Tc-99m exametazime diag at MENORAH MEDICAL CENTER
5721 W 119th St, Overland Park, KS · Hcamidwest · · NPI 1255378337
$10,215.71
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.
$10,215.71
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.
$722.11 with United vs $8,172.57 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 | MOMGMCD | $722.11 | ↓ -93% |
| Home State Health Plan | MCD | $758.22 | ↓ -93% |
| Anthem MissouriCare | MissouriCareMGMCD | $1,328.04 | ↓ -87% |
| United | AllPayerAppendix | $1,530.72 | ↓ -85% |
| Ambetter | Commercial-Exchange | $1,900.12 | ↓ -81% |
| NHC Advantage | MGMCR | $1,940.98 | ↓ -81% |
| NHC Advantage | MGMCD | $1,940.98 | ↓ -81% |
| Oscar | HIX | $1,940.98 | ↓ -81% |
| HealthyBlue | MGMCD | $2,043.14 | ↓ -80% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $2,043.14 | ↓ -80% |
| Humana | HMO | $2,155.51 | ↓ -79% |
| Humana | EPO | $2,155.51 | ↓ -79% |
| Humana | ASO | $2,155.51 | ↓ -79% |
| BCBS | FreedomNetworkSelect | $2,349.61 | ↓ -77% |
| Cigna | SureFit/LocalPlus | $2,533.50 | ↓ -75% |
| United | OptionsPPO | $2,564.14 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $2,656.08 | ↓ -74% |
| Humana | PPO | $2,707.16 | ↓ -74% |
| Humana | POS | $2,707.16 | ↓ -74% |
| Cigna | LocalKC | $3,015.68 | ↓ -70% |
| BCBS | Preferred-CareBlue(PPO) | $3,064.71 | ↓ -70% |
| Aetna Better Health | MCD | $3,064.71 | ↓ -70% |
| BCBS | Blue-Care(HMO) | $3,064.71 | ↓ -70% |
| BCBS | BlueAccess | $3,064.71 | ↓ -70% |
| Universal Healthcare | MCR | $3,575.50 | ↓ -65% |
| Cigna | Comm | $3,769.60 | ↓ -63% |
| BCBS | FreedomNetwork | $4,086.28 | ↓ -60% |
| BCBS | PC | $4,086.28 | ↓ -60% |
| Coventry | WCOMP | $4,106.72 | ↓ -60% |
| Coventry KC MO | WCOMP | $4,188.44 | ↓ -59% |
| College Park Family Care Center | COMM | $4,392.76 | ↓ -57% |
| United | GlobalBenefitPlan | $4,597.07 | ↓ -55% |
| BCBS | Traditional | $4,597.07 | ↓ -55% |
| BCBS | Participating | $4,597.07 | ↓ -55% |
| OHA Network | MissouriWCOMP | $5,107.85 | ↓ -50% |
| Multiplan | PrimaryNetwork | $5,414.33 | ↓ -47% |
| CorVel Corporation | MOWC | $6,640.21 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $7,559.63 | ↓ -26% |
| CCO, Inc. | COMM | $7,661.78 | ↓ -25% |
| TriWest Health Alliance | TRICARE | $7,661.78 | ↓ -25% |
| CCO, Inc. | WORKERSCOMPPPO | $7,661.78 | ↓ -25% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $7,661.78 | ↓ -25% |
| Multiplan | WCOMPMissouri | $8,172.57 | ↓ -20% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $8,172.57 | ↓ -20% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | not published | $802.34 – $2,690.36 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE | $15,086.16 | $722.11 – $758.22 |
| Adventhealth Ottawa | Ottawa | not published | $802.34 – $1,577.11 |
| Adventhealth Shawnee Mission | Shawnee Mission | not published | $802.34 – $2,690.36 |