Saint John Hospital

3500 South 4Th Street, Leavenworth, KS 66048 · (913) 680-6000

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Kansas City, MO-KS metro Website ↗

Price file

Prices published

File dated 2026-03-17

1,798 price rows for 50 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $48

cash

$8 to $109

31 negotiated rates

$312

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $347

$328

cash

$207 to $555

31 negotiated rates

$5,196

list

CT scan of the head, no contrast

CPT 70450 · metro median $104

$98

cash

$60 to $480

31 negotiated rates

$4,732

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $174

$165

cash

$101 to $480

31 negotiated rates

$2,691

list

Cataract surgery with lens implant

CPT 66984 · metro median $2,174

$2,174

cash

$755 to $4,489

31 negotiated rates

$7,833

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $6,927

$6,390

cash

$3,965 to $9,905

31 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $35

$35

cash

$35 to $222

31 negotiated rates

$634

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $876

$876

cash

$296 to $2,488

93 negotiated rates

$4,559

list

Colonoscopy with biopsy

CPT 45380 · metro median $1,127

$1,127

cash

$382 to $2,488

31 negotiated rates

$6,202

list

Colonoscopy with polyp removal

CPT 45385 · metro median $1,127

$1,127

cash

$382 to $2,488

31 negotiated rates

$6,202

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $44

cash

$6 to $42

31 negotiated rates

$119

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $60

$10

cash

$11 to $187

31 negotiated rates

$535

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $103

$99

cash

$59 to $377

32 negotiated rates

$1,077

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$126 to $266

3 negotiated rates

$927

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $5,695

$5,695

cash

$1,312 to $9,113

31 negotiated rates

$29,670

list

Gonorrhea test (DNA)

CPT 87591 · metro median $35

$35

cash

$35 to $222

31 negotiated rates

$634

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $13,936

$12,855

cash

$11,076 to $22,152

32 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $5,632

$5,195

cash

$3,481 to $8,053

32 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $8,964

$8,268

cash

$4,649 to $12,817

32 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $3,054

$3,054

cash

$1,395 to $10,275

30 negotiated rates

$13,762

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $13

$13

cash

$13 to $58

31 negotiated rates

$166

list

Liver function panel

CPT 80076 · metro median $46

cash

$8 to $98

31 negotiated rates

$279

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $347

$328

cash

$207 to $607

28 negotiated rates

$6,155

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $237

$224

cash

$131 to $553

31 negotiated rates

$8,312

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $237

$224

cash

$131 to $553

31 negotiated rates

$5,342

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $237

$224

cash

$131 to $553

31 negotiated rates

$5,342

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $17,638

$16,270

cash

$10,652 to $25,219

32 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $833

$833

cash

$295 to $1,662

62 negotiated rates

$3,254

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$48 to $106

4 negotiated rates

$877

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$48 to $160

4 negotiated rates

$927

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$80 to $211

4 negotiated rates

$1,320

list

PSA test (prostate)

CPT 84153 · metro median $45

$18

cash

$18 to $117

31 negotiated rates

$334

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $11

cash

$5 to $39

31 negotiated rates

$110

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $53

$27

cash

$27 to $112

56 negotiated rates

$236

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $104

$98

cash

$60 to $167

31 negotiated rates

$1,917

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $587

$1,889

cash

$492 to $3,391

52 negotiated rates

$5,595

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $22

cash

$4 to $50

31 negotiated rates

$142

list

Screening mammogram (both breasts)

CPT 77067 · metro median $82

$82

cash

$72 to $344

32 negotiated rates

$983

list

Sleep study (overnight, attended)

CPT 95810 · metro median $1,218

$809

cash

$383 to $1,294

30 negotiated rates

$10,266

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$18,197 to $36,394

5 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $833

$833

cash

$280 to $1,662

31 negotiated rates

$2,743

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $703

$665

cash

$377 to $1,662

62 negotiated rates

$3,585

list

TSH test (thyroid)

CPT 84443 · metro median $27

$16

cash

$16 to $107

31 negotiated rates

$306

list

Transvaginal ultrasound

CPT 76830 · metro median $104

$98

cash

$60 to $164

31 negotiated rates

$1,696

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $104

$98

cash

$60 to $158

31 negotiated rates

$1,949

list

Upper endoscopy (EGD)

CPT 43235 · metro median $854

$854

cash

$294 to $1,662

31 negotiated rates

$4,946

list

Upper endoscopy with biopsy

CPT 43239 · metro median $854

$854

cash

$294 to $2,488

31 negotiated rates

$4,946

list

Urinalysis with microscope

CPT 81001 · metro median $13

cash

$3 to $21

31 negotiated rates

$59

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $4,871

$4,493

cash

$2,716 to $6,965

31 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $104

$98

cash

$48 to $248

31 negotiated rates

$1,837

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://stjohnleavenworth.com/wp-content/uploads/2026/09/H052002_SaintJohnHospital_standardcharges.json
Saint John Hospital · parsed · json v3.0 · file dated 2026-03-17 · 23.5 MB · 1798 price rows read · read Nov 2026