Kansas Spine & Specialty Hospital, LLC

Wichita, KS

Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.

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ProcedureCash priceGross charge× Medicare
Shoulder arthroscopy with decompression (29826) $1,635.50 $2,516.14
Knee arthroscopy with meniscectomy (29881) $3,522.60 $5,419.39 1.2×
Transforaminal epidural injection, lumbar/sacral (64483) $1,325.72 $2,039.56 1.6×
CT head/brain without contrast (70450) $1,041.20 $1,601.86 10.8×
MRI brain without contrast (70551) $1,989.40 $3,060.61 9.0×
MRI brain with contrast (70552) $2,183.38 $3,359.05 6.8×
MRI brain without and with contrast (70553) $2,607.36 $4,011.33 8.1×
X-ray lower spine, 4+ views (72110) $404.26 $621.93 4.2×
MRI lumbar spine without contrast (72148) $1,989.40 $3,060.61 9.0×
CT pelvis with contrast (72193) $1,056.59 $1,625.53 6.5×
MRI lower-extremity joint without contrast (73721) $816.84 $1,256.68 3.7×
CT abdomen and pelvis with contrast (74177) $1,660.99 $2,555.37 5.2×
Ultrasound, abdomen complete (76700) $247.70 $381.08 2.6×
Basic metabolic panel (80048) $62.02 $95.41 7.3×
Comprehensive metabolic panel (80053) $102.16 $157.16 9.7×
Lipid panel (80061) $98.12 $150.95 7.3×
Renal function panel (80069) $63.60 $97.84 7.3×
Hepatic function panel (80076) $60.69 $93.37 7.4×
Urinalysis, non-automated, with microscopy (81000) $22.63 $34.82 5.6×
Urinalysis, non-automated, without microscopy (81002) $18.74 $28.84 5.4×
PSA, total (84153) $134.69 $207.22 7.3×
Thyroid stimulating hormone (TSH) (84443) $121.18 $186.43 7.2×
CBC with automated differential (85025) $34.07 $52.42 4.4×
CBC, automated (85027) $47.40 $72.92 7.3×
Prothrombin time (PT) (85610) $28.76 $44.24 6.7×
Partial thromboplastin time (PTT) (85730) $43.93 $67.59 7.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $53.88 $82.88 1.9×
Office visit, new patient (low complexity, ~30 min) (99203) $153.02 $235.42 1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $228.42 $351.41 1.9×
Office visit, new patient (high complexity, ~60 min) (99205) $283.91 $436.78 2.3×

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