Shoulder MRI (without contrast) 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.
$131.00 with United vs $10,413.54 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 |
|---|---|---|---|
| United | KSMGMCD | $131.00 | — |
| Amerigroup | MGMCD | $131.00 | — |
| HealthyBlue | MGMCD | $133.62 | — |
| Sunflower State Health Plan | MCD | $134.93 | — |
| Aetna Better Health | MCD | $136.24 | — |
| Unicare | MGMCD | $136.24 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $204.16 | — |
| United | MOMGMCD | $206.06 | — |
| Home State Health Plan | MCD | $216.36 | — |
| Multiplan | WCOMPMissouri | $221.64 | — |
| CorVel Corporation | KSWC | $263.20 | — |
| Multiplan | WCOMPKansas | $270.12 | — |
| Cigna | SureFit/LocalPlus | $271.84 | — |
| OHA Network | KansasWCOMP | $274.28 | — |
| Cigna | LocalKC | $324.03 | — |
| Cigna | Comm | $404.49 | — |
| United | AllPayerAppendix | $517.79 | — |
| BCBS | BlueAccess | $673.04 | — |
| BCBS | Preferred-CareBlue(PPO) | $673.04 | — |
| BCBS | Blue-Care(HMO) | $673.04 | — |
| Humana | HMO | $759.14 | — |
| Humana | EPO | $759.14 | — |
| Humana | ASO | $759.14 | — |
| Humana | POS | $979.95 | — |
| Humana | PPO | $979.95 | — |
| Aetna | IVLHIX | $1,074.00 | — |
| Aetna | KCCarePlus | $1,125.00 | — |
| Aetna | Local | $1,514.00 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $1,692.20 | — |
| Aetna | National | $1,836.00 | — |
| Ambetter | Commercial-Exchange | $2,421.15 | — |
| NHC Advantage | MGMCR | $2,473.22 | — |
| NHC Advantage | MGMCD | $2,473.22 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $2,603.39 | — |
| BCBS | FreedomNetworkSelect | $2,993.89 | — |
| United | OptionsPPO | $3,267.25 | — |
| Universal Healthcare | MCR | $4,555.93 | — |
| BCBS | PC | $5,206.77 | — |
| BCBS | FreedomNetwork | $5,206.77 | — |
| Aetna | FHMedicalRental | $5,232.81 | — |
| Coventry | WCOMP | $5,232.81 | — |
| Coventry KC MO | WCOMP | $5,336.94 | — |
| College Park Family Care Center | COMM | $5,597.28 | — |
| BCBS | Traditional | $5,857.62 | — |
| BCBS | Participating | $5,857.62 | — |
| United | GlobalBenefitPlan | $5,857.62 | — |
| OHA Network | MissouriWCOMP | $6,508.47 | — |
| Aetna | NATIONALNAP | $6,638.63 | — |
| Multiplan | PrimaryNetwork | $6,898.97 | — |
| CorVel Corporation | MOWC | $8,461.00 | — |
| Multiplan | ComplimentaryNetwork | $9,632.53 | — |
| TriWest Health Alliance | TRICARE | $9,762.70 | — |
| CCO, Inc. | COMM | $9,762.70 | — |
| CCO, Inc. | WORKERSCOMPPPO | $9,762.70 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $9,762.70 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $10,413.54 | — |
Visitor-reported prices
Comments
Shoulder MRI (without contrast) at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | $3,672.79 | $225.90 – $704.59 |
| Adventhealth Ottawa | Ottawa | $3,672.79 | $224.38 – $704.59 |
| Adventhealth Shawnee Mission | Shawnee Mission | $3,672.79 | $225.90 – $704.59 |
| Mercy Hospital Pittsburg | Pittsburg | $3,029.65 | $120.75 – $912.30 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $1,402.00 | $53.22 – $763.86 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $1,404.00 | $53.22 – $629.87 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $200.34 – $947.14 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $223.55 – $947.14 |