How many shoppable procedure prices are published for St Lukes Hospital of Kansas City?

St Lukes Hospital of Kansas City in Kansas City, MO currently has 80 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Lukes Hospital of Kansas City's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Lukes Hospital of Kansas City's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is St Lukes Hospital of Kansas City's CMS Care Compare overall star rating?

CMS Care Compare assigns St Lukes Hospital of Kansas City an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 478 Beds · urban Updated: 2025-12-31

St Lukes Hospital of Kansas City

4401 Wornall Road, Kansas City, MO 64111 · 80 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 30% of the Time

File Completeness66

Price Logic83

Peer Alignment73

Clean Billing86

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

St Lukes Hospital of Kansas City prices routine shoppable procedures near 1.5× Medicare (p50 1.09×) while skewing captive emergency, lab, and upper-quartile codes to 2.0× Medicare (p75 1.68×, +54% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#49 of 79 in MO · 60th State Percentile#1,975 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 30% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 78% patient recommendation (75/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Captive ER (2.2×) & laboratory (2.0×) services average 1.33× higher multiples than routine shoppable care (1.5×)
Upper-quartile procedures (Q75 1.68×) jump +54% above the median procedure ratio (Q50 1.09×)
Unnegotiated chargemaster list prices average 11.5× Medicare (15¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.33× Divergence

2.0× Medicare

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

Quantile Tail Spread+54% Upper Tail

Q25 0.91× · Q50 1.09× · Q75 1.68×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

0.7× MedicareGood

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

30% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 75/100Fair

Procedure Prices at St Lukes Hospital of Kansas City

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 80 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`	$87,082	$49,559	$30,775	1.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$74,598	$35,243	$19,087	1.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$53,149	$32,073	$19,432	1.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$72,521	$28,806	$17,936	1.6×
Total hip replacement CPT Code: `27130`	$49,254	$15,763	$13,413	1.2×
Total knee replacement CPT Code: `27447`	$44,444	$15,763	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$30,303	$13,758	$8,223	1.7×
Cataract surgery with lens implant CPT Code: `66984`	$24,427	$6,266	$2,540	unverified
Breast lump removal CPT Code: `19120`	$20,203	$4,928	$3,875	1.3×
Rabies immune globulin HCPCS Code: `90375`	$3,620	$3,620	$322	11.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$6,421	$2,350	$981	2.4×
Colonoscopy with biopsy CPT Code: `45380`	$9,722	$2,333	$1,256	1.9×
Blood transfusion CPT Code: `36430`	$16,471	$2,245	$498	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,109	$2,005	$583	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,917	$1,917	$855	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$6,858	$1,056	$1,021	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,871	$480	$511	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,955	$481	$272	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,961	$413	$448	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$2,041	$325	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$1,815	$325	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,551	$325	$369	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,134	$249	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,148	$262	$258	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,775	$181	$160	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$923	$168	$151	1.1×
CT scan, pelvis CPT Code: `72192`	$1,571	$181	$163	1.1×
CT scan, sinuses CPT Code: `70486`	$1,911	$181	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,893	$181	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,911	$181	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,911	$181	$169	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,813	$195	$303	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$156	$152	$148	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$340	$169	$185	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$645	$171	$86	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$89	$132	$123	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,123	$134	$134	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,029	$124	$132	0.9×
Ultrasound, pelvis CPT Code: `76856`	$1,075	$122	$130	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$139	$139	$14	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$661	$109	$126	0.9×
Speech therapy (group session) CPT Code: `92508`	$198	$81	$27	3.0×
Occupational therapy (self-care training) CPT Code: `97535`	$120	$82	$38	2.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$213	$80	$40	2.0×
Orthotic fitting and training CPT Code: `97760`	$211	$86	$51	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$211	$81	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$155	$93	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$378	$515	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$164	$228	$203	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$84	$124	$111	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$131	$77	$35	2.2×
Physical therapy (manual therapy) CPT Code: `97140`	$140	$72	$34	2.1×
Physical therapy (gait training) CPT Code: `97116`	$196	$68	$33	2.1×
Prosthetic fitting and training CPT Code: `97761`	$184	$78	$45	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$42	$66	$56	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$45	$45	$49	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$170	$70	$87	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$201	$70	$110	0.6×
X-ray, chest (single view) CPT Code: `71045`	$490	$58	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$818	$58	$93	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$195	$70	$123	0.6×
X-ray, hip CPT Code: `73502`	$212	$52	$93	0.6×
X-ray, lower back CPT Code: `72110`	$722	$56	$112	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$18	$18	$35	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$472	$42	$93	0.5×
X-ray, hand CPT Code: `73130`	$603	$41	$93	0.4×
X-ray, ankle CPT Code: `73610`	$794	$41	$93	0.4×
X-ray, foot CPT Code: `73630`	$584	$38	$92	0.4×
X-ray, shoulder CPT Code: `73030`	$860	$37	$92	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$206	$42	$201	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	—	$64	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$329	$13	$10	1.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$347	$38	$39	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$45	$45	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$45	$45	$49	unverified
Blood test, hemoglobin CPT Code: `85018`	$83	$3	$3	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	0.7×
Hepatitis B vaccine HCPCS Code: `90744`	$20	$20	$37	0.5×
X-ray, pelvis CPT Code: `72170`	$473	$28	$110	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$2	$2	$86	0.0×

Showing top 25 high-impact procedures of 80 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 32.2%

Audit a Bill or Quote at St Lukes Hospital of Kansas City (Zero PHI Required)

CMS CCN: 260138

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $87,082

Insurer Median $49,559

1. Amount on Your Bill or Quote ($) Pre-filled with St Lukes Hospital of Kansas City’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 501(r) AGB Cap: $46,792 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $46,792

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.2% of gross = $46,792).

Step 2 · Cash vs. Insurance Arbitrage Save $58,054 Paying Cash

Self-Pay Cash Rate ($87,082) Beats Your Bill

St Lukes Hospital of Kansas City's published 45 CFR § 180 self-pay cash rate is $87,082 (vs. $49,559 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$114,361 Above Fair BaseRate

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

Your bill ($145,136) is $114,361 above the denoised Fair BaseRate ($30,775) and 6.2× 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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (32.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait222 min

Left ER Before Seen8%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

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 (2,886 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Lukes Hospital of Kansas City.

Price Index: 1.00× regional baseline

Quality: 80/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-49.0%

Median Household Income$67,178U.S. Census ACS

Local Uninsured Share11.3%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 81/100 · Corroborated CMS CCN 260138

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 260138) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-31

Validated Rate Rows6,042 (CMS v3.0.0)

File Integrity DigestVerified · CCN 260138

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