Patient Price Information List
Disclaimer: Kansas City Orthopaedic Institute determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.
Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.
Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.
Kansas City Orthopaedic Institute Patient Information Price List
LOCAL MARKET HOSPITALS
In order to present a meaningful comparison, Kansas City Orthopaedic Institute has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 9/30/2019. Kansas City Orthopaedic Institute charges are displayed and compared with the local market charge, consisting of the following hospitals:
Centerpoint Medical Center
Independence
MO
Lee's Summit Medical Center
Lees Summit
MO
Menorah Medical Center
Leawood
KS
North Kansas City Hospital
N Kansas City
MO
Olathe Medical Center
Olathe
KS
Overland Park Regional Medical Center
Overland Park
KS
Providence Medical Center
Kansas City
KS
Research Medical Center
Kansas City
MO
Saint Joseph Medical Center
Kansas City
MO
Saint Luke's East - Lee's Summit
Lee's Summit
MO
Saint Luke's Hospital
Kansas City
MO
Saint Luke's Northland
Kansas City
MO
Saint Luke's South
Overland Park
KS
Shawnee Mission Medical Center
Shawnee Mission
KS
University of Kansas Hospital
Kansas City
KS
Kansas City Orthopaedic Institute Patient Information Price List
INPATIENT ROOM AND BOARD DAILY CHARGES
INPATIENT ROOM AND BOARD DAILY CHARGES
Description
Variance
Private Room
Private Room
37% lower than market
Kansas City Orthopaedic Institute Patient Information Price List
OUTPATIENT PHYSICAL THERAPY CHARGES
OUTPATIENT PHYSICAL THERAPY CHARGES
The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.
Description
Variance
Physical Therapy Exercise, 15 Minutes
Physical Therapy Exercise, 15 Minutes
Therapeutic exercise is the application of careful, graduated force to the body to increase strength, endurance, range of motion, and flexibility. Increased muscle strength is achieved by the deliberate overloading of a targeted muscle or muscle group and improved endurance is achieved by raising the intensity of the strengthening exercise to the targeted area(s) over a prolonged period of time. To maintain range of motion (ROM) and flexibility requires the careful movement and stretching of contractile and non-contractile tissue that may tighten with injury or neurological disease, causing weakness and/or spasticity. Therapeutic exercise can increase blood flow to the targeted area, reduce pain and inflammation, reduce the risk of blood clots from venous stasis, decrease muscle atrophy and improve coordination and motor control. Therapeutic exercise may be prescribed following acute illness or injury and for chronic conditions that affect physical activity or function.
48% lower than market
Physical Therapy, standard evaluation - 20 minutes
Physical Therapy, standard evaluation - 20 minutes
A physical therapy evaluation or re-evaluation is performed. The physical therapist takes a history of the current complaint including onset of symptoms, comorbidities, changes since the onset, treatment received for the symptoms or condition, medications prescribed for it, and any other medications the patient is taking. A physical examination of body systems is done to assess physical structure and function, any activities or movements that exacerbate the symptoms, limit activity, or restrict participation in movement, as well as anything that helps to relieve the symptoms. The evaluation may involve provocative maneuvers or positions that increase symptoms; tests for joint flexibility and muscle strength; assessments of general mobility, posture, and core strength; evaluation of muscle tone; and tests for restrictions of movement caused by myofascial disorders. Following the history and physical, the therapist determines the patient's clinical presentation characteristics, provides a detailed explanation of the condition, identifies physical therapy treatment options, and explains how often and how long physical therapy modalities should be applied. The physical therapist will then develop a plan of care with clinical decision making based on patient assessment and/or measurable functional outcome. The plan of care may include both physical therapy in the clinic and exercises or changes in the home environment. Upon re-evaluation, the established care plan is reviewed and an interim history is taken requiring the use of standardized tests and measures. The patient's response to treatment is evaluated and the plan of care is revised based on the patient's measurable response.
42% lower than market
Kansas City Orthopaedic Institute Patient Information Price List
OUTPATIENT OCCUPATIONAL THERAPY CHARGES
OUTPATIENT OCCUPATIONAL THERAPY CHARGES
The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.
Description
Variance
Occupational Therapy, standard evaluation - 30 minutes
Occupational Therapy, standard evaluation - 30 minutes
An occupational therapy evaluation or re-evaluation is performed. Occupational therapy assists the patient in developing or regaining skills that allow independent functioning and enhance health and personal well-being. A patient history is taken that includes an occupational profile and medical and therapy history with review of records as well as an extensive review of physical, cognitive, or psychosocial elements related to current performance of daily activities. The occupational therapist evaluates the patient's physical functioning, mental, and/or neurobehavioral impairment and performs tests to identify functional limitations or performance deficits. Physical functioning is evaluated, including an evaluation of any musculoskeletal conditions that may impair function. The ability to perform basic activities of daily living such as dressing, bathing, mobility, and other activities for living independently, such as shopping, cooking, driving, or accessing public transportation are all assessed. Barriers in the home, school, work, and community environments are identified. The need for adaptive equipment is assessed. The occupational therapist develops a treatment plan using clinical decision making from the patient analysis, assessment data, comorbidities, and possible treatment options. During a re-evaluation, an interim history is taken; the patient's response to treatment is evaluated; and the plan of care is revised based on the patient's response to treatment, functional and medical status, and any changes in condition or environment that affect future interventions or goals.
31% lower than market
Therapeutic Activities Involving Functional Activities (15 min)
Therapeutic Activities Involving Functional Activities (15 min)
In a one-on-one physical therapy session, the provider instructs and assists the patient in therapeutic activities designed to address specific functional limitations. The therapeutic activities are specifically developed and modified for the patient. Dynamic/movement activities, also called kinetic activities, that are designed to improve functional performance such as lifting, bending, pushing, pulling, jumping and reaching are included in this service. For example, the patient may be given therapeutic activities to perform to improve the ability to sit, stand, and get out of bed after an injury without straining or risking reinjury. This code is reported for each 15 minutes of one-on-one therapeutic activity provided.
42% lower than market
Kansas City Orthopaedic Institute Patient Information Price List
OUTPATIENT OTHER CHARGES
OUTPATIENT OTHER CHARGES
Description
Variance
Cervical Joint Injection
Cervical Joint Injection
48% lower than market
Custom Hand, Finger Splint
Custom Hand, Finger Splint
68% lower than market
Custom Hand, Finger, Wrist Splint
Custom Hand, Finger, Wrist Splint
69% lower than market
Epidural Injection Lumbar
Epidural Injection Lumbar
30% higher than market
Epidural Injection Thoracic
Epidural Injection Thoracic
46% lower than market
Kansas City Orthopaedic Institute Patient Information Price List
OUTPATIENT SURGICAL SERVICES CHARGES
OUTPATIENT SURGICAL SERVICES CHARGES
Description
Variance
Carpal Tunnel Release
Carpal Tunnel Release
44% lower than market
Hammer Toe Correction
Hammer Toe Correction
28% higher than market
Removal of one knee cartilage using an endoscope
Removal of one knee cartilage using an endoscope
20% lower than market
Laminectomy
Laminectomy
33% lower than market
Lumbar Joint Injection
Lumbar Joint Injection
51% lower than market
Lumbar Kyphoplasty
Lumbar Kyphoplasty
51% lower than market
Rotator Cuff Repair
Rotator Cuff Repair
8% lower than market
Shoulder scope with debridement
Shoulder scope with debridement
7% lower than market
Thoracic Kyphoplasty
Thoracic Kyphoplasty
57% lower than market
Trigger Finger Release
Trigger Finger Release
52% lower than market
Ulnar Nerve Release
Ulnar Nerve Release
1% higher than market
Kansas City Orthopaedic Institute Patient Information Price List
OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES
OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES
The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.
Description
Variance
MRI Arm Joint without Contrast
MRI Arm Joint without Contrast
Magnetic resonance imaging is done on a joint of the upper or lower arm. Magnetic resonance is a noninvasive, non-radiating imaging technique that uses the magnetic properties of hydrogen atoms in the body. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which processes the signals and converts the data into tomographic, 3D images with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. Small coils that help transmit and receive the radiowaves may be placed around the joint. MRI scans on joints of the upper extremity are often done for injury, trauma, unexplained pain, redness, or swelling, and freezing of a joint with loss of motion. MRI scans provide clear images of areas that may be difficult to see on CT.
74% lower than market
MRI Leg Joint without Contrast
MRI Leg Joint without Contrast
Magnetic resonance imaging is done on a joint of the upper or lower leg. Magnetic resonance is a noninvasive, non-radiating imaging technique that uses the magnetic properties of hydrogen atoms in the body. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which processes the signals and converts the data into tomographic, 3D images with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. Small coils that help transmit and receive the radiowaves may be placed around the joint. MRI scans on joints of the lower extremity are often done for injury, trauma, unexplained pain, redness, or swelling, and freezing of a joint with loss of motion. MRI scans provide clear images of areas that may be difficult to see on CT. The physician reviews the images to look for information that may correlate to the patient's signs or symptoms. MRI provides reliable information on the presence and extent of tumors, masses, or lesions within the joint; infection, inflammation, and swelling of soft tissue; muscle atrophy and other anomalous muscular development; and joint effusion and vascular necrosis.
73% lower than market
MRI Spine Cervical without Contrast
MRI Spine Cervical without Contrast
Magnetic resonance imaging (MRI) is done on the cervical spinal canal and contents. MRI is a noninvasive, non-radiating imaging technique that uses the magnetic properties of nuclei within hydrogen atoms of the body. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which records the images. The computer processes the signals and converts the data into tomographic, 3D, sectional images in slices with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. MRI scans of the spine are often done when conservative treatment of back/neck pain is unsuccessful and more aggressive treatments are considered or following surgery.
74% lower than market
MRI Spine Lumbar with and without Contrast
MRI Spine Lumbar with and without Contrast
Magnetic resonance imaging (MRI) is done on the cervical, thoracic, or lumbar spinal canal and contents. MRI is a noninvasive, non-radiating imaging technique that uses the magnetic properties of nuclei within hydrogen atoms of the body. The powerful magnetic field forces the hydrogen atoms to line up. Radiowaves are then transmitted within the strong magnetic field. Protons in the nuclei of different types of tissues emit a specific radiofrequency signal that bounces back to the computer, which records the images. The computer processes the signals and coverts the data into tomographic, 3D, sectional images in slices with very high resolution. The patient is placed on a motorized table within a large MRI tunnel scanner that contains the magnet. MRI scans of the spine are often done when conservative treatment of back/neck pain is unsuccessful and more aggressive treatments are considered or following surgery. Images are taken first without contrast and again after the administration of contrast to see the spinal area better. The physician reviews the images to look for specific information that may correlate to the patient's symptoms, such as abnormal spinal alignment; disease or injury of vertebral bodies; intervertebral disc herniation, degeneration, or dehydration; the size of the spinal canal to accommodate the cord and nerve roots; pinched or inflamed nerves; or any changes since surgery.
75% lower than market
Kansas City Orthopaedic Institute Patient Information Price List
INPATIENT ORTHOPEDIC SURGERY CHARGES
INPATIENT ORTHOPEDIC SURGERY CHARGES
Description
Variance
Total Ankle Replacement
Total Ankle Replacement
46% lower than market
Total Knee or Hip Replacement
Total Knee or Hip Replacement
30% lower than market
Total Knee or Hip Revision
Total Knee or Hip Revision
44% lower than market
Total Shoulder Replacement
Total Shoulder Replacement
34% lower than market
Kansas City Orthopaedic Institute Patient Information Price List
BILLING PROCESS AND INFORMATION
BILLING PROCESS AND INFORMATION
How You Can Help
Thank you for choosing Kansas City Orthopaedic Institute for your healthcare needs. At Kansas City Orthopaedic Institute, we are committed to making the billing process as patient-friendly as possible. Here are some ways you can help the billing process go smoothly.
Questions about Price and Billing Information
Our goal is for each of our patients and their families to have the best healthcare experience possible. Part of our commitment is to provide you with information that helps you make well informed decisions about your own care.
If you need more information about the price of a future service, please contact our Patient Access Dept. at 913-253-8951. A CPT code is strongly encouraged when you call. You can obtain the CPT code from the ordering physician.
To ask questions or get more information about a bill for services you've received, please contact our Billing Dept. at 913-253-8932.
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