Afo molded ankle gauntlet at MENORAH MEDICAL CENTER
5721 W 119th St, Overland Park, KS · Hcamidwest · · NPI 1255378337
not published by hospital
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.
not published by hospital
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.
$537.79 with BCBS vs $581.25 with Pyramid Life — 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 |
|---|---|---|---|
| BCBS | MCRPPO | $537.79 | — |
| Coventry | MedicareAdvantage | $537.79 | — |
| BCBS | MCRHMO | $537.79 | — |
| United | VACCN | $543.22 | — |
| Humana | PFFS | $543.22 | — |
| Humana | MGMCRHMO | $543.22 | — |
| BCBS | TRICARE | $543.22 | — |
| TriWest Health Alliance | TRICARE | $543.22 | — |
| Devoted Health | MGMCR | $543.22 | — |
| Humana | MGMCRPPO | $543.22 | — |
| Celtic | MCR | $554.08 | — |
| Wellcare | MCR | $554.08 | — |
| United | MGMCR | $554.08 | — |
| Cigna | HealthspringMGMCR | $554.08 | — |
| Pyramid Life | MCR | $581.25 | — |
Visitor-reported prices
Comments
Afo molded ankle gauntlet at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | not published | $389.48 – $923.47 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE | not published | $537.79 – $581.25 |