Supplies, drugs & other prices at Lee's Summit Medical Center

Lee's Summit, MO · every code in this section with a posted price and a Medicare benchmark.

47 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $15,561.16 $15,561.16 19.8×
2d tte w or w/o fol w/con,co (C8923) $8,918.57 $8,918.57 11.4×
2d tte w or w/o fol w/con,fu (C8924) $3,999.08 $3,999.08 11.4×
Adm tocilizu covid-19 1st (M0249) $1,978.08 $1,978.08 4.5×
Admin hepatitis b vaccine (G0010) $209.74 $209.74 4.5×
Admin influenza virus vac (G0008) $154.20 $154.20 3.3×
Admin pneumococcal vaccine (G0009) $154.20 $154.20 3.3×
Chemo extend iv infus w/pump (G0498) $1,304.01 $1,304.01 3.9×
Covid-19 lab test non-cdc (U0002) $95.61 $95.61 1.9×
Direct refer hospital observ (G0379) $570.83 $570.83 1.0×
Drug test def 1-7 classes (G0480) $67.07 $67.07 0.6×
Drug test def 15-21 classes (G0482) $22.36 $22.36 0.1×
Drug test def 22+ classes (G0483) $22.36 $22.36 0.1×
Drug test def 8-14 classes (G0481) $22.36 $22.36 0.1×
Elec stim other than wound (G0283) $273.36 $273.36 21.5×
Hbot, full body chamber, 30m (G0277) $620.99 $620.99 4.5×
Lev 2 hosp type b ed visit (G0381) $2,131.62 $2,131.62 22.9×
Lev 3 hosp type b ed visit (G0382) $2,238.70 $2,238.70 13.0×
Lev 4 hosp type b ed visit (G0383) $2,366.30 $2,366.30 8.9×
Lev 5 hosp type b ed visit (G0384) $2,600.93 $2,600.93 6.3×
Mra w/cont, abd (C8900) $10,167.15 $10,167.15 29.1×
Mra w/cont, chest (C8909) $9,911.45 $9,911.45 28.4×
Mra w/cont, lwr ext (C8912) $9,811.48 $9,811.48 28.1×
Mra w/cont, pelvis (C8918) $15,546.12 $15,546.12 44.5×
Mra w/o cont, abd (C8901) $9,494.05 $9,494.05 39.7×
Mra w/o cont, pelvis (C8919) $13,688.49 $13,688.49 57.3×
Mra w/o fol w/cont, abd (C8902) $12,577.42 $12,577.42 36.0×
Mra w/o fol w/cont, chest (C8911) $12,274.66 $12,274.66 35.1×
Mra w/o fol w/cont, lwr ext (C8914) $12,318.74 $12,318.74 35.3×
Mra w/o fol w/cont, pelvis (C8920) $17,106.92 $17,106.92 49.0×
Mra, w/dye, upper extremity (C8934) $4,309.09 $4,309.09 12.3×
Mri w/cont, breast, bi (C8906) $11,963.08 $11,963.08 34.2×
Mri w/cont, breast, uni (C8903) $7,939.14 $7,939.14 45.2×
Mri w/o fol w/cont, breast, (C8908) $14,852.46 $14,852.46 42.5×
Mri w/o fol w/cont, brst, un (C8905) $9,655.71 $9,655.71 27.6×
Oth resp proc, group (G0239) $628.18 $628.18 16.8×
Perc d-e cor revasc chro sin (C9607) $60,647.53 $60,647.53 3.3×
Prostate biopsy, any mthd (G0416) $1,500.37 $1,500.37 4.2×
Psa screening (G0103) $740.70 $740.70 38.4×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $1,389.36 $1,389.36 1.9×
Therapeutic procd strg endur (G0237) $239.93 $239.93 8.3×
Tomosynthesis, mammo (G0279) $88.91 $88.91 7.0×
Trim nail(s) (G0127) $291.45 $291.45 4.9×
Tte w or w/o fol w/con,stres (C8928) $22,024.39 $22,024.39 28.0×
Tte w or wo fol wcon,doppler (C8929) $9,944.68 $9,944.68 12.7×
Unsched dialysis esrd pt hos (G0257) $3,619.93 $3,619.93 5.3×
Visit to determ ldct elig (G0296) $558.73 $558.73 5.5×