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.
Original text from hospital filings
LVL 5 HOSP TYPE B ED VST
Lee's Summit, MO
See all hospitals reporting HCPCS G0384 →Price type
Lee's Summit Medical Center’s median price of $960 is 87% above the median hospital's median price ($513), higher than 67% of the 868 hospitals reporting HCPCS G0384. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 38 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 | UnitedHealthcare ksmgmcd fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 2 | Aetna Better Health mcd fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 3 | UnitedHealthcare momgmcd fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 4 | Ambetter commercial-exchange percent of total billed charges · outpatientfrom % of charges | $484 | $484 | — | — | — | $484 – $484 |
| 5 | Humana aso percent of total billed charges · outpatientfrom % of charges | $549 | $549 | — | — | — | $549 – $549 |
| 6 | Humana epo percent of total billed charges · outpatientfrom % of charges | $549 | $549 | — | — | — | $549 – $549 |
| 7 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $549 | $549 | — | — | — | $549 – $549 |
| 8 | Cigna surefit/localplus percent of total billed charges · outpatientfrom % of charges | $645 | $645 | — | — | — | $645 – $645 |
| 9 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $653 | $653 | — | — | — | $653 – $653 |
| 10 | Humana pos percent of total billed charges · outpatientfrom % of charges | $689 | $689 | — | — | — | $689 – $689 |
| 11 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $689 | $689 | — | — | — | $689 – $689 |
| 12 | Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges | $702 | $702 | — | — | — | $702 – $702 |
| 13 | Cigna localkc percent of total billed charges · outpatientfrom % of charges | $768 | $768 | — | — | — | $768 – $768 |
| 14 | Aetna ivlhix case rate · outpatient | $772 | $772 | — | — | — | $772 – $772 |
| 15 | Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges | $780 | $780 | — | — | — | $780 – $780 |
| 16 | Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges | $780 | $780 | — | — | — | $780 – $780 |
| 17 | Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges | $780 | $780 | — | — | — | $780 – $780 |
| 18 | Aetna ivlhix percent of total billed charges · outpatientfrom % of charges | $796 | $796 | — | — | — | $796 – $796 |
| 19 | Aetna kccareplus percent of total billed charges · outpatientfrom % of charges | $856 | $856 | — | — | — | $856 – $856 |
| 20 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $960 | $960 | — | — | — | $960 – $960 |
| 21 | Aetna local percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Aetna fhmedicalrental percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Mar 1, 2026
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