Surgical pathology level 4 gross & microscopic examination 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.
$17.76 with Cigna vs $1,943.84 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $17.76 | — |
| Cigna | LocalKC | $21.40 | — |
| Cigna | Comm | $26.64 | — |
| United | KSMGMCD | $30.36 | — |
| Amerigroup | MGMCD | $30.36 | — |
| HealthyBlue | MGMCD | $30.97 | — |
| Sunflower State Health Plan | MCD | $31.27 | — |
| Unicare | MGMCD | $31.57 | — |
| Aetna Better Health | MCD | $31.57 | — |
| Multiplan | WCOMPMissouri | $43.61 | — |
| United | MOMGMCD | $45.55 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $46.29 | — |
| Home State Health Plan | MCD | $47.83 | — |
| United | AllPayerAppendix | $49.76 | — |
| CorVel Corporation | KSWC | $51.78 | — |
| Multiplan | WCOMPKansas | $53.15 | — |
| OHA Network | KansasWCOMP | $53.96 | — |
| Humana | EPO | $117.99 | — |
| Humana | ASO | $117.99 | — |
| Humana | HMO | $117.99 | — |
| Humana | POS | $117.99 | — |
| Humana | PPO | $117.99 | — |
| BCBS | Blue-Care(HMO) | $140.38 | — |
| BCBS | BlueAccess | $140.38 | — |
| BCBS | Preferred-CareBlue(PPO) | $140.38 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $315.87 | — |
| Ambetter | Commercial-Exchange | $451.94 | — |
| Oscar | HIX | $461.66 | — |
| NHC Advantage | MGMCR | $461.66 | — |
| NHC Advantage | MGMCD | $461.66 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $485.96 | — |
| BCBS | FreedomNetworkSelect | $558.85 | — |
| United | OptionsPPO | $609.88 | — |
| Aetna | IVLHIX | $743.52 | — |
| Aetna | KCCarePlus | $799.40 | — |
| Universal Healthcare | MCR | $850.43 | — |
| Aetna | Local | $954.91 | — |
| BCBS | FreedomNetwork | $971.92 | — |
| BCBS | PC | $971.92 | — |
| Coventry | WCOMP | $976.78 | — |
| Aetna | FHMedicalRental | $976.78 | — |
| Coventry KC MO | WCOMP | $996.22 | — |
| College Park Family Care Center | COMM | $1,044.81 | — |
| BCBS | Participating | $1,093.41 | — |
| BCBS | Traditional | $1,093.41 | — |
| United | GlobalBenefitPlan | $1,093.41 | — |
| Aetna | National | $1,168.73 | — |
| OHA Network | MissouriWCOMP | $1,214.90 | — |
| Aetna | NATIONALNAP | $1,239.20 | — |
| Multiplan | PrimaryNetwork | $1,287.79 | — |
| CorVel Corporation | MOWC | $1,579.37 | — |
| Multiplan | ComplimentaryNetwork | $1,798.05 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,822.35 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,822.35 | — |
| CCO, Inc. | COMM | $1,822.35 | — |
| TriWest Health Alliance | TRICARE | $1,822.35 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $1,943.84 | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | $1,431.87 | $20.90 – $143.08 |
| Adventhealth Ottawa | Ottawa | $1,431.87 | $20.90 – $203.81 |
| Adventhealth Shawnee Mission | Shawnee Mission | $1,431.87 | $20.90 – $143.08 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $120.00 | $29.84 – $270.43 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $101.60 | $29.84 – $194.40 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $48.44 – $161.71 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $49.41 – $161.71 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita | not published | $49.41 – $161.71 |