How many shoppable procedure prices are published for Nkc Health?

Nkc Health in North Kansas City, MO currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Nkc Health's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Nkc Health's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Nkc Health's CMS Care Compare overall star rating?

CMS Care Compare assigns Nkc Health an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 385 Beds · urban Updated: 2026-03-06

Nkc Health

2800 Clay Edwards Drive, North Kansas City, MO 64116 · 106 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 77% of the Time

File Completeness66

Price Logic92

Peer Alignment80

Clean Billing71

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.41× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Nkc Health maintains elevated commercial insurance contracts (1.41× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 77% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#66 of 79 in MO · 82nd State Percentile#2,479 of 3,385 in U.S. · 73rd National Percentile

Advantage

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 77% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 75% patient recommendation (70/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Captive ER (0.9×) & laboratory (2.9×) services average 1.13× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.89×) jump +29% above the median procedure ratio (Q50 1.47×)
Unnegotiated chargemaster list prices average 11.9× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.13× Divergence

1.8× Medicare

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

Quantile Tail Spread+29% Upper Tail

Q25 0.95× · Q50 1.47× · Q75 1.89×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

1.2× MedicareGood

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

77% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 70/100Fair

Procedure Prices at Nkc Health

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
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$40,070	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,095	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$23,926	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$21,868	$17,936	1.2×
Total hip replacement CPT Code: `27130`	—	$12,859	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,859	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,670	$8,223	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,819	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,485	$3,629	1.0×
Breast lump removal CPT Code: `19120`	—	$3,364	$3,875	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,277	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,257	$3,446	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,119	$1,256	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,086	$981	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,044	$987	2.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,566	$855	1.8×
Trauma team activation HCPCS Code: `G0390`	$2,088	$1,368	$1,453	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,899	$937	$1,021	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$730	$926	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,075	$593	$448	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$682	$538	$369	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,790	$554	$583	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$682	$538	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$682	$546	$338	unverified
Blood transfusion CPT Code: `36430`	$738	$453	$498	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$621	$402	$258	unverified
Rabies immune globulin HCPCS Code: `90375`	$876	$325	$322	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$538	$328	$242	unverified
CT scan, pelvis CPT Code: `72192`	$682	$246	$163	1.5×
CT scan, chest (no contrast) CPT Code: `71250`	$500	$246	$167	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$455	$246	$169	1.5×
CT scan, sinuses CPT Code: `70486`	$455	$241	$166	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,235	$246	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$910	$240	$303	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$455	$241	$160	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$455	$246	$168	unverified
X-ray, chest (single view) CPT Code: `71045`	$102	$180	$92	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$82	$144	$123	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$106	$141	$148	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$84	$111	$86	1.3×
X-ray, pelvis CPT Code: `72170`	$124	$105	$110	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$550	$114	$134	0.9×
X-ray, chest (two views) CPT Code: `71046`	$124	$88	$93	0.9×
X-ray, shoulder CPT Code: `73030`	$211	$87	$92	0.9×
X-ray, foot CPT Code: `73630`	$204	$87	$92	0.9×
X-ray, lower back CPT Code: `72110`	$234	$105	$112	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$195	$87	$93	0.9×
X-ray, hand CPT Code: `73130`	$197	$87	$93	0.9×
X-ray, ankle CPT Code: `73610`	$204	$87	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$401	$105	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$308	$105	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$371	$105	$132	0.8×
Typhoid vaccine HCPCS Code: `90675`	$493	$371	$347	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$153	$300	$111	unverified
Drug screening test HCPCS Code: `G0480`	$48	$119	$116	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$35	$72	$38	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$85	$97	$56	1.7×
Speech therapy (group session) CPT Code: `92508`	$34	$71	$27	2.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$41	$92	$39	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$46	$65	$14	4.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$44	$44	$10	4.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$46	$68	$35	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$35	$71	$38	1.9×
Physical therapy (manual therapy) CPT Code: `97140`	$35	$63	$34	1.9×
Prosthetic fitting and training CPT Code: `97761`	$44	$69	$45	1.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$58	$37	$19	1.9×
Physical therapy (gait training) CPT Code: `97116`	$35	$60	$33	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$46	$71	$40	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$41	$60	$37	1.6×
Orthotic fitting and training CPT Code: `97760`	$35	$75	$51	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$23	$43	$35	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$94	$48	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$195	$61	$64	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$62	$34	$18	1.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$26	$8	$4	2.0×
Blood test, sodium CPT Code: `84295`	$24	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$26	$8	$4	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$13	$12	$6	2.0×
Hepatitis C antibody test CPT Code: `86803`	$61	$29	$15	1.9×
Culture, blood CPT Code: `87040`	$79	$21	$11	1.9×
Culture, bacterial CPT Code: `87070`	$62	$17	$9	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$57	$30	$16	1.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$36	$42	$25	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$49	$48	$48	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$94	$48	$49	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$58	$65	$86	0.8×
Blood test, vitamin D CPT Code: `82306`	$64	$59	$31	unverified
Blood test, calcium CPT Code: `82310`	$28	$10	$5	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$50	$27	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$129	$21	$11	1.9×
X-ray, hip CPT Code: `73502`	$115	$43	$93	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$6	$3	2.0×
Blood test, amylase CPT Code: `82150`	$36	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$35	$13	$7	1.9×
Blood test, potassium CPT Code: `84132`	$18	$9	$5	1.8×
Blood test, liver function panel CPT Code: `80076`	$78	$16	$9	1.8×
Blood test, hemoglobin CPT Code: `85018`	$19	$5	$3	1.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$29	$8	$5	1.6×
Blood test, lipase CPT Code: `83690`	$42	$10	$7	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$62	$20	$20	1.0×
Blood antibody screen CPT Code: `86850`	$44	$21	$46	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$22	$22	$201	0.1×
Blood test, basic metabolic panel CPT Code: `80048`	$90	$17	$9	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$10	$5	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$59	$27	$14	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$51	$16	$8	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 Nkc Health (Zero PHI Required)

CMS CCN: 260096

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $40,070

1. Amount on Your Bill or Quote ($) Pre-filled with Nkc Health’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Nkc Health's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$65,393 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($96,168) is $65,393 above the denoised Fair BaseRate ($30,775) and 4.1× the $23,504 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 Nkc Health 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 Composite70/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait179 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (505 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Nkc Health.

Price Index: 1.09× regional baseline

Quality: 66/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

UnitedHealthcare

-44.6%

Median Household Income$86,150U.S. Census ACS

Local Uninsured Share7.3%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 82/100 · Corroborated CMS CCN 260096

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 260096) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-06

Validated Rate Rows5,335 (CMS v3.0.0)

File Integrity DigestVerified · CCN 260096

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