Prime Healthcare Services · Kansas City, KS
30
In-network payers
294
Disclosed rate categories
400
Beds
5
Care quality
Providence Medical Center is a 400-bed voluntary non-profit - church hospital in Kansas City, KS, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 294 disclosed rate categories.
CCN (Medicare provider number)
170146
NPI
1528301900
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
400
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Providence Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,913 - $7,838
from 4 insurers · median $6,263
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,526 - $10,818
from 4 insurers · median $9,120
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$14,437 - $22,651
from 4 insurers · median $19,796
28 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,913 - $7,838
from 4 insurers · median $6,263
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$66,193 - $115,137
from 4 insurers · median $100,940
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 49505
$3,373 - $5,546
from 4 insurers · median $4,025
15 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 743
$9,902 - $17,629
from 4 insurers · median $13,704
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 43239
$854 - $2,810
from 4 insurers · median $2,524
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$263 - $608
from 4 insurers · median $400
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$298 - $1,563
from 4 insurers · median $734
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,083 - $6,189
from 4 insurers · median $4,654
13 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 64721
$1,363 - $4,474
from 4 insurers · median $2,325
45 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Gynecology
CPT 58571
$4,286 - $12,226
from 4 insurers · median $9,473
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,127 - $2,810
from 4 insurers · median $1,870
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,127 - $2,810
from 4 insurers · median $1,898
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$876 - $2,810
from 4 insurers · median $1,632
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$82 - $323
from 4 insurers · median $128
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$593 - $1,220
from 4 insurers · median $962
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,810 - $7,984
from 4 insurers · median $6,383
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,462 - $3,131
from 4 insurers · median $2,646
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,810 - $10,537
from 4 insurers · median $6,383
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,050 - $4,616
from 4 insurers · median $3,294
Typical for a hospital with this service line
MRI imaging
CPT 70553
$263 - $858
from 4 insurers · median $424
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$42 - $212
from 4 insurers · median $74
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 171% | 14 | 6 |
| Insurer B* | 24 | 120% | 3 | 17 |
| Insurer C* | 24 | 118% | 2 | 19 |
| Insurer D* | 24 | 92% | 0 | 21 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 10 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Providence Medical Center.
8929 Parallel Parkway, Kansas City, KS 66112
(913) 596-4000
The nearest hospitals of similar type and size. Their rates are compared with Providence Medical Center for the same insurers and services above.
Adventhealth Shawnee Mission
▲ Rates typically 72% higher than Providence Medical Center (21 services)
Saint Luke S Hospital Of Kansas City
▲ Rates typically 46% higher than Providence Medical Center (21 services)
North Kansas City Hospital
▲ Rates typically 32% higher than Providence Medical Center (21 services)
Overland Park Regional Medical Center
▲ Rates typically 79% higher than Providence Medical Center (21 services)
Research Medical Center
▲ Rates typically 70% higher than Providence Medical Center (21 services)
Olathe Medical Center
▼ Rates typically 14% lower than Providence Medical Center (21 services)
The University Of Kansas Hospital
Saint John Hospital
Ascension Via Christi St. Francis
University Of Kansas Health Systems - Great Bend Campus
About Providence Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Providence Medical Center range from $263 to $858 across 4 insurers. Cigna's rate is $329. The median at nearby comparable hospitals is $824. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Providence Medical Center range from $263 to $608 across 4 insurers. Aetna's rate is $472. The median at nearby comparable hospitals is $566. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Providence Medical Center range from $1,127 to $2,810 across 4 insurers. Blue Cross Blue Shield's rate is $1,995. The median at nearby comparable hospitals is $2,984. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Providence Medical Center range from $5,913 to $7,838 across 4 insurers. UnitedHealthcare's rate is $6,358. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Providence Medical Center range from $82 to $323 across 4 insurers. UnitedHealthcare's rate is $82. The median at nearby comparable hospitals is $131. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Providence Medical Center range from $14,437 to $22,651 across 4 insurers. Aetna's rate is $22,651. The median at nearby comparable hospitals is $27,370. What a patient pays depends on their plan's deductible, coinsurance and network status.
Providence Medical Center has 400 beds. Facility type: Short Term Acute Care Hospital.
Providence Medical Center is located at 8929 Parallel Parkway, Kansas City, KS 66112. Its main phone number is (913) 596-4000.
Providence Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 170146.
The National Provider Identifier (NPI) on file for Providence Medical Center is 1528301900.
Providence Medical Center is affiliated with Prime Healthcare Services.
Providence Medical Center lists 30 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
294 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers