Kansas · 707 published self-pay prices, from $1.60 to $9,486.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 707 published items.
| Item | Cash price | Setting |
|---|---|---|
| 0.9% NACL 1000CC | $10.16 | Outpatient |
| 0.9% NaCl Bottle, 250 mL | $4.96 | Outpatient |
| 0.9% NACL INJ 100CC | $5.36 | Outpatient |
| 0.9% NACL IRR 100CC BOTTLE | $4.00 | Outpatient |
| 0.9% Sodium Chloride 500 mL Bottle | $4.32 | Outpatient |
| 02 CONNECTOR, 6-IN-1(Y), STERILE | $4.00 | Outpatient |
| 3 mm Biopsy Punch, Disposable Sterile | $4.00 | Outpatient |
| 3D breast mammography of both breasts | $120 | Outpatient |
| 3D radiographic procedure with computerized image postprocessing | $40.00 | Outpatient |
| 5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT) | $12.00 | Outpatient |
| A4216 10 mL IV Flush Syringe Prefilled with 10 mL Saline | $46.97 | Outpatient |
| A4216 Sterile Water Irr / 100ml | $4.00 | Outpatient |
| A4310 CATH TRAY W/O CATH W/O BAG FOR 30CC CAT | $4.00 | Outpatient |
| A4334 Urological Catheter Strap | $4.24 | Outpatient |
| A4340 CATH, COUDE, FOLEY, 16FR/ 10ML | $21.76 | Outpatient |
| A4344 CATH, FOLEY 18 FR 10CC/ 2 WAY SILICONE | $8.24 | Outpatient |
| A4344 CATH; FOLEY 14 FR 5 CC | $7.20 | Outpatient |
| A4344 CATH;FOLEY 12FR 10CC/ 2 WAY/ SILICONE | $4.00 | Outpatient |
| A4565,SPLINT,ARM SLING, MESH,MED. | $5.28 | Outpatient |
| A4570 SPLINT, FINGER FROG MEDIUM | $4.00 | Outpatient |
| A4620 (02) MASK WITH TUBING, CHILD | $10.72 | Outpatient |
| A4620 OxyMask, Adult, No PVC | $9.76 | Outpatient |
| Acapella Blue Vibratory PEP Device | $78.56 | Outpatient |
| ADMINISTRATION OF INFLUENZA VIRUS VACCINE | $8.00 | Outpatient |
| Administration of vaccine | $8.00 | Outpatient |
| Administration of vaccine or toxoid component with counseling (18 years or younger), each additional vaccine or toxoid component | $8.00 | Outpatient |
| Administration of vaccine, each additional vaccine | $8.00 | Outpatient |
| Adrenocorticotropic hormone (ACTH) level | $152 | Outpatient |
| AEROSOL MASK / ADULT | $4.00 | Outpatient |
| AFFINITY, PER SQUARE CENTIMETER | $3,780 | Outpatient |
| ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, CONCENTRATED FORM, 1 MG | $1.60 | Outpatient |
| ALBUTEROL, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE, 1 MG | $1.92 | Outpatient |
| ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME | $3.28 | Outpatient |
| Alcohols levels, 1 or 2 | $110 | Outpatient |
| ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING | $4.00 | Outpatient |
| ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING | $12.16 | Outpatient |
| Alpha-fetoprotein (AFP) level, serum | $102 | Outpatient |
| AMBU-BAG ADULT | $22.80 | Outpatient |
| Amylase (enzyme) level | $74.67 | Outpatient |
| Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $230 | Outpatient |
| Analysis for antibody to mumps virus | $88.00 | Outpatient |
| Analysis for antibody to Rubella (German measles virus) | $72.00 | Outpatient |
| Analysis for antibody to Rubeola (measles virus) | $92.00 | Outpatient |
| Analysis for antibody to varicella-zoster virus (chicken pox) | $88.00 | Outpatient |
| Analysis for antibody, Treponema pallidum | $72.00 | Outpatient |
| Androstenedione (hormone) level | $160 | Outpatient |
| ANES CRNA 00731 UPPER GI SCOPE NOS | $68.80 | Outpatient |
| ANES CRNA 00812 LWR INTST SCR COLSC | $68.80 | Outpatient |
| ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INTERFACE (E.G., PNEUMATIC, GEL), PREFABRICATED, OFF-THE-SHELF | $43.76 | Outpatient |
| ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT | $110 | Outpatient |
| ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT | $112 | Outpatient |
| ANTI REFLUX VALVE/GASTRIC | $8.64 | Outpatient |
| Application of hinged finger splint | $128 | Outpatient |
| Application of long leg splint from thigh to ankle or toe | $232 | Outpatient |
| Application of lower and upper arm splint | $168 | Outpatient |
| Application of mechanical traction | $44.00 | Outpatient |
| Application of medication using electrical current, each 15 minutes | $48.00 | Outpatient |
| Application of nonmoveable finger splint | $184 | Outpatient |
| Application of nonmoveable forearm to hand splint | $220 | Outpatient |
| Application of short leg cast | $216 | Outpatient |
| Application of short leg splint from calf to foot | $220 | Outpatient |
| Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | $452 | Outpatient |
| Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | $152 | Outpatient |
| Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less | $1,433 | Outpatient |
| Artery puncture collection of blood sample | $87.20 | Outpatient |
| Aspiration and/or injection of cyst of tendon | $136 | Outpatient |
| Aspiration and/or injection of fluid from large joint | $164 | Both |
| Aspiration and/or injection of fluid from small joint | $136 | Outpatient |
| Aspiration of abscess, blood, or cyst | $178 | Outpatient |
| Aspiration of fluid from chest cavity | $248 | Outpatient |
| Aspiration of fluid from chest cavity using imaging guidance | $820 | Outpatient |
| B4083 TUBE,SALEM SUMP, 14 FR, STERILE | $4.00 | Outpatient |
| Bacterial blood culture | $49.60 | Outpatient |
| Bacterial colony count, urine | $84.00 | Outpatient |
| Bacterial culture for aerobic isolates | $40.00 | Outpatient |
| Bacterial culture, any other source except urine, blood or stool, aerobic | $90.40 | Outpatient |
| Bacterial urine culture | $84.00 | Outpatient |
| Balloon dilation of large bowel using a flexible endoscope | $720 | Outpatient |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) | $720 | Outpatient |
| Bilirubin level, direct | $26.40 | Outpatient |
| Bilirubin level, total | $28.00 | Outpatient |
| Bill Additional Charges | $98.52 | Outpatient |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $720 | Outpatient |
| Biopsy of large bowel using a flexible endoscope | $720 | Outpatient |
| Biopsy of lining of uterus | $180 | Outpatient |
| Biopsy of related skin growth, each additional growth | $643 | Outpatient |
| Biopsy of related skin growth, first growth | $643 | Outpatient |
| BIOPSY PUNCH 6MM DISPOSABLE | $4.00 | Outpatient |
| Blood count, hemoglobin | $12.80 | Outpatient |
| Blood creatinine level | $24.00 | Outpatient |
| Blood gases measurement, with O2 saturation | $232 | Outpatient |
| Blood glucose (sugar) level | $20.00 | Outpatient |
| Blood glucose (sugar) level after receiving dose of glucose | $28.00 | Outpatient |
| Blood group typing (ABO) | $242 | Outpatient |
| Blood osmolality (concentration) measurement | $29.60 | Outpatient |
| Blood test, basic group of blood chemicals (Calcium, total) | $72.00 | Outpatient |
| Blood test, clotting time | $32.00 | Outpatient |
| Blood test, comprehensive group of blood chemicals | $8.00 | Outpatient |
| Blood test, lipids (cholesterol and triglycerides) | $8.00 | Outpatient |
| Blood test, thyroid stimulating hormone (TSH) | $8.00 | Outpatient |
| Blood typing for Rh (D) antigen | $72.80 | Outpatient |
| Blood unit compatibility test, antiglobulin technique | $54.40 | Outpatient |
| Body fluid cell count with cell identification | $124 | Outpatient |
| Breath test analysis for helicobacter pylori | $351 | Outpatient |
| BUDESONIDE 0.5 MG/2 ML SUSP | $5.60 | Outpatient |
| BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | $4.20 | Outpatient |
| C-peptide (protein) level | $198 | Outpatient |
| Calcium level, total | $24.00 | Outpatient |
| Cannabinoids levels, natural | $138 | Outpatient |
| Carcinoembryonic antigen (CEA) protein level | $134 | Outpatient |
| CAST, FIBER 4/ PADDING | $6.88 | Outpatient |
| CATH, FOLEY TRAY W/16FR | $15.00 | Outpatient |
| Ceruloplasmin (protein) level | $48.00 | Outpatient |
| CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM COLLAR) | $13.76 | Outpatient |
| CLAVE Connector | $4.00 | Outpatient |
| Closed treatment of broken finger or thumb at midportion or part near hand | $673 | Outpatient |
| Closed treatment of broken finger or thumb at midportion or part near hand with manipulation | $788 | Outpatient |
| Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $612 | Outpatient |
| Closed treatment of broken hand bone | $720 | Outpatient |
| Closed treatment of dislocated ankle | $360 | Outpatient |
| Closed treatment of dislocated finger joint with manipulation | $640 | Outpatient |
| Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child | $380 | Outpatient |
| Closed treatment of dislocated joint in toe | $432 | Outpatient |
| Closed treatment of dislocated kneecap | $842 | Outpatient |
| Closed treatment of dislocated shoulder with manipulation | $464 | Outpatient |
| Closed treatment of dislocated shoulder with manipulation under anesthesia | $392 | Outpatient |
| Clotting factor VIII (AHG) measurement | $177 | Outpatient |
| Clotting factor VIII (VW factor) antigen | $202 | Outpatient |
| Clotting factor VIII (VW factor) measurement | $162 | Outpatient |
| Coagulation assessment blood test, plasma or whole blood | $28.80 | Outpatient |
| Coagulation function measurement, D-dimer; quantitative | $200 | Outpatient |
| Collagen cross links test, (urine test to evaluate bone health) | $127 | Outpatient |
| COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $720 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | $40.00 | Outpatient |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $40.00 | Outpatient |
| Complete ultrasound of abdomen and pelvis artery and vein blood flow | $792 | Outpatient |
| Complete ultrasound scan behind abdominal cavity | $455 | Outpatient |
| Complete ultrasound scan of 1 breast | $455 | Outpatient |
| Complete ultrasound scan of abdomen | $455 | Outpatient |
| Complete ultrasound scan of pelvis | $455 | Outpatient |
| Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm | $748 | Outpatient |
| Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | $512 | Outpatient |
| Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | $512 | Outpatient |
| COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA), HEAD AND NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, WHEN PERFORMED, AND IMAGE POSTPROCESSING | $3,554 | Outpatient |
| CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARD | $4.00 | Outpatient |
| CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD | $4.00 | Outpatient |
| CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH LESS THAN THREE INCHES, PER YARD | $4.00 | Outpatient |
| CONTACT LAYER, STERILE, 16 SQ. IN. OR LESS, EACH DRESSING | $4.08 | Outpatient |
| Cortisol (hormone) measurement, total | $80.00 | Outpatient |
| Creatine kinase (cardiac enzyme) level, MB fraction only | $114 | Outpatient |
| Creatine kinase (cardiac enzyme) level, total | $29.60 | Outpatient |
| Creatinine level to test for kidney function or muscle injury | $28.00 | Outpatient |
| Critical care, each additional 30 minutes | $280 | Outpatient |
| Critical care, first 30-74 minutes | $452 | Both |
| Crystal identification from tissue or body fluid | $57.60 | Outpatient |
| CT scan head or brain without contrast | $1,003 | Outpatient |
| CT scan of abdomen and pelvis before and after contrast | $1,003 | Outpatient |
| CT scan of abdomen and pelvis with contrast | $1,003 | Outpatient |
| CT scan of abdomen and pelvis without contrast | $1,003 | Outpatient |
| CT scan of abdomen before and after contrast | $1,003 | Outpatient |
| CT scan of abdomen without contrast | $1,003 | Outpatient |
| CT scan of arm with contrast | $1,003 | Outpatient |
| CT scan of blood vessels of abdomen and pelvis with contrast | $2,613 | Outpatient |
| CT scan of blood vessels of chest with contrast | $1,754 | Outpatient |
| CT scan of chest before and after contrast | $1,003 | Outpatient |
| CT scan of chest with contrast | $1,003 | Outpatient |
| CT scan of chest without contrast | $1,003 | Outpatient |
| CT scan of face before and after contrast | $1,003 | Outpatient |
| CT scan of face with contrast | $1,003 | Outpatient |
| CT scan of face without contrast | $1,003 | Outpatient |
| CT scan of leg with contrast material | $1,003 | Outpatient |
| CT scan of leg without contrast | $1,003 | Outpatient |
| CT scan of lower spine without contrast | $1,003 | Outpatient |
| CT scan of middle spine without contrast | $1,003 | Outpatient |
| CT scan of pelvis with contrast | $1,003 | Outpatient |
| CT scan of soft tissue of neck before and after contrast | $1,003 | Outpatient |
| CT scan of soft tissue of neck with contrast | $1,003 | Outpatient |
| CT scan of soft tissue of neck without contrast | $1,003 | Outpatient |
| CT scan of upper spine without contrast | $1,003 | Outpatient |
| CVC Dressing Change Kit | $88.08 | Outpatient |
| Cyanocobalamin (vitamin B-12) level | $73.60 | Outpatient |
| Dehydroepiandrosterone (DHEA-S) hormone level | $103 | Outpatient |
| Dermabond Skin Adhesive | $128 | Outpatient |
| DermaClip Large 3 Clips | $16.48 | Outpatient |
| Destruction of precancer skin growth, 1 growth | $305 | Outpatient |
| Destruction of precancer skin growth, 2-14 growths | $8.00 | Outpatient |
| Destruction of skin growth, 1-14 growths | $160 | Outpatient |
| Detection test by immunoassay technique for hepatitis B surface antigen | $56.00 | Outpatient |
| Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $76.80 | Outpatient |
| Detection test by immunoassay technique for Shiga-like toxin (bacterial toxin) | $70.40 | Outpatient |
| Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $72.00 | Outpatient |
| Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19), influenza virus types A and B, and respiratory syncytial virus | $305 | Outpatient |
| Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $96.80 | Outpatient |
| Detection test by nucleic acid for herpes simplex virus, amplified probe technique | $135 | Outpatient |
| Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | $96.80 | Outpatient |
| Detection test by nucleic acid for organism, quantification | $319 | Outpatient |
| DEXTROSE 50%-WATER SYRINGE | $1,858 | Outpatient |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $720 | Outpatient |
| Diagnostic exam of large bowel using a flexible endoscope | $720 | Outpatient |
| Diagnostic mammography of both breasts | $189 | Outpatient |
| Dilation of stomach outlet using a flexible endoscope | $720 | Outpatient |
| DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | $1.60 | Outpatient |
| Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | $51.20 | Outpatient |
| Drainage of blood or fluid accumulation | $256 | Outpatient |
| Drawing of blood for a medical problem | $200 | Outpatient |
| Dressing change or removal of burn tissue, less than 5% of total body surface | $116 | Outpatient |
| DXA bone density measurement of hip, pelvis, spine | $304 | Outpatient |
| ELECTRICAL STIMULATION (UNATTENDED), TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND CARE, AS PART OF A THERAPY PLAN OF CARE | $39.20 | Outpatient |
| Emergency department visit with high level of medical decision making | $304 | Outpatient |
| Emergency department visit with low level of medical decision making | $184 | Outpatient |
| Emergency department visit with moderate level of medical decision making | $204 | Outpatient |
| Emergency department visit with straightforward medical decision making | $72.00 | Both |
| Emergent insertion of breathing tube into windpipe using an endoscope | $100 | Both |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $124 | Outpatient |
| Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $92.00 | Outpatient |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $83.20 | Outpatient |
| Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $76.00 | Outpatient |
| Established patient periodic preventive medicine examination (1-4 years) | $92.00 | Outpatient |
| Established patient periodic preventive medicine examination (18-39 years) | $116 | Outpatient |
| Established patient periodic preventive medicine examination (40-64 years) | $116 | Outpatient |
| Established patient periodic preventive medicine examination (65 year old or older) | $116 | Outpatient |
| Estrogen analysis, total | $112 | Outpatient |
| Estrone (hormone) level | $166 | Outpatient |
| ETOMIDATE 40 MG/20 ML VIAL | $20.00 | Outpatient |
| ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM, INCLUDING IMPLANT AND SUPPLIES | $1,749 | Outpatient |
| Evaluation for physical therapy, typically 20 minutes | $144 | Outpatient |
| Evaluation for physical therapy, typically 30 minutes | $144 | Outpatient |
| Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $44.00 | Outpatient |
| Evaluation of swallowing function | $200 | Outpatient |
| Exploration of wound of abdomen, back, or flank | $200 | Outpatient |
| EZ-IO NEEDLE/15GX15MM +STABILIZER KIT/PINK | $304 | Outpatient |
| EZ-IO NEEDLE/15GX45MM + STABILIZER KIT/YELLOW | $251 | Outpatient |
| Ferritin (blood protein) level | $72.00 | Outpatient |
| Fibrinogen (factor 1) activity measurement | $32.00 | Outpatient |
| FINASTERIDE, 5 MG | $2.48 | Outpatient |
| FIT RIGHT SUPER BRIEF SIZE 2 | $21.36 | Outpatient |
| Fitting and insertion of vaginal support device | $60.00 | Outpatient |
| FLUZONE 2025-2026 SYRINGE | $60.00 | Outpatient |
| FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING | $4.92 | Outpatient |
| Folic acid level, serum | $84.00 | Outpatient |
| Fungal culture (mold or yeast) of skin, hair, or nail | $104 | Outpatient |
| Gammaglobulin (immune system protein) measurement | $68.00 | Outpatient |
| GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING | $4.00 | Outpatient |
| GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE MORE THAN 16 SQ. IN., BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING | $4.00 | Outpatient |
| GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING | $4.00 | Outpatient |
| GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING | $4.00 | Outpatient |
| GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING | $4.00 | Outpatient |
| GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING | $4.00 | Outpatient |
| Gonadotropin (reproductive hormone) analysis | $44.00 | Outpatient |
| Gonadotropin, chorionic (reproductive hormone) level | $125 | Outpatient |
| Gonadotropin, follicle stimulating (reproductive hormone) level | $96.00 | Outpatient |
| Gonadotropin, luteinizing (reproductive hormone) level | $92.00 | Outpatient |
| HAND FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE, STRAPS, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE | $17.84 | Outpatient |
| Handling and/or conveyance of specimen for transfer to a laboratory | $28.00 | Outpatient |
| Heart rhythm recording continuous external EKG over more than 48 hours up to 7 days | $376 | Outpatient |
| Heart rhythm recording of continuous external EKG over 8-15 days | $376 | Outpatient |
| Hemoglobin A1C level | $8.00 | Outpatient |
| Hepatitis B core antibody measurement | $56.80 | Outpatient |
| Hepatitis B surface antibody measurement | $60.00 | Outpatient |
| Hepatitis C antibody measurement | $76.00 | Outpatient |
| High Flow Nasal Cannula, 7' Tubing | $6.04 | Outpatient |
| Hospital inpatient or observation care with admission and discharge on the same date with high level of medical decision making, if using time, 85 minutes or more | $356 | Outpatient |
| Hospital inpatient or observation care with admission and discharge on the same date with moderate level of medical decision making, if using time, 70 minutes or more | $286 | Outpatient |
| Hospital inpatient or observation care with admission and discharge on the same date with straightforward or low level of medical decision making, if using time, 45 minutes or more | $221 | Outpatient |
| Hospital inpatient or observation discharge day management, 30 minutes or less | $113 | Outpatient |
| Hospital inpatient or observation discharge day management, more than 30 minutes | $116 | Outpatient |
| HOSPITAL OBSERVATION SERVICE, PER HOUR | $24.00 | Outpatient |
| HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING | $4.64 | Outpatient |
| Immunologic analysis for detection of tumor antigen, quantitative; CA 125 | $69.60 | Outpatient |
| Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $161 | Outpatient |
| Immunologic analysis technique on serum (immunofixation) | $128 | Outpatient |
| Incision biopsy, first skin growth | $648 | Outpatient |
| Incision of external hemorrhoid with blood clot | $328 | Outpatient |
| Infusion into a vein for hydration, 31-60 minutes | $139 | Both |
| Infusion into a vein for hydration, each additional hour | $5.60 | Both |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $238 | Outpatient |
| Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | $138 | Both |
| Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | $138 | Outpatient |
| INFUSION, NORMAL SALINE SOLUTION , 1000 CC | $12.00 | Outpatient |
| INFUSION, NORMAL SALINE SOLUTION, 250 CC | $12.00 | Outpatient |
| INFUSION, NORMAL SALINE SOLUTION, STERILE (500 ML = 1 UNIT) | $12.00 | Outpatient |
| INFUVITE ADULT VIAL | $210 | Outpatient |
| Inhalation treatment for airway obstruction or sputum production | $42.40 | Both |
| Initial control of nose bleed and insertion of packing | $130 | Outpatient |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | $134 | Outpatient |
| Initial hospital inpatient or observation care with high level of medical decision making, if using time, 75 minutes or more | $251 | Outpatient |
| Initial hospital inpatient or observation care with moderate level of medical decision making. If using time, 55 minutes or more | $187 | Outpatient |
| Initial new patient preventive medicine evaluation (5-11 years) | $200 | Outpatient |
| Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $190 | Outpatient |
| Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $154 | Outpatient |
| Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $116 | Outpatient |
| INITIAL PREVENTIVE PHYSICAL EXAMINATION; FACE-TO-FACE VISIT, SERVICES LIMITED TO NEW BENEFICIARY DURING THE FIRST 12 MONTHS OF MEDICARE ENROLLMENT | $112 | Outpatient |
| Injection of additional drug or substance into vein provided in a facility | $44.80 | Both |
| Injection of additional new drug or substance into vein | $44.80 | Both |
| Injection of anesthetic agent and/or steroid into other nerve or branch | $909 | Outpatient |
| Injection of drug or substance into vein | $45.60 | Outpatient |
| Injection of drug or substance under skin or into muscle | $72.00 | Both |
| Injection of trigger points, 1-2 muscles | $104 | Outpatient |
| INJECTION, ACETAMINOPHEN, NOT OTHERWISE SPECIFIED,10 MG | $12.00 | Outpatient |
| INJECTION, ALTEPLASE RECOMBINANT, 1 MG | $376 | Outpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Kansas or browse all procedures.