Skip to main content

Pectus Brace Billing Information

Pectus Brace office visit/consultation


The estimate of prices and traditional charges for professional service are listed below. The prices do not include testing or procedures. These prices are only valid for services through 6/30/2019. Every child is different; therefore, there may be services outside of the pricing provided below performed at the time of service and are not included in this summary.

Description    Procedure Code  Total Price   
New Patient Office Visit  99201-99205 $93.00-$438.00
Established Patient Office Visit  99211-99215 $48.00-$307.00
Office Consultation 99241-99245 $124.00-$572.00

 

After the consultation


Once your child has been identified as a pectus brace candidate, the clinical team will reach out to the Financial Clearance team to pursue a pre-authorization to determine if your insurance company will cover this service. You can reach out to Financial Clearance at (816) 302-1650 if you have any additional questions regarding insurance status.

Information from your insurance company

 

We recommend that you contact your health plan with the procedure code and price provided above to ensure any necessary referrals or prior authorizations are in place. The health plan will also be able to inform you what your out-of-pocket expense will be (including, but not limited to, deductibles, co-payments and coinsurance) prior to the service.

If you would like to know whether Children's Mercy participates with your insurance plan please visit choosechildrensmercy.org for a listing of all contracted health plans. Additional frequently asked questions are answered here.

Pectus Brace


If your insurance company determines the service is not covered, you may be eligible for the discount rate quoted below. The amount due will be required to be paid in full prior to service. We have provided below the average price for the Pectus Brace device itself. These prices are only an estimate as every patient is different and requires a unique treatment plan. These prices are valid through 06/30/2019.

Description Procedure Code Standard Price* Self Pay Price Required Deposit
Pectus Brace L1499 $3,250.00 $1,690.00 $1,690.00

 

Financial assistance


The pectus brace is not eligible for the financial assistance discount.