Kansas / Providence Medical Center
CMS certification 170146 · Kansas City, KS · 3 entries in CMS's price-transparency list
Providence Medical Center: charges and Medicare payments
Providence Medical Center reported 665 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 4.16 times what it was paid — among the higher ratios in Kansas, number 12 of 36 hospitals with at least 100 stays (state median 3.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 171 stays at an average charge of $54,177, 40% below the national average. It also billed 236 outpatient services, charging 10.3 times what Medicare paid.
- 1Medicare inpatient stays 665
- 2Charge ÷ paid, inpatient 4.16×
- 3Rank in KS (highest ratio = 1) 12 of 36
- 4CMS price-transparency actions 3
Inpatient stays
For the 23 DRGs that can be compared with the national average, Providence Medical Center charged more than the national average in 1 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 171 | $54,177 | -40% | $13,680 |
| 177 Respiratory Infections and Inflammations with MCC | 60 | $48,378 | -31% | $11,926 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 59 | $42,839 | -43% | $11,548 |
| 291 Heart Failure and Shock with MCC | 50 | $38,028 | -33% | $9,803 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $29,346 | -51% | $9,750 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $29,792 | -48% | $9,381 |
| 682 Renal Failure with MCC | 27 | $35,324 | -46% | $10,921 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 24 | $52,194 | -54% | $15,292 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $120,507 | -26% | $19,964 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $50,102 | -41% | $11,911 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $38,274 | -37% | $9,685 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $162,932 | -29% | $31,420 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $23,963 | -40% | $6,464 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $42,670 | -29% | $10,076 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $95,402 | +2% | $13,592 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $33,024 | -11% | $6,370 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $54,652 | -45% | $13,491 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $25,636 | -55% | $9,868 |
| 811 Red Blood Cell Disorders with MCC | 12 | $42,603 | -38% | $10,496 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $103,983 | -23% | $18,953 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $103,764 | -25% | $21,646 |
| 637 Diabetes with MCC | 11 | $48,408 | -27% | $10,817 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $31,854 | -38% | $9,307 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Nerve Procedures | 45 | $7,684 | $1,686 |
| Level 2 Pacemaker and Similar Procedures | 25 | $76,543 | $7,419 |
| Level 1 Endovascular Procedures | 23 | $19,300 | $2,850 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 22 | $11,119 | $1,416 |
| Level 4 Musculoskeletal Procedures | 22 | $50,347 | $5,795 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $22,073 | $2,481 |
| Level 5 Musculoskeletal Procedures | 16 | $96,339 | $11,480 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 15 | $20,753 | $3,021 |
| Level 3 Vascular Procedures | 14 | $21,729 | $2,784 |
| Level 3 Musculoskeletal Procedures | 13 | $20,895 | $2,827 |
| Level 2 Musculoskeletal Procedures | 12 | $13,347 | $1,404 |
| Level 3 Pacemaker and Similar Procedures | 12 | $78,326 | $9,320 |
Against the Kansas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Medical Center charged $54,177 on average, 36% less than the Kansas average of $85,277, and was paid $13,680 against a state average of $15,541. For Respiratory Infections and Inflammations with MCC (DRG 177), Providence Medical Center charged $48,378 on average, 30% less than the Kansas average of $69,158, and was paid $11,926 against a state average of $13,544. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Providence Medical Center charged $42,839 on average, 42% less than the Kansas average of $73,624, and was paid $11,548 against a state average of $12,627. For Heart Failure and Shock with MCC (DRG 291), Providence Medical Center charged $38,028 on average, 28% less than the Kansas average of $52,685, and was paid $9,803 against a state average of $10,293. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,684 was 22% below the state average of $9,910. For Level 2 Pacemaker and Similar Procedures (outpatient APC 5222), its average charge of $76,543 was 135% above the state average of $32,568. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,300 was 21% below the state average of $24,538. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,119 was 2% below the state average of $11,389.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence Medical Center in Kansas City, KS, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-04-19 (CMS case 90)
- Closure Notice — 2021-07-20 (CMS case 90)
- Met Requirements — 2025-07-21 (CMS case 5877)
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.