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 |
|---|---|---|---|---|
| Revision of knee joint CPT 27440 | not published | not published | $4,263.54 – $20,042.00 | 11 |
| Revision of knee joint CPT 27441 | not published | not published | $4,263.54 – $20,042.00 | 11 |
| Revision of knee joint CPT 27442 | not published | not published | $4,263.54 – $20,042.00 | 11 |
| Revision of knee joint CPT 27443 | not published | not published | $4,263.54 – $20,042.00 | 11 |
| Revision of knee joint CPT 27446 | not published | not published | $4,263.54 – $20,042.00 | 12 |
| Revision of knee joint CPT 27445 | not published | not published | $520.00 – $546.00 | 7 |
| Revision of larynx CPT 31400 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $1,032.58 – $1,946.14 | 10 |
| Revision of neck muscle CPT 21700 | not published | not published | $2,317.55 – $5,237.18 | 10 |
| Revision of neck muscle CPT 21720 | not published | not published | $4,232.06 – $5,237.18 | 3 |
| Revision of neck muscle CPT 21725 | not published | not published | $916.50 – $1,134.16 | 3 |
| Revision of nose CPT 30120 | not published | not published | $1,042.99 – $4,353.82 | 10 |
| Revision of nose CPT 30430 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revision of nose CPT 30435 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revision of nose CPT 30450 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revision of nose CPT 30460 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revision of nose CPT 30462 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revision of penis CPT 54300 | not published | not published | $1,129.34 – $5,339.23 | 10 |
| Revision of penis CPT 54304 | not published | not published | $1,129.34 – $3,357.23 | 10 |
| Revision of penis CPT 54420 | not published | not published | $1,129.34 – $3,357.23 | 10 |
| Revision of penis CPT 54430 | not published | not published | $400.70 – $420.74 | 7 |
| Revision of penis CPT 54435 | not published | not published | $1,129.34 – $3,357.23 | 10 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $557.44 – $585.31 | 7 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,045.20 – $1,097.46 | 7 |
| Revision of radius CPT 25350 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Revision of radius CPT 25355 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $625.47 – $3,188.57 | 10 |
| Revision of scrotum CPT 55175 | not published | not published | $1,129.34 – $5,339.23 | 10 |
| Revision of scrotum CPT 55180 | not published | not published | $1,676.23 – $7,337.42 | 10 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,157.97 – $9,161.99 | 10 |
| Revision of testis CPT 54660 | not published | not published | $5,929.23 – $7,337.42 | 3 |
| Revision of thigh muscles CPT 27430 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Revision of toe CPT 28312 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Revision of ulna CPT 25360 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Revision of urethra CPT 53450 | not published | not published | $1,129.34 – $3,357.23 | 10 |
| Revision of urethra CPT 53460 | not published | not published | $1,129.34 – $7,337.42 | 10 |
| Revision of urethra CPT 57220 | not published | not published | $6,578.43 – $8,140.81 | 3 |
| Revision of urinary tract CPT 51820 | not published | not published | $338.00 – $354.90 | 7 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,780.21 – $8,444.05 | 10 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,941.58 – $8,590.21 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Revision tips CPT 37183 | not published | not published | $8,135.46 – $10,067.63 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $6,490.87 – $20,042.00 | 11 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $209.78 – $209.78 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $209.78 – $1,030.14 | 2 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,568.15 – $8,444.05 | 10 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,568.15 – $8,444.05 | 10 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $12,153.17 – $15,039.55 | 3 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $286.96 – $301.31 | 7 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $4,606.67 – $5,700.76 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,112.43 – $5,700.76 | 10 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,312.16 – $5,700.76 | 10 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $10,314.28 – $10,829.99 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $10,314.28 – $10,829.99 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $10,421.42 – $10,942.49 | 7 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $7,464.20 – $7,837.41 | 7 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,031.33 – $2,132.90 | 7 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.42 – $11.25 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,117.58 – $1,173.46 | 7 |
| Rheumatoid factor qualitative CPT 86430 | $387.63 | $387.63 | $3.11 – $12.21 | 21 |
| Rheumatoid factor quantitative CPT 86431 | $491.24 | $491.24 | $2.88 – $12.21 | 21 |
| Rh ig IV CPT 90386 | not published | not published | $1,096.84 – $1,096.84 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $28.95 – $30.40 | 7 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.83 – $5.12 | 8 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $22.93 – $24.80 | 8 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $32.51 – $35.27 | 8 |
| Rho d immune globulin inj HCPCS J2790 | $245.70 | $245.70 | $77.16 – $83.75 | 8 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $82.83 – $86.97 | 7 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $1,924.99 – $8,371.00 | 8 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $1,924.99 – $8,371.00 | 8 |
| Rhythm ecg with report CPT 93040 | not published | not published | $8.01 – $8.41 | 7 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,941.58 – $8,590.21 | 3 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $98.15 – $106.08 | 9 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $4,514.40 – $4,514.40 | 1 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $595.95 | $595.95 | $0.14 – $0.25 | 2 |
| Right ventric recording CPT 93603 | not published | not published | $298.79 – $298.79 | 1 |
| Rilonacept injection HCPCS J2793 | not published | not published | $27.10 – $28.46 | 7 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $7.19 – $7.77 | 9 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $366.07 – $395.65 | 9 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $198.97 – $215.05 | 9 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $709.40 – $766.73 | 9 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $7.19 – $7.77 | 9 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.86 – $15.60 | 8 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.50 – $11.63 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $74.77 – $80.25 | 8 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.87 – $39.41 | 8 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $30.15 – $36.50 | 8 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $20.90 – $34.74 | 8 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $13.27 – $26.19 | 8 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $1,924.99 – $8,371.00 | 8 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $1,924.99 – $8,371.00 | 8 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $520.00 – $546.00 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $343.20 – $1,134.16 | 10 |
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.