Billing

For Imaging Services at one of our provider based locations, please call any of the locations below for pricing of your procedure and to schedule:

• Blue Springs 816-251-6133
• Medical Plaza 816-561-5858
• Shoal Creek 816-437-8219
• Mission Farms 913-323-4610

Saint Luke’s Health System has made available a copy of its standard charges for items and services provided by Saint Luke’s hospitals. This list is provided in order to help patients understand what their insurance company may allow for services obtained at a Saint Luke’s hospital, and to compare charges for similar services across hospitals. These files are not intended to represent a patient’s individual out of pocket responsibility.

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, Saint Luke's offers financial assistance for demonstrated need in appropriate cases.

For a more personalized estimate of what your potential financial liability might be for services you obtain at the hospital, please contact our Billing Department at 816-932-5678.

Pricing is as of December 31, 2022 and will be updated annually. For the most common reasons for inpatient hospitalization or outpatient services and their average charge, please view hospital standard charges (all files are CSV):

• Allen County Regional Hospital
• Anderson County Hospital
• Hedrick Medical Center
• Saint Luke’s East Hospital
• Saint Luke’s Hospital
• Saint Luke’s North Hospital
• Saint Luke’s South Hospital
• Wright Memorial Hospital

Transparency in Coverage
Through BlueCross BlueShield, BCBS National Alliance creates and publishes negotiated rates in machine-readable format on behalf of Saint Luke’s Health System. These are the negotiated rates with in-network providers for certain covered items and services as well as historical payments to, and billed charges from, out-of-network providers. To link to the rates, please click on the URL and enter Saint Luke’s EIN 431747502: https://member.myhealthtoolkitkc.com/web/public/brands/universal/transparency-in-coverage/?branding=kc

Provider-based Billing

Some Saint Luke’s clinics are provider-based, or hospital-based, clinics. Services provided in these clinics may be billed differently than in a traditional doctor’s office.

What does hospital-based or provider-based outpatient clinic mean?

A provider-based or hospital-based outpatient clinic refers to services provided in hospital outpatient departments that are clinically integrated into a hospital. The clinical integration allows for higher quality and seamlessly coordinated care. Hospital-based outpatient clinics are considered part of the hospital and are not a physician office. Clinics located miles away from the hospital campus may still be considered part of the hospital.

Are services at hospital-based clinics billed differently?

Yes. The hospital-based designation is a Medicare status for hospitals and clinics that meet specific Medicare regulations and requires that we bill in two parts: one bill for the physician service, and another bill for the hospital/facility resources and services. Saint Luke’s Health System is not unique in this regard, as this is the case in many health care systems throughout the country.

For patients with insurance, physician services are processed under physician benefits, which generally require a patient copay. Hospital services are processed under hospital benefits, which are subject to patient deductibles and coinsurance.

How does this affect patients with Medicare or Medicaid?

Medicare and Medicaid patients will receive two separate bills for services provided in the clinic: one from the doctor, and one from the hospital. Patients will be responsible for any copays, coinsurance, or deductibles as outlined in their plan.

How does this affect patients with private health insurance?

Insurance carriers who have a contract with Saint Luke’s may not require the same billing process as Medicare or Medicaid. You may not incur additional expenses, but you should check with your insurance provider. It’s important to ask your insurance company these questions:

• Does your health insurance benefit plan cover hospital charges in a hospital-based outpatient clinic?
• How much of the charge is covered?
• How much will be applied to the deductible?
• How much will your coinsurance be after meeting the deductible?

What if I have secondary insurance coverage?

Coinsurance and deductibles may be covered by a secondary insurance. Check with your health insurance company for details.