Visits & medical services prices at Lee's Summit Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $263.24 $263.24 1.2×
Airway resistance by oscillometry (94728) $487.56 $487.56 3.8×
Analyze Neurostim Simple (95971) $970.38 $970.38 10.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $273.36 $273.36 19.0×
Application Modality 1/> Areas Infrared (97026) $273.36 $273.36 40.9×
Application on-body injector (96377) $489.81 $489.81 10.4×
Assessment of aphasia per hr (96105) $678.99 $678.99 7.0×
Behavral qualit analys voice (92524) $678.99 $678.99 6.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,636.32 $2,636.32 7.1×
Canalith repositioning proc (95992) $243.13 $243.13 6.0×
Cardiac Stress Tst,Tracing Only (93017) $3,566.37 $3,566.37 16.5×
Cardioversion (92960)
range across 2 matching MRF lines
$4,057.15–$4,381.73 $4,057.15–$4,381.73 varies
Cbt 1st hour (94644) $872.31 $872.31 6.5×
Chemo Anti-Neopl Sq/Im (96401) $740.99 $740.99 10.3×
Chemo Hormon Antineopl Sq/Im (96402) $740.99 $740.99 10.3×
Chemo IV infusion addl hr (96415) $2,205.38 $2,205.38 30.6×
Chemo IV push addl drug (96411) $740.99 $740.99 10.3×
Chemother Prolong Infuse W/Pump (96416) $3,775.62 $3,775.62 11.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $2,287.72 $2,287.72 31.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $2,543.55 $2,543.55 7.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $740.99 $740.99 2.2×
Chest Wall Manipulation (94668) $202.75 $202.75 1.5×
Colon Motility 6 Hr Study (91117) $2,636.58 $2,636.58 12.2×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$6,735.80–$7,745.19 $6,735.80–$7,745.19 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$3,367.41–$3,870.70 $3,367.41–$3,870.70 varies
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$78.11–$267.06 $78.11–$267.06 varies
Continuous Pulse Ox (94762) $1,446.10 $1,446.10 11.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $857.28 $857.28 3.9×
Cpt initial (94667) $496.47 $496.47 3.7×
Critical care first hour (99291) $7,093.93 $7,093.93 8.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$604.66–$968.22 $604.66–$968.22 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,214.51 $1,214.51 5.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $598.51 $598.51 5.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$1,214.51–$8,525.34 $1,214.51–$8,525.34 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$598.51–$4,249.47 $598.51–$4,249.47 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$1,056.41–$15,872.89 $1,056.41–$15,872.89 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 8 matching MRF lines
$659.62–$7,347.52 $659.62–$7,347.52 varies
Duplex Scan Hemodialysis Access (93990) $617.32 $617.32 5.9×
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$1,118.37–$8,525.34 $1,118.37–$8,525.34 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$598.51–$3,870.70 $598.51–$3,870.70 varies
Echo Congenital Complete (93303) $6,760.23 $6,760.23 12.4×
Echo Heart Xthoracic,Limited (93308) $1,770.18 $1,770.18 7.4×
Echo transesophageal (93312) $13,335.18 $13,335.18 24.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $8,924.43 $8,924.43 16.3×
Eeg 41-60 Minutes (95812) $3,343.63 $3,343.63 15.5×
EEG awake and asleep (95819) $5,979.57 $5,979.57 27.6×
EEG awake drowsy (95816) $5,979.57 $5,979.57 27.6×
EEG cerebral death evaluation (95824) $5,539.51 $5,539.51 14.8×
EEG cont rec w/video by tech min 8 channels (95700) $1,253.63 $1,253.63 5.8×
EEG extended monitoring 61-119 minutes (95813) $3,340.11 $3,340.11 15.4×
Eeg Sleep Only (95822) $5,539.51 $5,539.51 25.6×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,144.03 $1,144.03 5.3×
EKG signal averaged (93278) $1,523.57 $1,523.57 25.8×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$260.76–$278.39 $260.76–$278.39 varies
Electrocardiogram Tracing (93005) $1,555.17 $1,555.17 26.3×
Electrophysiology Evaluation (93642) $2,472.98 $2,472.98 2.0×
Emergency Dept Visit Level 2 (99282) $1,636.81 $1,636.81 10.6×
Emergency Dept Visit Level 3 (99283) $2,730.20 $2,730.20 10.0×
Emergency Dept Visit Level 4 (99284) $4,370.12 $4,370.12 10.5×
Emg 3 Extremities (95863) $1,835.57 $1,835.57 14.2×
Emg 4 Extremities (95864) $1,903.03 $1,903.03 14.8×
Er level 1 (99281)
range across 2 matching MRF lines
$300.36–$1,093.39 $300.36–$1,093.39 varies
Er level v (99285) $5,896.44 $5,896.44 9.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $2,229.51 $2,229.51 6.0×
Evaluate pt use of inhaler (94664) $175.62 $175.62 0.8×
Evaluate Speech Production (92522) $678.99 $678.99 6.1×
Evaluate Swallowing Function (92610) $781.02 $781.02 9.2×
Evaluation of speech fluency (92521) $678.99 $678.99 5.1×
External ECG rec>48hr<7d recording (93242) $240.62 $240.62 6.4×
External ECG rec>7d<15d recording (93246) $240.62 $240.62 6.4×
External Ecg Scanning Analysis Report (93226) $5,609.96 $5,609.96 94.9×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$1,214.51–$7,745.19 $1,214.51–$7,745.19 varies
Extracranial Uni/Ltd Study (93882)
range across 3 matching MRF lines
$598.51–$4,056.28 $598.51–$4,056.28 varies
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,195.99 $1,195.99 5.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,644.44 $4,644.44 5.4×
Gi tract capsule endoscopy (91110) $3,877.90 $3,877.90 4.3×
Group Therapeutic Procedures (97150) $215.41 $215.41 11.9×
Holter monitor recording (93225) $665.39 $665.39 5.0×
Immunization administration (90471)
range across 2 matching MRF lines
$181.81–$204.46 $181.81–$204.46 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $2,488.97 $2,488.97 6.7×
Intra-atrial pacing (93610) $17,911.21 $17,911.21 2.3×
Intraventricular pacing (93612) $17,843.71 $17,843.71 2.3×
Iontophoresis 15 min (97033) $289.73 $289.73 15.2×
Irrig Drug Delivery Device (96523) $468.51 $468.51 7.9×
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$824.52–$1,146.07 $824.52–$1,146.07 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$1,091.66–$1,518.26 $1,091.66–$1,518.26 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$533.73–$949.29 $533.73–$949.29 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$533.73–$1,146.07 $533.73–$1,146.07 varies
IV push initial (96374)
range across 4 matching MRF lines
$851.95–$1,185.67 $851.95–$1,185.67 varies
Low frequency non-thermal us (97610) $789.12 $789.12 3.9×
Lwr Xtr Vasc Stdy Bilat (93924) $712.67 $712.67 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $128.36 $128.36 4.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $128.36 $128.36 3.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $128.36 $128.36 7.5×
Methacholine challenge (94070) $4,692.04 $4,692.04 12.6×
Motility study esophagus (91010) $2,140.95 $2,140.95 5.7×
Motion Fluoroscopy/Swallow (92611) $1,562.05 $1,562.05 17.1×
Multiple Sleep Latency Test (95805) $13,466.50 $13,466.50 15.7×
Muscle Test 2 Limbs (95861) $1,764.98 $1,764.98 13.2×
Muscle Test Nonparaspinal (95870) $1,272.07 $1,272.07 9.5×
Muscle Test One Limb (95860) $1,672.99 $1,672.99 12.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $1,212.76 $1,212.76 5.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,900.31 $1,900.31 4.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,381.58 $1,381.58 3.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $564.85 $564.85 2.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $564.85 $564.85 1.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $1,199.52 $1,199.52 9.3×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$239.35–$243.13 $239.35–$243.13 varies
Optokinetic Nystagmus Test (92544) $146.45 $146.45 1.1×
Oral Function Therapy (92526) $461.05 $461.05 5.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $215.41 $215.41 4.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$260.76–$269.58 $260.76–$269.58 varies
Oscillating Tracking Test (92545) $134.52 $134.52 0.6×
Ot eval high complexity (97167) $678.99 $678.99 6.8×
Ot Eval Low Complex (97165) $678.99 $678.99 6.8×
Ot Eval Moderate Complexity (97166) $678.99 $678.99 6.8×
Ot manual therapy 15 min (97140) $282.17 $282.17 10.2×
Ot paraffin bath (97018) $249.43 $249.43 41.5×
Ot Prosthetic Training, Each 15 Min (97761) $280.92 $280.92 7.0×
Ot Re-Eval Est Plan Care (97168) $243.13 $243.13 3.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $304.84 $304.84 2.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $736.31 $736.31 3.4×
Phlebotomy therapeutic (99195) $2,952.17 $2,952.17 22.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $254.24 $254.24 4.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $254.24 $254.24 4.3×
Physical Performance Test (97750) $317.44 $317.44 9.4×
Plethysmography (94726) $828.51 $828.51 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $17,333.94 $17,333.94 20.2×
Positional nystagmus test (92542) $180.92 $180.92 1.4×
Pt Eval High Complex (97163) $792.36 $792.36 8.1×
Pt eval low complex 20 min (97161) $792.36 $792.36 8.1×
Pt Eval Mod Complex (97162) $792.36 $792.36 8.1×
Pt gait training 15 min (97116) $243.13 $243.13 8.4×
Pt mechanical traction (97012) $273.36 $273.36 19.0×
Pt Re-Eval Est Plan Care (97164) $243.13 $243.13 3.6×
Pulm function test by gas (94727) $828.51 $828.51 3.8×
Pulmonary Stress Testing (94618) $550.54 $550.54 4.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $564.85 $564.85 2.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $781.02 $781.02 6.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $389.25 $389.25 8.2×
Self Care Mngment Training (97535) $206.59 $206.59 6.4×
Short-latency somatosens ep std upr limbs (95925) $5,534.27 $5,534.27 25.6×
Sleep study attended (95807) $10,532.69 $10,532.69 28.2×
Sleep study unattended (95806) $2,086.11 $2,086.11 9.6×
Somatosensory Testing (95938) $2,276.27 $2,276.27 2.6×
Speech sound lang comprehen (92523) $678.99 $678.99 3.0×
Spirometry (94010) $1,565.54 $1,565.54 7.2×
Spontaneous Nystagmus Test (92541) $180.14 $180.14 1.4×
Ssep lower limbs (95926) $5,375.79 $5,375.79 24.9×
Standardized Cognitive Performance Testing (96125) $678.99 $678.99 6.6×
Stress Tte Only (93350) $19,798.45 $19,798.45 36.2×
Temp transcutaneous pacing (92953) $2,254.23 $2,254.23 3.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $230.53 $230.53 10.3×
Ther Ivntj Ea Addl 15 Min (97130) $230.53 $230.53 11.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $273.36 $273.36 7.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $243.13 $243.13 8.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $462.32 $462.32 4.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$269.41–$382.03 $269.41–$382.03 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$1,091.66–$1,518.26 $1,091.66–$1,518.26 varies
Therapeutic Activities (97530) $243.13 $243.13 6.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $12,178.18 $12,178.18 32.6×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$107.17–$382.36 $107.17–$382.36 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$107.17–$187.66 $107.17–$187.66 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$9,011.31–$9,912.44 $9,011.31–$9,912.44 varies
Tte W/O Doppler Complete (93307) $6,689.65 $6,689.65 28.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$461.05–$462.32 $461.05–$462.32 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$851.95–$1,185.67 $851.95–$1,185.67 varies
Unlisted cardiovascular service/procedure (93799) $540.27 $540.27 4.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$549.18–$2,863.23 $549.18–$2,863.23 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$712.67–$4,071.99 $712.67–$4,071.99 varies
Vasopneumatic device (97016) $102.04 $102.04 8.5×
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines
$4,948.46–$10,803.81 $4,948.46–$10,803.81 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 3 matching MRF lines
$4,558.81–$9,576.10 $4,558.81–$9,576.10 varies
Visual Evoked Potential Test (95930) $5,336.94 $5,336.94 24.7×
Vital capacity, total (94150) $1,049.83 $1,049.83 8.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$267.06–$273.36 $267.06–$273.36 varies
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$248.16–$309.88 $248.16–$309.88 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.