Adventhealth Shawnee Mission
AdventHealth Shawnee Mission in Shawnee Mission, Kansas charges 7.8x the Medicare reimbursement rate across 77 analyzed procedures at this nonprofit private hospital.
Shawnee Mission, KS 66204 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
7.84x
Charge / Medicare rate
Max markup
13.27x
Worst procedure
Procedures analyzed
77
With pricing data
Outlier procedures
1.3%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $127,514 | $63,757 | — | 13.3x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $113,384 | $56,692 | — | 12.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $77,762 | $38,881 | — | 12.6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $342,249 | $171,125 | — | 11x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $46,414 | $23,207 | — | 10.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $79,613 | $39,806 | — | 10.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $28,459 | $14,229 | — | 10x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $117,465 | $58,733 | — | 10x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $108,764 | $54,382 | — | 9.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $114,016 | $57,008 | — | 9.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $94,125 | $47,063 | — | 9.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $463,053 | $231,527 | — | 9.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $134,694 | $67,347 | — | 9.5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $139,918 | $69,959 | — | 9.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $65,398 | $32,699 | — | 9.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $181,246 | $90,623 | — | 9.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $41,236 | $20,618 | — | 9.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $103,327 | $51,664 | — | 9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $43,716 | $21,858 | — | 9x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $187,454 | $93,727 | — | 8.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $50,022 | $25,011 | — | 8.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $43,465 | $21,733 | — | 8.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $180,384 | $90,192 | — | 8.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $201,331 | $100,665 | — | 8.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $35,676 | $17,838 | — | 8.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $109,012 | $54,506 | — | 8.4x |
| HYPERTENSION WITHOUT MCC | 305 | $35,673 | $17,836 | — | 8.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $101,963 | $50,982 | — | 8.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $38,162 | $19,081 | — | 8.2x |
| CELLULITIS WITHOUT MCC | 603 | $39,857 | $19,929 | — | 8.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,195 | $19,097 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $60,929 | $30,465 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $150,446 | $75,223 | — | 8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $46,007 | $23,003 | — | 8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $115,191 | $57,595 | — | 7.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $45,603 | $22,801 | — | 7.8x |
| RENAL FAILURE WITH CC | 683 | $38,971 | $19,486 | — | 7.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $43,235 | $21,617 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $54,042 | $27,021 | — | 7.7x |
| DIABETES WITH CC | 638 | $40,793 | $20,397 | — | 7.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $60,569 | $30,285 | — | 7.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $94,638 | $47,319 | — | 7.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $100,744 | $50,372 | — | 7.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $46,214 | $23,107 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $70,263 | $35,131 | — | 7.3x |
| SYNCOPE AND COLLAPSE | 312 | $36,696 | $18,348 | — | 7.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $57,750 | $28,875 | — | 7.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $35,213 | $17,607 | — | 7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $55,454 | $27,727 | — | 7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $77,398 | $38,699 | — | 6.8x |
Showing 50 of 77 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use