University Health Lakewood Medical Center
7900 Lee's Summit Rd, Kansas City, MO 64139 · 118 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here are 14% below the fair benchmark (0.86×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.86× fair market pricing.
Uniform Value Leader
University Health Lakewood Medical Center maintains disciplined commercial pricing across both elective shoppable care (1.0× Medicare) and captive emergency/ancillary departments (1.3× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.86× Fair BaseRate) without hidden ancillary cross-subsidization.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 14% below peer Fair BaseRate (0.86×)
- Self-pay cash beats commercial insurance on 18% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 67% patient recommendation (60/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.86× 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 (0.7×) & laboratory (2.0×) services average 1.30× higher multiples than routine shoppable care (1.0×)
- Upper-quartile procedures (Q75 1.28×) jump +31% above the median procedure ratio (Q50 0.98×)
- Unnegotiated chargemaster list prices average 4.7× Medicare (21¢ 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 Health Lakewood Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $18,936 | 1.4× |
| Total knee replacement CPT Code: 27447 | $15,476 | 1.1× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $15,024 | 0.8× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $12,558 | 0.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,255 | 0.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $3,100 | 0.5× |
| Inguinal hernia repair CPT Code: 49505 | $1,909 | 0.5× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,796 | 0.5× |
| Bunion correction surgery CPT Code: 28296 | $1,757 | 0.5× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,716 | 0.7× |
| Breast lump removal CPT Code: 19120 | $1,508 | 0.4× |
| Trauma team activation HCPCS Code: G0390 | $943 | 0.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $783 | 0.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $754 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $707 | 0.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $707 | 0.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $625 | 1.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $638 | 0.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $572 | 1.3× |
| Blood transfusion CPT Code: 36430 | $476 | 1.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $399 | 1.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $396 | 1.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $396 | 1.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $396 | 1.1× |
| Rabies immune globulin HCPCS Code: 90375 | $362 | 1.1× |
Audit a Bill or Quote at University Health Lakewood Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $8,659
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.1% of gross = $8,659).
Self-Pay Cash Rate ($18,936) Beats Your Bill
University Health Lakewood Medical Center's published 45 CFR § 180 self-pay cash rate is $18,936 (vs. $18,936 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($34,430) is $21,017 above the denoised Fair BaseRate ($13,413) and 2.6× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (25.1% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (385 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 Health Lakewood Medical Center.
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.