MENORAH MEDICAL CENTER
5721 W 119th St, Overland Park, KS · Hcamidwest · · NPI 1255378337
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,420.59 | $5,420.59 | $206.69 – $791.58 | 14 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $22,479.31 | $22,479.31 | $101.17 – $686.85 | 15 |
| CT Angiogram of the Head CPT 70496 | $21,253.43 | $21,253.43 | $101.17 – $917.18 | 15 |
| CT angio hrt w/3d image CPT 75574 | $2,397.35 | $2,397.35 | $158.49 – $607.58 | 10 |
| CT angio pelvis CPT 72191 | $20,816.72 | $20,816.72 | $101.17 – $660.52 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $101.17 – $623.76 | 15 |
| CT bone density axial CPT 77078 | not published | not published | $48.74 – $474.00 | 15 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $403.20 – $403.20 | 1 |
| CT colonography dx CPT 74261 | $2,379.20 | $2,379.20 | $90.66 – $739.09 | 10 |
| CT colonography dx w/dye CPT 74262 | $3,618.05 | $3,618.05 | $151.76 – $882.98 | 10 |
| CT colonography screening CPT 74263 | $1,338.63 | $1,338.63 | $206.06 – $1,205.55 | 9 |
| CT guidance for needle placement CPT 77012 | not published | not published | $87.92 – $474.00 | 12 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $72.80 – $474.00 | 12 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $204.50 – $1,167.63 | 10 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $176.22 – $557.73 | 12 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $54.50 | $54.50 | $71.77 – $474.00 | 10 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,397.35 | $2,397.35 | $158.49 – $536.24 | 10 |
| CT hrt w/3d image CPT 75572 | $2,397.35 | $2,397.35 | $158.49 – $474.00 | 10 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $48.74 – $474.00 | 15 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $101.17 – $474.00 | 15 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $59.96 – $474.00 | 15 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $3,066.59 – $3,314.40 | 10 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $2,544.34 – $2,749.94 | 10 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $85.22 – $92.11 | 10 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $2,415.67 – $2,610.87 | 10 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $101.17 – $587.01 | 15 |
| CT neck soft tissue w/contrast CPT 70491 | $11,822.15 | $11,822.15 | $101.17 – $474.00 | 15 |
| CT neck soft tissue without contrast CPT 70490 | $9,912.05 | $9,912.05 | $59.96 – $474.00 | 15 |
| CT neck soft tissue without & w/contrast CPT 70492 | $13,451.05 | $13,451.05 | $101.17 – $547.19 | 15 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $11,822.15 | $11,822.15 | $101.17 – $617.03 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $10,237.31 | $10,237.31 | $101.17 – $537.39 | 15 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $9,310.77 | $9,310.77 | $59.96 – $474.00 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $197.97 – $353.39 | 5 |
| CT scan for localization CPT 77011 | $2,528.22 | $2,528.22 | $214.24 – $762.81 | 12 |
| CT scan for therapy guide CPT 77014 | not published | not published | $99.02 – $176.49 | 10 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $12,400.10 | $12,400.10 | $206.69 – $619.97 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $12,400.10 | $12,400.10 | $206.69 – $474.00 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $12,400.10 | $12,400.10 | $131.00 – $474.00 | 15 |
| CT thoracic spine w/contrast CPT 72129 | $11,001.87 | $11,001.87 | $101.17 – $474.00 | 15 |
| CT thoracic spine without contrast CPT 72128 | $10,746.58 | $10,746.58 | $59.96 – $474.00 | 15 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $377.10 | $377.10 | $59.96 – $474.00 | 11 |
| CT t-spine w /wo contrast CPT 72130 | $11,337.49 | $11,337.49 | $101.17 – $567.41 | 15 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $206.69 – $474.00 | 15 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $59.96 – $474.00 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $101.17 – $583.95 | 15 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $1,263.98 – $1,366.12 | 10 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $16.75 – $1,712.03 | 9 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $17.43 – $1,780.76 | 9 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $281.50 – $5,366.39 | 10 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $281.50 – $3,105.27 | 10 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $4.09 – $17.99 | 22 |
| Culture afb any source CPT 87116 | $640.79 | $640.79 | $5.48 – $23.77 | 22 |
| Culture anaerobic additional method definitive id each CPT 87076 | $668.26 | $668.26 | $4.09 – $17.99 | 22 |
| Culture anaerobic except blood CPT 87075 | $512.63 | $512.63 | $4.80 – $20.55 | 22 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $4.90 – $20.55 | 22 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.84 – $18.84 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $4.79 – $20.55 | 22 |
| Culture body fluid CPT 87070 | not published | not published | $4.37 – $19.28 | 22 |
| Culture fungi definitive id mold CPT 87107 | $668.26 | $668.26 | $5.23 – $22.48 | 22 |
| Culture fungi definitive id yeast CPT 87106 | $668.26 | $668.26 | $5.23 – $22.48 | 22 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $4.27 – $18.63 | 22 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $3.91 – $16.70 | 22 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $668.26 | $668.26 | $7.41 – $26.33 | 22 |
| Culture mycoplasma any source CPT 87109 | $1,017.43 | $1,017.43 | $7.80 – $34.05 | 22 |
| Culture of specimen by kit CPT 87084 | not published | not published | $13.73 – $48.18 | 22 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $5.02 – $20.55 | 22 |
| Culture screening strep group a CPT 87081 | not published | not published | $3.36 – $14.77 | 22 |
| Culture type pulse field gel CPT 87152 | $668.26 | $668.26 | $3.92 – $14.14 | 22 |
| Culture typing added method CPT 87158 | not published | not published | $3.92 – $14.14 | 22 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $6.35 – $27.62 | 22 |
| Culture typing immunologic CPT 87147 | not published | not published | $2.63 – $11.56 | 22 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $110.56 – $331.45 | 19 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $215.78 | $215.78 | $17.79 – $77.09 | 22 |
| Culture urine each isolate CPT 87088 | $668.26 | $668.26 | $4.10 – $17.99 | 22 |
| Culture virus isolation CPT 87250 | not published | not published | $9.91 – $43.05 | 22 |
| Curette/treat cornea CPT 65435 | not published | not published | $400.40 – $1,600.47 | 10 |
| Curette/treat cornea CPT 65436 | not published | not published | $757.00 – $3,586.22 | 10 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $1,595.62 – $1,724.56 | 10 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $1,595.62 – $1,724.56 | 10 |
| Custom glove for term device HCPCS L6895 | not published | not published | $775.16 – $837.80 | 10 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $1,237.07 – $1,337.04 | 10 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $753.53 – $814.42 | 10 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $1,742.91 – $1,883.76 | 10 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $1,226.12 – $1,325.20 | 10 |
| Cv line/pic reposition CPT 36597 | not published | not published | $382.20 – $1,946.14 | 10 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $34.65 – $36.04 | 6 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $30.54 – $31.76 | 6 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $805.57 | $805.57 | $7.26 – $31.48 | 22 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $29.02 | $29.02 | $0.64 – $0.67 | 8 |
| Cyclic citrullinated peptide antibody CPT 86200 | $584.56 | $584.56 | $6.57 – $28.26 | 22 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.59 – $0.80 | 8 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $18.18 | $18.18 | $1.14 – $3.00 | 3 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $153.50 | $153.50 | $71.40 – $76.63 | 8 |
| Cyclosporine 2 hour CPT 80158 | $927.19 | $927.19 | $9.15 – $39.83 | 22 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.74 – $0.87 | 3 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.02 – $2.99 | 3 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $209.78 – $332.42 | 3 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $209.78 – $444.74 | 3 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $147.72 – $519.71 | 16 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $88.63 – $312.22 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.