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 |
|---|---|---|---|---|
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.07 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $17.88 – $43.05 | 10 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $487.89 | $487.89 | $37.00 – $38.85 | 7 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.44 – $3.71 | 9 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $9.69 – $10.17 | 7 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $25.61 – $27.68 | 9 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $78.37 – $84.70 | 9 |
| Supprelin la implant HCPCS J9226 | not published | not published | $43,185.34 – $47,472.64 | 8 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $58.80 – $58.80 | 1 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $50.94 – $50.94 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $85.64 – $4,584.63 | 10 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $452.40 – $475.02 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $452.40 – $475.02 | 7 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,129.34 – $7,337.42 | 10 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $4,232.06 – $5,237.18 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,317.55 – $11,099.94 | 10 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,317.55 – $9,084.91 | 11 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,676.23 – $7,337.42 | 10 |
| Surgical opening of stomach CPT 43510 | not published | not published | $514.80 – $1,472.01 | 10 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $468.00 – $491.40 | 7 |
| Surgical opening of throat CPT 42955 | not published | not published | $494.04 – $2,253.44 | 10 |
| Surgical pathology level 1 gross examination only CPT 88300 | $117.06 | $117.06 | $5.97 – $38.08 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $291.69 | $291.69 | $13.28 – $79.47 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $464.38 | $464.38 | $15.94 – $87.52 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | not published | not published | $17.76 – $140.38 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $880.76 | $880.76 | $104.09 – $325.06 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,245.37 | $1,245.37 | $146.09 – $610.54 | 14 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $209.78 – $209.78 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $909.58 – $4,584.63 | 10 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $2.41 – $10.28 | 21 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $2.41 – $10.28 | 21 |
| Susceptibility mic per plate CPT 87186 | $188.07 | $188.07 | $4.38 – $19.28 | 21 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $3.37 – $14.77 | 21 |
| Suspension of testis CPT 54620 | not published | not published | $1,129.34 – $5,339.23 | 10 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $153.29 – $165.68 | 9 |
| Svc venogram s&i CPT 75827 | $36,225.41 | $36,225.41 | $107.82 – $1,776.71 | 15 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $1.50 – $46.29 | 14 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,549.77 – $2,755.82 | 9 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,694.28 – $3,992.81 | 9 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $312.61 – $337.87 | 9 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $396.39 – $428.42 | 9 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $305.18 – $329.84 | 9 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $698.68 – $755.14 | 9 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,576.62 – $3,188.57 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,576.62 – $3,188.57 | 3 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $468.00 – $491.40 | 7 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,159.74 – $2,672.68 | 3 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $3.12 – $8.85 | 8 |
| Synthetic sentence id test CPT 92576 | not published | not published | $47.58 – $47.58 | 1 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $7.56 – $9.71 | 8 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $2.23 – $9.63 | 21 |
| T3 (triiodothyronine) free CPT 84481 | $437.51 | $437.51 | $8.59 – $37.26 | 21 |
| T3 (triiodothyronine) total CPT 84480 | $575.66 | $575.66 | $7.19 – $31.48 | 21 |
| T4 (thyroxine) free CPT 84439 | $637.09 | $637.09 | $4.57 – $19.92 | 21 |
| T4 (thyroxine) total CPT 84436 | $414.47 | $414.47 | $3.49 – $15.41 | 21 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $12.00 | $12.00 | $0.57 – $0.97 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.81 – $3.09 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.19 – $0.33 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,372.25 | $1,372.25 | $255.06 – $272.95 | 8 |
| Tacrolimus therapeutic drug level CPT 80197 | $623.62 | $623.62 | $6.96 – $30.20 | 21 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.93 – $14.81 | 8 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,560.00 – $1,638.00 | 7 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.38 – $76.90 | 8 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $70.00 – $77.92 | 8 |
| Talymed HCPCS Q4127 | not published | not published | $68.49 – $209.78 | 2 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.49 – $0.54 | 9 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $385.08 – $1,355.49 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,480.24 – $5,209.95 | 21 |
| Target gsa panel organ neop CPT 81445 | $11,910.99 | $11,910.99 | $303.14 – $1,067.04 | 15 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,566.59 – $1,649.31 | 8 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $781.07 – $966.58 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $0.39 | 8 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $69.46 – $208.24 | 18 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $93.44 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $23.36 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $71.77 – $185.87 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $71.77 – $185.87 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $431.75 | $431.75 | $50.70 – $178.59 | 21 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $1,272.22 | $1,272.22 | $31.43 – $136.84 | 21 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $867.45 – $867.45 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,138.32 – $2,138.32 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $1,279.61 – $1,279.61 | 1 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,321.02 – $1,321.02 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $101.95 – $101.95 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,541.31 – $1,541.31 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1,530.72 – $1,530.72 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $542.19 – $542.19 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $179.67 – $179.67 | 1 |
| Tc-99m maa HCPCS A9540 | $690.77 | $690.77 | $50.14 – $50.14 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $187.21 – $187.21 | 1 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $106.36 – $106.36 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $1,285.62 | $1,285.62 | $1,308.90 – $1,308.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $85.98 – $85.98 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $893.76 | $893.76 | $47.39 – $47.39 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $695.52 | $695.52 | $34.72 – $34.72 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $19.83 – $19.83 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $65.59 – $65.59 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $743.46 – $743.46 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1,088.88 – $1,088.88 | 1 |
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.