Caregiver training strategies&tq ea addl 15 min 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.
$11.57 with Anthem MissouriCare vs $71.20 with Evernorth (Cigna) Behavioral Health — 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 |
|---|---|---|---|
| Anthem MissouriCare | MissouriCareMGMCD | $11.57 | — |
| Ambetter | Commercial-Exchange | $16.55 | — |
| Oscar | HIX | $16.91 | — |
| NHC Advantage | MGMCD | $16.91 | — |
| NHC Advantage | MGMCR | $16.91 | — |
| HealthyBlue | MGMCD | $17.80 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $17.80 | — |
| Humana | ASO | $18.78 | — |
| Humana | EPO | $18.78 | — |
| Humana | HMO | $18.78 | — |
| BCBS | FreedomNetworkSelect | $20.47 | — |
| United | OptionsPPO | $22.34 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $23.14 | — |
| Humana | PPO | $23.59 | — |
| Humana | POS | $23.59 | — |
| TriWest Health Alliance | TRICARE | $24.67 | — |
| BCBS | TRICARE | $24.67 | — |
| BCBS | MCRPPO | $25.03 | — |
| Coventry | MedicareAdvantage | $25.03 | — |
| BCBS | MCRHMO | $25.03 | — |
| Humana | PFFS | $25.28 | — |
| Devoted Health | MGMCR | $25.28 | — |
| Humana | MGMCRPPO | $25.28 | — |
| Humana | MGMCRHMO | $25.28 | — |
| United | VACCN | $25.28 | — |
| Wellcare | MCR | $25.79 | — |
| Celtic | MCR | $25.79 | — |
| United | MGMCR | $25.79 | — |
| Cigna | HealthspringMGMCR | $25.79 | — |
| BCBS | Blue-Care(HMO) | $26.70 | — |
| Aetna Better Health | MCD | $26.70 | — |
| BCBS | Preferred-CareBlue(PPO) | $26.70 | — |
| BCBS | BlueAccess | $26.70 | — |
| Pyramid Life | MCR | $27.05 | — |
| Aetna | IVLHIX | $27.23 | — |
| Aetna | KCCarePlus | $29.28 | — |
| Universal Healthcare | MCR | $31.15 | — |
| Aetna | Local | $34.98 | — |
| BCBS | FreedomNetwork | $35.60 | — |
| BCBS | PC | $35.60 | — |
| Coventry | WCOMP | $35.78 | — |
| Aetna | FHMedicalRental | $35.78 | — |
| Coventry KC MO | WCOMP | $36.49 | — |
| College Park Family Care Center | COMM | $38.27 | — |
| BCBS | Participating | $40.05 | — |
| BCBS | Traditional | $40.05 | — |
| United | GlobalBenefitPlan | $40.05 | — |
| Aetna | National | $42.81 | — |
| OHA Network | MissouriWCOMP | $44.50 | — |
| Aetna | NATIONALNAP | $45.39 | — |
| Multiplan | PrimaryNetwork | $47.17 | — |
| CorVel Corporation | MOWC | $57.85 | — |
| Multiplan | ComplimentaryNetwork | $65.86 | — |
| CCO, Inc. | COMM | $66.75 | — |
| CCO, Inc. | WORKERSCOMPPPO | $66.75 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $66.75 | — |
| Multiplan | WCOMPMissouri | $71.20 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $71.20 | — |
Visitor-reported prices
Comments
Caregiver training strategies&tq ea addl 15 min at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Pittsburg | Pittsburg | $24.70 | $20.34 – $39.63 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $24.68 – $69.10 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | not published | $24.68 – $69.10 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $24.68 – $69.10 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita | not published | $24.68 – $69.10 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE | not published | $24.67 – $27.05 |