Hospital Liberal, KS

Southwest medical center

Southwest medical center in Liberal, KS publishes cash prices for 211 common procedures listed here, from its own machine-readable price file updated Jul 22, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Kansas median for 184 of 211 procedures and below it for 25. By typical cash price it ranks #68 of 77 Kansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

315 w 15th st liberal,KS 67901 Collected Sep 29, 2026 Source price file (620) 624-1651

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 170068 · CMS hospital register NPI 1538109251

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 Southwest medical center in Liberal, KS:

  • Apr 24, 2023 Warning notice
  • Aug 9, 2023 Case closed
  • Mar 10, 2026 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. 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

ProcedureCash price List priceInsurers payvs KansasOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Peri Vascul Lab $414.00 $517.50 $53.64–$481.28 31% below 20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Dx x-Ray $438.40 $548.00 $39.25–$509.64 at median 20%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear Medicine $2,179.20 $2,724.00 $117.75–$2,533.32 89% above 20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound $310.80 $388.50 $53.43–$361.31 15% above 20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Scan/Body $3,519.20 $4,399.00 $161.30–$4,091.07 97% above 20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Scan $3,519.20 $4,399.00 $161.30–$4,091.07 97% above 20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Scan $4,210.00 $5,262.50 $79.44–$4,894.13 213% above 20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan $4,620.80 $5,776.00 $151.39–$5,371.68 220% above 20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Scan $5,216.00 $6,520.00 $200.25–$6,063.60 177% above 20%
CT scan of the abdomen with contrast CPT 74160 CT Scan/Body $2,543.60 $3,179.50 $153.29–$2,956.94 85% above 20%
CT scan of the abdomen without contrast CPT 74150 CT Scan/Body $2,317.60 $2,897.00 $90.85–$2,694.21 98% above 20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Scan/Head $1,468.80 $1,836.00 $90.85–$1,707.48 45% above 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT Scan/Head $2,014.40 $2,518.00 $96.14–$2,341.74 83% above 20%
CT scan of the head with contrast CPT 70460 CT Scan/Head $2,220.00 $2,775.00 $151.30–$2,580.75 79% above 20%
CT scan of the head without and with contrast CPT 70470 CT Scan/Head $2,518.00 $3,147.50 $153.29–$2,927.18 87% above 20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Scan/Body $2,216.40 $2,770.50 $90.85–$2,576.57 94% above 20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Scan/Body $2,014.40 $2,518.00 $96.14–$2,341.74 90% above 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT Scan/Body $2,543.60 $3,179.50 $153.29–$2,956.94 108% above 20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Peri Vascul Lab $1,167.60 $1,459.50 $162.95–$1,357.34 56% above 20%
Chest X-ray, 2 views CPT 71046 Dx x-Ray/Chest $482.80 $603.50 $12.12–$561.26 103% above 20%
Chest X-ray, single view CPT 71045 Dx x-Ray/Chest $377.60 $472.00 $6.57–$438.96 89% above 20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound $997.20 $1,246.50 $78.90–$1,159.25 142% above 20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dx x-Ray $506.00 $632.50 $53.89–$588.23 53% above 20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound $920.80 $1,151.00 $76.00–$1,070.43 111% above 20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Scan/Body $2,216.40 $2,770.50 $96.14–$2,576.57 113% above 20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan/Body $2,442.40 $3,053.00 $161.30–$2,839.29 109% above 20%
Diagnostic mammogram, both breasts CPT 77066 Diag Mammography $713.60 $892.00 $75.33–$829.56 202% above 20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Peri Vascul Lab $1,597.20 $1,996.50 $53.64–$1,856.75 112% above 20%
Duplex ultrasound of the leg veins, both legs CPT 93970 Peri Vascul Lab $1,887.20 $2,359.00 $53.64–$2,193.87 149% above 20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiology $2,488.80 $3,111.00 $366.85–$2,893.23 27% above 20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuc Med/Dx $1,860.80 $2,326.00 $249.47–$2,163.18 20% above 20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Other Dx Svcs $5,936.40 $7,420.50 $97.68–$6,901.07 113% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound $986.00 $1,232.50 $48.81–$1,146.23 183% above 20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Dx x-Ray $997.20 $1,246.50 $48.81–$1,159.25 186% above 20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Scan/Body $2,216.40 $2,770.50 $72.41–$2,576.57 240% above 20%
MRI of both breasts, without and then with contrast dye CPT 77049 MRT $4,119.60 $5,149.50 $173.36–$4,789.04 119% above 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRT $1,498.80 $1,873.50 $313.17–$1,742.36 8% below 20%
MRI of the abdomen without contrast CPT 74181 MRT $3,032.00 $3,790.00 $198.49–$3,524.70 119% above 20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRT $3,520.00 $4,400.00 $277.63–$4,092.00 106% above 20%
MRI of the brain, no contrast dye CPT 70551 MRI/Brain $3,199.60 $3,999.50 $219.43–$3,719.54 125% above 20%
MRI of the brain, no contrast dye CPT 70551 MRT $3,199.60 $3,999.50 $219.43–$3,719.54 125% above 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI/Brain $3,999.60 $4,999.50 $320.83–$4,649.54 109% above 20%
MRI of the brain, with and without contrast dye CPT 70553 MRT $3,999.60 $4,999.50 $320.83–$4,649.54 109% above 20%
MRI of the lower back, no contrast dye CPT 72148 MRI/Spine $2,882.80 $3,603.50 $219.43–$3,351.26 124% above 20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI/Spine $3,788.80 $4,736.00 $313.17–$4,404.48 110% above 20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI/Spine $3,032.00 $3,790.00 $198.49–$3,524.70 142% above 20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI/Spine $3,602.80 $4,503.50 $313.17–$4,188.26 101% above 20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI/Spine $2,882.80 $3,603.50 $219.43–$3,351.26 130% above 20%
MRI of the pelvis without and with contrast CPT 72197 MRT $3,788.80 $4,736.00 $210.29–$4,404.48 100% above 20%
MRI of the pelvis, no contrast dye CPT 72195 MRT $2,816.80 $3,521.00 $198.49–$3,274.53 127% above 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear Medicine $3,647.60 $4,559.50 $201.10–$4,240.34 31% above 20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuc Med/Dx $3,647.60 $4,559.50 $201.10–$4,240.34 31% above 20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound $672.40 $840.50 $42.24–$781.67 96% above 20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound $1,050.80 $1,313.50 $64.71–$1,221.56 166% above 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound $786.00 $982.50 $76.00–$913.73 98% above 20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound $1,490.00 $1,862.50 $76.00–$1,732.13 306% above 20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound $291.20 $364.00 $50.74–$338.52 3% below 20%
Screening mammogram, both breasts CPT 77067 Scrn mammography $314.00 $392.50 $73.06–$365.03 57% above 20%
Sleep study in a lab (polysomnography) CPT 95810 Other Dx Svcs $5,311.60 $6,639.50 $146.70–$6,174.74 109% above 20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Dx x-Ray $1,106.00 $1,382.50 $26.17–$1,285.73 87% above 20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound $951.20 $1,189.00 $64.71–$1,105.77 167% above 20%
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound $893.60 $1,117.00 $64.71–$1,038.81 134% above 20%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound $1,027.60 $1,284.50 $78.90–$1,194.59 122% above 20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound $916.80 $1,146.00 $46.12–$1,065.78 137% above 20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound $754.00 $942.50 $25.90–$876.53 18% above 20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dx x-Ray $686.80 $858.50 $52.33–$798.41 10% above 20%
X-ray of the abdomen, 1 view CPT 74018 Dx x-Ray $378.80 $473.50 $11.23–$440.36 73% above 20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Dx x-Ray $472.40 $590.50 $26.93–$549.17 70% above 20%
X-ray of the lower back, 4 or more views CPT 72110 Dx x-Ray $726.40 $908.00 $36.76–$844.44 77% above 20%
X-ray of the nasal bones, 3 or more views CPT 70160 Dx x-Ray $348.80 $436.00 $21.07–$405.48 41% above 20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Dx x-Ray $382.80 $478.50 $24.25–$445.01 45% above 20%
X-ray of the pelvis, 1 or 2 views CPT 72170 Dx x-Ray $392.00 $490.00 $21.07–$455.70 85% above 20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Dx x-Ray $379.20 $474.00 $23.10–$440.82 58% above 20%

Lab tests

ProcedureCash price List priceInsurers payvs KansasOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chemistry Tests $81.60 $102.00 $5.30–$94.86 113% above 20%
AST (aspartate aminotransferase) enzyme test CPT 84450 Chemistry Tests $81.60 $102.00 $5.18–$94.86 118% above 20%
Allergy blood test, specific IgE, per allergen CPT 86003 Immunology Tests $67.20 $84.00 $5.22–$78.12 116% above 20%
Basic metabolic panel (blood test) CPT 80048 Chemistry Tests $133.60 $167.00 $8.46–$155.31 63% above 20%
Blood culture for bacteria CPT 87040 Bact & Micro Tests $222.00 $277.50 $9.45–$258.08 152% above 20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Lab $29.20 $36.50 $9.34–$33.95 62% above 20%
Blood glucose (sugar) test CPT 82947 Chemistry Tests $62.80 $78.50 $3.93–$73.01 99% above 20%
Blood lead test CPT 83655 Chemistry Tests $52.40 $65.50 $11.70–$60.92 1% below 20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chemistry Tests $90.80 $113.50 $7.52–$105.56 53% above 20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Lab $184.00 $230.00 $2.99–$213.90 70% above 20%
C. difficile toxin gene test (stool PCR) CPT 87493 Bact & Micro Tests $137.60 $172.00 $34.26–$159.96 19% above 20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Bact & Micro Tests $135.20 $169.00 $43.61–$157.17 2% below 20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Bact & Micro Tests $136.00 $170.00 $35.09–$158.10 16% above 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Chemistry Tests $274.00 $342.50 $13.39–$318.53 195% above 20%
Complete blood count (CBC) with differential CPT 85025 Hematology Tests $160.00 $200.00 $6.54–$186.00 266% above 20%
Complete blood count (CBC), no differential CPT 85027 Hematology Tests $120.00 $150.00 $6.47–$139.50 157% above 20%
Comprehensive metabolic panel (blood test) CPT 80053 Chemistry Tests $189.20 $236.50 $10.56–$219.95 80% above 20%
D-dimer blood test (blood clot marker) CPT 85379 Hematology Tests $122.80 $153.50 $10.18–$142.76 4% above 20%
FSH (follicle-stimulating hormone) test CPT 83001 Chemistry Tests $118.80 $148.50 $18.57–$138.11 at median 20%
Ferritin blood test (iron stores) CPT 82728 Chemistry Tests $86.80 $108.50 $13.63–$100.91 2% below 20%
Folate (folic acid) blood test CPT 82746 Chemistry Tests $100.40 $125.50 $14.70–$116.72 1% above 20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Chemistry Tests $103.60 $129.50 $9.02–$120.44 55% above 20%
Glucose tolerance test, 3 samples CPT 82951 Chemistry Tests $212.00 $265.00 $12.87–$246.45 130% above 20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Bact & Micro Tests $136.00 $170.00 $35.09–$158.10 23% above 20%
H. pylori antibody blood test CPT 86677 Immunology Tests $76.00 $95.00 $9.81–$88.35 5% above 20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chemistry Tests $59.20 $74.00 $9.71–$68.82 9% below 20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Immunology Tests $174.40 $218.00 $10.74–$202.74 118% above 20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Bact & Micro Tests $158.40 $198.00 $10.33–$184.14 148% above 20%
Herpes blood test, HSV-1 antibody CPT 86695 Immunology Tests $116.80 $146.00 $9.81–$135.78 22% above 20%
Iron blood test (serum iron) CPT 83540 Chemistry Tests $96.00 $120.00 $5.50–$111.60 115% above 20%
Iron-binding capacity (TIBC) test CPT 83550 Chemistry Tests $134.00 $167.50 $8.74–$155.78 98% above 20%
LH (luteinizing hormone) test CPT 83002 Chemistry Tests $115.60 $144.50 $18.52–$134.39 2% above 20%
Liver function blood test panel CPT 80076 Chemistry Tests $244.40 $305.50 $8.17–$284.12 194% above 20%
Magnesium blood test CPT 83735 Chemistry Tests $56.80 $71.00 $6.70–$66.03 7% above 20%
Mono test (heterophile antibody, Monospot) CPT 86308 Immunology Tests $134.80 $168.50 $5.18–$156.71 189% above 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chemistry Tests $158.80 $198.50 $18.39–$184.61 43% above 20%
Pap test (liquid-based, automated screening with review) CPT 88175 Lab $92.80 $116.00 $25.70–$107.88 1% above 20%
Parathyroid hormone (PTH) blood test CPT 83970 Chemistry Tests $606.80 $758.50 $30.22–$705.41 194% above 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hematology Tests $48.00 $60.00 $5.25–$55.80 2% above 20%
Prothrombin time (PT/INR) clotting test CPT 85610 Hematology Tests $61.20 $76.50 $4.29–$71.15 80% above 20%
Rubella antibody test (immunity check) CPT 86762 Immunology Tests $96.80 $121.00 $9.81–$112.53 57% above 20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hematology Tests $52.40 $65.50 $2.70–$60.92 54% above 20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Other Lab Tests $199.60 $249.50 $12.31–$232.04 20% above 20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Chemistry Tests $21.60 $27.00 $3.82–$25.11 20% below 20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Immunology Tests $76.00 $95.00 $4.26–$88.35 100% above 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chemistry Tests $103.60 $129.50 $15.75–$120.44 13% above 20%
Trichomonas test (NAAT) CPT 87661 Bact & Micro Tests $136.00 $170.00 $35.09–$158.10 1% above 20%
Uric acid blood test CPT 84550 Chemistry Tests $68.40 $85.50 $4.51–$79.52 78% above 20%
Urinalysis with microscope exam, automated CPT 81001 Urology Tests $42.80 $53.50 $3.17–$49.76 30% above 20%
Urinalysis with microscope exam, manual CPT 81000 Urology Tests $50.80 $63.50 $4.01–$59.06 94% above 20%
Urinalysis without microscope exam, automated CPT 81003 Urology Tests $66.80 $83.50 $1.91–$77.66 196% above 20%
Urinalysis without microscope exam, manual CPT 81002 Urology Tests $40.00 $50.00 $3.01–$46.50 114% above 20%
Urine culture for bacteria, with colony count CPT 87086 Bact & Micro Tests $167.20 $209.00 $8.07–$194.37 199% above 20%
Urine pregnancy test, read by color change CPT 81025 Urology Tests $158.40 $198.00 $7.43–$184.14 237% above 20%
Vitamin B12 (cobalamin) blood test CPT 82607 Chemistry Tests $142.80 $178.50 $15.08–$166.01 55% above 20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chemistry Tests $115.20 $144.00 $11.77–$133.92 16% above 20%

Surgery and procedures

ProcedureCash price List priceInsurers payvs KansasOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Treatment Rm $2,347.60 $2,934.50 $344.23–$2,729.09 7% above 20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Rm $1,762.80 $2,203.50 $226.85–$2,049.26 242% above 20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Emerg Room $1,762.80 $2,203.50 $226.85–$2,049.26 242% above 20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treatment Rm $1,620.40 $2,025.50 $226.85–$1,883.72 305% above 20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Emerg Room $1,620.40 $2,025.50 $226.85–$1,883.72 305% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Treatment Rm $1,024.80 $1,281.00 $196.25–$1,191.33 65% above 20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Emerg Room $1,024.80 $1,281.00 $196.25–$1,191.33 65% above 20%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Treatment Rm $2,782.00 $3,477.50 $327.08–$3,234.08 at median 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Treatment Rm $1,816.40 $2,270.50 $201.06–$2,111.57 286% above 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision $1,816.40 $2,270.50 $201.06–$2,111.57 286% above 20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Emerg Room $1,816.40 $2,270.50 $201.06–$2,111.57 286% above 20%
Circumcision, surgical, older than a newborn CPT 54160 Treatment Rm $2,528.80 $3,161.00 $286.00–$2,939.73 214% above 20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Emerg Room $884.80 $1,106.00 $226.85–$1,028.58 76% above 20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treatment Rm $884.80 $1,106.00 $226.85–$1,028.58 76% above 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Treatment Rm $551.20 $689.00 $30.76–$640.77 533% above 20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Emerg Room $551.20 $689.00 $30.76–$640.77 533% above 20%
Earwax removal with instruments, one ear CPT 69210 Emerg Room $147.20 $184.00 $54.25–$543.31 48% above 20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Treatment Rm $1,649.60 $2,062.00 $131.58–$1,917.66 593% above 20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Dx x-Ray $1,145.20 $1,431.50 $187.66–$1,331.30 17% above 20%
Incision and drainage of a simple or single skin abscess CPT 10060 Emerg Room $664.80 $831.00 $184.51–$772.83 173% above 20%
Incision and drainage of a simple or single skin abscess CPT 10060 Treatment Rm $664.80 $831.00 $184.51–$772.83 173% above 20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Emerg Room $394.80 $493.50 $81.31–$458.96 126% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Emerg Room $403.20 $504.00 $93.35–$468.72 19% above 20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Treatment Rm $403.20 $504.00 $93.35–$468.72 19% above 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Emerg Room $396.40 $495.50 $77.02–$460.82 43% above 20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Treatment Rm $396.40 $495.50 $77.02–$460.82 43% above 20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Emerg Room $394.80 $493.50 $74.12–$458.96 65% above 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Emerg Room $532.80 $666.00 $286.00–$619.38 39% above 20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Treatment Rm $1,636.80 $2,046.00 $286.00–$1,902.78 328% above 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Treatment Rm $995.60 $1,244.50 $207.26–$1,157.39 16% below 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Emerg Room $871.60 $1,089.50 $168.87–$1,013.24 5% above 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Treatment Rm $871.60 $1,089.50 $168.87–$1,013.24 5% above 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Treatment Rm $1,085.20 $1,356.50 $219.80–$1,261.55 13% above 20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Emerg Room $742.80 $928.50 $171.89–$863.51 289% above 20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Treatment Rm $1,210.40 $1,513.00 $217.18–$1,407.09 461% above 20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Emerg Room $1,210.40 $1,513.00 $217.18–$1,407.09 461% above 20%
Nail removal (partial or complete), one nail CPT 11730 Treatment Rm $241.20 $301.50 $112.79–$330.35 63% above 20%
Nail removal (partial or complete), one nail CPT 11730 Emerg Room $241.20 $301.50 $112.79–$330.35 63% above 20%
Paracentesis with imaging guidance CPT 49083 Emerg Room $738.40 $923.00 $221.78–$1,079.61 2% above 20%
Paracentesis with imaging guidance CPT 49083 Treatment Rm $738.80 $923.50 $221.78–$1,079.61 2% above 20%
Paracentesis with imaging guidance CPT 49083 Ultrasound $1,129.60 $1,412.00 $221.78–$1,313.16 55% above 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Emerg Room $858.40 $1,073.00 $212.26–$997.89 125% above 20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Treatment Rm $858.40 $1,073.00 $212.26–$997.89 125% above 20%
Removal of a foreign object under the skin, simple CPT 10120 Emerg Room $907.20 $1,134.00 $214.57–$1,075.65 216% above 20%
Removal of a foreign object under the skin, simple CPT 10120 Treatment Rm $1,082.80 $1,353.50 $214.57–$1,258.76 277% above 20%
Short arm cast (elbow to hand) CPT 29075 Emerg Room $592.40 $740.50 $125.71–$688.67 159% above 20%
Short arm cast (elbow to hand) CPT 29075 Treatment Rm $592.40 $740.50 $125.71–$688.67 159% above 20%
Short arm splint (forearm and hand) CPT 29125 Treatment Rm $311.60 $389.50 $81.29–$362.24 77% above 20%
Short arm splint (forearm and hand) CPT 29125 Emerg Room $311.60 $389.50 $81.29–$362.24 77% above 20%
Short leg cast (below the knee) CPT 29405 Emerg Room $323.60 $404.50 $119.00–$376.19 34% above 20%
Short leg cast (below the knee) CPT 29405 Treatment Rm $323.60 $404.50 $119.00–$376.19 34% above 20%
Short leg splint (calf to foot) CPT 29515 Treatment Rm $311.60 $389.50 $100.87–$362.24 84% above 20%
Short leg splint (calf to foot) CPT 29515 Emerg Room $311.60 $389.50 $100.87–$362.24 84% above 20%
Short leg splint (calf to foot) CPT 29515 Physical Therp $311.60 $389.50 $100.87–$362.24 84% above 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Emerg Room $462.80 $578.50 $91.98–$538.01 94% above 20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Treatment Rm $462.80 $578.50 $91.98–$538.01 94% above 20%
Skin biopsy, punch, one lesion CPT 11104 Treatment Rm $676.00 $845.00 $97.42–$785.85 74% above 20%
Skin tag removal, up to 15 tags CPT 11200 Emerg Room $146.80 $183.50 $128.45–$428.14 1% below 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Treatment Rm $693.20 $866.50 $127.49–$805.85 25% above 20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Emerg Room $720.00 $900.00 $127.49–$837.00 30% above 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Emerg Room $676.00 $845.00 $120.71–$785.85 143% above 20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Treatment Rm $676.00 $845.00 $120.71–$785.85 143% above 20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Emerg Room $491.20 $614.00 $68.64–$571.02 78% above 20%
Thoracentesis with imaging guidance CPT 32555 Treatment Rm $1,058.80 $1,323.50 $230.93–$1,230.86 9% above 20%
Thoracentesis with imaging guidance CPT 32555 Emerg Room $1,058.80 $1,323.50 $230.93–$1,230.86 9% above 20%
Thoracentesis with imaging guidance CPT 32555 Ultrasound $1,058.80 $1,323.50 $230.93–$1,230.86 9% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Emerg Room $390.80 $488.50 $78.25–$454.31 69% above 20%
Trigger point injections, 1 or 2 muscles CPT 20552 Treatment Rm $816.40 $1,020.50 $78.25–$949.07 252% above 20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Treatment Rm $2,102.80 $2,628.50 $324.59–$2,444.51 7% above 20%
Wart removal, up to 14 warts CPT 17110 Emerg Room $144.80 $181.00 $126.70–$219.23 23% below 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Treatment Rm $554.00 $692.50 $124.63–$644.03 72% above 20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Emerg Room $554.00 $692.50 $124.63–$644.03 72% above 20%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs KansasOff list
Blood transfusion (giving blood or blood components) CPT 36430 Emerg Room $258.40 $323.00 $77.42–$515.69 57% below 20%
Blood transfusion (giving blood or blood components) CPT 36430 Treatment Rm $1,278.00 $1,597.50 $77.42–$1,485.68 110% above 20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Svc $173.20 $216.50 $12.88–$254.03 36% above 20%
Chemotherapy IV infusion, first hour CPT 96413 Treatment Rm $337.60 $422.00 $113.77–$392.46 14% below 20%
Critical care, first 30 to 74 minutes CPT 99291 Emerg Room $2,756.40 $3,445.50 $122.27–$3,204.32 234% above 20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG/ECG $280.40 $350.50 $12.10–$325.97 54% above 20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emerg Room $340.40 $425.50 $45.87–$395.72 147% above 20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emerg Room $465.60 $582.00 $57.18–$541.26 106% above 20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emerg Room $770.40 $963.00 $57.44–$895.59 122% above 20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emerg Room $1,262.00 $1,577.50 $57.18–$1,467.08 151% above 20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emerg Room $1,978.00 $2,472.50 $105.00–$2,299.43 135% above 20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test $830.00 $1,037.50 $48.08–$964.88 44% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Emerg Room $160.40 $200.50 $16.83–$186.47 135% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Recovery Room $160.40 $200.50 $16.83–$186.47 135% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Treatment Rm $160.40 $200.50 $16.83–$186.47 135% above 20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Other/Deliv-Labor $160.40 $200.50 $16.83–$186.47 135% above 20%
Neuromuscular re-education, 15 minutes CPT 97112 Occupational Ther $70.40 $88.00 $24.87–$81.84 10% below 20%
Neuromuscular re-education, 15 minutes CPT 97112 Physical Therp $70.40 $88.00 $24.87–$81.84 10% below 20%
New patient office visit, about 30 minutes CPT 99203 Other/Deliv-Labor $224.40 $280.50 $101.00–$260.87 48% above 20%
New patient office visit, about 30 minutes CPT 99203 Treatment Rm $294.40 $368.00 $101.00–$342.24 94% above 20%
New patient office visit, about 45 minutes CPT 99204 Other/Deliv-Labor $285.60 $357.00 $101.00–$332.01 43% above 20%
New patient office visit, about 45 minutes CPT 99204 Treatment Rm $370.00 $462.50 $101.00–$430.13 85% above 20%
New patient office visit, about 60 minutes CPT 99205 Other/Deliv-Labor $309.20 $386.50 $168.67–$384.08 9% above 20%
New patient office visit, about 60 minutes CPT 99205 Treatment Rm $470.40 $588.00 $168.67–$546.84 66% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Other/Deliv-Labor $208.40 $260.50 $67.67–$242.27 81% above 20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Treatment Rm $252.40 $315.50 $67.67–$293.42 120% above 20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Educ/Training $80.00 $100.00 $14.70–$93.00 151% above 20%
Occupational therapy evaluation, low complexity CPT 97165 Occup Therp/Eval $142.40 $178.00 $55.76–$214.39 14% below 20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Phys Therp/Eval $224.40 $280.50 $57.45–$260.87 7% above 20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Phys Therp/Eval $142.40 $178.00 $65.71–$213.00 15% below 20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Phys Therp/Eval $179.20 $224.00 $65.71–$213.00 4% below 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Occupational Ther $82.00 $102.50 $20.47–$95.33 7% above 20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Physical Therp $82.00 $102.50 $20.47–$95.33 7% above 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Occupational Ther $109.20 $136.50 $25.65–$126.95 38% above 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical Therp $109.20 $136.50 $25.65–$126.95 38% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Other/Deliv-Labor $309.20 $386.50 $266.24–$359.45 34% above 20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Treatment Rm $314.00 $392.50 $266.24–$365.03 36% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Other/Deliv-Labor $224.40 $280.50 $133.49–$260.87 62% above 20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Treatment Rm $246.00 $307.50 $133.49–$285.98 77% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Treatment Rm $246.80 $308.50 $188.57–$286.91 39% above 20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Other/Deliv-Labor $285.60 $357.00 $188.57–$332.01 60% above 20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Treatment Rm $168.40 $210.50 $75.77–$195.77 62% above 20%
Speech and language evaluation CPT 92523 Speech Therp/Eval $334.40 $418.00 $116.15–$485.25 42% above 20%
Speech therapy session, individual CPT 92507 Speech Therp/Visit $124.40 $155.50 $70.16–$163.61 8% below 20%
Spirometry (breathing test) CPT 94010 Pulmonary Func $304.80 $381.00 $19.51–$354.33 at median 20%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Func $476.00 $595.00 $31.40–$553.35 9% above 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Occupational Ther $60.00 $75.00 $26.02–$78.43 24% below 20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Physical Therp $73.60 $92.00 $26.02–$85.56 7% below 20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Other Rx Svcs $219.20 $274.00 $69.01–$254.82 62% above 20%

Vaccines

ProcedureCash price List priceInsurers payvs KansasOff list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Drug/Detail Code $128.00 $160.00 $112.00–$164.22 13% below 20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Pharmacy $166.40 $208.00 $145.60–$248.76 24% below 20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Drug/Detail Code $52.80 $66.00 $23.22–$61.38 53% above 20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Drug/Detail Code $127.20 $159.00 $69.65–$147.87 9% above 20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Drug/Detail Code $98.80 $123.50 $86.45–$114.86 5% above 20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Drug/Detail Code $241.20 $301.50 $211.05–$373.39 40% below 20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Drug/Detail Code $149.60 $187.00 $94.51–$173.91 14% below 20%
Rabies vaccine, one dose CPT 90675 Drug/Detail Code $479.60 $599.50 $319.75–$591.06 21% below 20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Drug/Detail Code $42.40 $53.00 $37.10–$67.14 46% below 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Other/Deliv-Labor $143.20 $179.00 $8.08–$166.47 267% above 20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin $143.20 $179.00 $8.08–$166.47 267% above 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Emerg Room $143.20 $179.00 $8.08–$166.47 481% above 20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin $143.20 $179.00 $8.08–$166.47 481% above 20%

Source file: https://southwestmedicalcenter.pg.quadax.revenuemasters.com/cdm-files/480684878_southwest-medical-center_standardcharges.csv