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 |
|---|---|---|---|---|
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,011.38 – $1,061.95 | 7 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $88.63 – $312.22 | 15 |
| Sleep study attended CPT 95807 | $10,532.69 | $10,532.69 | $265.17 – $278.43 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $383.02 – $402.17 | 7 |
| Sleep study unattended CPT 95806 | $2,086.11 | $2,086.11 | $38.63 – $40.56 | 7 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $235.09 – $254.08 | 9 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $10.87 – $11.75 | 9 |
| Sling pelv split sam med HCPCS L0621 | $784.00 | $784.00 | $74.25 – $80.25 | 9 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,129.34 – $3,357.23 | 10 |
| Slitting of prepuce CPT 54001 | not published | not published | $659.82 – $3,357.23 | 10 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $30.28 – $30.28 | 1 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $86.52 – $86.52 | 1 |
| Slp pure tone screening CPT 92551 | not published | not published | $11.67 – $11.67 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $43.17 – $45.33 | 7 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $74.22 – $74.22 | 1 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $5,213.67 – $5,213.67 | 1 |
| Small animal inoculation CPT 87003 | not published | not published | $8.54 – $37.26 | 21 |
| Small bowel endoscopy CPT 44360 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy CPT 44364 | not published | not published | $2,283.66 – $2,826.03 | 3 |
| Small bowel endoscopy CPT 44366 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy CPT 44369 | not published | not published | $2,283.66 – $2,826.03 | 3 |
| Small bowel endoscopy CPT 44376 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy CPT 44378 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy CPT 44382 | not published | not published | $293.65 – $1,472.01 | 10 |
| Small bowel endoscopy CPT 44384 | not published | not published | $576.01 – $5,431.65 | 10 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $616.42 – $2,826.03 | 10 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $293.65 – $1,472.01 | 10 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $576.01 – $2,826.03 | 10 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,846.26 – $8,500.77 | 10 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.02 – $286.20 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $2.73 – $11.56 | 21 |
| Smear gram stain CPT 87205 | not published | not published | $2.17 – $9.63 | 21 |
| Smear nasal eosinophil CPT 89190 | $220.65 | $220.65 | $2.93 – $10.28 | 21 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $3.03 – $13.49 | 15 |
| Smear wet mount CPT 87210 | $225.37 | $225.37 | $2.95 – $10.28 | 21 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $152.79 – $458.05 | 18 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $93.90 – $281.50 | 18 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $23.83 – $84.16 | 15 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $25.90 – $91.22 | 15 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,302.44 – $1,407.69 | 9 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $992.80 – $1,073.03 | 9 |
| Socket insert above knee HCPCS L5658 | not published | not published | $530.58 – $573.46 | 9 |
| Socket insert below knee HCPCS L5655 | not published | not published | $321.47 – $347.45 | 9 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $509.43 – $550.60 | 9 |
| Socket insert symes HCPCS L5654 | not published | not published | $429.65 – $464.37 | 9 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $756.61 – $817.75 | 9 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $907.91 – $981.28 | 9 |
| Sock fracture or equal each HCPCS L3995 | $412.00 | $412.00 | $36.40 – $39.34 | 9 |
| Sock wool above knee HCPCS L8430 | not published | not published | $29.62 – $32.01 | 9 |
| Sodium 24 hour urine CPT 84300 | $318.55 | $318.55 | $2.57 – $10.92 | 21 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $90.50 | $90.50 | $1.99 – $2.59 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $89.90 | $89.90 | $1.24 – $1.34 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.62 – $0.69 | 8 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.15 – $0.16 | 7 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $261.65 | $261.65 | $1.94 – $2.30 | 8 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $72.97 – $77.66 | 8 |
| Sodium serum/plasma/whole blood CPT 84295 | $318.55 | $318.55 | $2.44 – $10.92 | 21 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $1.45 – $1.45 | 1 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $98.79 – $106.78 | 9 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,331.86 – $2,044.87 | 10 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,183.87 – $1,817.66 | 10 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,255.62 – $4,998.54 | 10 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,035.89 – $1,590.45 | 10 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.90 – $5.30 | 9 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $10.51 – $11.36 | 9 |
| Somatosensory testing CPT 95927 | not published | not published | $101.68 – $106.76 | 7 |
| Somatropin injection HCPCS J2941 | not published | not published | $58.00 – $60.90 | 7 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,959.65 – $4,544.12 | 10 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $887.90 – $1,363.24 | 10 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $41.40 – $41.40 | 1 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $193.36 – $208.98 | 9 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $887.12 – $931.48 | 7 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $858.00 – $900.90 | 7 |
| Special physics consult CPT 77370 | not published | not published | $112.59 – $202.70 | 13 |
| Special pump services CPT 99190 | not published | not published | $73.22 – $76.88 | 7 |
| Special pump services CPT 99191 | not published | not published | $54.91 – $57.66 | 7 |
| Special pump services CPT 99192 | not published | not published | $36.61 – $38.44 | 7 |
| Special radiation dosimetry CPT 77331 | not published | not published | $25.45 – $150.53 | 13 |
| Special radiation treatment CPT 77470 | not published | not published | $41.18 – $653.05 | 13 |
| Special supplies phys/qhp CPT 99070 | not published | not published | $7.15 – $7.51 | 7 |
| Special teletx port plan CPT 77321 | not published | not published | $58.77 – $409.91 | 13 |
| Specific gravity body fluid CPT 84315 | $157.35 | $157.35 | $1.66 – $5.78 | 21 |
| Specimen fat stain CPT 89125 | $341.58 | $341.58 | $2.98 – $10.28 | 21 |
| Speech audiometry complete CPT 92556 | not published | not published | $23.32 – $61.18 | 8 |
| Speech evaluation complex CPT 70371 | not published | not published | $61.54 – $271.84 | 15 |
| Speech recep thresh CPT 92555 | not published | not published | $19.82 – $47.41 | 9 |
| Sperm antibody test CPT 89325 | not published | not published | $5.41 – $23.77 | 15 |
| Sperm evaluation test CPT 89329 | not published | not published | $9.93 – $43.05 | 15 |
| Sperm identification CPT 89257 | not published | not published | $26.18 – $96.93 | 4 |
| Sperm isolation complex CPT 89261 | not published | not published | $26.18 – $96.93 | 4 |
| Sperm isolation simple CPT 89260 | not published | not published | $26.18 – $96.93 | 4 |
| Sperm washing 58323 CPT 58323 | not published | not published | $257.10 – $318.17 | 3 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,897.10 – $8,590.21 | 10 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $909.58 – $4,584.63 | 10 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $406.28 – $426.59 | 7 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,735.46 – $8,122.23 | 7 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $168.21 – $176.62 | 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.