LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $757.09 | $757.09 | $14.84 – $64.24 | 21 |
| 17-hydroxypregnenolone CPT 84143 | $1,189.73 | $1,189.73 | $11.57 – $50.10 | 21 |
| 17-ketosteroids CPT 83586 | $779.09 | $779.09 | $6.49 – $28.26 | 21 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $8.13 – $8.78 | 9 |
| 1 pc ost pouch w filter HCPCS A5056 | $3.00 | $3.00 | $6.59 – $7.13 | 9 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $13.54 – $14.64 | 9 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $18.21 – $54.60 | 17 |
| 2nd order venous cath CPT 36012 | not published | not published | $416.00 – $436.80 | 7 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $198.11 – $198.11 | 1 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $352.04 – $352.04 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $360.46 – $1,537.19 | 13 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $17.58 – $111.64 | 12 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $2,046.99 – $2,212.41 | 9 |
| 5' nucleotidase - sendout CPT 83915 | $443.26 | $443.26 | $5.66 – $24.41 | 21 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $600.60 | $600.60 | $9.63 – $74.99 | 13 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $58.80 – $58.80 | 1 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $63.14 – $63.14 | 1 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $66.94 – $66.94 | 1 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $53.65 – $53.65 | 1 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $58.80 – $58.80 | 1 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $58.80 – $58.80 | 1 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $66.94 – $66.94 | 1 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $79.12 – $79.12 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.38 – $46.56 | 8 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $92.10 | $92.10 | $6.09 – $26.33 | 21 |
| Abciximab injection HCPCS J0130 | $4,083.76 | $4,083.76 | $951.77 – $951.77 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $107.35 – $3,536.14 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $468.00 – $491.40 | 7 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $624.00 – $655.20 | 7 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $624.00 – $655.20 | 7 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $624.00 – $655.20 | 7 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $624.00 – $655.20 | 7 |
| Abdominal CT scan (with and without contrast) CPT 74170 | not published | not published | $101.17 – $672.77 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | not published | not published | $101.17 – $490.23 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | not published | not published | $59.96 – $474.00 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $16,354.45 | $16,354.45 | $206.69 – $1,143.23 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $14,858.33 | $14,858.33 | $206.69 – $1,074.00 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $13,080.03 | $13,080.03 | $131.00 – $1,074.00 | 15 |
| Abdominal pad HCPCS L1270 | not published | not published | $88.14 – $95.26 | 9 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $260.47 – $1,472.01 | 10 |
| Abdominal Ultrasound (complete) CPT 76700 | not published | not published | $59.96 – $182.69 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | not published | not published | $59.96 – $141.11 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $7,698.46 – $9,526.85 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $260.47 – $1,472.01 | 10 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $211.05 – $228.10 | 9 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $318.05 – $343.75 | 9 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $139.96 – $151.27 | 9 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $107.80 – $116.51 | 9 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $98.57 – $106.54 | 9 |
| Abl1 gene CPT 81170 | not published | not published | $152.10 – $535.12 | 15 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $192.87 – $202.51 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $2,542.80 – $11,099.94 | 10 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $1,457.67 – $11,099.94 | 10 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $2,419.31 – $6,991.75 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $494.04 – $2,253.44 | 10 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $494.04 – $2,253.44 | 10 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $3,034.35 – $3,186.07 | 7 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $1,552.42 – $8,886.97 | 10 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $540.27 | $540.27 | $83.79 – $87.98 | 7 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $1,189.50 – $1,854.40 | 10 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $3,152.58 – $8,886.97 | 10 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $125.74 – $425.48 | 10 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $2,767.74 – $8,886.97 | 10 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $221.08 – $742.60 | 10 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $125.74 – $425.48 | 10 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $157.06 – $484.47 | 10 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $2,869.04 – $3,012.49 | 7 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.80 – $9.49 | 8 |
| Abortion (mpr) CPT 59866 | not published | not published | $429.33 – $531.29 | 3 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $4,556.99 – $4,925.23 | 9 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $873.16 – $943.72 | 9 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,394.16 – $1,506.82 | 9 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $3,345.75 – $3,616.12 | 9 |
| Above knee leather socket HCPCS L5642 | not published | not published | $769.47 – $831.65 | 9 |
| Above knee manual lock HCPCS L5925 | not published | not published | $538.93 – $582.48 | 9 |
| Above knee wood socket HCPCS L5644 | not published | not published | $782.53 – $845.76 | 9 |
| Abrasion lesion single CPT 15786 | not published | not published | $171.60 – $334.48 | 10 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $826.91 – $2,668.92 | 10 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $200.82 – $262.94 | 4 |
| Abscess imaging whole body CPT 78806 | not published | not published | $397.94 – $524.78 | 4 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $4.30 – $4.64 | 9 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $4.59 – $4.96 | 9 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.68 – $1.82 | 9 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $2.81 – $3.04 | 9 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $8.94 – $9.66 | 9 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $90.50 | $90.50 | $0.05 – $0.06 | 8 |
| Acetaminophen level CPT 80143 | $575.66 | $575.66 | $9.45 – $28.33 | 18 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $231.19 | $231.19 | $19.06 – $26.61 | 8 |
| Acetone qualitative CPT 82009 | $237.96 | $237.96 | $2.29 – $10.28 | 21 |
| Acetylcholine receptor modulating antibody CPT 86043 | $1,069.49 | $1,069.49 | $6.11 – $18.32 | 16 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $6.23 – $24.41 | 21 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.37 – $0.47 | 8 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.44 – $8.86 | 8 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $173.63 – $182.31 | 7 |
| Acne surgery 10040 CPT 10040 | not published | not published | $270.29 – $334.48 | 3 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $133.19 – $181.08 | 9 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $104.81 – $142.62 | 9 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $128.36 | $128.36 | $13.90 – $15.02 | 9 |
| Acoustic immitance testing CPT 92570 | not published | not published | $17.02 – $81.03 | 9 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $12.99 – $40.81 | 9 |
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.