How many shoppable procedure prices are published for Providence Medical Center?

Providence Medical Center in Kansas City, KS currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Providence Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Providence Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Providence Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Providence Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 176 Beds · urban Updated: 2026-03-17

Providence Medical Center

8929 Parallel Parkway, Kansas City, KS 66112 · 106 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.92×vs. Fair Market Price

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 93% of the Time

File Completeness51

Price Logic95

Peer Alignment72

Clean Billing78

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.92× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Providence Medical Center maintains disciplined commercial pricing across both elective shoppable care (1.1× Medicare) and captive emergency/ancillary departments (1.2× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.92× Fair BaseRate) without hidden ancillary cross-subsidization.

#22 of 103 in KS · 20th State Percentile#776 of 3,385 in U.S. · 22nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
Self-pay cash beats commercial insurance on 93% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 56% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.92× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.0×) & laboratory (3.1×) services average 1.09× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.18×) jump +18% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 13.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.09× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+18% Upper Tail

Q25 0.91× · Q50 1.00× · Q75 1.18×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.9× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

93% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Providence Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	$12,095	$15,601	$13,523	1.2×
Total hip replacement CPT Code: `27130`	$12,095	$15,320	$13,413	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$14,526	$15,253	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$14,436	$15,159	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$13,343	$14,011	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,862	$7,206	$8,223	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,695	$6,692	$6,109	1.1×
C-section delivery (full package) CPT Code: `59510`	—	$4,581	$2,975	1.5×
Inguinal hernia repair CPT Code: `49505`	$3,373	$4,233	$3,629	1.2×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,130	$2,680	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,082	$4,044	$3,372	1.2×
Breast lump removal CPT Code: `19120`	$3,688	$3,873	$3,875	1.0×
Bunion correction surgery CPT Code: `28296`	$3,082	$3,622	$3,446	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$2,174	$2,881	$2,540	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,127	$1,494	$1,256	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$876	$1,161	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$854	$1,132	$987	1.1×
Trauma team activation HCPCS Code: `G0390`	—	$1,100	$1,453	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$809	$1,052	$1,021	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$665	$931	$855	1.1×
Blood transfusion CPT Code: `36430`	$415	$551	$498	1.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$514	$541	$583	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$328	$431	$511	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$328	$360	$448	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$224	$301	$272	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$224	$292	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$224	$292	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$224	$292	$369	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$206	$217	$201	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$165	$215	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$165	$215	$258	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$224	$236	$303	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$167	$226	$185	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$98	$133	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$98	$133	$134	1.0×
Ultrasound, pelvis CPT Code: `76856`	$98	$125	$130	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$99	$137	$148	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$72	$97	$86	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$122	$123	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$82	$113	$123	0.9×
CT scan, pelvis CPT Code: `72192`	$98	$138	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$98	$138	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$98	$138	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$98	$138	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$98	$138	$169	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$87	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$106	$110	1.0×
X-ray, pelvis CPT Code: `72170`	$98	$103	$110	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$98	$128	$160	0.8×
X-ray, chest (single view) CPT Code: `71045`	$81	$86	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$81	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$81	$86	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$81	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$81	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	$81	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	$81	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$81	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	$98	$103	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$98	$103	$126	0.8×
Typhoid vaccine HCPCS Code: `90675`	$319	$319	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$114	$114	$116	1.0×
Orthotic fitting and training CPT Code: `97760`	$43	$58	$51	1.1×
Blood test, vitamin D CPT Code: `82306`	$29	$35	$31	1.1×
Blood antibody screen CPT Code: `86850`	$49	$49	$46	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$44	$52	$49	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$31	$36	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$55	$58	$64	0.9×
Blood test, calcium CPT Code: `82310`	$5	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$4	$3	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$13	$10	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$18	$14	1.3×
Blood test, amylase CPT Code: `82150`	$6	$9	$7	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$6	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$6	$9	$7	1.3×
Hepatitis C antibody test CPT Code: `86803`	$14	$19	$15	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$24	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$15	$20	$16	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$32	$39	$40	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$8	$11	$9	1.2×
Physical therapy (gait training) CPT Code: `97116`	$27	$32	$33	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$30	$36	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$27	$32	$35	0.9×
Prosthetic fitting and training CPT Code: `97761`	$38	$40	$45	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$5	$4	1.3×
Culture, bacterial CPT Code: `87070`	$8	$11	$9	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$31	$33	$38	0.9×
Blood test, potassium CPT Code: `84132`	$4	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$4	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$6	$5	1.2×
Culture, blood CPT Code: `87040`	$10	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$21	$18	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$7	$6	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$29	$25	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$23	$20	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$11	$16	$14	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$9	$8	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$26	$31	$34	0.9×
Blood test, hemoglobin CPT Code: `85018`	$2	$3	$3	1.0×
Flu vaccine injection HCPCS Code: `G0008`	—	$23	$48	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$11	$15	$35	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$6	$86	0.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$14	$11	unverified

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Providence Medical Center (Zero PHI Required)

CMS CCN: 170146

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $12,095

Insurer Median $15,601

1. Amount on Your Bill or Quote ($) Pre-filled with Providence Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $33,235 Paying Cash

Self-Pay Cash Rate ($12,095) Beats Your Bill

Providence Medical Center's published 45 CFR § 180 self-pay cash rate is $12,095 (vs. $15,601 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$31,807 Above Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your bill ($45,330) is $31,807 above the denoised Fair BaseRate ($13,523) and 3.5× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Providence Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait123 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Providence Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-21·administrative_or_closure
Met Requirements
Recorded
2021-07-20·administrative_or_closure
Closure Notice
Recorded
2021-04-19·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (445 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Providence Medical Center.

Price Index: 0.56× regional baseline

Quality: 57/100 CMS composite

Median Household Income$60,582U.S. Census ACS

Local Uninsured Share17.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 79/100 · Corroborated CMS CCN 170146

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 170146) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows3,112 (CMS v3.0)

File Integrity DigestVerified · CCN 170146

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy