Tocilizumab 162 mg/0.9 ml subcutaneous pen injector 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.
$5.61 with United vs $1,243.20 with Multiplan — 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 | $5.61 | — |
| Amerigroup | MGMCD | $5.61 | — |
| HealthyBlue | MGMCD | $5.72 | — |
| Sunflower State Health Plan | MCD | $5.78 | — |
| Unicare | MGMCD | $5.83 | — |
| Aetna Better Health | MCD | $5.83 | — |
| TriWest Health Alliance | TRICARE | $5.88 | — |
| BCBS | TRICARE | $5.88 | — |
| United | AllPayerAppendix | $9.26 | — |
| BCBS | FreedomNetworkSelect | $357.42 | — |
| United | OptionsPPO | $390.05 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $404.04 | — |
| BCBS | PC | $621.60 | — |
| BCBS | FreedomNetwork | $621.60 | — |
| Coventry | WCOMP | $624.71 | — |
| Coventry KC MO | WCOMP | $637.14 | — |
| BCBS | Participating | $699.30 | — |
| BCBS | Traditional | $699.30 | — |
| United | GlobalBenefitPlan | $699.30 | — |
| OHA Network | MissouriWCOMP | $777.00 | — |
| CorVel Corporation | MOWC | $1,010.10 | — |
| Multiplan | ComplimentaryNetwork | $1,149.96 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,165.50 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,165.50 | — |
| CCO, Inc. | COMM | $1,165.50 | — |
| Multiplan | WCOMPMissouri | $1,243.20 | — |
| BCBS | BlueAccess | not published by hospital | — |
| BCBS | Preferred-CareBlue(PPO) | not published by hospital | — |
| BCBS | Blue-Care(HMO) | not published by hospital | — |
Visitor-reported prices
Comments
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | $11,744.44 | $5.71 – $16.55 |
| Adventhealth Ottawa | Ottawa | $11,744.44 | $5.71 – $9.70 |
| Adventhealth Shawnee Mission | Shawnee Mission | $11,744.44 | $5.71 – $16.55 |
| Mercy Hospital Pittsburg | Pittsburg | $957.25 | $5.50 – $947.95 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE | not published | $5.61 – $5.88 |