Lefort i-1 piece without graft cost in Kansas

Lefort i-1 piece w/o graft ยท CPT 21141

Hospital City Cash price Negotiated range Payers
Ascension Via Christi Hospital Manhattan, Inc Manhattan not published $930.14 โ€“ $1,655.38 5
Wamego Health Center (Wamego Hospital Association) Wamego not published $930.14 โ€“ $1,655.38 5
Ascension Via Christi Rehabilitation Hospital, Inc. Wichita not published $5,090.16 โ€“ $5,090.16 1
Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) Wichita not published not published 0
Ascension Via Christi Hospital St. Teresa, Inc. Wichita not published not published 0