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 |
|---|---|---|---|---|
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $525.22 – $2,668.92 | 10 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $416.00 – $436.80 | 7 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $416.00 – $436.80 | 7 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $468.00 – $491.40 | 7 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $416.00 – $436.80 | 7 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $494.04 – $2,253.44 | 10 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $222.22 – $910.48 | 10 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.48 – $2.23 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $99.55 | $99.55 | $8.57 – $11.85 | 2 |
| Drop lock knee HCPCS L2182 | not published | not published | $125.11 – $135.22 | 9 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $38.46 – $41.57 | 9 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.53 – $209.78 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $20.00 | $20.00 | $12.01 – $209.78 | 2 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $9.09 – $209.78 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $15.43 – $16.68 | 9 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $209.78 – $209.78 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $209.78 – $209.78 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $100.80 | $100.80 | $49.79 – $209.78 | 2 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $209.78 – $209.78 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $209.78 – $209.78 | 1 |
| Drug assay caffeine CPT 80155 | $82.04 | $82.04 | $19.55 – $68.74 | 15 |
| Drug assay posaconazole CPT 80187 | not published | not published | $13.74 – $41.21 | 18 |
| Drug assay rufinamide CPT 80210 | not published | not published | $13.74 – $41.21 | 18 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $19.55 – $58.63 | 18 |
| Drug assay voriconazole CPT 80285 | $270.38 | $270.38 | $13.74 – $41.21 | 18 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $9.45 – $28.33 | 18 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $6.39 – $19.15 | 18 |
| Drug screening tapentadol CPT 80372 | not published | not published | $10.40 – $43.05 | 10 |
| Drug screen quant tiagabine CPT 80199 | $201.48 | $201.48 | $13.74 – $48.18 | 15 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $17.88 – $43.05 | 10 |
| Drug test def 15-21 classes HCPCS G0482 | $22.36 | $22.36 | $191.15 – $302.08 | 11 |
| Drug test def 1-7 classes HCPCS G0480 | $67.07 | $67.07 | $58.02 – $173.93 | 11 |
| Drug test def 22+ classes HCPCS G0483 | $22.36 | $22.36 | $237.49 – $375.32 | 11 |
| Drug test def 8-14 classes HCPCS G0481 | $22.36 | $22.36 | $150.61 – $238.02 | 11 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $31.50 – $94.45 | 11 |
| Drug test prsmv instrmnt CPT 80306 | $961.37 | $961.37 | $8.69 – $26.05 | 18 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $861.83 | $861.83 | $31.50 – $94.45 | 18 |
| Drvvt confirm - quest CPT 85597 | $307.02 | $307.02 | $9.12 – $39.83 | 21 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,252.51 – $5,843.71 | 10 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,117.58 – $1,173.46 | 7 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $343.20 – $615.34 | 10 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $343.20 – $615.34 | 10 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $343.20 – $966.58 | 10 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $343.20 – $966.58 | 10 |
| Ductogram sgl duct CPT 77053 | $3,941.02 | $3,941.02 | $52.75 – $271.84 | 15 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $141.64 – $271.84 | 8 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $64.90 – $121.96 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $617.32 | $617.32 | $46.90 – $121.96 | 8 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $712.67 | $712.67 | $50.60 – $173.29 | 8 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $79.38 – $271.84 | 8 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $209.78 – $209.78 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $14,447.65 | $14,447.65 | $83.87 – $89.72 | 8 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $54.60 – $121.96 | 14 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $74.42 – $78.14 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $12.34 – $12.96 | 7 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $549.83 – $2,620.75 | 10 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $549.83 – $2,620.75 | 10 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $549.83 – $2,620.75 | 10 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $209.96 – $209.96 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $44.88 – $1,472.01 | 10 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $44.88 – $1,472.01 | 10 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $398.10 – $492.64 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $35.60 – $269.89 | 10 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $257.40 – $743.37 | 10 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $549.83 – $2,620.75 | 10 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $2,712.91 – $3,357.23 | 3 |
| Ear and throat examination CPT 92502 | not published | not published | $178.24 – $263.68 | 8 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $494.04 – $2,253.44 | 10 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $37.81 – $110.80 | 10 |
| Ear protector evaluation CPT 92596 | not published | not published | $63.13 – $63.13 | 1 |
| Ecallantide injection HCPCS J1290 | $13,834.26 | $13,834.26 | $564.64 – $602.94 | 8 |
| Ecg 12 lead tracing only CPT 93005 | $1,555.17 | $1,555.17 | $20.86 – $21.90 | 7 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $9.99 – $10.49 | 7 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $19.82 – $20.81 | 7 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $139.89 – $146.88 | 7 |
| Ecg external < 48 hours recording CPT 93225 | $665.39 | $665.39 | $43.85 – $46.04 | 7 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $5,609.96 | $5,609.96 | $58.28 – $61.19 | 7 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $240.62 | $240.62 | $22.00 – $23.10 | 7 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $240.62 | $240.62 | $36.18 – $37.99 | 7 |
| Ecg record/review CPT 93268 | not published | not published | $132.42 – $132.42 | 1 |
| Ecg/review interpret only CPT 93272 | not published | not published | $19.28 – $19.28 | 1 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | not published | not published | $291.61 – $850.61 | 8 |
| Echocardiography doppler color flow mapping CPT 93325 | not published | not published | $56.93 – $401.10 | 8 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | not published | not published | $79.38 – $442.03 | 8 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $39.81 – $200.56 | 8 |
| Echo exam of eye CPT 76516 | not published | not published | $50.44 – $121.96 | 15 |
| Echo exam of eye CPT 76519 | not published | not published | $56.45 – $121.96 | 15 |
| Echo exam of eye CPT 76529 | not published | not published | $48.74 – $100.81 | 15 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $3.64 – $33.04 | 15 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $127.09 – $612.01 | 15 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $46.43 – $271.84 | 15 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $59.96 – $121.96 | 15 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $32.86 – $121.96 | 15 |
| Echo exam uterus 76831- CPT 76831 | $915.49 | $915.49 | $98.96 – $271.84 | 15 |
| Echograp trans r pros study CPT 76873 | not published | not published | $59.96 – $182.08 | 15 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $27.04 – $358.02 | 13 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $175.95 – $175.95 | 1 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $74.03 – $95.12 | 4 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $17.12 – $98.96 | 13 |
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.