Biopsy abdominal mass at Adventhealth Ottawa
1301 S Main Street, Ottawa, KS · AdventHealth · · NPI 1972063758
$3,561.83
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,561.83
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,553.12 with Aetna vs $3,918.00 with Unitedhealthcare — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare Managed Care - Hmo/Ppo | $1,553.12 | ↓ -56% |
| Bcbs | Blue Choice Ppo | $2,011.85 | ↓ -44% |
| Cigna | Local Plus Pos | $2,079.00 | ↓ -42% |
| Cigna | Hmo | $2,235.00 | ↓ -37% |
| Sunflower State Health Plan | Ambetter Exchange | $2,376.28 | ↓ -33% |
| Aetna | Hmo/Ppo | $2,624.00 | ↓ -26% |
| Oscar | Individual Plan Hmo | $2,640.31 | ↓ -26% |
| Unitedhealthcare | Hmo/Ppo | $3,918.00 | ↑ +10% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Shawnee Mission | Shawnee Mission | $3,561.83 | $1,563.65 – $4,534.59 |
| Mercy Hospital Pittsburg | Pittsburg | $3,919.50 | $66.37 – $3,129.75 |
| Adventhealth South Overland Park | Overland Park | $3,561.83 | $1,563.65 – $4,534.59 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $346.81 – $346.81 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $215.87 – $2,669.52 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | not published | $215.87 – $2,201.27 |