At Kansas City Orthopaedic Institute, our commitment to patient care excellence stems far beyond our exceptional outcomes. We are dedicated to providing clear, concise pricing information to help you better understand the cost of your orthopedic care.
Kansas City Orthopaedic Institute has made available a tool to create estimated charges and the estimated patient responsible amount for your procedure. Click HERE. In addition, a copy of KCOI’s standard charges for items and services in Machine Readable Format can be downloaded by clicking HERE. Prices are effective as of 09/30/2024 and are subject to change at any time. This list is provided in order to help patients understand what their potential financial liability might be for services obtained at Kansas City Orthopaedic Institute and to compare charges for similar services across hospitals.
Please click HERE to view Bundled Self Pay Rates for typical procedures and services.
The amount that is paid for items and services provided to a particular patient may differ significantly from these standard charges, depending upon several factors such as the patient’s insurance coverage, deductibles and co-pays. Insurance plans may negotiate rates for in-network providers that are substantially lower than standard charges. In some cases, items and services may be “bundled” by an insurance plan to reflect expected treatment for certain diagnoses or surgical procedures, notwithstanding the actual charges. Many other variables may also affect the amount that is actually paid by or on behalf of the patient. Consistent with our community focus, KCOI offers financial assistance for demonstrated need in appropriate cases.
To provide the most accurate pricing information, please have the following information:
Disclaimers:
1-Charges and base rates are not all inclusive and can include additional charges and payments for carve out drug and supplies
2-The base rate shown represents the allowable payer specific rate and in some instances, due to complications, stop loss or lesser of provisions for atypical claims or physician ordering patterns, utilization and other factors, the allowable amount for a particular claim can be significantly lower or higher
3-The hospital and physician chargemasters as well as the NDC data represents the most current available as of the Machine-Readable run date
4-Medicare OPPS, APRDRG & EAPG payment methods represent base rates that can be adjusted by other regional or hospital specific factors. Line item charges and subsequent payments can be subject to packaging. For example, items with a negotiated rate of 0
5-Service Package under rate methodology within the hospital charge master, represents items that are displayed as an inpatient MS-DRG
We provide financial assistance for patients who meet eligibility criteria. To find out if you qualify for financial assistance, please review the information provided in the documents below. To apply, please print and complete the Statement of Financial Position form:
When you get emergency care or are treated by and out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
We recognize hospital billing can be complex. If you have questions about the cost of a particular procedure or test, please contact us at 913-253-8951. We will provide you with an answer to your question within two business days and follow up with a written price estimate. In addition, our financial counselors can help you make payment arrangements or obtain financial assistance if needed.
If you have questions regarding a billing statement you have received,
please contact our billing office at 913-253-8932 or hospbilling@kcoi.com
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