Kansas / Kansas City Orthopaedic Institute
CMS certification 170188 · Leawood, KS · 3 entries in CMS's price-transparency list
Kansas City Orthopaedic Institute: charges and Medicare payments
Kansas City Orthopaedic Institute reported 587 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 4.36 times what it was paid — among the higher ratios in Kansas, number 11 of 36 hospitals with at least 100 stays (state median 3.35×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 501 stays at an average charge of $55,861, 40% below the national average. It also billed 1,074 outpatient services, charging 6.29 times what Medicare paid.
- 1Medicare inpatient stays 587
- 2Charge ÷ paid, inpatient 4.36×
- 3Rank in KS (highest ratio = 1) 11 of 36
- 4CMS price-transparency actions 3
Inpatient stays
For the 3 DRGs that can be compared with the national average, Kansas City Orthopaedic Institute charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 501 | $55,861 | -40% | $12,155 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 75 | $56,322 | -55% | $16,097 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $68,262 | -60% | $23,335 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 4 Musculoskeletal Procedures | 258 | $36,705 | $6,171 |
| Level 1 Nerve Procedures | 210 | $16,431 | $1,667 |
| Level 3 Musculoskeletal Procedures | 182 | $22,375 | $2,814 |
| Level 2 Musculoskeletal Procedures | 136 | $13,570 | $1,397 |
| Level 5 Musculoskeletal Procedures | 112 | $57,443 | $11,216 |
| Level 6 Musculoskeletal Procedures | 65 | $60,599 | $16,241 |
| Level 2 Neurostimulator and Related Procedures | 60 | $12,552 | $3,584 |
| Level 5 Neurostimulator and Related Procedures | 22 | $65,214 | $27,040 |
| Level 4 Neurostimulator and Related Procedures | 16 | $49,245 | $19,059 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $21,110 | $2,481 |
Against the Kansas average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Kansas City Orthopaedic Institute charged $55,861 on average, 5% less than the Kansas average of $58,902, and was paid $12,155 against a state average of $14,067. For Major Joint or Limb Reattachment Procedures of Upper Extremities (DRG 483), Kansas City Orthopaedic Institute charged $56,322 on average, 24% less than the Kansas average of $74,162, and was paid $16,097 against a state average of $18,153. For Spinal Fusion except Cervical without MCC (DRG 460), Kansas City Orthopaedic Institute charged $68,262 on average, 47% less than the Kansas average of $127,660, and was paid $23,335 against a state average of $26,297. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $36,705 was 13% above the state average of $32,564. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $16,431 was 66% above the state average of $9,910. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $22,375 was 42% above the state average of $15,738. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $13,570 was 31% above the state average of $10,367.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kansas City Orthopaedic Institute in Leawood, KS, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-16 (CMS case 2664)
- Closure Notice — 2024-12-20 (CMS case 2664)
- Met Requirements — 2025-08-01 (CMS case 6130)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.