North Kansas City Hospital
North Kansas City Hospital, a government-owned facility in North Kansas City, MO, charges 6.1x the Medicare reimbursement rate across 109 analyzed procedures.
North Kansas City, MO 64116 · Acute Care Hospitals · CMS Rating: 4/5
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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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
D
High
Avg markup vs Medicare
6.08x
Charge / Medicare rate
Max markup
9.69x
Worst procedure
Procedures analyzed
109
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $106,294 | $53,147 | — | 9.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $28,439 | $14,219 | — | 9.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $62,506 | $31,253 | — | 9.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $45,376 | $22,688 | — | 8.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $178,614 | $89,307 | — | 8.6x |
| SEIZURES WITHOUT MCC | 101 | $41,472 | $20,736 | — | 8.5x |
| HYPERTENSION WITHOUT MCC | 305 | $36,880 | $18,440 | — | 8.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $30,417 | $15,209 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $46,233 | $23,117 | — | 8x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $35,237 | $17,618 | — | 8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $40,233 | $20,117 | — | 8x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $51,955 | $25,978 | — | 7.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $44,828 | $22,414 | — | 7.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $54,469 | $27,234 | — | 7.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $35,487 | $17,744 | — | 7.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $24,084 | $12,042 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $35,878 | $17,939 | — | 7.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $57,165 | $28,583 | — | 7.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $54,973 | $27,487 | — | 7.2x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $78,356 | $39,178 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $130,314 | $65,157 | — | 7.1x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $96,943 | $48,472 | — | 7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $45,653 | $22,827 | — | 6.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $31,815 | $15,907 | — | 6.9x |
| SYNCOPE AND COLLAPSE | 312 | $36,528 | $18,264 | — | 6.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $42,151 | $21,076 | — | 6.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $42,714 | $21,357 | — | 6.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $65,703 | $32,852 | — | 6.7x |
| DIABETES WITH MCC | 637 | $52,093 | $26,046 | — | 6.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $60,455 | $30,228 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,708 | $15,854 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $52,486 | $26,243 | — | 6.6x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $53,125 | $26,562 | — | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $74,341 | $37,171 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,747 | $20,873 | — | 6.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $185,091 | $92,545 | — | 6.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $31,396 | $15,698 | — | 6.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $108,558 | $54,279 | — | 6.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $82,779 | $41,390 | — | 6.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $42,529 | $21,265 | — | 6.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $219,930 | $109,965 | — | 6.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $102,975 | $51,488 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $67,329 | $33,665 | — | 6.1x |
| DIABETES WITH CC | 638 | $32,415 | $16,207 | — | 6.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $101,875 | $50,937 | — | 6.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $35,984 | $17,992 | — | 6.1x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $61,040 | $30,520 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $50,149 | $25,075 | — | 6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $60,583 | $30,292 | — | 6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $40,007 | $20,003 | — | 6x |
Showing 50 of 109 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