Kansas Physician / Clinic Costs

Location Service Description Plain English Description Procedure Description Procedure Code Self Pay Rate Payment Method
KansasSurgeryDebridement subcutaneous (under the skin) tissue - first 20 sq cmDebridement, Subsequesnt Tissue 20 Sq Cm/11042$133.50 Per Service
KansasSurgeryInsertion of drug implant deviceInsertion of Drug Implant Device11981$135.00 Per Service
KansasSurgeryTissue Transfer - additional 30 square cmTissue Transfer Additional 30 Square Cm14302$214.50 Per Service
KansasSurgeryDescuction of up to 14 benign lesionsDestruction of benign Lesion 1-1417110$102.50 Per Service
KansasSurgeryBreast biopsy with placement of clip/metallic pellet - with ultrasound guidanceBiopsy Breast 1st Lesion Ultrasound Imaging19083$632.50 Per Service
KansasSurgeryLarge oint aspiration or injection (shoulder, knee, hip) without ultraoundDrain/Inj Joint/Bursa W/O Ultrasound20610$62.20 Per Service
KansasSurgeryLarge joint aspiration or injection (shoulder, knee, hip) with ultrasound Drain/Inj Joint/Bursa W/Ultrasound20611$87.00 Per Service
KansasSurgeryInsertion of mechanical disk spacer during spine surgeryInsertion of Biomechanical Device22853N/APer Service
KansasSurgeryReduction of shoulder dislocationTreat Shoulder Dislocation23650$305.00 Per Service
KansasSurgeryNonsurgical treatment of radius fracture at the wrist including ulnaTreat Fracture Radius/Ulna25600$313.00 Per Service
KansasSurgeryTotal Hip Arthroplasty (THA)Total Hip Arthroplasty27130$2,021.00 Per Service
KansasSurgeryTotal Knee Arthroplasty (TKA) Total Knee Arthroplasty27447$1,992.21 Per Service
KansasSurgeryArthroscopic shoulder surgery - decompression/repair of acromion/ligament releaseShoulder Arthroscopy/Surgery29826$170.50 Per Service
KansasSurgeryArthroscopic Cartilage RemovalKnee Arthroscopy/Surgery29881$575.40 Per Service
KansasSurgeryArthroscopic ACL RepairKnee Arthroscopy/Surgery29888$1,350.32 Per Service
KansasSurgeryRemoval of inferior nasal turbinateResect Inferior Turbinate30140N/APer Service
KansasSurgeryRepair Of Nasal SeptumRepair Of Nasal Septum30520N/APer Service
KansasSurgeryDiagnostic scope of the nose - unilateral or bilateralNasal Endoscopy Dx31231N/APer Service
KansasSurgerySinus or Nasal surgery with biopsy or removal of polypsNasal/Sinus Endoscopy Surg31237N/APer Service
KansasSurgeryScope of Larynx (voice box)Diagnostic Laryngoscopy31575$107.00 Per Service
KansasSurgeryRoutine VenipunctureRoutine Venipuncture36415$7.00 Per Service
KansasSurgeryEsophagus/Stomach/Intestine (EDG) with biopsy single/multipleEsophagus Biopsy Single/Multiple43239$208.22 Per Service
KansasSurgeryDiagnostic ColonoscopyDiagnostic Colonoscopy45378$368.50 Per Service
KansasSurgeryColonoscopy with biopsyColonoscopy And Biopsy45380$345.78 Per Service
KansasSurgeryColonoscopy with lesion/polyp removalColonoscopy W/Lesion Removal45385$532.50 Per Service
KansasSurgeryDiagnostic exam of the anus using an endoscopeDiagnostic Anoscopy Specimen46600$84.50 Per Service
KansasSurgeryCircumcision - ClampCircumcision W/Regional Block54150$116.00 Per Service
KansasSurgeryCervical biopsy with scopeBx/Curett Of Cervix W/Scope57454$185.50 Per Service
KansasSurgeryBiopsy of Uterine LiningBiopsy Of Uterus Lining58100$129.00 Per Service
KansasSurgeryInsertion of an Intrauterine Device (IUD)Insert Intrauterine Device58300$80.50 Per Service
KansasSurgeryRemoval of an Intrauterine Device (IUD)Remove Intrauterine Device58301$92.00 Per Service
KansasSurgeryLaparoscopic total hysterectomy for a uterus of 250g or lessTlh W/T/O 250 G Or Less58571$859.50 Per Service
KansasSurgeryFetal Non Stress TestFetal Non-Stress Test59025$52.00 Per Service
KansasSurgeryRoutine Vaginal Delivery Package - includes:
  • Up to 13 prenatal visits (after initial visit)
  • Routine prenatal urinalysis tests
  • Labor, delivery
  • Uncomplicated postpartum care
Obstetrical Care59400$2,154.50 Per Service
KansasSurgeryPhysician charges of antepartum care onlyAntepartum Care Only59426$743.50 Per Service
KansasSurgery C-Section Delivery Package - includes:
  • Up to 13 prenatal visits (after initial visit)
  • Routine prenatal urinalysis tests
  • Labor, delivery
  • Uncomplicated postpartum care
Cesarean Delivery59510$2,242.50 Per Service
KansasSurgeryC-Section - Delivery OnlyCesarean Delivery Only59514$875.50 Per Service
KansasSurgerySpinal injection - epidural with imaging - Lumbar/Sacrum single levelInjection transforminal Epidural Lumbar/Sacral64483$208.00 Per Service
KansasSurgerySpinal Facet Injection with imaging - Lumbar/Sacrum single levelInjection Paravertebral Facet Joint L/S 1 Lev64493$164.00 Per Service
KansasSurgeryBilateral Chemodenervation of Muscle(s) (eg: Botox for Migraines)Chemodenervation of Muscle(s) for Migraine64615N/APer Service
KansasRadiologyChest X-Ray - 2 view Chest X-Ray 2 view Frontal&Lateral71020$26.50 Per Service
KansasRadiologyX-Ray of Shoulder - completeX-Ray Exam Of Shoulder73030$24.00 Per Service
KansasRadiologyX-Ray of Wrist - complete X-Ray Exam Of Wrist73110$33.00 Per Service
KansasRadiologyX-Ray of Knee - 3 viewsX-Ray Exam Of Knee 373562$30.00 Per Service
KansasRadiologyX-Ray of Ankle - completeX-Ray Exam Of Ankle73610$26.00 Per Service
KansasRadiologyX-Ray of foot - completeX-Ray Exam Of Foot73630$38.50 Per Service
KansasRadiologyUltrasound Breast Limited - UnilateralUltrasound Breast Limited76642$84.00 Per Service
KansasRadiologyOB Ultrasound first trimester - Single FetusOB Ultrasound 76801$118.50 Per Service
KansasRadiologyOB Ultrasound after first trimester - Single FetusOb Ultrasound >/= 14 Wks Single Fetus76805$114.05 Per Service
KansasRadiologyOB Ultrasound Follow-Up Per FetusOB Ultrasound Follow-Up Per Fetus76816$88.12 Per Service
KansasRadiologyTransvaginal ultrasound - obstetricTransvaginal Ultrasound Obstetric76817$59.10 Per Service
KansasRadiologyTransvaginal ultrasound - not obstetricTransvaginal Ultrasound Non-Ob76830$67.98 Per Service
KansasRadiology3D screening breast mammography - bilateralBreast Tomosynthesis Biopsy77063$53.00 Per Service
KansasRadiologyScreening Mammogram - Bilateral Screening Mamm Bilat Incl Cad When Perf77067$127.50 Per Service
KansasLab PathAutomated Urinalysis without microscopyUrinalysis Auto W/O Scope81003$4.00 Per Service
KansasLab PathInfluenze A or B TestInfluenza Assay W/Optic87804$22.00 Per Service
KansasLab PathStrep A TestStrep A Assay W/Optic87880$18.50 Per Service
KansasMedicineImmunization admistration with counseling - ages of 0-18Im Admin 1St/Only Component90460$12.18 Per Service
KansasMedicineImmunization administration with counseling - additional vaccines - ages of 0-18Im Admin Each Addl Component90461$12.50 Per Service
KansasMedicineImmunization administration - initial vaccineImmunization Admin90471$14.07 Per Service
KansasMedicineImmunization administration - additional administrationImmunization Admin Each Add90472$12.50 Per Service
KansasMedicineHPV VaccineVaccine 2/3 Dose Im90651$238.50 Per Service
KansasMedicinePneumonia 13 VaccinePcv13 Vaccine Im90670$174.76 Per Service
KansasMedicineFlu Vaccine - preservative freeFlu Vacinne 0.5 Ml Intramuscular90686$21.72 Per Service
KansasMedicineFlu VaccineFlu Vaccine Split 0.5 Ml Intramuscular90688$22.50 Per Service
KansasMedicineTetanus Diptheria Vaccine administered to individuals 7 years or olderTetanus Diptheria Vaccine 7 Yrs/> Intramuscular90715$30.50 Per Service
KansasMedicinePsychotherapy Evalutation - 30 MinutesPsychotherapy Evalutation with E/M 30 Min90833N/APer Service
KansasMedicinePsychotherapy Evaluation - 45 MinutesPsychotherapy Evaluation with E/M 45 Minutes90834N/APer Service
KansasMedicineElectroconvulsive TherapyElectroconvulsive Therapy90870N/APer Service
KansasMedicineComprehensive Hearing TestComprehensive Hearing Test92557$37.00 Per Service
KansasMedicineElectrocardiogram (EKG) CompleteElectrocardiogram Complete93000$32.00 Per Service
KansasMedicineElectrocardiogram (EKG) ReportElectrocardiogram Report93010$15.50 Per Service
KansasMedicineEchocardiogram with Doppler StudyTransthoracic Echo w/Doppler Complete93306$154.83 Per Service
KansasMedicineHeart Stress Test CompleteStress Test Complete93351$222.50 Per Service
KansasMedicineHeart Angiogram including Left Heart Catherization L Hrt Artery/Ventricle Angio93458$950.00 Per Service
KansasMedicineAbdominal/Pelvic ultrasound study -arteries/veins - LimitedVascular Study93976$156.50 Per Service
KansasMedicineTherapeutic Exercises, each 15 minutesTherapeutic Exercises97110$30.00 Per Service
KansasMedicineManual therapy for 1 or more regions, each 15 minutesManual Therapy 1/> Regions97140$27.50 Per Service
KansasMedicinePhysical therapy evaluation - low complexity (about 20 Minutes)Physical therapy Evaluation Low Complex 20 Min97161$81.50 Per Service
KansasEvaluation and MgmtLevel 2 office visit for a new patient Office/Outpatient Visit New Patient99202$51.05 Per Service
KansasEvaluation and MgmtLevel 3 office visit for a new patient Office/Outpatient Visit New Patient99203$88.42 Per Service
KansasEvaluation and MgmtLevel 4 office visit for a new patient Office/Outpatient Visit New Patient99204$135.75 Per Service
KansasEvaluation and MgmtLevel 5 office visit for a new patient Office/Outpatient Visit New Patient99205$200.00 Per Service
KansasEvaluation and MgmtLevel 2 office visit for an established patientOffice/Outpatient Visit Established Patient99212$32.48 Per Service
KansasEvaluation and MgmtLevel 3 office visit for an established patientOffice/Outpatient Visit Established Patient99213$53.40 Per Service
KansasEvaluation and MgmtLevel 4 office visit for an established patientOffice/Outpatient Visit Established Patient99214$85.35 Per Service
KansasEvaluation and MgmtLevel 5 office visit for an established patientOffice/Outpatient Visit Established Patient99215$130.50 Per Service
KansasEvaluation and MgmtInitial preventative visit for a newpatient less than one year oldInit Preventative E/M New Patient Infant99381$106.50 Per Service
KansasEvaluation and MgmtInitial preventative visit for a new patient between the ages 1-4Init Preventative E/M New Patient 1-4 Yrs99382$111.50 Per Service
KansasEvaluation and MgmtInitial preventative visit for a new patient between the ages 5-11Previous Visit New Age 5-1199383$116.00 Per Service
KansasEvaluation and MgmtInitial preventative visit for a new patient between the ages 12-17Previous Visit New Age 12-1799384$105.00 Per Service
KansasEvaluation and MgmtInitial preventative visit for a new patient between the ages 18-39Prev Visit New Patient Age 18-3999385$130.50 Per Service
KansasEvaluation and MgmtInitial preventative visit for a new patient between the ages 40-64Prev Visit New Patient Age 40-6499386$153.00 Per Service
KansasEvaluation and MgmtPreventive visit for an established infant patient less than one year oldPreventive Visit Reevaluation Established Pat Infant99391$77.86 Per Service
KansasEvaluation and MgmtPreventive visit for an established patient between the ages of 1-4Preventive Visit Established Patient Age 1-499392$97.79 Per Service
KansasEvaluation and MgmtPreventive visit for an established patient between the ages of 5-11Preventive Med Visit Established Pateint Age 5-1199393$102.00 Per Service
KansasEvaluation and MgmtPreventive visit for an established patient between the ages of 12-17Preventive Visit Established Patient Age 12-1799394$94.00 Per Service
KansasEvaluation and MgmtPreventive visit for an established patient between the ages of 18-39Prev Visit Established Patient Age 18-3999395$111.00 Per Service
KansasEvaluation and MgmtPreventive visit for an established patient between the ages of 40-64Prev Visit Est Age 40-6499396$121.50 Per Service
KansasEvaluation and MgmtPreventive visit for an established patients ages 65 and overEstablished Patient Reevaluation65+ Yr99397$131.50 Per Service

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Our goal is to provide meaningful and reliable information to help you understand prices in advance of your visit. We have put together the top outpatient visits and procedure costs by region for self-pay individuals to give you an estimate of the expected pricing for commonly provided health care services at a Centura Health practice or clinic.

Actual prices on the final bill may vary from this information based on the provider providing the services, the patient’s medical condition, unknown circumstances or complications, final diagnosis, and recommended treatment ordered.  Please be advised that while Centura Health attempts to estimate the prices of care as accurately as possible, there may be significant variations between the prices listed and the actual price reflected on your final bill.

These are physician fees only. You may incur other charges from the entity where services were rendered. 

If you do not see the procedure or service you are looking for, or wish to receive a customized estimate on a specific procedure, please request a custom estimate.