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 |
|---|---|---|---|---|
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $362.66 | $362.66 | $48.57 – $187.59 | 21 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $839.55 | $839.55 | $26.01 – $113.07 | 21 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $119.50 | $119.50 | $41.43 – $77.99 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $431.75 | $431.75 | $211.31 – $918.01 | 21 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $5,660.80 | $5,660.80 | $247.75 – $1,076.68 | 21 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $13.22 – $57.17 | 21 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $20.98 – $62.90 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $531.57 | $531.57 | $6.08 – $26.33 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $451.79 | $451.79 | $6.80 – $26.33 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $370.46 | $370.46 | $7.00 – $26.33 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $181.33 | $181.33 | $6.08 – $26.33 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $976.73 | $976.73 | $7.29 – $31.48 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $698.49 | $698.49 | $5.23 – $22.48 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $257.14 | $257.14 | $5.23 – $22.48 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $54.93 | $54.93 | $12.21 – $53.32 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $6.08 – $26.33 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $631.57 | $631.57 | $6.08 – $26.33 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $71.80 | $71.80 | $6.08 – $26.33 | 21 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $17.79 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $1,050.72 | $1,050.72 | $17.79 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $18.90 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $211.31 – $918.01 | 21 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $17.79 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $17.79 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $1,344.11 | $1,344.11 | $21.13 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $1,050.72 | $1,050.72 | $17.79 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | not published | not published | $26.01 – $77.99 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $94.22 | $94.22 | $72.31 – $216.80 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $94.22 | $94.22 | $72.31 – $216.80 | 18 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $17.79 – $77.09 | 21 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $210.98 | $210.98 | $17.79 – $77.09 | 15 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $69.48 – $106.67 | 10 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.00 – $116.69 | 10 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $672.97 – $1,033.25 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $894.30 | $894.30 | $211.31 – $918.01 | 21 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $65.04 – $282.66 | 21 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $133.33 – $470.24 | 21 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $21.72 – $94.44 | 21 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $890.37 | $890.37 | $21.72 – $94.44 | 21 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $21.72 – $94.44 | 21 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $43.15 – $187.59 | 21 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $72.31 – $282.66 | 21 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $30.52 – $33.72 | 8 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $19.75 – $24.76 | 8 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,604.33 | $1,604.33 | $15.91 – $25.19 | 8 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $14.81 – $52.03 | 21 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $90.50 | $90.50 | $83.49 – $161.96 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $28.87 – $49.02 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $129.99 – $136.49 | 7 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $200.48 – $210.50 | 7 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $131.61 – $138.19 | 7 |
| Infuse radioactive materials CPT 77750 | not published | not published | $152.23 – $298.14 | 6 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $736.31 | $736.31 | $69.09 – $72.54 | 7 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,387.08 – $2,579.97 | 9 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $2,039.10 – $2,203.88 | 9 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $37.43 – $37.43 | 1 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,595.62 – $1,724.56 | 9 |
| Initial observation care CPT 99218 | not published | not published | $165.89 – $165.89 | 1 |
| Initial observation care CPT 99219 | not published | not published | $224.69 – $224.69 | 1 |
| Initial observation care CPT 99220 | not published | not published | $303.50 – $303.50 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $48.82 – $48.82 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $98.64 – $98.64 | 1 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.87 – $9.93 | 2 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.03 – $7.57 | 8 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.23 | 8 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.08 | 2 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.05 – $0.10 | 2 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.08 | 2 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,893.43 – $6,884.67 | 2 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.72 – $96.31 | 7 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.54 – $11.07 | 7 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,235.60 – $66,845.78 | 8 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $6.28 | 8 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.52 – $36.90 | 8 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $795.86 – $900.85 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $306.99 – $337.24 | 8 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.51 – $1.64 | 8 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.42 – $2.54 | 7 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.40 – $4.67 | 8 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.84 – $145.02 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $33.01 – $48.35 | 8 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.54 – $10.02 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $125.00 – $131.25 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.78 – $19.07 | 8 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,445.58 – $5,860.37 | 2 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.90 – $1.98 | 7 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.14 – $3.30 | 8 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $47.62 – $50.00 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $490.46 – $521.51 | 8 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $54.38 – $58.43 | 8 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $30.88 – $33.38 | 8 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $102.92 – $112.81 | 8 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $77.82 – $84.55 | 8 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $163.30 – $171.47 | 8 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $80.42 – $80.42 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,968,000.00 – $3,116,400.00 | 7 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.87 – $41.86 | 8 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $209.91 – $222.45 | 8 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.18 – $0.26 | 2 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $25.63 – $27.58 | 7 |
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.