | $22.68–$80.00 | 43% below | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC | $60.00 | $80.00 | $22.68–$80.00 | — | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL | $129.00 | $172.00 | $60.54–$172.00 | 31% above | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $129.00 | $172.00 | $60.54–$172.00 | — | 25% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK/CK | $51.75 | $69.00 | $23.11–$69.00 | 11% above | 25% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK/CK | $51.75 | $69.00 | $23.11–$69.00 | — | 25% |
| Creatinine blood test CPT 82565 CREATININE | $40.50 | $54.00 | $11.00–$54.00 | 11% above | 25% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $40.50 | $54.00 | $11.00–$54.00 | — | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS ANTIBODY | $159.38 | $212.50 | $212.50 | 46% above | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS ANTIBODY | $159.38 | $212.50 | $212.50 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN QUALITATIVE | $57.79 | $77.05 | $150.08–$77.05 | 64% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE, CLINICAL | $239.03 | $318.70 | $318.70 | 47% above | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN QUALITATIVE | $57.79 | $77.05 | $150.08–$77.05 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE, CLINICAL | $239.03 | $318.70 | $318.70 | — | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $55.50 | $74.00 | $74.00 | 8% below | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $55.50 | $74.00 | $74.00 | — | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA AB G/M | $63.75 | $85.00 | $85.00 | 38% below | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VCA AB G/M | $63.75 | $85.00 | $85.00 | — | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $147.00 | $196.00 | $71.29–$196.00 | 27% above | 25% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $147.00 | $196.00 | $71.29–$196.00 | — | 25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $108.00 | $144.00 | $53.23–$144.00 | 22% above | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $108.00 | $144.00 | $53.23–$144.00 | — | 25% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $51.30 | $68.40 | $61.81–$68.40 | 48% below | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $51.30 | $68.40 | $61.81–$68.40 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T 4 FREE | $69.34 | $92.45 | $30.77–$92.45 | 4% above | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T 4 FREE | $69.34 | $92.45 | $30.77–$92.45 | — | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE AND TOTAL | $313.50 | $418.00 | $108.65–$418.00 | 120% above | 25% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE AND TOTAL | $313.50 | $418.00 | $108.65–$418.00 | — | 25% |
| H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN DETECT STOOL | $228.75 | $305.00 | $31.18–$305.00 | 105% above | 25% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN DETECT STOOL | $228.75 | $305.00 | $31.18–$305.00 | — | 25% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2 ANTIBODIES | $51.23 | $68.30 | $68.30 | 38% below | 25% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2 ANTIBODIES | $51.23 | $68.30 | $68.30 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $68.25 | $91.00 | $35.94–$91.00 | 5% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C | $68.25 | $91.00 | $35.94–$91.00 | — | 25% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $34.31 | $45.75 | $45.75 | 60% above | 25% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $34.31 | $45.75 | $45.75 | — | 25% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $65.21 | $86.95 | $86.95 | 4% below | 25% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY | $65.21 | $86.95 | $86.95 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $84.75 | $113.00 | $113.00 | 9% above | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $84.75 | $113.00 | $113.00 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $81.75 | $109.00 | $109.00 | 32% above | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $81.75 | $109.00 | $109.00 | — | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $84.75 | $113.00 | $113.00 | 7% above | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $84.75 | $113.00 | $113.00 | — | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HR | $45.00 | $60.00 | $60.00 | 50% below | 25% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HR | $45.00 | $60.00 | $60.00 | — | 25% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $85.50 | $114.00 | $176.58–$114.00 | 62% below | 25% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $85.50 | $114.00 | $176.58–$114.00 | — | 25% |
| Insulin blood test CPT 83525 INSULIN, FASTING | $87.53 | $116.70 | $50.72–$116.70 | 8% above | 25% |
| Insulin blood test inpatient CPT 83525 INSULIN, FASTING | $87.53 | $116.70 | $50.72–$116.70 | — | 25% |
| Iron blood test (serum iron) CPT 83540 IRON | $44.25 | $59.00 | $25.62–$59.00 | at median | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $44.25 | $59.00 | $25.62–$59.00 | — | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $69.00 | $92.00 | $41.23–$92.00 | 7% above | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $69.00 | $92.00 | $41.23–$92.00 | — | 25% |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $157.50 | $210.00 | $210.00 | 114% above | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $157.50 | $210.00 | $210.00 | — | 25% |
| LH (luteinizing hormone) test CPT 83002 LH | $61.05 | $81.40 | $69.56–$81.40 | 46% below | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $61.05 | $81.40 | $69.56–$81.40 | — | 25% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE | $71.63 | $95.50 | $47.35–$95.50 | 10% below | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE | $71.63 | $95.50 | $47.35–$95.50 | — | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $22.05 | $29.40 | $22.78–$29.40 | 46% below | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $22.05 | $29.40 | $22.78–$29.40 | — | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $65.63 | $87.50 | $27.78–$87.50 | 4% above | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $65.63 | $87.50 | $27.78–$87.50 | — | 25% |
| Liver function blood test panel CPT 80076 LIVER PANEL | $64.50 | $86.00 | $31.88–$86.00 | 22% below | 25% |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL | $64.50 | $86.00 | $31.88–$86.00 | — | 25% |
| Lyme disease antibody test CPT 86618 LYMES TITER IGM/IGG | $134.25 | $179.00 | $76.68–$179.00 | 10% above | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYMES TITER IGM/IGG | $134.25 | $179.00 | $76.68–$179.00 | — | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM, SERUM | $89.44 | $119.25 | $25.85–$119.25 | 72% above | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, SERUM | $89.44 | $119.25 | $25.85–$119.25 | — | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT | $40.50 | $54.00 | $19.50–$54.00 | 10% below | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT | $40.50 | $54.00 | $19.50–$54.00 | — | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $145.50 | $194.00 | $194.00 | 36% above | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $145.50 | $194.00 | $194.00 | — | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $136.84 | $182.45 | $182.45 | 32% below | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $136.84 | $182.45 | $182.45 | — | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $56.06 | $74.75 | $22.53–$74.75 | 19% above | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $56.06 | $74.75 | $22.53–$74.75 | — | 25% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL | $44.63 | $59.50 | $59.50 | 16% above | 25% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS LEVEL | $44.63 | $59.50 | $59.50 | — | 25% |
| Potassium blood test CPT 84132 POTASSIUM, SERUM | $41.06 | $54.75 | $54.75 | 24% above | 25% |
| Potassium blood test inpatient CPT 84132 POTASSIUM, SERUM | $41.06 | $54.75 | $54.75 | — | 25% |
| Prolactin blood test CPT 84146 PROLACTIN | $82.16 | $109.55 | $79.04–$109.55 | 35% below | 25% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $82.16 | $109.55 | $79.04–$109.55 | — | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $51.75 | $69.00 | $16.08–$69.00 | 57% above | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $51.75 | $69.00 | $16.08–$69.00 | — | 25% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B | $85.28 | $113.70 | $113.70 | 25% above | 25% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A & B | $85.28 | $113.70 | $113.70 | — | 25% |
| Renin blood test CPT 84244 RENIN | $174.00 | $232.00 | $232.00 | 35% above | 25% |
| Renin blood test inpatient CPT 84244 RENIN | $174.00 | $232.00 | $232.00 | — | 25% |
| Rh blood typing CPT 86901 BLOOD TYPING RH | $49.31 | $65.75 | $65.75 | 23% below | 25% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING RH | $49.31 | $65.75 | $65.75 | — | 25% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE | $44.25 | $59.00 | $25.74–$59.00 | 10% below | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANTITATIVE | $44.25 | $59.00 | $25.74–$59.00 | — | 25% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE | $69.00 | $92.00 | $31.41–$92.00 | 13% above | 25% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE | $69.00 | $92.00 | $31.41–$92.00 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD | $15.94 | $21.25 | $34.14–$21.25 | 69% below | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD | $15.94 | $21.25 | $34.14–$21.25 | — | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODY | $71.25 | $95.00 | $95.00 | 1% below | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM ANTIBODY | $71.25 | $95.00 | $95.00 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (VDRL) | $33.75 | $45.00 | $45.00 | 10% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (VDRL) | $33.75 | $45.00 | $45.00 | — | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $97.91 | $130.55 | $104.86–$130.55 | 29% below | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $97.91 | $130.55 | $104.86–$130.55 | — | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL ANTI | $168.98 | $225.30 | $50.96–$225.30 | 114% above | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL ANTI | $168.98 | $225.30 | $50.96–$225.30 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $132.75 | $177.00 | $43.97–$177.00 | 48% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $132.75 | $177.00 | $43.97–$177.00 | — | 25% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $112.50 | $150.00 | $47.20–$150.00 | 41% above | 25% |
| Total triiodothyronine (T3) blood test CPT 84480 F-T3 (FREE T3) | $210.15 | $280.20 | $280.20 | 163% above | 25% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $112.50 | $150.00 | $47.20–$150.00 | — | 25% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 F-T3 (FREE T3) | $210.15 | $280.20 | $280.20 | — | 25% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $52.61 | $70.15 | $70.15 | 50% below | 25% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $52.61 | $70.15 | $70.15 | — | 25% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS URINE | $86.81 | $115.75 | $115.75 | 34% below | 25% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS URINE | $86.81 | $115.75 | $115.75 | — | 25% |
| Uric acid blood test CPT 84550 URIC ACID- SERUM | $35.25 | $47.00 | $14.72–$47.00 | 6% below | 25% |
| Uric acid blood test inpatient CPT 84550 URIC ACID- SERUM | $35.25 | $47.00 | $14.72–$47.00 | — | 25% |
| Urinalysis with microscope exam, manual CPT 81000 UA DIP & MICRO | $45.75 | $61.00 | $15.54–$61.00 | 72% above | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA DIP & MICRO | $45.75 | $61.00 | $15.54–$61.00 | — | 25% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $63.75 | $85.00 | $30.38–$85.00 | 15% above | 25% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $63.75 | $85.00 | $30.38–$85.00 | — | 25% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN | $52.84 | $70.45 | $24.82–$70.45 | 15% above | 25% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN | $52.84 | $70.45 | $24.82–$70.45 | — | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $119.25 | $159.00 | $57.41–$159.00 | 30% above | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $119.25 | $159.00 | $57.41–$159.00 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY | $144.75 | $193.00 | $218.43–$193.00 | 41% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY | $144.75 | $193.00 | $218.43–$193.00 | — | 25% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1,25 | $146.48 | $195.30 | $88.45–$195.30 | 3% below | 25% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1,25 | $146.48 | $195.30 | $88.45–$195.30 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $118.50 | $158.00 | $158.00 | 20% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE | $118.50 | $158.00 | $158.00 | — | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE 10060 | $172.50 | $230.00 | $248.38–$230.00 | 29% below | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE 10060 | $172.50 | $230.00 | $248.38–$230.00 | — | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION REPAIR 2.6CM TO 7.5 | $295.50 | $394.00 | $394.00 | 21% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LACERATION REPAIR 2.6CM TO 7.5 | $295.50 | $394.00 | $394.00 | — | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL - SIMPLE 1 | $171.75 | $229.00 | $229.00 | 40% below | 25% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL - SIMPLE 1 | $171.75 | $229.00 | $229.00 | — | 25% |
| Short arm cast (elbow to hand) CPT 29075 ELBOW - FINGER SHORT ARM CAST | $115.50 | $154.00 | $74.63–$154.00 | 50% below | 25% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ELBOW - FINGER SHORT ARM CAST | $115.50 | $154.00 | $74.63–$154.00 | — | 25% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION - ARM 2912 | $80.25 | $107.00 | $47.55–$107.00 | 55% below | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION - ARM 2912 | $80.25 | $107.00 | $47.55–$107.00 | — | 25% |
| Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION - LEG 2951 | $95.25 | $127.00 | $127.00 | 44% below | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION - LEG 2951 | $95.25 | $127.00 | $127.00 | — | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PA SIMPLE REPAIR 12001 | $198.00 | $264.00 | $64.34–$264.00 | 17% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PA SIMPLE REPAIR 12001 | $198.00 | $264.00 | $64.34–$264.00 | — | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR 2.6CM TO 7.5CM 12002 | $219.75 | $293.00 | $83.06–$293.00 | 21% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR 2.6CM TO 7.5CM 12002 | $219.75 | $293.00 | $83.06–$293.00 | — | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR 2.5CM FACE 12011 | $204.75 | $273.00 | $273.00 | 26% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR 2.5CM FACE 12011 | $204.75 | $273.00 | $273.00 | — | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1 OR 2 MUSCLE GR | $119.58 | $159.44 | $159.44 | 43% below | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1 OR 2 MUSCLE GR | $119.58 | $159.44 | $159.44 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SQ 11042/PHYSICIA | $78.54 | $104.72 | $94.24–$104.72 | 76% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN, INTO SQ 11042 | $559.50 | $746.00 | $451.17–$746.00 | 74% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SQ 11042/PHYSICIA | $78.54 | $104.72 | $94.24–$104.72 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN, INTO SQ 11042 | $559.50 | $746.00 | $451.17–$746.00 | — | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $546.94 | $729.25 | $729.25 | 9% below | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $546.94 | $729.25 | $729.25 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $85.50 | $114.00 | $164.68–$114.00 | 48% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $85.50 | $114.00 | $164.68–$114.00 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1 99281 | $136.10 | $181.47 | $181.47 | 24% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 11 99282 | $253.78 | $338.37 | $47.65–$338.37 | 12% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 111 99283 | $446.38 | $595.17 | $96.36–$595.17 | 3% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL IV 99284 | $751.05 | $1,001.40 | $162.21–$1,001.40 | 3% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL V 99285 | $1,108.55 | $1,478.07 | $1,478.07 | 12% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRAT IV INFUS, INIT 31-60 MI | $243.54 | $324.72 | $62.13–$324.72 | 7% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRAT IV INFUS, INIT 31-60 MI | $243.54 | $324.72 | $62.13–$324.72 | — | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR (OP) 96365 | $390.58 | $520.77 | $520.77 | 42% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR (ER)96365 | $390.58 | $520.77 | $89.51–$520.77 | 42% above | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR (OP) 96365 | $390.58 | $520.77 | $520.77 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR (ER)96365 | $390.58 | $520.77 | $89.51–$520.77 | — | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH (ER) 96374 | $243.54 | $324.72 | $61.58–$324.72 | 3% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH (OP) 96374 | $243.54 | $324.72 | $324.72 | 3% above | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH (ER) 96374 | $243.54 | $324.72 | $61.58–$324.72 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH (OP) 96374 | $243.54 | $324.72 | $324.72 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SC/IM ERM ROOM 96372 | $120.47 | $160.62 | $25.25–$160.62 | 77% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SC/IM OUTPATIENT 96372 | $120.47 | $160.62 | $160.62 | 77% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SC/IM ERM ROOM 96372 | $120.47 | $160.62 | $25.25–$160.62 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SC/IM OUTPATIENT 96372 | $120.47 | $160.62 | $160.62 | — | 25% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEV 3 99203/PHYSI | $117.76 | $157.01 | $157.01 | 22% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEV 2 99202/PHYSI | $76.76 | $102.34 | $102.34 | 32% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MYOFASCIAL REL | $55.50 | $74.00 | $74.00 | 27% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MYOFASCIAL REL | $55.50 | $74.00 | $74.00 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT LEVEL 3 99213/PHYSIC | $76.11 | $101.48 | $101.48 | 44% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PATIENT VISIT LEVEL 3 9 | $225.75 | $301.00 | $133.49–$301.00 | 67% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PATIENT LEVEL 4 99214 | $328.50 | $438.00 | $188.57–$438.00 | 90% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT LEVEL 2 99212/PHYSIC | $39.74 | $52.98 | $52.98 | 62% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PATIENT VISIT LEVEL 2 9 | $196.50 | $262.00 | $262.00 | 89% above | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOX WITH DIPTH | $70.46 | $93.95 | $57.29–$93.95 | 4% above | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS TOX WITH DIPTH | $70.46 | $93.95 | $57.29–$93.95 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN. 90471 | $120.47 | $160.62 | $8.08–$160.62 | 209% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN. 90471 | $120.47 | $160.62 | $8.08–$160.62 | — | 25% |
Source file: https://sedancityhospital.org/standardcharges.csv