Supplies, drugs & other prices at University of Kansas Hospital
Kansas City, KS · every code in this section with a posted price and a Medicare benchmark.
130 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,188 | $5,940 | 1.6× |
| 2d tte w or w/o fol w/con,co (C8923) | $458.20 | $2,291 | 0.6× |
| 2d tte w or w/o fol w/con,fu (C8924) | $425.40 | $2,127 | 1.3× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) likely a partial charge, not the full procedure |
$1,454.40 | $7,272 | 0.1× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,412.40 | $7,062 | 0.8× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) likely a partial charge, not the full procedure |
$2,402 | $12,010 | 0.3× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $1,412.40 | $7,062 | 0.8× |
| Admin hepatitis b vaccine (G0010) | $16.70 | $83.50 | 0.4× |
| Admin influenza virus vac (G0008) | $16.70 | $83.50 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $16.70 | $83.50 | 0.4× |
| Arthro/shoul surg; w/spacer (C9781) | $11,279.77 | $56,398.84 | 0.9× |
| Behavior counsel obesity 15m (G0447) | $32.40 | $162 | 0.3× |
| Ca screen;flexi sigmoidscope (G0104) | $693.20 | $3,466 | 0.8× |
| Ca screen;pelvic/breast exam (G0101) | $40.60 | $203 | 0.4× |
| Chemo extend iv infus w/pump (G0498) | $226.60 | $1,133 | 0.7× |
| Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) | $5,691.20 | $28,456 | 2.6× |
| Colorectal scrn; hi risk ind (G0105) | $1,170.04 | $5,850.19 | 1.3× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) | $53.60 | $268 | 0.0× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $308.60 | $1,543 | 0.5× |
| Cysto impl 4 or more (C9740) | $8,400.52 | $42,002.62 | 1.0× |
| Cysto, litho, vacuum kidney (C9761) | $9,539.90 | $47,699.51 | 1.1× |
| Depression screen annual (G0444) | $16 | $80 | 0.5× |
| Diab manage trn per indiv (G0108) | $30.40 | $152 | 0.5× |
| Diab manage trn ind/group (G0109) | $8.60 | $43 | 0.5× |
| Direct refer hospital observ (G0379) | $3,948.03 | $19,740.13 | 7.1× |
| Drug test def 1-7 classes (G0480) | $67.60 | $338 | 0.6× |
| Drug test def 15-21 classes (G0482) | $8.60 | $43 | 0.0× |
| Drug test def 8-14 classes (G0481) | $58.60 | $293 | 0.4× |
| Ed svc ckd ind per session (G0420) | $61 | $305 | 0.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $16 | $80 | 0.8× |
| Ekg tracing for initial prev (G0404) | $13.20 | $66 | 0.5× |
| Elec stim other than wound (G0283) | $56.80 | $284 | 4.5× |
| Elec stim unattend for press (G0281) | $7.60 | $38 | 0.7× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$7,237.80 | $36,189 | 0.2× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $39,127.03 | $195,635.17 | 3.6× |
| Fecal blood scrn immunoassay (G0328) | $15.40 | $77 | 0.9× |
| Fecal microbiota prep instil (G0455) | $1,565.01 | $7,825.07 | 1.8× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $2,272.12 | $11,360.58 | 3.3× |
| Hbot, full body chamber, 30m (G0277) | $191 | $955 | 1.5× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) unusually low: confirm this is the full procedure |
$5,894.60 | $29,473 | 0.4× |
| Home sleep test/type 3 porta (G0399) | $291.40 | $1,457 | 1.4× |
| Home sleep test/type 4 porta (G0400) | $256.40 | $1,282 | 1.3× |
| Hospital outpt clinic visit (G0463) | $42.60 | $213 | 0.3× |
| Initial preventive exam (G0402) | $64.60 | $323 | 0.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,550.58 | $7,752.90 | 2.4× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) likely a partial charge, not the full procedure |
$1,527.60 | $7,638 | 0.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) likely a partial charge, not the full procedure |
$1,478 | $7,390 | 0.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) likely a partial charge, not the full procedure |
$898.20 | $4,491 | 0.0× |
| Instill pharm renal pelvis (C9789) | $521.10 | $2,605.50 | 0.5× |
| Intens cardiac rehab no exer (G0423) | $59.40 | $297 | 0.5× |
| Intens cardiac rehab w/exerc (G0422) | $59.40 | $297 | 0.5× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $37.70 | $188.50 | 1.1× |
| Interrogation dev eval icds w/ss eltrd in person (0576T) | $24.10 | $120.50 | 0.7× |
| Mra w/cont, abd (C8900) | $615.80 | $3,079 | 1.9× |
| Mra w/cont, chest (C8909) | $461.40 | $2,307 | 1.4× |
| Mra w/cont, lwr ext (C8912) | $300.40 | $1,502 | 0.9× |
| Mra w/cont, pelvis (C8918) | $313.60 | $1,568 | 1.0× |
| Mra w/o cont, abd (C8901) | $615.80 | $3,079 | 2.8× |
| Mra w/o cont, chest (C8910) | $461.40 | $2,307 | 2.1× |
| Mra w/o cont, lwr ext (C8913) | $300.40 | $1,502 | 1.3× |
| Mra w/o cont, pelvis (C8919) | $313.60 | $1,568 | 1.4× |
| Mra w/o fol w/cont, abd (C8902) | $739 | $3,695 | 2.3× |
| Mra w/o fol w/cont, chest (C8911) | $553.60 | $2,768 | 1.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $360.40 | $1,802 | 1.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $376.40 | $1,882 | 1.2× |
| Mra, w/dye, spinal canal (C8931) | $268.80 | $1,344 | 0.8× |
| Mra, w/dye, upper extremity (C8934) | $285.60 | $1,428 | 0.9× |
| Mri w/cont, breast, bi (C8906) | $571.60 | $2,858 | 1.8× |
| Mri w/cont, breast, uni (C8903) | $286 | $1,430 | 1.7× |
| Mri w/o fol w/cont, breast, (C8908) | $579.80 | $2,899 | 1.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $343.20 | $1,716 | 1.1× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $599 | $2,995 | 1.1× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $93.20 | $466 | 0.2× |
| Obtaining screen pap smear (Q0091) | $13.40 | $67 | 0.5× |
| Oth resp proc, group (G0239) | $67.60 | $338 | 1.9× |
| Oth resp proc, indiv (G0238) | $22.20 | $111 | 0.8× |
| Pattern erg w/i&r (0509T) | $150 | $750 | 0.7× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,441.20 | $32,206 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $5,593.80 | $27,969 | 0.5× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$6,108.40 | $30,542 | 0.4× |
| Perc drug-el cor stent sing (C9600) | $6,131.30 | $30,656.50 | 0.6× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $8,885.76 | $44,428.80 | 0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$2,929.40 | $14,647 | 0.4× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$1,464.60 | $7,323 | 0.2× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$3,556.20 | $17,781 | 0.3× |
| Pet not otherwise specified (G0235) | $2,461 | $12,305 | 6.6× |
| Ppps, initial visit (G0438) | $92 | $460 | 0.5× |
| Ppps, subseq visit (G0439) | $72 | $360 | 0.5× |
| Prgrmg dev eval icds ss ip (0575T) | $24.10 | $120.50 | 0.7× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $56.10 | $280.50 | 1.6× |
| Prolonged iv inf, req pump (C8957) | $270 | $1,350 | 1.4× |
| Prostate biopsy, any mthd (G0416) | $164.40 | $822 | 0.5× |
| Psa screening (G0103) | $16.80 | $84 | 0.9× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $715.40 | $3,577 | 0.8× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $715.40 | $3,577 | 0.8× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $715.40 | $3,577 | 0.8× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) | $715.40 | $3,577 | 0.8× |
| Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee,… (0350T) | $66.20 | $331 | 0.8× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $327.70 | $1,638.50 | 0.5× |
| Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) | $4,234.04 | $21,170.19 | 0.7× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $1,011 | $5,055 | 0.5× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $105.80 | $529 | 0.6× |
| Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) | $114.40 | $572 | 0.0× |
| Revasc intra lithotrip-stent (C9765) likely a partial charge, not the full procedure |
$3,692.60 | $18,463 | 0.2× |
| Revasc intravasc lithotripsy (C9764) likely a partial charge, not the full procedure |
$2,741 | $13,705 | 0.3× |
| Screen cerv/vag thin layer (G0123) | $42.60 | $213 | 2.1× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$4,193.20 | $20,966 | 0.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$8,386.40 | $41,932 | 0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) unusually low: confirm this is the full procedure |
$2,273.10 | $11,365.50 | 0.4× |
| Tee w or w/o fol w/cont,cong (C8926) | $530.20 | $2,651 | 0.7× |
| Therapeutic procd strg endur (G0237) | $24.40 | $122 | 0.9× |
| Tomosynthesis, mammo (G0279) | $22 | $110 | 1.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $2,972.20 | $14,861 | 0.6× |
| Transcatheter renal sympath denervation unilat (0338T) | $2,972.20 | $14,861 | 0.6× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $6,077.20 | $30,386 | 0.6× |
| Trauma respons w/hosp criti (G0390) | $515.40 | $2,577 | 0.4× |
| Trim nail(s) (G0127) | $39.60 | $198 | 0.7× |
| Trluml Perip Athrc Renal Art (0234T) | $6,491.80 | $32,459 | 0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $6,043.20 | $30,216 | 0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$6,758.20 | $33,791 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $856.60 | $4,283 | 1.2× |
| Tte w or w/o fol w/con,stres (C8928) | $691 | $3,455 | 0.9× |
| Tte w or w/o fol w/cont, com (C8921) | $485.80 | $2,429 | 0.7× |
| Tte w or w/o fol w/cont, f/u (C8922) | $295.20 | $1,476 | 0.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,078 | $5,390 | 1.5× |
| Unsched dialysis esrd pt hos (G0257) | $790.60 | $3,953 | 1.2× |
| Vasc emb/occ w/prs cath (C9797) likely a partial charge, not the full procedure |
$4,984 | $24,920 | 0.3× |
| Visit esketamine 56m or less (G2082) | $50.20 | $251 | 0.1× |
| Visit esketamine, > 56m (G2083) | $50.20 | $251 | 0.0× |
| Visit to determ ldct elig (G0296) | $33.40 | $167 | 0.4× |