Kansas Test/Procedure Costs

The following test / procedure costs apply to:

  • St. Catherine Hospital
  • Bob Wilson Memorial Grant County Hospital
Location Service Description Test/Procedure Billing Code Self-Pay Rate Payment Method
KANSASINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCCDRG 807$4,962 PER CASE
KANSASINPATIENTMAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCCDRG 470$28,439 PER CASE
KANSASINPATIENTCESAREAN SECTION W STERILIZATION W/O CC/MCCDRG 785$7,000 PER CASE
KANSASINPATIENTCESAREAN SECTION W/O STERILIZATION W/O CC/MCCDRG 788$7,000 PER CASE
KANSASINPATIENTCESAREAN SECTION W STERILIZATION W MCCDRG 783$8,602 PER CASE
KANSASINPATIENTCESAREAN SECTION W STERILIZATION W CCDRG 784$8,602 PER CASE
KANSASINPATIENTCESAREAN SECTION W/O STERILIZATION W MCCDRG 786$8,602 PER CASE
KANSASINPATIENTCESAREAN SECTION W/O STERILIZATION W CCDRG 787$8,602 PER CASE
KANSASINPATIENTSPINAL FUSION EXCEPT CERVICAL W/O MCCDRG 460N/APER CASE
KANSASINPATIENTSEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCCDRG 871$20,651 PER CASE
KANSASINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W MCCDRG 805$6,305 PER CASE
KANSASINPATIENTVAGINAL DELIVERY W/O STERILIZATION/D&C W CCDRG 806$6,305 PER CASE
KANSASINPATIENTPERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCCDRG 247$29,422 PER CASE
KANSASINPATIENTESOPHAGITIS GASTROENT MISC DIGEST DISORDERS W/O MCCDRG 392$5,022 PER CASE
KANSASINPATIENTSEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCCDRG 872$9,938 PER CASE
KANSASINPATIENTCERVICAL SPINAL FUSION W/O CC/MCCDRG 473N/APER CASE
KANSASINPATIENTO.R. PROCEDURES FOR OBESITY W/O CC/MCCDRG 621N/APER CASE
KANSASINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W CCDRG 330$36,226 PER CASE
KANSASINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W/O CC/MCCDRG 331$21,834 PER CASE
KANSASINPATIENTLOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W/O CC/MCCDRG 494$23,169 PER CASE
KANSASINPATIENTCELLULITIS W/O MCCDRG 603$4,829 PER CASE
KANSASINPATIENTUTERINE ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCCDRG 743$9,282 PER CASE
KANSASINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C W MCCDRG 796$5,101 PER CASE
KANSASINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C W CCDRG 797$5,101 PER CASE
KANSASINPATIENTVAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCCDRG 798$5,101 PER CASE
KANSASINPATIENTMAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIESDRG 483N/APER CASE
KANSASINPATIENTDISORDERS OF PANCREAS EXCEPT MALIGNANCY W CCDRG 439$15,043 PER CASE
KANSASINPATIENTPULMONARY EDEMA RESPIRATORY FAILUREDRG 189$14,030 PER CASE
KANSASINPATIENTMAJOR MALE PELVIC PROCEDURES W/O CC/MCCDRG 708N/APER CASE
KANSASINPATIENTNEUROSES EXCEPT DEPRESSIVEDRG 882$5,811 PER CASE
KANSASINPATIENTINFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W MCCDRG 853$54,571 PER CASE
KANSASINPATIENTDIABETES W CCDRG 638$8,237 PER CASE
KANSASINPATIENTG.I. OBSTRUCTION W/O CC/MCCDRG 390$5,895 PER CASE
KANSASINPATIENTNORMAL NEWBORNDRG 795$1,309 PER CASE
KANSASINPATIENTALCOHOL/DRUG ABUSE/DEPEND W/O REHAB W/O MCCDRG 897$13,424 PER CASE
KANSASINPATIENTREVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCCDRG 468N/APER CASE
KANSASINPATIENTSHOULDER, ELBOW, OR FOREARM PROC, EXC MAJOR JOINT W/O CC/MCCDRG 512N/APER CASE
KANSASINPATIENTNEONATE W OTHER SIGNIFICANT PROBLEMSDRG 794$2,041 PER CASE
KANSASINPATIENTPSYCHOSESDRG 885$4,699 PER CASE
KANSASINPATIENTFULL TERM NEONATE W MAJOR PROBLEMSDRG 793$4,999 PER CASE
KANSASINPATIENTPREMATURITY W/O MAJOR PROBLEMSDRG 792$2,924 PER CASE
KANSASINPATIENTPOISONING TOXIC EFFECTS OF DRUGS W MCCDRG 917$7,080 PER CASE
KANSASINPATIENTEXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATEDRG 790$14,966 PER CASE
KANSASINPATIENTPREMATURITY W MAJOR PROBLEMSDRG 791$10,323 PER CASE
KANSASINPATIENTPOISONING TOXIC EFFECTS OF DRUGS W/O MCCDRG 918$5,129 PER CASE
KANSASINPATIENTINTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRSDRG 065$12,258 PER CASE
KANSASINPATIENTPERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTSDRG 246$39,344 PER CASE
KANSASINPATIENTMISC DISORDERS OF NUTRITIONMETABOLISMFLUIDS/ELECTROLYTES W/O MCCDRG 641$8,456 PER CASE
KANSASINPATIENTOTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCCDRG 817$6,494 PER CASE
KANSASINPATIENTOTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CCDRG 818$6,494 PER CASE
KANSASINPATIENTOTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCCDRG 831$6,494 PER CASE
KANSASINPATIENTOTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CCDRG 832$6,494 PER CASE
KANSASINPATIENTLAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCCDRG 419$11,128 PER CASE
KANSASINPATIENTPULMONARY EMBOLISM W/O MCCDRG 176$7,791 PER CASE
KANSASINPATIENTBRONCHITIS ASTHMA W/O CC/MCCDRG 203$4,881 PER CASE
KANSASINPATIENTBILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCCDRG 462$35,164 PER CASE
KANSASINPATIENTSIMPLE PNEUMONIA PLEURISY W MCCDRG 193$14,568 PER CASE
KANSASINPATIENTSIMPLE PNEUMONIA PLEURISY W CCDRG 194$7,918 PER CASE
KANSASINPATIENTG.I. HEMORRHAGE W CCDRG 378N/APER CASE
KANSASINPATIENTHIP FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCCDRG 482$17,980 PER CASE
KANSASINPATIENTRENAL FAILURE W CCDRG 683$10,112 PER CASE
KANSASINPATIENTCERVICAL SPINAL FUSION W CCDRG 472N/APER CASE
KANSASINPATIENTCIRCULATORY DISORDERS EXCEPT AMI W CARD CATH W/O MCCDRG 287$10,539 PER CASE
KANSASINPATIENTDISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCCDRG 440$4,049 PER CASE
KANSASINPATIENTPULMONARY EMBOLISM W MCCDRG 175N/APER CASE
KANSASINPATIENTBRONCHITIS ASTHMA W CC/MCCDRG 202$5,937 PER CASE
KANSASINPATIENTMAJOR SMALL LARGE BOWEL PROCEDURES W MCCDRG 329$39,385 PER CASE
KANSASINPATIENTKIDNEY URINARY TRACT INFECTIONS W/O MCCDRG 690$5,997 PER CASE
KANSASINPATIENTDEPRESSIVE NEUROSESDRG 881$2,957 PER CASE
KANSASINPATIENTINFECTIOUS PARASITIC DISEASES W O.R. PROCEDURE W CCDRG 854N/APER CASE
KANSASINPATIENTLAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CCDRG 418$11,616 PER CASE
KANSASINPATIENTINTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCCDRG 064N/APER CASE
KANSASINPATIENTMEDICAL BACK PROBLEMS W/O MCCDRG 552$8,115 PER CASE
KANSASINPATIENTCOMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CCDRG 454N/APER CASE
KANSASINPATIENTG.I. OBSTRUCTION W CCDRG 389$8,519 PER CASE
KANSASINPATIENTCOMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCCDRG 455N/APER CASE
KANSASINPATIENTDEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCCDRG 057$11,225 PER CASE
KANSASINPATIENTLOWER EXTREM HUMER PROC EXCEPT HIPFOOTFEMUR W CCDRG 493$15,874 PER CASE
KANSASINPATIENTSIMPLE PNEUMONIA PLEURISY W/O CC/MCCDRG 195$6,337 PER CASE
KANSASOUTPATIENTCARDIAC DIAGNOSTIC - ELECTROCARDIOGRAM TRACINGCPT 93005$459 PER PROCEDURE
KANSASOUTPATIENTCARDIAC DIAGNOSTIC - CARDIOVASCULAR STRESS TESTCPT 93017$796 PER PROCEDURE
KANSASOUTPATIENTCARDIAC DIAGNOSTIC - ECHOCARDIOGRAM, TTE W/DOPPLER COMPLETECPT 93306N/APER PROCEDURE
KANSASOUTPATIENTSURGERY - COLONOSCOPY AND BIOPSYCPT 45380$2,208 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - DIAGNOSTIC COLONOSCOPYCPT 45378$1,557 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - EGD BIOPSY SINGLE/MULTIPLECPT 43239$1,485 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - LAPAROSCOPIC CHOLECYSTECTOMYCPT 47562$5,662 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - COLONOSCOPY W/LESION REMOVALCPT 45385$2,001 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - HYSTEROSCOPY BIOPSYCPT 58558N/APER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - LAP ING HERNIA REPAIR INITCPT 49650$6,143 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - LOW BACK DISK SURGERYCPT 63030N/APER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - PRP I/HERN INIT REDUC >5 YRCPT 49505$3,627 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - KNEE ARTHROSCOPY/SURGERYCPT 29881$4,718 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - LAP CHOLECYSTECTOMY/GRAPHCPT 47563$5,554 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - CARE OF MISCARRIAGECPT 59820$3,131 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - TLH W/T/O 250 G OR LESSCPT 58571N/APER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - CYSTO/URETERO W/LITHOTRIPSYCPT 52356$5,985 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - EGD DIAGNOSTIC BRUSH WASHCPT 43235$1,384 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTSURGERY - INSERT TUNNELED CV CATHCPT 36561$2,958 PER CASE, SINGLE PROCEDURE
KANSASOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - CALCIUM SCORINGCPT 75571$99 PER SCAN
KANSASOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - LUNG SCREENINGCPT G0297$453 PER SCAN
KANSASOUTPATIENTIMAGING - COMPUTED TOMOGRAPHY SCAN - ALL OTHERCPT 70010-76499$869 PER SCAN
KANSASOUTPATIENTIMAGING - MAGNETIC RESONANCE IMAGING - MRICPT 70010-76499$841 PER SCAN
KANSASOUTPATIENTIMAGING - DIAGNOSTIC X-RAYCPT 70010-76499$660 PER SCAN
KANSASOUTPATIENTIMAGING - MAMMOGRAPHYCPT 77053-77067$116 PER SCAN
KANSASOUTPATIENTIMAGING - BREAST TOMOSYNTHESISCPT 77061-77063, G0279, 0159T$42 PER SCAN
KANSASOUTPATIENTIMAGING - POSITRON EMMISSION TOMOGRAHY - PETCPT 78491-78815N/APER SCAN
KANSASOUTPATIENTIMAGING - ULTRASOUNDCPT 76506-76999$532 PER SCAN
KANSASOUTPATIENTLAB - ASSAY THYROID STIM HORMONECPT 84443$56 PER PROCEDURE
KANSASOUTPATIENTLAB - COMPREHEN METABOLIC PANELCPT 80053$94 PER PROCEDURE
KANSASOUTPATIENTLAB - URINALYSIS AUTO W/O SCOPECPT 81003$31 PER PROCEDURE
KANSASOUTPATIENTLAB - COMPLETE CBC W/AUTO DIFF WBCCPT 85025$22 PER PROCEDURE
KANSASOUTPATIENTLAB - METABOLIC PANEL TOTAL CACPT 80048$37 PER PROCEDURE
KANSASOUTPATIENTLAB - VENIPUNCTURECPT 36415$3 PER PROCEDURE
KANSASOUTPATIENTANCILLARY - SLEEP STUDY FACILITYCPT 95805, 95807-95811N/APER VISIT
KANSASOUTPATIENTANCILLARY - PHYSICAL THERAPYREV 420-429$515 PER VISIT
KANSASOUTPATIENTANCILLARY - OCCUPATIONAL THERAPYREV 430-439$263 PER VISIT
KANSASOUTPATIENTANCILLARY - SPEECH THERAPYREV 440-449N/APER VISIT

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The pricing information provided on this website is intended to give self-pay patients, who have scheduled services, an estimate of the prices and expected payment amounts for commonly provided health care services at Centura Health hospitals. The pricing only covers the specific service listed and provided through the hospital, and does not include complicating factors or professional fees for services such as those provided by a physician, surgeon, pathologist, anesthesiologist, radiologist, nurse practitioner or other independent practitioners. Please contact those offices directly for price information associated with their care and service. The pricing does not include fees associated with implants, high-cost drugs, or second procedures. The pricing is for patients who have pre-scheduled the service and not applicable to patients who receive services in the emergency department.

This pricing does not apply to patients who have health insurance coverage through Medicare, Medicaid, other government insurance programs, or an insurance company. If a patient has health insurance, the patient’s health insurance policy (including deductibles, co-pay, co-insurance and out-of-pocket maximums) will apply and the amount the patient owes for health care services will depend on the patient’s insurance coverage.

The pricing information provided is region specific, and is not transferrable across regions.

The pricing information is not a guarantee of insurance coverage or availability of services.

There are certain chronic conditions or long-term care that Centura Health may not be able to provide customized pricing  for without additional clinical information from your physician.

Centura Health reserves the right to update or change any price at any time.

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