Eclipse balloon catheter at Lee's Summit Medical Center

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BLN 10-37MMX4.0CMX90CM

Lee's Summit, MO

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Pricing by billing methodology

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How this price compares nationally

Lee's Summit Medical Center’s median price of $503 is 62% below the median hospital's median price ($1.3k), higher than 18% of the 1,346 hospitals reporting HCPCS C2628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C2628 at Lee's Summit Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 33 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Anthem missouricaremgmcd percent of total billed charges · outpatientfrom % of charges	$290	$290	$213	73%	—	$77 – $502
2	Ambetter commercial-exchange percent of total billed charges · outpatientfrom % of charges	$415	$415	$304	73%	—	$110 – $719
3	Oscar hix percent of total billed charges · outpatientfrom % of charges	$423	$423	$311	73%	—	$112 – $734
4	Humana aso percent of total billed charges · outpatientfrom % of charges	$470	$470	$345	73%	—	$125 – $816
5	Humana epo percent of total billed charges · outpatientfrom % of charges	$470	$470	$345	73%	—	$125 – $816
6	Humana hmo percent of total billed charges · outpatientfrom % of charges	$470	$470	$345	73%	—	$125 – $816
7	Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges	$513	$513	$376	73%	—	$136 – $889
8	Cigna surefit/localplus percent of total billed charges · outpatientfrom % of charges	$553	$553	$406	73%	—	$147 – $959
9	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$559	$559	$411	73%	—	$149 – $970
10	Humana pos percent of total billed charges · outpatientfrom % of charges	$591	$591	$434	73%	—	$157 – $1.0k
11	Humana ppo percent of total billed charges · outpatientfrom % of charges	$591	$591	$434	73%	—	$157 – $1.0k
12	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$602	$602	$442	73%	—	$160 – $1.0k
13	Cigna localkc percent of total billed charges · outpatientfrom % of charges	$658	$658	$483	73%	—	$175 – $1.1k
14	Aetna Better Health mcd percent of total billed charges · outpatientfrom % of charges	$669	$669	$491	73%	—	$178 – $1.2k
15	Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges	$669	$669	$491	73%	—	$178 – $1.2k
16	Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges	$669	$669	$491	73%	—	$178 – $1.2k
17	Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges	$669	$669	$491	73%	—	$178 – $1.2k
18	Aetna ivlhix percent of total billed charges · outpatientfrom % of charges	$682	$682	$501	73%	—	$181 – $1.2k
19	Aetna kccareplus percent of total billed charges · outpatientfrom % of charges	$733	$733	$538	73%	—	$195 – $1.3k
20	Cigna comm percent of total billed charges · outpatientfrom % of charges	$822	$822	$604	73%	—	$218 – $1.4k
21	Aetna local percent of total billed charges · outpatientfrom % of charges	$876	$876	$643	73%	—	$233 – $1.5k
22	Aetna fhmedicalrental percent of total billed charges · outpatientfrom % of charges	$896	$896	$658	73%	—	$238 – $1.6k
23	Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges	$914	$914	$671	73%	—	$243 – $1.6k
24	Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges	$914	$914	$671	73%	—	$243 – $1.6k
25	Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges	$958	$958	$704	73%	—	$255 – $1.7k

Page 1 of 2 · 33 rates

Last updated: Mar 1, 2026

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