Observation direct referral from physician office for admission at Adventhealth South Overland Park
7820 W 165Th Street, Overland Park, KS · AdventHealth · · NPI 1316536253
$168.05
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.
$168.05
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.
$563.82 with Aetna vs $4,093.33 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 | $563.82 | ↑ +236% |
| Sunflower State Health Plan | Ambetter Exchange | $862.64 | ↑ +413% |
| Bcbs | Blue Select Plus Aca Hmo | $902.11 | ↑ +437% |
| Oscar | Individual Plan Hmo | $958.49 | ↑ +470% |
| Bcbs | Blue Select Plus Hmo | $1,200.94 | ↑ +615% |
| Bcbs | Traditional Ppo | $1,585.46 | ↑ +843% |
| Centivo/Centrus Health | All Commercial Plans | $1,635.08 | ↑ +873% |
| Bcbs | Preferred Care Blue Ppo | $1,646.35 | ↑ +880% |
| Bcbs | Blue Care Hmo | $2,413.15 | ↑ +1336% |
| Bcbs | Preferred Care Ppo | $4,093.33 | ↑ +2336% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $168.05 | $1.05 – $952.04 |
| Adventhealth Shawnee Mission | Shawnee Mission | $168.05 | $563.82 – $1,635.08 |
| Mercy Hospital Pittsburg | Pittsburg | $81.25 | $1.19 – $1,128.52 |