University of Kansas Hospital
4000 Cambridge Street, Kansas City, KS 66160 · 113 Priced Procedures · 83% Patient Recommendation
Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.19× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
University of Kansas Hospital maintains elevated commercial insurance contracts (1.19× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 84% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 84% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 83% patient recommendation (78/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Commercial insurance median sits at 1.13× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.19× 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.
- Unnegotiated chargemaster list prices average 11.4× Medicare (17¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at University of Kansas Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total knee replacement CPT Code: 27447 | $20,246 | unverified |
| Total hip replacement CPT Code: 27130 | $12,106 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $5,822 | 1.6× |
| Breast lump removal CPT Code: 19120 | $5,456 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,290 | 1.6× |
| Bunion correction surgery CPT Code: 28296 | $5,290 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,873 | 1.5× |
| Trauma team activation HCPCS Code: G0390 | $1,867 | 1.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,836 | 1.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,681 | 0.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,420 | 1.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,283 | 1.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $816 | 1.4× |
| Blood transfusion CPT Code: 36430 | $750 | 1.5× |
| Injection procedure for pain management HCPCS Code: G0260 | $672 | 0.8× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $509 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $456 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $456 | 0.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $368 | 1.4× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $327 | 1.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $312 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $312 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $312 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $312 | 0.8× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $228 | 1.5× |
Audit a Bill or Quote at University of Kansas Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($15,781) Beats Your Bill
University of Kansas Hospital's published 45 CFR § 180 self-pay cash rate is $15,781 (vs. $20,246 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)
Your bill ($78,907) is $65,384 above the denoised Fair BaseRate ($13,523) and 6.0× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify University of Kansas Hospital 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at University of Kansas Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-14·administrative_or_closure
Closure Notice
Recorded - 2025-02-11·warning_notice
Warning Notice
Recorded - 2023-04-18·administrative_or_closure
Closure Notice
Recorded - 2022-07-27·cap_corrective_action
CAP Request
Recorded - 2021-09-29·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (2,908 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for University of Kansas Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.