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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $263.24 $263.24 1.2×
Appl on-body injector for timed subq injection (96377) $489.81 $489.81 10.4×
Assessment of aphasia (96105) $678.99 $678.99 7.0×
Behavioral and qualitative analysis of voice and resonance (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 (95992) $243.13 $243.13 6.0×
Capsule endoscopy (91110) $3,877.90 $3,877.90 4.3×
Cardiac Stress Tst,Tracing Only (93017) $3,566.37 $3,566.37 16.5×
Cardioversion (92960) $4,219.44 $4,219.44 6.4×
Cbt 1st hour (94644) $872.31 $872.31 6.5×
Chemo Hormon Antineopl Sq/Im (96402) $740.99 $740.99 10.3×
Chemo IV push addl drug (96411) $740.99 $740.99 10.3×
Chemo Iv Push Sngl Drug (96409) $740.99 $740.99 2.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $3,775.62 $3,775.62 11.4×
Chemother, IV infusion, 1 hr (96413) $2,543.55 $2,543.55 7.7×
Chemother, IV infusion, ea add hr (96415) $2,205.38 $2,205.38 30.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $740.99 $740.99 10.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $2,287.72 $2,287.72 31.7×
Colon Motility 6 Hr Study (91117) $2,636.58 $2,636.58 12.2×
Color/duplex Doppler, complete (93975) $7,240.50 $7,240.50 30.3×
Color/duplex Doppler, limited (93976) $3,619.06 $3,619.06 34.6×
Cpap initiation and management (94660) $857.28 $857.28 3.9×
Cpt initial (94667) $496.47 $496.47 3.7×
Critical care (99291) $7,093.93 $7,093.93 8.6×
Debridement Open Wound 20 Sq Cm< (97597) $604.66 $604.66 3.0×
Demo &/or eval,pt use,aerosol device (94664) $175.62 $175.62 0.8×
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) $7,411.72 $7,411.72 31.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $2,146.06 $2,146.06 20.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $7,411.72 $7,411.72 31.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,982.96 $1,982.96 18.9×
Dup-scan xtr veins unilateral/limited study (93971) $6,391.56 $6,391.56 61.0×
Duplex hemodialysis access (93990) $617.32 $617.32 5.9×
Duplex scan extracranial art compl bi study (93880) $6,735.80 $6,735.80 28.2×
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 Transthoracic - Congenital Tte Complete (93303) $6,760.23 $6,760.23 12.4×
EEG awake 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 coma or sleep only (95822) $5,539.51 $5,539.51 25.6×
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 w/o video by tech 2-12 hr intermittent mntr (95706) $1,144.03 $1,144.03 5.3×
EKG (93005) $1,555.17 $1,555.17 26.3×
Ekg Signal Averaging (93278) $1,523.57 $1,523.57 25.8×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $970.38 $970.38 10.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $3,343.63 $3,343.63 15.5×
EMG four extremities (95864) $1,903.03 $1,903.03 14.8×
EMG one extremity (95860) $1,672.99 $1,672.99 12.6×
EMG thoracic paraspinal (95869) $1,212.76 $1,212.76 5.6×
EMG three extremities (95863) $1,835.57 $1,835.57 14.2×
EMG two extremities (95861) $1,764.98 $1,764.98 13.2×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,472.98 $2,472.98 2.0×
Er level 1 (99281) $696.88 $696.88 8.3×
Er level ii (99282) $1,636.81 $1,636.81 10.6×
Er level iii (99283) $2,730.20 $2,730.20 10.0×
Er level IV (99284) $4,370.12 $4,370.12 10.5×
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×
Evaluation of speech fluency (92521) $678.99 $678.99 5.1×
Evaluation of speech sound production (92522) $678.99 $678.99 6.1×
Evaluation of swallowing function (92610) $781.02 $781.02 9.2×
Evaluation with prescription of speech-generating alternative (92607) $781.02 $781.02 6.4×
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×
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×
Group Therapeutic Procedures (97150) $215.41 $215.41 11.9×
Holter Monitor Recording (93225) $665.39 $665.39 5.0×
Immunization Admin (90471) $193.14 $193.14 2.7×
Inhlj Brncl Challenge Tstg W/Histamine/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×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $468.51 $468.51 7.9×
IV infusion hydration each additional hour (96361) $918.54 $918.54 19.6×
IV infusion hydration initial 31 min-1 hour (96360) $1,214.04 $1,214.04 5.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $648.79 $648.79 9.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,214.04 $1,214.04 5.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $856.16 $856.16 18.3×
IV push initial (96374) $946.62 $946.62 4.4×
Low frequency non-thermal us (97610) $789.12 $789.12 3.9×
Manual therapy 15 min (97140) $282.17 $282.17 10.2×
Massage 15 min (97124) $243.13 $243.13 8.2×
Mechanical traction (97012) $273.36 $273.36 19.0×
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×
Methacholine challenge (94070) $4,692.04 $4,692.04 12.6×
Mnt Group Ea 30 Min (97804) $128.36 $128.36 7.5×
Motility study esophagus (91010) $2,140.95 $2,140.95 5.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,562.05 $1,562.05 17.1×
Multiple sleep latency test (95805) $13,466.50 $13,466.50 15.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $1,272.07 $1,272.07 9.5×
Neg press wnd tx </=50 sq cm (97607) $1,900.31 $1,900.31 4.7×
Neg press wound tx >50 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 junction test (95937) $1,199.52 $1,199.52 9.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,397.56 $1,397.56 10.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,522.52 $1,522.52 7.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $1,446.10 $1,446.10 11.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $265.17 $265.17 5.8×
Oscillating Tracking Test (92545) $134.52 $134.52 0.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $172.58 $172.58 5.4×
Ot eval high complex 60 min (97167) $678.99 $678.99 6.8×
Ot eval low complex 30 min (97165) $678.99 $678.99 6.8×
Ot eval mod complex 45 min (97166) $678.99 $678.99 6.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $215.41 $215.41 4.3×
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×
Paraffin bath (97018) $249.43 $249.43 41.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $736.31 $736.31 3.4×
Phy/qhp op pulm rhb w/mntr (94626) $254.24 $254.24 4.3×
Phy/qhp op pulm rhb w/o mntr (94625) $254.24 $254.24 4.3×
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 Aquatic Therapy/Exercises (97113) $273.36 $273.36 7.4×
Pt Electric Current Therapy (97033) $289.73 $289.73 15.2×
Pt Electrical Stimulation (97032) $269.58 $269.58 18.3×
Pt eval high complex 45 min (97163) $792.36 $792.36 8.1×
Pt eval low complex 20 min (97161) $792.36 $792.36 8.1×
Pt Gait Training Therapy (97116) $243.13 $243.13 8.4×
Pt Infrared Therapy (97026) $273.36 $273.36 40.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $241.24 $241.24 7.4×
Pt Physical Performance Test (97750) $317.44 $317.44 9.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $792.36 $792.36 8.1×
Pt re-evaluation (97164) $243.13 $243.13 3.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $206.59 $206.59 6.4×
Pt Ultrasound Therapy (97035) $273.36 $273.36 19.0×
Pt Whirlpool Therapy (97022) $279.66 $279.66 17.8×
Pulm Funct Test Oscillometry (94728) $487.56 $487.56 3.8×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $202.75 $202.75 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $389.25 $389.25 8.2×
Short-latency somatosens ep std lwr limbs (95926) $5,375.79 $5,375.79 24.9×
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×
Smoking cessation > 10 min (99407) $244.76 $244.76 6.5×
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×
Standardized Cognitive Performance Testing (96125) $678.99 $678.99 6.6×
Stress echo (93350) $19,798.45 $19,798.45 36.2×
Stress Tte Complete (93351) $8,924.43 $8,924.43 16.3×
Temp transcutaneous pacing (92953) $2,254.23 $2,254.23 3.4×
Test for abnormal eye movement using a moving target with recording (92544) $146.45 $146.45 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $230.53 $230.53 10.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $230.53 $230.53 11.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $462.32 $462.32 4.5×
Ther/Proph/Diag Inj Sc/Im (96372) $296.81 $296.81 4.1×
Therapeutic Activities (97530) $243.13 $243.13 6.9×
Therapeutic phlebotomy (99195) $2,952.17 $2,952.17 22.2×
Tilt Table Eval (93660) $12,178.18 $12,178.18 32.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $147.42 $147.42 3.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $9,461.88 $9,461.88 17.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $6,689.65 $6,689.65 28.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $461.68 $461.68 6.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $461.05 $461.05 5.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $946.62 $946.62 20.2×
Unlisted Cardiovascular Service/Procedure (93799) $540.27 $540.27 4.2×
Vasc Duplex Extrem Venous,Bilat (93970) $8,464.65 $8,464.65 35.4×
Vasc Duplex Scan Extracranial,Limited (93882) $3,526.90 $3,526.90 33.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $712.67 $712.67 3.3×
Vasopneumatic device (97016) $102.04 $102.04 8.5×
Ventilation assist & mgmt inpatient 1st day (94002) $5,788.22 $5,788.22 9.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $5,351.85 $5,351.85 8.6×
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) $270.21 $270.21 8.7×