▸ Hospital · KS · CCN 170086
Stormont Vail Hospital
1500 SW 10TH AVE, TOPEKA, KS, 170086
Compliance grade
A
93/100
Procedures tracked
141
of 209 target codes
Payers
5
with negotiated rates
Rates published
6,392
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 5 | — | — | $2,844.08 | $6,105.29 | $10,418 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 3 | $186.9 | — | $135.01 | $147.89 | $147.89 |
| Psychotherapy 30 minutes | CPT | 90832 | 3 | $251.6 | — | $86.41 | $147.89 | $147.89 |
| Psychotherapy 45 minutes | CPT | 90834 | 3 | $327.6 | — | $147.89 | $147.89 | $254.53 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 5 | $204 | — | $81.04 | $107.1 | $145.92 |
| ED visit level 2 | CPT | 99282 | 5 | $445 | — | $107.1 | $145.76 | $278.83 |
| ED visit level 3 | CPT | 99283 | 5 | $749 | — | $107.1 | $254.86 | $450.82 |
| ED visit level 4 | CPT | 99284 | 5 | $990 | — | $107.1 | $391.94 | $826.06 |
| ED visit level 5 | CPT | 99285 | 5 | $1,690.36 | — | $107.1 | $564.32 | $1,411.83 |
| Critical care, first hour | CPT | 99291 | 5 | $2,123.73 | — | $124.72 | $775.57 | $1,499 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 5 | $2,236.7 | — | $61.16 | $97.88 | $612.94 |
| CT head with contrast | CPT | 70460 | 5 | $2,744.01 | — | $103.19 | $157.89 | $612.94 |
| CT head with and without contrast | CPT | 70470 | 5 | $3,350.94 | — | $103.19 | $157.89 | $612.94 |
| CT neck with contrast | CPT | 70491 | 5 | $2,501.65 | — | $103.19 | $157.89 | $612.94 |
| MRI brain without contrast | CPT | 70551 | 5 | $2,976.6 | — | $133.62 | $222.49 | $704.95 |
| MRI brain with contrast | CPT | 70552 | 5 | $3,670.7 | — | $210.82 | $322.57 | $704.95 |
| MRI brain with and without contrast | CPT | 70553 | 5 | $5,415.3 | — | $210.82 | $328.72 | $704.95 |
| Chest X-ray single view | CPT | 71045 | 5 | $563.8 | — | $25.61 | $75.33 | $288.31 |
| Chest X-ray 2 views | CPT | 71046 | 5 | $492.94 | — | $25.61 | $75.33 | $415.34 |
| Chest X-ray 3 views | CPT | 71047 | 5 | $727.08 | — | $11.02 | $34.68 | $169.71 |
| CT chest without contrast | CPT | 71250 | 5 | $3,735.02 | — | $61.16 | $97.88 | $612.94 |
| CT chest with contrast | CPT | 71260 | 5 | $4,788.72 | — | $103.19 | $163.86 | $612.94 |
| CT chest with and without contrast | CPT | 71270 | 5 | $5,434.62 | — | $103.19 | $157.89 | $612.94 |
| MRI chest without contrast | CPT | 71550 | 5 | $2,778.6 | — | $133.62 | $204.44 | $704.95 |
| MRI chest with and without contrast | CPT | 71552 | 5 | $5,065.5 | — | $210.82 | $322.57 | $704.95 |
| Lumbosacral spine X-ray | CPT | 72100 | 5 | $872.91 | — | $61.16 | $93.58 | $690.31 |
| CT cervical spine without contrast | CPT | 72125 | 5 | $3,398.18 | — | $61.16 | $97.88 | $612.94 |
| CT thoracic spine without contrast | CPT | 72128 | 5 | $3,277 | — | $61.16 | $93.58 | $612.94 |
| CT lumbar spine without contrast | CPT | 72131 | 5 | $3,428.99 | — | $61.16 | $93.58 | $612.94 |
| MRI cervical spine without contrast | CPT | 72141 | 5 | $3,204.3 | — | $133.62 | $222.49 | $704.95 |
| MRI thoracic spine without contrast | CPT | 72146 | 5 | $3,204.3 | — | $133.62 | $204.44 | $704.95 |
| MRI lumbar spine without contrast | CPT | 72148 | 5 | $3,204.3 | — | $133.62 | $222.49 | $704.95 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 5 | $3,670.7 | — | $210.82 | $322.57 | $704.95 |
| MRI cervical spine with and without contrast | CPT | 72156 | 5 | $5,712.3 | — | $210.82 | $322.57 | $704.95 |
| MRI lumbar spine with contrast | CPT | 72158 | 5 | $5,712.3 | — | $210.82 | $322.57 | $704.95 |
| CT pelvis without contrast | CPT | 72192 | 5 | $3,108.58 | — | $61.16 | $93.58 | $612.94 |
| CT pelvis with contrast | CPT | 72193 | 5 | $3,568.65 | — | $103.19 | $157.89 | $612.94 |
| Shoulder X-ray | CPT | 73030 | 5 | $488.83 | — | $49.71 | $76.07 | $382.97 |
| Humerus X-ray | CPT | 73060 | 5 | $445.7 | — | $49.71 | $76.07 | $349.06 |
| Hand X-ray 3 views | CPT | 73130 | 5 | $334.79 | — | $49.71 | $76.07 | $262.74 |
| MRI upper extremity joint without contrast | CPT | 73221 | 5 | $3,204.3 | — | $133.62 | $204.44 | $704.95 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 5 | $5,841 | — | $210.82 | $322.57 | $704.95 |
| Hip X-ray 2 views | CPT | 73510 | 0 | $388.17 | — | — | — | — |
| Knee X-ray 1-2 views | CPT | 73560 | 5 | $572.01 | — | $49.71 | $76.07 | $448.1 |
| Ankle X-ray 3 views | CPT | 73610 | 5 | $334.79 | — | $49.71 | $76.07 | $262.74 |
| MRI lower extremity joint without contrast | CPT | 73721 | 5 | $3,204.3 | — | $133.62 | $222.49 | $704.95 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 5 | $5,281.1 | — | $210.82 | $322.57 | $704.95 |
| CT abdomen without contrast | CPT | 74150 | 5 | $3,206.14 | — | $61.16 | $93.58 | $612.94 |
| CT abdomen with contrast | CPT | 74160 | 5 | $3,665.18 | — | $103.19 | $157.89 | $612.94 |
| CT abdomen with and without contrast | CPT | 74170 | 5 | $4,069.8 | — | $103.19 | $157.89 | $612.94 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 5 | $5,598.93 | — | $69.38 | $154.67 | $1,298.97 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 5 | $6,434.87 | — | $72.52 | $257.22 | $1,298.97 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 5 | $6,854.89 | — | $79.7 | $288.12 | $1,298.97 |
| MRI abdomen without contrast | CPT | 74181 | 5 | $3,204.3 | — | $133.62 | $204.44 | $704.95 |
| MRI abdomen with and without contrast | CPT | 74183 | 5 | $5,769.5 | — | $210.82 | $322.57 | $704.95 |
| Abdominal ultrasound complete | CPT | 76700 | 5 | $1,429.51 | — | $61.16 | $93.58 | $708.31 |
| Abdominal ultrasound limited | CPT | 76705 | 5 | $1,073.16 | — | $61.16 | $93.58 | $532.16 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 5 | $1,268.28 | — | $61.16 | $93.58 | $631.3 |
| Obstetric ultrasound first trimester | CPT | 76801 | 5 | $939.59 | — | $61.16 | $93.58 | $632.82 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 5 | $777.13 | — | $61.16 | $93.58 | $523.41 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 5 | $944.77 | — | $133.62 | $204.44 | $636.32 |
| Transvaginal ultrasound | CPT | 76830 | 5 | $970.19 | — | $61.16 | $93.58 | $653.44 |
| Pelvic ultrasound complete | CPT | 76856 | 5 | $1,709.29 | — | $61.16 | $93.58 | $959.42 |
| Scrotal ultrasound | CPT | 76870 | 5 | $627.47 | — | $61.16 | $93.58 | $189.84 |
| EKG tracing only | CPT | 93005 | 5 | $509.37 | — | $21.28 | $54.67 | $425.28 |
| Transthoracic echocardiogram complete | CPT | 93306 | 5 | $3,440.28 | — | $51.87 | $181.84 | $2,360.53 |
| Stress echocardiogram | CPT | 93350 | 5 | $3,267.75 | — | $182.28 | $217.08 | $893.17 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $11,561 | $13,891 | $45,224 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $8,425.98 | $11,244 | $27,510 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $6,602.09 | $7,184.54 | $22,147 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | — | — | $5,217.12 | $5,471.5 | $17,376 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | — | — | $6,346.46 | $9,266.95 | $23,036 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $5,124.11 | $7,817.86 | $16,896 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $11,846 | $12,560 | $40,324 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $7,126.46 | $11,962 | $24,312 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $5,775.93 | $11,393 | $17,956 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $9,639.37 | $12,803 | $35,187 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | — | — | $6,643.43 | $10,314 | $23,064 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | — | — | $4,693.44 | $5,868.31 | $16,008 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $9,089.53 | $12,670 | $28,869 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $5,862.74 | $6,277.86 | $18,654 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $4,694.13 | $4,944.61 | $13,325 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $7,550.9 | $10,568 | $23,639 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $5,137.19 | $6,422.31 | $15,948 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | — | — | $6,165.23 | $7,679.7 | $17,583 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 5 | — | — | $11,596 | $21,203 | $34,287 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | — | — | $8,788.43 | $14,518 | $25,711 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $6,371.27 | $8,877.14 | $18,600 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $14,178 | $17,529 | $42,593 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | — | $7,844.44 | $10,387 | $24,775 |
| Initial hospital care, low complexity | CPT | 99221 | 0 | $471.5 | — | — | — | — |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 3 | $328.27 | — | $8.63 | $8.71 | $16.87 |
| General health panel | CPT | 80050 | 1 | $364.7 | — | $59.32 | $60.88 | $62.44 |
| Electrolyte panel | CPT | 80051 | 3 | $229.02 | — | $6.12 | $6.18 | $16.87 |
| Comprehensive metabolic panel | CPT | 80053 | 3 | $381.8 | — | $10.77 | $10.88 | $19.47 |
| Lipid panel | CPT | 80061 | 3 | $381.65 | — | $13.66 | $13.79 | $37.08 |
| Renal function panel | CPT | 80069 | 3 | $301.18 | — | $8.85 | $8.94 | $17.45 |
| Hepatic function panel | CPT | 80076 | 3 | $273.25 | — | $8.33 | $8.42 | $27.38 |
| Urinalysis non-automated | CPT | 81002 | 3 | $82.03 | — | $3.07 | $3.1 | $8.88 |
| Urinalysis automated | CPT | 81003 | 3 | $103.22 | — | $1.95 | $1.97 | $7.89 |
| Glucose quantitative | CPT | 82947 | 3 | $69.83 | — | $4.01 | $4.05 | $7.42 |
| Hemoglobin A1c | CPT | 83036 | 3 | $204.62 | — | $9.9 | $10 | $30.84 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 3 | $263.45 | — | $16.07 | $16.22 | $37.75 |
| Complete blood count with automated differential | CPT | 85025 | 3 | $196.16 | — | $6.73 | $6.8 | $11.47 |
| Complete blood count without differential | CPT | 85027 | 3 | $190.46 | — | $6.6 | $6.66 | $11.94 |
| Urine culture bacterial | CPT | 87086 | 3 | $314.24 | — | $8.23 | $8.31 | $26.07 |
| Urine culture identification | CPT | 87088 | 3 | $178.23 | — | $8.25 | $8.33 | $22.5 |
| Tissue exam by pathologist level IV | CPT | 88305 | 5 | $339.92 | — | $30.97 | $49.18 | $167.98 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 5 | $5,680.48 | — | $1,033.04 | $2,926.57 | $3,974.41 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 1 | $504.26 | — | $99.05 | $101.66 | $104.26 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 1 | $600.97 | — | $147.83 | $151.72 | $155.61 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 1 | $667.13 | — | $147.83 | $151.72 | $155.61 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 1 | $890.52 | — | $246.86 | $253.36 | $259.85 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | $725 | — | $24.6 | $24.84 | $54.46 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 1 | $398.37 | — | $76.88 | $78.91 | $80.93 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 1 | $550.73 | — | $99.05 | $101.66 | $104.26 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 1 | $703.07 | — | $118.27 | $121.38 | $124.49 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 1 | $773.37 | — | $147.83 | $151.72 | $155.61 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | $2,735.43 | — | $299.52 | $862.97 | $1,408.24 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | — | — | $32,465 | $42,703 | $120,488 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | — | — | $17,311 | $18,256 | $60,616 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | — | — | $12,389 | $12,919 | $39,184 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | — | — | $12,449 | $12,789 | $39,405 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | — | — | $10,204 | $12,180 | $29,796 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $24,208 | $24,270 | $86,985 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | — | — | $21,693 | $25,337 | $78,320 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | — | — | $14,084 | $22,983 | $45,500 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | — | — | $20,860 | $31,372 | $71,258 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | — | — | $15,225 | $18,501 | $47,022 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | — | — | $9,552.82 | $12,032 | $38,559 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | — | — | $20,689 | $22,731 | $69,899 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $11,820 | $12,153 | $43,736 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $11,187 | $11,353 | $36,791 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | — | — | $9,174.86 | $9,342.41 | $23,974 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | — | — | $14,913 | $15,153 | $40,039 |
| PCI single major coronary artery | CPT | 92920 | 5 | $25,508 | — | $2,773.97 | $3,146.56 | $5,247.91 |
| PCI with drug-eluting stent | CPT | 92928 | 5 | $42,724 | — | $4,213.27 | $10,438 | $12,028 |
| PCI bypass graft | CPT | 92937 | 5 | $65,287 | — | $4,213.27 | $10,438 | $12,028 |
| Left heart catheterization | CPT | 93452 | 5 | $16,823 | — | $2,325.56 | $2,960.51 | $12,037 |
| Coronary angiography with cath | CPT | 93455 | 5 | $18,137 | — | $1,922.05 | $2,348.36 | $8,277.47 |
| Coronary angiography with bypass cath | CPT | 93458 | 5 | $18,019 | — | $1,922.05 | $2,348.36 | $12,053 |
Payer mix (top 5)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 139 | $448.1 |
| Centene | 127 | $133.62 |
| UnitedHealthcare | 127 | $133.62 |
| Aetna | 114 | $328.72 |
| Humana | 114 | $328.72 |