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

Overland Park, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $13,152 $21,920 1.8×
Airway inhalation treatment (94640) $214.80 $358 1.0×
Appl on-body injector for timed subq injection (96377) $145.80 $243 3.3×
Assessment of aphasia (96105) $332.40 $554 3.4×
Behavioral and qualitative analysis of voice and resonance (92524) $526.20 $877 4.8×
Bis extracellular fluid alys lymphedema assmnt (93702) $249.60 $416 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $745.80 $1,243 2.1×
C motor evoked uppr limbs (95928) $892.80 $1,488 1.1×
C motor evoked upr&lwr limbs (95939) $1,248 $2,080 1.5×
Canalith Repositioning (95992) $147 $245 3.6×
Capsule endoscopy (91110) $1,569 $2,615 1.8×
Cardiac Stress Tst,Tracing Only (93017) $753 $1,255 3.7×
Cardiopulmonary resuscitation (92950) $27,567.72 $45,946.20 134.9×
Cardioversion (92960) $4,677.36 $7,795.60 7.5×
Cardioversion internal (92961) $4,353 $7,255 7.0×
Caregiver training 1st 30 min (97550) $122.40 $204 2.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.20 $102 2.3×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $34,351.53 $57,252.55 11.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $18,763.98 $31,273.30 6.1×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $16,488.60 $27,481 1.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $33,712.96 $56,188.28 11.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $16,707 $27,845 5.4×
Cbt 1st hour (94644) $253.80 $423 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $515.40 $859 7.6×
Chemo IV push addl drug (96411) $531 $885 7.8×
Chemo Iv Push Sngl Drug (96409) $552.60 $921 1.8×
Chemother, IV infusion, 1 hr (96413) $531 $885 1.7×
Chemother, IV infusion, ea add hr (96415) $144.60 $241 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $525.60 $876 7.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $531 $885 7.8×
Color/duplex Doppler, complete (93975) $1,578 $2,630 7.0×
Color/duplex Doppler, limited (93976) $970.80 $1,618 9.8×
Coronary artery angio s&i (93454) $14,940.81 $24,901.35 4.9×
Cpap initiation and management (94660) $1,073.10 $1,788.50 5.2×
Cpt initial (94667) $199.20 $332 1.6×
Critical care (99291) $2,901 $4,835 3.7×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $390 $650 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $1,801.50 $3,002.50 9.5×
Demo &/or eval,pt use,aerosol device (94664) $334.20 $557 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $904.80 $1,508 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $571.80 $953 5.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,024.40 $3,374 9.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,274.40 $2,124 12.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,332.60 $2,221 5.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,269 $2,115 12.8×
Dup-scan xtr veins unilateral/limited study (93971) $1,014.60 $1,691 10.3×
Duplex hemodialysis access (93990) $826.20 $1,377 8.3×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $619.80 $1,033 2.7×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $297 $495 3.0×
Duplex scan extracranial art compl bi study (93880) $2,472.60 $4,121 10.9×
Echo Heart Xthoracic,Limited (93308) $699.60 $1,166 3.1×
Echo transesophageal (93312) $2,410.80 $4,018 4.7×
Echo Transesophageal - Congenital Tee Complete (93315) $1,950 $3,250 3.8×
Echo Transthoracic - Congenital Tte Complete (93303) $2,226 $3,710 4.3×
Echo Transthoracic - Congenital Tte Limited (93304) $655.80 $1,093 1.3×
EEG awake asleep (95819) $2,067.60 $3,446 10.1×
EEG awake drowsy (95816) $1,969.20 $3,282 9.6×
EEG cerebral death evaluation (95824) $1,693.80 $2,823 4.8×
EEG coma or sleep only (95822) $1,557.60 $2,596 7.6×
Eeg Extended Monitoring 61-119 Minutes (95813) $2,955 $4,925 14.5×
EKG (93005) $9,733.24 $16,222.08 174.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,869 $3,115 9.1×
EMG four extremities (95864) $520.20 $867 4.3×
EMG one extremity (95860) $272.40 $454 2.2×
EMG thoracic paraspinal (95869) $693 $1,155 3.4×
EMG three extremities (95863) $520.20 $867 4.3×
EMG two extremities (95861) $477.60 $796 3.8×
Endomyocardial biopsy (93505) $5,643.60 $9,406 1.9×
Ep & ablate supravent arrhyt (93653) $56,058 $93,430 2.3×
Ep & ablate ventric tachy (93654) $65,887.20 $109,812 2.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,412.80 $20,688 1.7×
Ep Electrophysiologic F/U Study (93624) $4,976.40 $8,294 0.7×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $6,433.80 $10,723 5.6×
Ep Right Ventricular Recording (93603) $6,504.60 $10,841 5.6×
Er level 1 (99281) $88.20 $147 1.1×
Er level ii (99282) $559.20 $932 3.8×
Er level iii (99283) $1,272.60 $2,121 4.9×
Er level IV (99284) $1,459.80 $2,433 3.7×
Er level v (99285) $2,404.80 $4,008 4.3×
Evaluation of speech fluency (92521) $593.40 $989 4.5×
Evaluation of speech sound production (92522) $462 $770 4.1×
Evaluation of swallowing function (92610) $378 $630 4.5×
Exercise tst brncspsm (94617) $453.60 $756 3.6×
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 3.8×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $872.40 $1,454 4.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,594.80 $2,658 2.0×
Group Therapeutic Procedures (97150) $136.20 $227 7.5×
Hast w/report (94452) $224.40 $374 1.8×
High altitude simulation test (94453) $232.80 $388 1.8×
Icd Device Interrogate (93289) $165 $275 4.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $70.20 $117 1.8×
Immunization Admin (90471) $45 $75 0.7×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $1,120.20 $1,867 3.2×
Ins swan ganz bedside (93503) $2,832.60 $4,721 1.9×
Interrog dev eval scrms phys/qhp in person (93291) $106.80 $178 3.9×
Intra Atrial Recording (93602) $7,476.60 $12,461 1.0×
Intra-atrial pacing (93610) $7,875.60 $13,126 1.1×
Intraventricular pacing (93612) $6,795 $11,325 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $211.80 $353 3.8×
IV infusion hydration each additional hour (96361) $200.40 $334 4.5×
IV infusion hydration initial 31 min-1 hour (96360) $422.40 $704 2.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $229.20 $382 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $443.40 $739 2.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $218.40 $364 4.9×
IV push initial (96374) $177.60 $296 0.9×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $7,267.80 $12,113 2.4×
Manual therapy 15 min (97140) $152.40 $254 5.5×
Massage 15 min (97124) $120 $200 4.0×
Maximum voluntary ventilation (94200) $177.60 $296 3.2×
Mechanical chest wall oscillation (94669) $394.80 $658 1.9×
Methacholine challenge (94070) $904.80 $1,508 2.6×
Motility study esophagus (91010) $1,279.20 $2,132 3.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $334.80 $558 3.7×
Multiple sleep latency test (95805) $2,608.80 $4,348 3.2×
Nasopharyngoscopy (92511) $318 $530 1.7×
Neg press wnd tx </=50 sq cm (97607) $436.20 $727 1.1×
Neg press wound tx >50 cm (97608) $776.40 $1,294 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $436.20 $727 2.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $776.40 $1,294 2.0×
Nerve conduction studies 13/> studies (95913) $944.40 $1,574 2.7×
Nerve Conduction Studies 3-4 Studies (95908) $602.40 $1,004 2.9×
Nerve Conduction Studies 9-10 Studies (95911) $813.60 $1,356 2.3×
Nerve conduction studies; 1-2 studies (95907) $334.20 $557 1.6×
Nerve conduction studies; 11-12 studies (95912) $919.20 $1,532 2.6×
Nerve conduction studies; 5-6 studies (95909) $683.40 $1,139 3.3×
Nerve conduction studies; 7-8 studies (95910) $747.60 $1,246 2.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $783 $1,305 6.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $868.80 $1,448 4.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $794.40 $1,324 6.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $204.60 $341 4.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $111 $185 3.5×
Ot Contrast Bath Ea 15 Min (97034) $158.40 $264 11.3×
Ot eval high complex 60 min (97167) $331.80 $553 3.3×
Ot eval low complex 30 min (97165) $255.60 $426 2.5×
Ot eval mod complex 45 min (97166) $301.20 $502 3.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $100.20 $167 2.0×
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 1.8×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $202.20 $337 1.7×
Paraffin bath (97018) $129.60 $216 21.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $270 $450 1.3×
Perq transcath closure pda (93582) $21,089.40 $35,149 1.2×
Perq Transcath Cls Mitral (93590) $44,392.20 $73,987 2.6×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $44,392.20 $73,987 2.6×
Plethysmography (94726) $732.60 $1,221 2.1×
Pm device eval in person (93288) $135 $225 3.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,224.80 $13,708 10.1×
Prq balloon valvuloplasty aortic valve (92986) $10,905.60 $18,176 2.0×
Prq Balloon Valvuloplasty Mitral Valve (92987) $10,905.60 $18,176 1.0×
Prq card revasc chronic 1vsl (92943) $78,563.19 $130,938.65 7.2×
Prq Card Stent W/Angio 1 Vsl (92928) $19,153.20 $31,922 1.8×
Prq Card Stent/Ath/Angio (92933) $20,746.20 $34,577 1.2×
Prq revasc byp graft 1 vsl (92937) $19,650 $32,750 1.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $22,374 $37,290 1.3×
Prq trluml coronary angio/atherect one art/brnch (92924) $16,666.20 $27,777 1.5×
Prq trluml coronary angioplasty one art/branch (92920) $55,657.11 $92,761.85 10.3×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $25,156.20 $41,927 2.3×
Psychiatric diagnostic evaluation (90791) $255 $425 1.5×
Pt Aquatic Therapy/Exercises (97113) $162.60 $271 4.4×
Pt Electric Current Therapy (97033) $166.80 $278 8.8×
Pt Electrical Stimulation (97032) $157.20 $262 10.7×
Pt eval high complex 45 min (97163) $379.80 $633 3.9×
Pt eval low complex 20 min (97161) $208.80 $348 2.1×
Pt Gait Training Therapy (97116) $193.20 $322 6.6×
Pt Infrared Therapy (97026) $21.60 $36 3.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $172.80 $288 5.3×
Pt Physical Performance Test (97750) $165.60 $276 4.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $361.80 $603 3.7×
Pt re-evaluation (97164) $208.80 $348 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $142.20 $237 4.4×
Pt Ultrasound Therapy (97035) $134.40 $224 9.4×
Pt Whirlpool Therapy (97022) $100.20 $167 6.4×
Pulmonary stress testing (94618) $567 $945 4.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $16,412.16 $27,353.60 5.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $18,289.56 $30,482.60 6.0×
R hrt art/grft angio (93457) $15,633.60 $26,056 5.1×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $7,267.80 $12,113 2.4×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $7,267.80 $12,113 2.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $33,449.48 $55,749.12 10.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $7,267.80 $12,113 2.4×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $7,267.80 $12,113 2.4×
Refill/maint, portable pump (96521) $394.20 $657 2.0×
Right heart cath (93451) $14,767.56 $24,612.60 4.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $418.80 $698 2.2×
Rt Chest Wall Manipulation,Subsequent (94668) $102.60 $171 0.8×
Short-latency somatosens ep std lwr limbs (95926) $892.80 $1,488 4.4×
Short-latency somatosens ep std upr limbs (95925) $520.20 $867 2.5×
Somatosensory testing (95938) $875.40 $1,459 1.1×
Speech group therapy (92508) $142.80 $238 5.9×
Speech sound lang comprehen (92523) $710.40 $1,184 3.1×
Spirometry (94010) $383.40 $639 1.9×
Standardized Cognitive Performance Testing (96125) $249 $415 2.4×
Stress echo (93350) $2,410.80 $4,018 4.7×
Temp transcutaneous pacing (92953) $685.80 $1,143 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $73.80 $123 3.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $70.80 $118 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $304.80 $508 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $159.60 $266 2.3×
Therapeutic Activities (97530) $175.80 $293 5.0×
Therapeutic phlebotomy (99195) $456.60 $761 3.6×
Tilt Table Eval (93660) $2,376.60 $3,961 6.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,466.80 $5,778 6.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,130.40 $1,884 5.0×
Tx atrial fib pulm vein isol (93656) $59,167.20 $98,612 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $466.20 $777 6.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $420 $700 5.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $167.40 $279 3.8×
Unlisted Cardiovascular Service/Procedure (93799) $7,276.20 $12,127 59.7×
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,250.40 $2,084 10.3×
Unlisted noninvasive vascular diagnostic study (93998) $65.40 $109 2.4×
Unlisted pulmonary service/procedure (94799) $415.20 $692 3.4×
Valvuloplasty pulmonary valve (92990) $29,299.80 $48,833 2.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,952.40 $3,254 8.6×
Vasc Duplex Scan Extracranial,Limited (93882) $1,015.20 $1,692 10.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,255.20 $2,092 6.1×
Vasopneumatic device (97016) $62.40 $104 5.2×
Ventilation assist & mgmt inpatient 1st day (94002) $1,929.60 $3,216 3.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,777.80 $2,963 3.0×
Vital capacity total (94150) $429.60 $716 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $107.40 $179 3.5×