Gamunex-c/gammaked 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.
$33.85 with BCBS vs $117.74 with Multiplan — 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 | FreedomNetworkSelect | $33.85 | — |
| United | OptionsPPO | $36.94 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $38.27 | — |
| TriWest Health Alliance | TRICARE | $48.35 | — |
| BCBS | TRICARE | $48.35 | — |
| United | KSMGMCD | $49.08 | — |
| Amerigroup | MGMCD | $49.08 | — |
| HealthyBlue | MGMCD | $50.06 | — |
| Sunflower State Health Plan | MCD | $50.55 | — |
| Unicare | MGMCD | $51.04 | — |
| Aetna Better Health | MCD | $51.04 | — |
| BCBS | FreedomNetwork | $58.87 | — |
| BCBS | PC | $58.87 | — |
| Coventry | WCOMP | $59.17 | — |
| Coventry KC MO | WCOMP | $60.34 | — |
| United | GlobalBenefitPlan | $66.23 | — |
| BCBS | Traditional | $66.23 | — |
| BCBS | Participating | $66.23 | — |
| OHA Network | MissouriWCOMP | $73.59 | — |
| United | AllPayerAppendix | $80.98 | — |
| CorVel Corporation | MOWC | $95.67 | — |
| Multiplan | ComplimentaryNetwork | $108.91 | — |
| CCO, Inc. | WORKERSCOMPPPO | $110.39 | — |
| CCO, Inc. | COMM | $110.39 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $110.39 | — |
| Multiplan | WCOMPMissouri | $117.74 | — |
| BCBS | Preferred-CareBlue(PPO) | not published by hospital | — |
| BCBS | Blue-Care(HMO) | not published by hospital | — |
| BCBS | BlueAccess | not published by hospital | — |
Visitor-reported prices
Comments
Gamunex-c/gammaked at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | $23,844.44 | $48.96 – $142.00 |
| Adventhealth Ottawa | Ottawa | $23,844.44 | $48.96 – $83.24 |
| Adventhealth Shawnee Mission | Shawnee Mission | $23,844.44 | $48.96 – $142.00 |
| Mercy Hospital Pittsburg | Pittsburg | $6,970.60 | $48.14 – $2,129.71 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE | not published | $48.35 – $51.04 |