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 |
|---|---|---|---|---|
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $97.70 – $101.61 | 6 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.58 – $1.64 | 6 |
| Injection px peyronie ds CPT 54200 | not published | not published | $80.06 – $454.43 | 10 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $171.60 – $691.85 | 10 |
| Injection, renflexis HCPCS Q5104 | $1,271.90 | $1,271.90 | $27.75 – $28.86 | 8 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.75 – $38.25 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $590.36 – $619.88 | 2 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $224.03 – $1,075.81 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $224.03 – $1,075.81 | 10 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $295.27 – $1,330.82 | 10 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $92.58 – $96.28 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $260.80 – $1,330.82 | 10 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $92.58 – $96.28 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $260.80 – $1,330.82 | 10 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $377.15 – $619.88 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $377.15 – $619.88 | 7 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $163.37 – $169.90 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $192.19 – $484.47 | 10 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $192.19 – $484.47 | 10 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $192.19 – $484.47 | 10 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | not published | not published | $24.42 – $41.30 | 7 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | not published | $15.60 – $16.22 | 6 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | not published | not published | $24.42 – $188.59 | 7 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | not published | not published | $16.83 – $63.71 | 7 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $14.10 – $14.66 | 6 |
| Injection treatment of eye CPT 66020 | not published | not published | $754.92 – $3,803.48 | 10 |
| Injection treatment of eye CPT 66030 | not published | not published | $754.92 – $3,803.48 | 10 |
| Injection treatment of nerve CPT 64605 | not published | not published | $625.47 – $3,188.57 | 10 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,664.70 – $3,188.57 | 5 |
| Injection treatment of nerve CPT 64681 | not published | not published | $427.73 – $1,330.82 | 10 |
| Injection treatment of nose CPT 30200 | not published | not published | $434.13 – $910.48 | 5 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $104.00 – $108.16 | 6 |
| Inject/treat eye socket CPT 67500 | not published | not published | $114.40 – $529.95 | 10 |
| Inject/treat eye socket CPT 67505 | not published | not published | $254.83 – $529.95 | 5 |
| Inject/treat eye socket CPT 67515 | not published | not published | $114.40 – $529.95 | 10 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $52.26 – $52.26 | 1 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $69.88 – $69.88 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.37 – $35.48 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.61 – $24.49 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $381.50 – $399.50 | 8 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.98 – $58.72 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $377.15 – $619.88 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $377.15 – $796.91 | 7 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.25 – $2.25 | 2 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.21 – $2.13 | 3 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $25.25 – $25.25 | 1 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $3.80 – $4.30 | 6 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $166.40 | 6 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $186.31 – $205.06 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.50 – $19.24 | 8 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $3,847,800.00 – $3,847,800.00 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.53 – $10.32 | 8 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.90 – $34.72 | 8 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $7,938.18 | $7,938.18 | $20.83 – $23.74 | 8 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $134.26 – $145.48 | 8 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $1.28 | 8 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.15 – $7.69 | 8 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $3.02 – $4.34 | 3 |
| Inj for ext venography CPT 36005 | not published | not published | $208.00 – $216.32 | 6 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.06 – $1.26 | 8 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $546.93 – $632.88 | 8 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.36 – $3.49 | 6 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $3.32 – $28.19 | 8 |
| Inj, fulvestrant (teva) HCPCS J9393 | $246.89 | $246.89 | $20.00 – $20.80 | 6 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $3.47 – $5.45 | 3 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $50.00 – $52.00 | 6 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $8.65 – $9.00 | 8 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $116.47 – $125.52 | 8 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,772.80 – $2,957.33 | 8 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.66 – $2.21 | 3 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $2.11 – $2.11 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $166.24 – $172.89 | 6 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $5.29 – $5.50 | 8 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $70.43 – $75.86 | 8 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $12.10 – $12.58 | 6 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $6,080,690.01 – $6,080,690.01 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $2.94 – $3.06 | 8 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $61.07 – $63.51 | 8 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $61.30 – $61.30 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $55.43 – $73.91 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $71.62 – $71.62 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $812.43 – $812.43 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $264.00 – $264.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $394.99 – $394.99 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.48 – $1.59 | 8 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $3,860.50 | $3,860.50 | $5.14 – $5.35 | 6 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $76.95 – $80.64 | 8 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $15.02 – $15.62 | 6 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.50 – $2.70 | 8 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $77.30 – $82.84 | 8 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $0.23 | 3 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $484.40 – $515.37 | 8 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $295.27 – $1,330.82 | 10 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.12 – $1.51 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $64.86 – $334.48 | 10 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $169.39 – $334.48 | 5 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.67 – $13.51 | 8 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $49.18 – $52.29 | 8 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.92 – $2.15 | 8 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.45 – $2.55 | 8 |
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.