Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes 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.
$29.92 with Anthem MissouriCare vs $184.13 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 | $29.92 | — |
| United | KSMGMCD | $32.36 | — |
| Amerigroup | MGMCD | $32.36 | — |
| HealthyBlue | MGMCD | $33.01 | — |
| Sunflower State Health Plan | MCD | $33.33 | — |
| Unicare | MGMCD | $33.65 | — |
| Aetna Better Health | MCD | $33.65 | — |
| BCBS | MCRPPO | $40.69 | — |
| Coventry | MedicareAdvantage | $40.69 | — |
| BCBS | MCRHMO | $40.69 | — |
| Devoted Health | MGMCR | $41.10 | — |
| Humana | PFFS | $41.10 | — |
| Humana | MGMCRHMO | $41.10 | — |
| Humana | MGMCRPPO | $41.10 | — |
| United | VACCN | $41.10 | — |
| Cigna | HealthspringMGMCR | $41.92 | — |
| United | MGMCR | $41.92 | — |
| Celtic | MCR | $41.92 | — |
| Wellcare | MCR | $41.92 | — |
| Ambetter | Commercial-Exchange | $42.81 | — |
| United | MOMGMCD | $43.64 | — |
| NHC Advantage | MGMCD | $43.73 | — |
| NHC Advantage | MGMCR | $43.73 | — |
| Oscar | HIX | $43.73 | — |
| Pyramid Life | MCR | $43.97 | — |
| Home State Health Plan | MCD | $45.82 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $46.03 | — |
| TriWest Health Alliance | TRICARE | $46.77 | — |
| BCBS | TRICARE | $46.77 | — |
| Humana | EPO | $48.56 | — |
| Humana | ASO | $48.56 | — |
| Humana | HMO | $48.56 | — |
| Multiplan | WCOMPMissouri | $51.99 | — |
| BCBS | FreedomNetworkSelect | $52.94 | — |
| United | OptionsPPO | $57.77 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $59.84 | — |
| Humana | PPO | $60.99 | — |
| Humana | POS | $60.99 | — |
| CorVel Corporation | KSWC | $61.74 | — |
| Multiplan | WCOMPKansas | $63.37 | — |
| OHA Network | KansasWCOMP | $64.34 | — |
| Aetna | IVLHIX | $70.43 | — |
| Aetna | KCCarePlus | $75.72 | — |
| Universal Healthcare | MCR | $80.56 | — |
| Aetna | Local | $90.45 | — |
| BCBS | PC | $92.06 | — |
| BCBS | FreedomNetwork | $92.06 | — |
| Coventry | WCOMP | $92.52 | — |
| Aetna | FHMedicalRental | $92.52 | — |
| Coventry KC MO | WCOMP | $94.37 | — |
| College Park Family Care Center | COMM | $98.97 | — |
| BCBS | Traditional | $103.57 | — |
| United | GlobalBenefitPlan | $103.57 | — |
| BCBS | Participating | $103.57 | — |
| Aetna | National | $110.71 | — |
| OHA Network | MissouriWCOMP | $115.08 | — |
| Aetna | NATIONALNAP | $117.38 | — |
| Multiplan | PrimaryNetwork | $121.98 | — |
| BCBS | Preferred-CareBlue(PPO) | $126.37 | — |
| BCBS | BlueAccess | $126.37 | — |
| BCBS | Blue-Care(HMO) | $126.37 | — |
| CorVel Corporation | MOWC | $149.60 | — |
| Multiplan | ComplimentaryNetwork | $170.32 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $172.62 | — |
| CCO, Inc. | WORKERSCOMPPPO | $172.62 | — |
| CCO, Inc. | COMM | $172.62 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $184.13 | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | $171.77 | not published |
| Adventhealth Ottawa | Ottawa | $171.77 | $30.43 – $79.39 |
| Adventhealth Shawnee Mission | Shawnee Mission | $171.77 | $46.70 – $135.43 |
| Mercy Hospital Pittsburg | Pittsburg | $53.30 | $34.27 – $88.86 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $70.40 | $32.36 – $64.11 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $62.80 | $31.63 – $130.96 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $46.77 – $134.81 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $46.77 – $130.96 |