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 |
|---|---|---|---|---|
| Safety plan interven HCPCS G0560 | not published | not published | $34.69 – $34.69 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $109.66 – $457.55 | 14 |
| Salivary gland imaging CPT 78230 | not published | not published | $205.91 – $457.55 | 14 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $113.37 – $848.52 | 8 |
| Salmonella antibody CPT 86768 | not published | not published | $6.68 – $28.91 | 21 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,636.18 – $4,499.77 | 3 |
| Sargramostim injection HCPCS J2820 | $2,276.20 | $2,276.20 | $59.88 – $64.22 | 8 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $35.81 – $78.17 | 17 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $161.54 – $199.60 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | $34.65 | $34.65 | $17.91 – $53.70 | 17 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $48.50 | $48.50 | $30.94 – $106.84 | 18 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,846.26 – $8,500.77 | 10 |
| Sbrt management CPT 77435 | not published | not published | $528.23 – $1,106.69 | 11 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | not published | not published | $79.38 – $271.84 | 8 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | not published | not published | $35.62 – $121.96 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,214.51 | $1,214.51 | $79.38 – $271.84 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $598.51 | $598.51 | $35.62 – $121.96 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $35.62 – $121.96 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | not published | not published | $104.75 – $121.96 | 8 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | not published | not published | $79.38 – $271.84 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $35.62 – $121.96 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $35.62 – $121.96 | 8 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,411.60 – $5,848.90 | 9 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $636.78 – $1,134.16 | 10 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $9.00 – $28.18 | 11 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $21.98 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $16.19 – $48.55 | 11 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $22.29 – $66.83 | 11 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $13.43 – $40.26 | 11 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $13.71 – $41.12 | 11 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $10.27 – $30.80 | 11 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $21.98 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $567.46 – $595.83 | 7 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $567.46 – $595.83 | 7 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $9.15 – $27.44 | 11 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $14.34 – $42.97 | 11 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $23.50 – $70.45 | 11 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $12.21 – $36.60 | 11 |
| Screening Mammogram CPT 77067 | not published | not published | $72.25 – $164.74 | 20 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $21.98 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $740.70 | $740.70 | $9.79 – $29.35 | 11 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $9.00 – $28.18 | 11 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.61 – $2.61 | 1 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $16.83 – $17.67 | 7 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $452.40 – $475.02 | 7 |
| Sedimentation rate erythrocyte automated CPT 85652 | not published | not published | $1.37 – $5.78 | 21 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $4,792.69 – $4,792.69 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $94.24 – $94.24 | 1 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.11 – $1.20 | 9 |
| Semen analysis HCPCS G0027 | not published | not published | $3.30 – $9.88 | 11 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $6.11 – $26.33 | 15 |
| Semen analysis w/count CPT 89310 | not published | not published | $4.37 – $19.28 | 15 |
| Sensorimotor examination CPT 92060 | not published | not published | $142.87 – $142.87 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $31.10 – $31.10 | 1 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $757.00 – $3,586.22 | 10 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $97.34 – $291.84 | 12 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $8,969.65 – $11,099.94 | 3 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $4,232.06 – $5,237.18 | 3 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Serial casting application 97139app CPT 97139 | not published | not published | $41.33 – $41.33 | 1 |
| Serial tonometry CPT 92100 | not published | not published | $225.30 – $225.30 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.21 – $2.21 | 1 |
| Serpina1 gene CPT 81332 | $1,078.43 | $1,078.43 | $22.13 – $96.37 | 15 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $23.71 – $43.05 | 10 |
| Set radiation therapy field CPT 77280 | not published | not published | $74.83 – $397.40 | 13 |
| Set radiation therapy field CPT 77285 | not published | not published | $201.24 – $655.07 | 13 |
| Set radiation therapy field CPT 77290 | not published | not published | $201.24 – $796.30 | 13 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $18.19 – $19.10 | 7 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.17 – $0.17 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.51 – $0.51 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $625.47 – $3,188.57 | 10 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,851.24 – $2,000.84 | 9 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,185.66 – $2,362.28 | 9 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,074.69 – $2,242.35 | 9 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,851.24 – $2,000.84 | 9 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,185.66 – $2,362.28 | 9 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,185.66 – $2,362.28 | 9 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,851.24 – $2,000.84 | 9 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,074.69 – $2,242.35 | 9 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $932.31 – $1,007.65 | 9 |
| Sex chromatin identification CPT 88130 | not published | not published | $9.12 – $39.83 | 21 |
| Sex chromatin identification CPT 88140 | not published | not published | $4.05 – $17.34 | 15 |
| Sex transformation f to m CPT 55980 | not published | not published | $4,314.53 – $5,339.23 | 3 |
| Sex transformation m to f CPT 55970 | not published | not published | $3,636.18 – $4,499.77 | 3 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $97.98 – $293.74 | 18 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $559.12 – $1,853.93 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $208.00 – $334.48 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $208.00 – $334.48 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $228.80 – $615.34 | 10 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $228.80 – $615.34 | 10 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $171.60 – $334.48 | 10 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $171.60 – $334.48 | 10 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $171.60 – $334.48 | 10 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $171.60 – $615.34 | 10 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $171.60 – $334.48 | 10 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $171.60 – $334.48 | 10 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $171.60 – $334.48 | 10 |
| Sheath above knee HCPCS L8410 | not published | not published | $25.68 – $27.76 | 9 |
| Sheath below knee HCPCS L8400 | not published | not published | $22.20 – $23.99 | 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.