Biopsy of salivary gland 42400 at Mercy Hospital Pittsburg
1 MT Carmel Way, Pittsburg, KS · Mercy · · NPI 1639921430
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.
$273.90 with HEALTH CHOICE CONTRACTED [320166] vs $2,328.15 with AETNA CONTRACTED [320008] — 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 |
|---|---|---|---|
| HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $273.90 | — |
| KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $684.75 | — |
| KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $684.75 | — |
| MEDICA CONTRACTED [320239] | HB PITS MEDICA EXCHANGE | $997.00 | — |
| PROVIDRS CARE NETWORK CONTRACTED [320484] | HB PITS PROVIDRS CARE | $1,643.40 | — |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB PITS UHC ALL PAYER NEW 9.1.2024 | $1,846.09 | — |
| UNITED HEALTHCARE CONTRACTED [320396] | HB PITS UHC ALL PAYER NEW 9.1.2024 | $1,846.09 | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB PITS CIGNA HMO | $1,889.91 | — |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB PITS CIGNA PPO | $2,109.03 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC CLAYCO | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC EASTER SEALS NEW 1.1.25 | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC HERMANN | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC Quality Collision Group (QCG) New 3.1.25 | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC SAPAUGH MOTORS NEW 1.1.25 | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC TALL TREE NEW 4.1.25 | $2,191.20 | — |
| POINT C CONTRACTED [320238] | HB PITS DEC HEART OF AMERICA BEVERAGE CO | $2,191.20 | — |
| WORKERS COMP [20426] | HB JOPL SEKS PITS CTHG MNCK OHA WORKERS COMP NEW 3.15.25 | $2,191.20 | — |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB PITS DEC Woodard | $2,191.20 | — |
| IMAGINE 360 CONTRACTED [320494] | HB PITS ROBINSON CONSTRUCTION NEW 1.1.25 | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC QuickTrip New 5.1.25 | $2,191.20 | — |
| AITHER HEALTH CONTRACTED [320449] | HB PITS DEC LACLEDE CHAIN | $2,191.20 | — |
| AITHER HEALTH CONTRACTED [320449] | HB PITS DEC Woodard | $2,191.20 | — |
| AUXIANT CONTRACTED [320462] | HB PITS DEC BUCHHEIT | $2,191.20 | — |
| AUXIANT CONTRACTED [320462] | HB PITS DEC CITY OF JACKSON | $2,191.20 | — |
| EBMS CONTRACTED [320493] | HB PITS DEC CRADER DISTRIBUTION | $2,191.20 | — |
| HEALTHLINK CONTRACTED [320179] | HB PITS DEC SAPAUGH MOTORS NEW 1.1.25 | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $2,191.20 | — |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC CITY OF JACKSON | $2,191.20 | — |
| REFLECT HEALTH CONTRACTED [320492] | HB PITS DEC WW WOOD PRODUCTS NEW 1.1.26 | $2,191.20 | — |
| YUZU HEALTH CONTRACTED [320521] | HB PITS DEC LEVEL HEALTH NEW | $2,191.20 | — |
| YUZU HEALTH CONTRACTED [320521] | HB PITS DEC Quality Collision Group (QCG) New 3.1.25 | $2,191.20 | — |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB PITS AMERICAN HEALTHCARE ALLIANCE NEW 9.1.24 | $2,191.20 | — |
| FIRST HEALTH CONTRACTED [320128] | HB PITS AETNA COMMERCIAL | $2,328.15 | — |
| MC GENERIC ANTHEM [20456] | HB PITS BLUE CROSS CHOICE | $2,328.15 | — |
| MC ANTHEM [20455] | HB PITS BLUE CROSS CHOICE | $2,328.15 | — |
| BLUE CROSS AND BLUE SHIELD [20053] | HB PITS BLUE CROSS CHOICE | $2,328.15 | — |
| AETNA CONTRACTED [320008] | HB PITS AETNA COMMERCIAL | $2,328.15 | — |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Wamego Health Center (Wamego Hospital Association) | Wamego | $432.00 | $50.00 – $1,000.00 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $212.27 – $1,821.93 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | not published | $50.00 – $1,821.93 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $650.69 – $1,821.93 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita | not published | $650.69 – $1,821.93 |