Pulse ox multiple 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.60 with Amerigroup vs $145.71 with Evernorth (Cigna) Behavioral Health — 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 |
|---|---|---|---|
| Amerigroup | MGMCD | $15.60 | — |
| United | KSMGMCD | $15.60 | — |
| HealthyBlue | MGMCD | $15.91 | — |
| Sunflower State Health Plan | MCD | $16.07 | — |
| Aetna Better Health | MCD | $16.22 | — |
| Unicare | MGMCD | $16.22 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $23.68 | — |
| Ambetter | Commercial-Exchange | $33.88 | — |
| NHC Advantage | MGMCD | $34.61 | — |
| Oscar | HIX | $34.61 | — |
| NHC Advantage | MGMCR | $34.61 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $36.43 | — |
| Humana | HMO | $38.43 | — |
| Humana | EPO | $38.43 | — |
| Humana | ASO | $38.43 | — |
| Coventry | MedicareAdvantage | $40.07 | — |
| BCBS | FreedomNetworkSelect | $41.89 | — |
| Cigna | SureFit/LocalPlus | $45.17 | — |
| United | OptionsPPO | $45.72 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $47.36 | — |
| Humana | PPO | $48.27 | — |
| Humana | POS | $48.27 | — |
| Cigna | LocalKC | $53.77 | — |
| BCBS | Preferred-CareBlue(PPO) | $54.64 | — |
| BCBS | BlueAccess | $54.64 | — |
| BCBS | Blue-Care(HMO) | $54.64 | — |
| Aetna | IVLHIX | $55.73 | — |
| Aetna | KCCarePlus | $59.92 | — |
| Universal Healthcare | MCR | $63.75 | — |
| Cigna | Comm | $67.21 | — |
| Aetna | Local | $71.58 | — |
| BCBS | PC | $72.86 | — |
| BCBS | FreedomNetwork | $72.86 | — |
| Coventry | WCOMP | $73.22 | — |
| Aetna | FHMedicalRental | $73.22 | — |
| Coventry KC MO | WCOMP | $74.68 | — |
| College Park Family Care Center | COMM | $78.32 | — |
| BCBS | Participating | $81.96 | — |
| United | GlobalBenefitPlan | $81.96 | — |
| BCBS | Traditional | $81.96 | — |
| Aetna | National | $87.61 | — |
| OHA Network | MissouriWCOMP | $91.07 | — |
| Aetna | NATIONALNAP | $92.89 | — |
| Multiplan | PrimaryNetwork | $96.53 | — |
| CorVel Corporation | MOWC | $118.39 | — |
| Multiplan | ComplimentaryNetwork | $134.78 | — |
| CCO, Inc. | WORKERSCOMPPPO | $136.60 | — |
| TriWest Health Alliance | TRICARE | $136.60 | — |
| CCO, Inc. | COMM | $136.60 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $136.60 | — |
| Multiplan | WCOMPMissouri | $145.71 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $145.71 | — |
Visitor-reported prices
Comments
Pulse ox multiple at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | $1,142.45 | not published |
| Adventhealth Ottawa | Ottawa | $1,142.45 | not published |
| Adventhealth Shawnee Mission | Shawnee Mission | $1,142.45 | not published |
| Mercy Hospital Pittsburg | Pittsburg | $81.90 | $3.31 – $20.11 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $86.00 | $3.88 – $23.70 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $94.40 | $3.88 – $19.54 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $10.87 – $10.87 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE | not published | $15.60 – $16.22 |