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 |
|---|---|---|---|---|
| Sheath upper limb HCPCS L8415 | not published | not published | $29.47 – $31.85 | 9 |
| Shigella antibody CPT 86771 | not published | not published | $7.80 – $43.69 | 21 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $5,084.53 – $5,495.40 | 9 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $4,970.07 – $5,371.69 | 9 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $17,409.05 – $18,815.84 | 9 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $8,969.65 – $11,099.94 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,048.57 – $5,237.18 | 10 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $60.04 – $64.90 | 9 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $52.36 – $56.59 | 9 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $49.26 – $53.24 | 9 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $41.56 – $44.92 | 9 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $75.43 – $81.52 | 9 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $127.80 – $138.13 | 9 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $75.43 – $81.52 | 9 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $70.83 – $76.56 | 9 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $98.57 – $106.54 | 9 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $112.43 – $121.52 | 9 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $49.26 – $53.24 | 9 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $60.04 – $64.90 | 9 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $50.00 – $52.50 | 7 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $60.04 – $64.90 | 9 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $43.09 – $46.58 | 9 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $103.18 – $111.52 | 9 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $194.03 – $209.71 | 9 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $639.72 – $691.41 | 9 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $63.14 – $68.24 | 9 |
| Shortening of hand tendon CPT 26479 | not published | not published | $2,159.74 – $2,672.68 | 3 |
| Shorten radius or ulna CPT 25390 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Shorten radius & ulna CPT 25392 | not published | not published | $2,317.55 – $5,237.18 | 10 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $348.44 – $376.60 | 9 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $410.07 – $443.20 | 9 |
| Shoulder harness HCPCS L5699 | not published | not published | $225.98 – $244.24 | 9 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $629.88 – $680.78 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $206.69 – $1,078.30 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $390.07 – $1,074.00 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $131.00 – $1,074.00 | 15 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,173.89 – $4,602.91 | 10 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $410.25 – $443.40 | 9 |
| Shoulder X-ray CPT 73030 | not published | not published | $25.91 – $100.81 | 15 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $80.77 – $87.30 | 9 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $50.82 – $54.92 | 9 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $59.11 – $63.89 | 9 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $836.16 – $877.97 | 7 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $50.69 – $141.71 | 15 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $6.19 – $26.98 | 21 |
| Sialography s&i CPT 70390 | not published | not published | $98.10 – $271.84 | 15 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $1,042.99 – $4,353.82 | 10 |
| Sickling rbc CPT 85660 | $387.63 | $387.63 | $2.79 – $12.21 | 21 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $296.08 – $1,405.66 | 10 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $1,498.13 – $1,853.93 | 3 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,498.13 – $1,853.93 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $1,135.89 – $1,405.66 | 3 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $559.12 – $1,853.93 | 10 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $382.28 – $1,853.93 | 10 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $559.12 – $8,500.77 | 10 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $559.12 – $1,853.93 | 10 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $382.28 – $1,853.93 | 10 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $296.08 – $1,853.93 | 10 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $382.28 – $1,853.93 | 10 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $296.08 – $1,405.66 | 10 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $1,523.57 | $1,523.57 | $39.69 – $41.67 | 7 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,498.13 – $1,853.93 | 3 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $685.84 – $741.26 | 9 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $80.06 – $454.43 | 10 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $299.58 | $299.58 | $143.26 – $181.71 | 2 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $245.18 – $245.18 | 1 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $224.48 – $242.62 | 9 |
| Sinus CT scan (with and without contrast) CPT 70488 | not published | not published | $101.17 – $568.02 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | not published | not published | $101.17 – $474.00 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | not published | not published | $59.96 – $474.00 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | $12,005.58 | $12,005.58 | $115.22 – $3,536.14 | 15 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,042.99 – $4,353.82 | 10 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $351.22 – $379.60 | 9 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $133.10 – $143.85 | 9 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $54,404.11 – $59,867.96 | 8 |
| Sirolimus, oral HCPCS J7520 | $16.10 | $16.10 | $1.14 – $1.60 | 2 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $87.11 – $123.51 | 8 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $276.75 – $299.12 | 9 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $694.63 | $694.63 | $10.40 – $43.05 | 10 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $10.40 – $10.92 | 7 |
| Skin and muscle repair face CPT 15845 | not published | not published | $4,336.48 – $5,366.39 | 3 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.85 – $9.57 | 9 |
| Skin Biopsy CPT 11102 | not published | not published | $126.16 – $132.47 | 7 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $590.76 – $3,105.27 | 10 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $320.10 – $336.11 | 7 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,162.21 – $5,366.39 | 10 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $590.76 – $3,105.27 | 10 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $260.00 – $273.00 | 7 |
| Skin test unlisted antigen ea CPT 86486 | $999.75 | $999.75 | $3.15 – $23.02 | 14 |
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.