Visits & medical services prices at Saint Luke's East Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $13,152 $21,920 1.7×
Admn Sarscov2 Vacc 1 Dose (90480) $70.20 $117 1.7×
Airway Inhalation Treatment (94640) $214.80 $358 1.0×
Analyze neurostim no prog (95970) $204.60 $341 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $134.40 $224 9.4×
Application on-body injector (96377) $145.80 $243 3.1×
Assessment of aphasia per hr (96105) $332.40 $554 3.4×
Behavral qualit analys voice (92524) $526.20 $877 4.8×
Bis Xtracell Fluid Analysis (93702) $249.60 $416 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $745.80 $1,243 2.0×
Canalith repositioning proc (95992) $147 $245 3.6×
Car seat/bed test 60 min (94780) $307.20 $512 8.2×
Cardiac Stress Tst,Tracing Only (93017) $753 $1,255 3.5×
Cardiopulmonary resuscitation (92950) $1,752.60 $2,921 8.1×
Cardioversion (92960)
range across 2 matching MRF lines
$4,551.78–$4,859.04 $7,586.30–$8,098.40 varies
Cardioversion elective internal (92961) $4,353 $7,255 6.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.20 $102 2.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460)
range across 2 matching MRF lines
$17,801.91–$49,687.14 $29,669.85–$82,811.90 varies
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458)
range across 2 matching MRF lines
$15,715.98–$54,163.53 $26,193.30–$90,272.55 varies
Cbt 1st hour (94644) $253.80 $423 1.9×
Chemo Anti-Neopl Sq/Im (96401) $525.60 $876 7.3×
Chemo Hormon Antineopl Sq/Im (96402) $515.40 $859 7.1×
Chemo IV infusion addl hr (96415) $144.60 $241 2.0×
Chemo IV push addl drug (96411) $531 $885 7.4×
Chemotherapy Into Cns (96450) $756 $1,260 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $531 $885 7.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $531 $885 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $552.60 $921 1.7×
Chest Wall Manipulation (94668) $102.60 $171 0.8×
Color/duplex Doppler, complete (93975) $1,578 $2,630 6.6×
Color/duplex Doppler, limited (93976) $970.80 $1,618 9.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $111 $185 3.5×
Continuous Pulse Ox (94762) $794.40 $1,324 6.2×
Coronary Art/Grft Angio S&I (93455)
range across 2 matching MRF lines
$15,402.12–$43,960.68 $25,670.20–$73,267.80 varies
Coronary Artery Angio S&I (93454)
range across 3 matching MRF lines
$14,077.38–$69,254.37 $23,462.30–$115,423.95 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$607.80–$2,625.60 $1,013–$4,376 varies
Cpt initial (94667) $199.20 $332 1.5×
Critical care first hour (99291) $2,901 $4,835 3.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$503.40–$6,681.60 $839–$11,136 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $904.80 $1,508 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $571.80 $953 5.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,024.40 $3,374 8.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,274.40 $2,124 12.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,952.40 $3,254 8.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,014.60 $1,691 9.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $619.80 $1,033 2.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $297 $495 2.8×
Duplex Scan Hemodialysis Access (93990) $826.20 $1,377 7.9×
Duplex up extrem art bilat (93930) $1,332.60 $2,221 5.6×
Duplex up extrem art unilat/ltd (93931) $1,269 $2,115 12.1×
Echo Congenital Complete (93303) $2,226 $3,710 4.1×
Echo Heart Xthoracic,Limited (93308) $699.60 $1,166 2.9×
Echo transesophageal (93312) $2,410.80 $4,018 4.4×
Echo Transesophageal - Congenital Tee Complete (93315) $1,950 $3,250 3.6×
Eeg 41-60 Minutes (95812) $1,869 $3,115 8.6×
EEG awake and asleep (95819) $2,067.60 $3,446 9.6×
EEG awake drowsy (95816) $1,969.20 $3,282 9.1×
EEG cerebral death evaluation (95824) $1,693.80 $2,823 4.5×
EEG cont rec w/video by tech min 8 channels (95700) $794.40 $1,324 3.7×
EEG extended monitoring 61-119 minutes (95813) $2,955 $4,925 13.7×
Eeg Sleep Only (95822) $1,557.60 $2,596 7.2×
EKG signal averaged (93278) $723 $1,205 12.2×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $175.80 $293 1.8×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $61.80 $103 1.7×
Electrical Stimulation Ea 15 Min (97032) $157.20 $262 10.7×
Electrocardiogram Tracing (93005)
range across 18 matching MRF lines
$573–$67,341.12 $955–$112,235.20 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $4,976.40 $8,294 0.6×
Electrophysiology Evaluation (93642) $6,433.80 $10,723 5.3×
Emergency Dept Visit Level 2 (99282) $559.20 $932 3.6×
Emergency Dept Visit Level 3 (99283) $1,272.60 $2,121 4.7×
Emergency Dept Visit Level 4 (99284) $1,459.80 $2,433 3.5×
Endomyocardial Biopsy (93505) $5,643.60 $9,406 1.8×
Ep & ablate supravent arrhyt (93653) $56,058 $93,430 2.1×
Ep & ablate ventric tachy (93654) $65,887.20 $109,812 2.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,412.80 $20,688 1.6×
Er level 1 (99281) $88.20 $147 1.0×
Er level v (99285) $2,404.80 $4,008 4.0×
Evaluate pt use of inhaler (94664) $334.20 $557 1.5×
Evaluate Speech Production (92522) $462 $770 4.1×
Evaluate Swallowing Function (92610) $378 $630 4.5×
Evaluation of speech fluency (92521) $593.40 $989 4.5×
Exercise test for bronchospasm (94617) $453.60 $756 3.4×
Extracranial Bilat Study (93880) $2,472.60 $4,121 10.3×
Extracranial Uni/Ltd Study (93882) $1,015.20 $1,692 9.7×
F-up/limited tthrc echo congenital car anomaly (93304) $655.80 $1,093 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $375.60 $626 1.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,343.40 $2,239 3.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $872.40 $1,454 4.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,594.80 $2,658 1.9×
Gi tract capsule endoscopy (91110) $1,569 $2,615 1.7×
Group Therapeutic Procedures (97150) $136.20 $227 7.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $19,767.69 $32,946.15 6.1×
Icd Device Interrogate (93289) $165 $275 4.4×
Ilr Device Interrogate (93291) $106.80 $178 3.7×
Immunization administration (90471) $45 $75 0.6×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,120.20 $1,867 3.0×
Insert/Place Heart Catheter (93503) $2,832.60 $4,721 1.8×
Interrog&prgrmg ipnss during polysomnography (93152) $636.60 $1,061 2.1×
Intra-atrial pacing (93610) $7,875.60 $13,126 1.0×
Intra-atrial recording (93602) $7,476.60 $12,461 1.0×
Intraventricular pacing (93612) $6,795 $11,325 0.9×
Iontophoresis 15 min (97033) $166.80 $278 8.8×
Irrig Drug Delivery Device (96523) $211.80 $353 3.6×
IV infusion hydration each additional hour (96361) $200.40 $334 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $422.40 $704 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $229.20 $382 3.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $218.40 $364 4.7×
IV push initial (96374) $177.60 $296 0.8×
L Hrt Art/Grft Angio (93459)
range across 2 matching MRF lines
$16,476.93–$48,090.69 $27,461.55–$80,151.15 varies
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $7,267.80 $12,113 2.2×
Lung Function Test (Mbc/Mvv) (94200) $177.60 $296 3.0×
Lwr Xtr Vasc Stdy Bilat (93924) $1,255.20 $2,092 5.8×
Mechanical chest wall oscillation per session (94669) $394.80 $658 1.8×
Methacholine challenge (94070) $904.80 $1,508 2.4×
Motility study esophagus (91010) $1,279.20 $2,132 3.4×
Motion Fluoroscopy/Swallow (92611) $334.80 $558 3.7×
Multiple Sleep Latency Test (95805) $2,608.80 $4,348 3.0×
Nasopharyngoscopy (92511) $318 $530 1.6×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $619.80 $1,033 2.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $436.20 $727 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $776.40 $1,294 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $436.20 $727 2.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $776.40 $1,294 1.9×
Neuromuscular Reeducation (97112) $172.80 $288 5.3×
Newborn resuscitation (99465) $1,485.60 $2,476 2.2×
Oral Function Therapy (92526)
range across 5 matching MRF lines
$228.60–$661.20 $381–$1,102 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $100.20 $167 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $204.60 $341 4.4×
Ot Contrast Bath Ea 15 Min (97034) $158.40 $264 11.3×
Ot eval high complexity (97167) $331.80 $553 3.3×
Ot Eval Low Complex (97165) $255.60 $426 2.5×
Ot Eval Moderate Complexity (97166) $301.20 $502 3.0×
Ot manual therapy 15 min (97140) $152.40 $254 5.5×
Ot paraffin bath (97018) $129.60 $216 21.6×
Ot Prosthetic Training, Each 15 Min (97761) $110.40 $184 2.7×
Ot Re-Eval Est Plan Care (97168) $246 $410 3.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $219.60 $366 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $202.20 $337 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $270 $450 1.2×
Peripheral arterial disease rehab per session (93668) $200.40 $334 3.4×
Perq transcath closure pda (93582) $21,089.40 $35,149 1.1×
Perq Transcath Cls Aortic (93591) $44,392.20 $73,987 2.4×
Perq Transcath Cls Mitral (93590) $44,392.20 $73,987 2.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $65,215.23 $108,692.05 11.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $20,767.80 $34,613 1.8×
Phlebotomy therapeutic (99195) $456.60 $761 3.4×
Physical Performance Test (97750) $165.60 $276 4.9×
Plethysmography (94726) $732.60 $1,221 2.0×
Pm device eval in person (93288) $135 $225 3.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,224.80 $13,708 9.6×
Polysom <6 yrs 4/> paramtrs (95782) $5,704.20 $9,507 6.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $6,579.60 $10,966 7.6×
Prq Card Angio/Athrect 1 Art (92924) $16,666.20 $27,777 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $19,153.20 $31,922 1.7×
Prq Card Stent/Ath/Angio (92933) $20,746.20 $34,577 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $19,650 $32,750 1.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $22,374 $37,290 1.2×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $25,156.20 $41,927 2.2×
Psychiatric diagnostic evaluation (90791) $255 $425 1.4×
Pt Eval High Complex (97163) $379.80 $633 3.9×
Pt eval low complex 20 min (97161) $208.80 $348 2.1×
Pt Eval Mod Complex (97162) $361.80 $603 3.7×
Pt gait training 15 min (97116) $193.20 $322 6.6×
Pt mechanical traction (97012) $141 $235 9.8×
Pt Re-Eval Est Plan Care (97164) $208.80 $348 3.1×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines
$342–$688.80 $570–$1,148 varies
Pulmonary Stress Testing (94618) $567 $945 4.3×
R Hrt Art/Grft Angio (93457)
range across 2 matching MRF lines
$17,732.91–$55,659.09 $29,554.85–$92,765.15 varies
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,267.80 $12,113 2.2×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $7,267.80 $12,113 2.2×
R hrt coronary artery angio (93456)
range across 2 matching MRF lines
$16,690.68–$69,632.73 $27,817.80–$116,054.55 varies
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $7,267.80 $12,113 2.2×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $7,267.80 $12,113 2.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $14,770.80 $24,618 4.5×
Rapid Desensitization Procedure Each Hour (95180) $848.40 $1,414 1.9×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $519 $865 1.6×
Refill/Maint Portable Pump (96521) $394.20 $657 1.9×
Right Heart Cath (93451) $14,566.41 $24,277.35 4.5×
Right ventricular recording (93603) $6,504.60 $10,841 5.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $418.80 $698 2.1×
Self Care Mngment Training (97535) $142.20 $237 4.4×
Slp caregiver training 1st 30 min (97550) $122.40 $204 2.3×
Speech sound lang comprehen (92523) $710.40 $1,184 3.1×
Spin/Brain Pump Refil & Main (95991) $427.80 $713 1.4×
Spirometry (94010) $383.40 $639 1.8×
Standardized Cognitive Performance Testing (96125) $249 $415 2.4×
Stress Tte Only (93350) $2,410.80 $4,018 4.4×
Surfactant Admin Thru Tube (94610) $536.40 $894 2.4×
Temp transcutaneous pacing (92953) $685.80 $1,143 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$70.80–$73.80 $118–$123 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$70.80–$73.80 $118–$123 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $162.60 $271 4.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $304.80 $508 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $159.60 $266 2.2×
Ther/Proph/Diag Iv Inf Init (96365) $443.40 $739 2.1×
Therapeutic Activities (97530) $175.80 $293 5.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,376.60 $3,961 6.4×
Transcath Closure of Asd (93580) $16,488.60 $27,481 0.9×
Tte w/doppler, complete (93306) $3,466.80 $5,778 6.3×
Tte W/O Doppler Complete (93307) $1,130.40 $1,884 4.7×
Tx atrial fib pulm vein isol (93656) $59,167.20 $98,612 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 5 matching MRF lines
$251.40–$664.20 $419–$1,107 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $142.80 $238 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $167.40 $279 3.6×
Unlisted cardiovascular service/procedure (93799)
range across 8 matching MRF lines
$1,372.80–$25,537.80 $2,288–$42,563 varies
Unlisted Diagnostic Gastroenterology Procedure (91299)
range across 2 matching MRF lines
$1,227–$1,250.40 $2,045–$2,084 varies
Unlisted noninvasive vascular diagnostic study (93998)
range across 3 matching MRF lines
$65.40–$130.80 $109–$218 varies
Unlisted Special Dermatological Service/Px (96999) $482.40 $804 2.4×
Upr/L Xtremity Art 2 Levels (93922) $783 $1,305 5.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $868.80 $1,448 4.0×
Valvuloplasty aortic valve (92986) $10,905.60 $18,176 1.9×
Valvuloplasty mitral valve (92987) $10,905.60 $18,176 0.9×
Valvuloplasty pulmonary valve (92990) $29,299.80 $48,833 2.5×
Veeg 2-12 hr unmonitored (95711) $672 $1,120 3.1×
Veeg Ea 12-26 Hr Unmntr (95714) $1,528.80 $2,548 4.1×
Vent Mgmt Inpat Init Day (94002) $1,929.60 $3,216 3.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,777.80 $2,963 2.9×
Vital capacity, total (94150) $429.60 $716 3.3×
Wheelchair Mgmt Ea 15 Min (97542) $107.40 $179 3.5×
Whirlpool Therapy (97022) $100.20 $167 6.4×

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.