Biopsy of salivary gland 42400 at Adventhealth South Overland Park
7820 W 165Th Street, Overland Park, KS · AdventHealth · · NPI 1316536253
$2,714.68
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.
?
What you pay up front if you don't use insurance.
$2,714.68
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.
?
The hospital's undiscounted list price — almost no one pays this.
$670.43 with Aetna vs $4,867.29 with Bcbs — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $670.43 | ↓ -75% |
| Sunflower State Health Plan | Ambetter Exchange | $1,025.75 | ↓ -62% |
| Bcbs | Blue Select Plus Aca Hmo | $1,072.68 | ↓ -60% |
| Oscar | Individual Plan Hmo | $1,139.72 | ↓ -58% |
| Bcbs | Blue Select Plus Hmo | $1,428.01 | ↓ -47% |
| Bcbs | Traditional Ppo | $1,885.24 | ↓ -31% |
| Centivo/Centrus Health | All Commercial Plans | $1,944.23 | ↓ -28% |
| Bcbs | Preferred Care Blue Ppo | $1,957.64 | ↓ -28% |
| Cigna | Local Plus Pos | $2,079.00 | ↓ -23% |
| Cigna | Hmo | $2,235.00 | ↓ -18% |
| Aetna | Hmo | $2,624.00 | ↓ -3% |
| Unitedhealthcare | Hmo/Ppo | $2,746.00 | ↑ +1% |
| Bcbs | Blue Care Hmo | $2,869.42 | ↑ +6% |
| Bcbs | Preferred Care Ppo | $4,867.29 | ↑ +79% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $2,714.68 | $665.91 – $2,746.00 |
| Adventhealth Shawnee Mission | Shawnee Mission | $2,714.68 | $670.43 – $2,746.00 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $432.00 | $50.00 – $1,000.00 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $212.27 – $1,821.93 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | not published | $50.00 – $1,821.93 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $650.69 – $1,821.93 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita | not published | $650.69 – $1,821.93 |