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 |
|---|---|---|---|---|
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $115.37 – $311.00 | 11 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,756.31 | $1,756.31 | $59.88 – $199.44 | 21 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $48.20 – $155.91 | 21 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $71.77 – $100.81 | 9 |
| Dialysis one evaluation CPT 90945 | not published | not published | $143.48 – $381.15 | 7 |
| Dialysis repeated eval CPT 90947 | not published | not published | $77.66 – $80.77 | 6 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.19 – $12.95 | 20 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $3.00 | $3.00 | $0.08 – $0.12 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $192.49 | $192.49 | $5.79 – $11.04 | 3 |
| Dicyclomine injection HCPCS J0500 | $291.56 | $291.56 | $11.33 – $12.86 | 8 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.23 – $0.24 | 6 |
| Diffusing capacity CPT 94729 | $822.58 | $822.58 | $42.11 – $43.79 | 6 |
| Digital analysis of eeg CPT 95957 | $997.81 | $997.81 | $4.36 – $4.53 | 6 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $162.51 | $162.51 | $4.88 – $9.95 | 8 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $13,308.26 | $13,308.26 | $4,968.58 – $8,525.53 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $516.56 | $516.56 | $6.73 – $29.55 | 22 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $496.34 | $496.34 | $57.08 – $85.75 | 8 |
| Dilate esophagus CPT 43453 | not published | not published | $616.42 – $2,826.03 | 10 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $293.65 – $1,472.01 | 10 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $1,115.40 – $1,160.02 | 6 |
| Dilate tear duct opening CPT 68801 | not published | not published | $156.16 – $653.38 | 10 |
| Dilate urethra stricture CPT 53600 | not published | not published | $207.33 – $454.43 | 10 |
| Dilate urethra stricture CPT 53601 | not published | not published | $109.89 – $324.48 | 10 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,129.34 – $3,357.23 | 10 |
| Dilate urethra stricture CPT 53621 | not published | not published | $207.33 – $454.43 | 10 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $133.38 – $269.89 | 10 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $382.28 – $1,853.93 | 10 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,012.78 – $4,499.77 | 10 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $382.28 – $1,853.93 | 10 |
| Dilation of salivary duct CPT 42660 | not published | not published | $434.13 – $910.48 | 5 |
| Dilation of urethra CPT 53661 | not published | not published | $109.89 – $216.32 | 10 |
| Dilation of urethra CPT 53665 | not published | not published | $659.82 – $3,357.23 | 10 |
| Dilation of vagina CPT 57400 | not published | not published | $1,012.78 – $4,499.77 | 10 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $494.04 – $2,253.44 | 10 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $343.20 – $1,119.81 | 10 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,130.84 – $3,087.19 | 7 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,902.46 – $3,087.19 | 7 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.05 – $0.05 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $165.61 | $165.61 | $0.92 – $8.35 | 8 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $714.72 – $779.20 | 8 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $2.34 – $2.34 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $117.33 | $117.33 | $0.66 – $0.74 | 8 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.13 – $27.20 | 7 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.84 – $8.75 | 8 |
| Direct advanced life support CPT 99288 | not published | not published | $39.14 – $40.71 | 6 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $12.99 – $35.13 | 7 |
| Disability dlco CPT 94727 | $1,144.32 | $1,144.32 | $133.38 – $140.05 | 2 |
| Disaccharidases CPT 82657 | $545.34 | $545.34 | $11.24 – $39.83 | 22 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,559.38 – $3,105.27 | 5 |
| Disarticulation shoulder CPT 23920 | not published | not published | $312.00 – $324.48 | 6 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $68.02 – $2,141.97 | 15 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $78.62 – $84.97 | 10 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $231.10 – $249.77 | 10 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $109.28 – $1,543.58 | 7 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $75.45 – $75.45 | 2 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $1,045.17 – $1,045.17 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,279.64 – $8,444.05 | 10 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,042.99 – $8,590.21 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $452.40 – $470.50 | 6 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $9.10 – $43.05 | 9 |
| Dmd dup/delet analysis CPT 81161 | $4,324.73 | $4,324.73 | $141.45 – $497.87 | 16 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $139.34 – $417.74 | 18 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $69.46 – $208.24 | 18 |
| Dna antibody native/double stranded CPT 86225 | $360.94 | $360.94 | $6.97 – $30.20 | 22 |
| Dna gardnerella CPT 87510 | not published | not published | $10.16 – $44.32 | 22 |
| Dna probe chlamydia CPT 87490 | not published | not published | $11.54 – $44.32 | 22 |
| Dna probe gc CPT 87590 | not published | not published | $13.63 – $48.18 | 22 |
| Dna trichomonas CPT 87660 | not published | not published | $10.16 – $44.32 | 22 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $8.02 – $8.34 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.61 – $0.68 | 8 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $51.62 – $82.10 | 3 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $6.06 – $6.42 | 6 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $94.25 – $94.25 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.71 – $1.32 | 3 |
| Doppler echo complete CPT 93320 | $1,847.85 | $1,847.85 | $50.46 – $693.74 | 7 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,695.03 – $3,796.20 | 7 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $7,389.89 | $7,389.89 | $50.60 – $173.29 | 8 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $46.90 – $141.71 | 8 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $184.97 | $184.97 | $0.79 – $0.82 | 6 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $53.59 – $91.01 | 3 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $22,995.42 – $24,853.64 | 10 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $95.52 – $103.23 | 10 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $38,899.39 | $38,899.39 | $240.14 – $257.34 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.78 – $3.15 | 8 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $104.01 – $150.41 | 8 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.12 – $0.12 | 8 |
| Dpyd gene common variants CPT 81232 | $1,035.74 | $1,035.74 | $88.63 – $312.22 | 16 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $24.23 – $26.18 | 10 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $227.92 – $1,134.16 | 10 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $343.20 – $1,134.16 | 10 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $525.22 – $2,668.92 | 10 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $343.20 – $1,134.16 | 10 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $920.50 – $2,668.92 | 10 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $920.50 – $2,668.92 | 10 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $197.97 – $353.39 | 10 |
| Drainage of abdomen CPT 48000 | not published | not published | $468.00 – $486.72 | 6 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $525.22 – $2,668.92 | 10 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $920.50 – $4,602.91 | 10 |
| Drainage of bone lesion CPT 27303 | not published | not published | $468.00 – $486.72 | 6 |
| Drainage of eye CPT 65800 | not published | not published | $1,944.28 – $3,803.48 | 5 |
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.