X-ray exam of arm infant 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.
$24.98 with Multiplan vs $1,063.03 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 |
|---|---|---|---|
| Multiplan | WCOMPMissouri | $24.98 | — |
| CorVel Corporation | KSWC | $29.67 | — |
| Multiplan | WCOMPKansas | $30.45 | — |
| OHA Network | KansasWCOMP | $30.92 | — |
| Aetna | IVLHIX | $31.17 | — |
| Aetna | KCCarePlus | $32.56 | — |
| BCBS | Preferred-CareBlue(PPO) | $36.14 | — |
| BCBS | Blue-Care(HMO) | $36.14 | — |
| BCBS | BlueAccess | $36.14 | — |
| Humana | EPO | $41.19 | — |
| Humana | ASO | $41.19 | — |
| Humana | HMO | $41.19 | — |
| Aetna | Local | $43.64 | — |
| Humana | POS | $53.17 | — |
| Humana | PPO | $53.17 | — |
| Aetna | National | $53.57 | — |
| Amerigroup | MGMCD | $59.96 | — |
| United | KSMGMCD | $59.96 | — |
| HealthyBlue | MGMCD | $61.16 | — |
| Sunflower State Health Plan | MCD | $61.76 | — |
| Aetna Better Health | MCD | $62.36 | — |
| Unicare | MGMCD | $62.36 | — |
| United | MOMGMCD | $90.66 | — |
| Home State Health Plan | MCD | $95.19 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $96.60 | — |
| Cigna | SureFit/LocalPlus | $121.96 | — |
| Cigna | LocalKC | $145.38 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $172.74 | — |
| Cigna | Comm | $181.48 | — |
| United | AllPayerAppendix | $245.18 | — |
| Ambetter | Commercial-Exchange | $247.15 | — |
| NHC Advantage | MGMCR | $252.47 | — |
| NHC Advantage | MGMCD | $252.47 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $265.76 | — |
| BCBS | FreedomNetworkSelect | $305.62 | — |
| United | OptionsPPO | $333.53 | — |
| Universal Healthcare | MCR | $465.08 | — |
| BCBS | PC | $531.52 | — |
| BCBS | FreedomNetwork | $531.52 | — |
| Aetna | FHMedicalRental | $534.17 | — |
| Coventry | WCOMP | $534.17 | — |
| Coventry KC MO | WCOMP | $544.80 | — |
| College Park Family Care Center | COMM | $571.38 | — |
| BCBS | Participating | $597.96 | — |
| United | GlobalBenefitPlan | $597.96 | — |
| BCBS | Traditional | $597.96 | — |
| OHA Network | MissouriWCOMP | $664.39 | — |
| Aetna | NATIONALNAP | $677.68 | — |
| Multiplan | PrimaryNetwork | $704.26 | — |
| CorVel Corporation | MOWC | $863.71 | — |
| Multiplan | ComplimentaryNetwork | $983.30 | — |
| CCO, Inc. | WORKERSCOMPPPO | $996.59 | — |
| CCO, Inc. | COMM | $996.59 | — |
| TriWest Health Alliance | TRICARE | $996.59 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $996.59 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $1,063.03 | — |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth South Overland Park | Overland Park | $465.23 | $37.17 – $287.04 |
| Adventhealth Ottawa | Ottawa | $465.23 | $37.17 – $196.15 |
| Adventhealth Shawnee Mission | Shawnee Mission | $465.23 | $37.17 – $287.04 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $228.00 | $6.32 – $142.59 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $57.20 | $6.32 – $275.38 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $23.15 – $275.38 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $52.85 – $275.38 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita | not published | $52.85 – $275.38 |