Kansas

What Medicare pays in Kansas

Billed charges against Medicare allowed amounts in Kansas, across the 248 procedures Medicare covers most often.

248Procedures
17,097,812Services covered
3.2xBilled vs allowed
#24Rank of 61

Providers here billed the most above the national figure for removal of cataract with insertion of prosthetic lens. The average was $2,113.40 against a national $1,027.76. That is 2.1 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in Kansas

ProcedureBilled hereAllowedGapvs national billed
Ground mileage, per statute mile$17.70$9.991.8x0.67x
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$217.97$105.862.1x0.79x
Insertion of needle into vein for collection of blood sample$26.28$8.503.1x1.20x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$154.56$76.362.0x0.82x
Blood test, comprehensive group of blood chemicals$80.02$10.347.7x1.30x
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$57.53$21.542.7x0.83x
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$44.56$7.605.9x1.20x
Therapy procedure using functional activities$66.26$29.152.3x0.89x
Blood test, lipids (cholesterol and triglycerides)$130.20$13.119.9x1.36x
Blood test, thyroid stimulating hormone (tsh)$124.27$16.457.6x1.30x
Chiropractic manipulative treatment, 3-4 spinal regions$54.86$36.801.5x0.90x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$202.62$71.092.9x1.00x
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's$42.99$15.032.9x0.99x
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$61.84$25.212.5x0.85x
Hemoglobin a1c level$67.52$9.507.1x1.16x
Destruction of precancer skin growth, 2-14 growths$24.16$5.554.4x1.10x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$304.86$109.162.8x0.94x
Therapy procedure using manual technique, each 15 minutes$55.45$19.232.9x0.82x
Pathology examination of tissue using a microscope, intermediate complexity$165.67$43.273.8x0.89x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$36.82$7.524.9x0.82x
Creatinine level to test for kidney function or muscle injury$59.07$5.0811.6x1.29x
Administration of influenza virus vaccine$32.04$24.981.3x0.79x
Vitamin d-3 level$240.86$28.998.3x1.31x
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled$1.19$1.061.1x0.68x
Established patient complete exam of visual system$173.87$115.361.5x0.77x
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$290.32$142.722.0x0.71x
Urine microalbumin (protein) level$73.11$5.6612.9x1.28x
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$323.44$144.272.2x0.79x
Thyroxine (thyroid chemical), free$126.14$8.8314.3x1.45x
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$242.34$88.412.7x1.15x
Blood test, basic group of blood chemicals (calcium, total)$62.88$8.287.6x1.31x
Admn sarscov2 vacc 1 dose$38.88$31.991.2x0.77x
X-ray of chest, 1 view$31.81$8.103.9x0.61x
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$256.68$94.442.7x0.92x
Manual urinalysis test with examination using microscope, automated$44.46$3.1114.3x1.39x
Fixed wing air mileage, per statute mile$160.54$15.1410.6x1.16x
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$528.50$157.883.3x0.93x
Bacterial colony count, urine$61.66$7.917.8x1.21x
Imaging of retina$102.37$36.892.8x0.83x
Cyanocobalamin (vitamin b-12) level$119.31$14.778.1x1.36x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

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