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.

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 3/31/18. Kansas City Orthopaedic Institute charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

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

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$1,382
$2,289

40% lower than market

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

Our Charge
Market Charge

Variance

Physical Therapy, standard evaluation

$274
$454

40% lower than market

Physical Therapy Exercise, 15 Minutes

$117
$224

48% lower than market

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

Our Charge
Market Charge

Variance

Occupational Therapy, standard evaluation

$294
$455

35% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$122
$210

42% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Custom Hand, Finger Splint

$232
$701

67% lower than market

Lumbar Joint Injection

$1,493
$3,465

57% lower than market

Cervical Joint Injection

$1,916
$2,629

27% lower than market

Custom Hand, Finger, Wrist Splint

$290
$505

43% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Bunionectomy

$9,705
$11,785

18% lower than market

Hammer Toe Correction

$8,106
$8,256

2% lower than market

Shoulder scope with debridement

$8,483
$7,633

11% higher than market

Trigger Finger Release

$3,587
$6,363

44% lower than market

Epidural Injection Thoracic

$1,497
$2,864

48% lower than market

Epidural Injection Lumbar

$3,606
$2,864

26% higher than market

Laminectomy

$10,459
$22,463

53% lower than market

Thoracic Kyphoplasty

$10,082
$18,420

45% lower than market

Lumbar Kyphoplasty

$10,082
$19,639

49% lower than market

Carpal Tunnel Release

$4,241
$7,714

45% lower than market

Ulnar Nerve Release

$8,106
$9,990

19% lower than market

Knee Scope

$8,483
$10,483

19% lower than market

Knee Scope with ACL Repair

$8,079
$9,377

14% lower than market

Rotator Cuff Repair

$11,044
$11,811

6% lower than market

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

Our Charge
Market Charge

Variance

MRI Arm Joint without Contrast

$1,323
$4,980

73% lower than market

MRI Leg Joint without Contrast

$1,323
$4,882

73% lower than market

MRI Spine Lumbar with and without Contrast

$1,654
$6,531

75% lower than market

MRI Spine Cervical without Contrast

$1,323
$4,977

73% lower than market

INPATIENT ORTHOPEDIC SURGERY CHARGES

Description

Our Charge
Market Charge

Variance

Total Knee or Hip Replacement

$40,392
$63,123

36% lower than market

Total Shoulder Replacement

$42,452
$78,777

46% lower than market

Total Ankle Replacement

$57,794
$106,076

46% lower than market

Total Knee or Hip Revision

$44,488
$85,887

48% lower than market

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.