New Patient Office Visit (level 4) at Mercy Hospital Pittsburg
1 MT Carmel Way, Pittsburg, KS · Mercy · · NPI 1639921430
$198.25
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.
$305.00
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.
$60.75 with KANCARE [20213] vs $283.46 with HEALTH CHOICE CONTRACTED [320166] — 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 |
|---|---|---|---|
| KANCARE [20213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $60.75 | ↓ -69% |
| KANCARE CONTRACTED [320213] | HB PITS AETNA BETTER HEALTH (KANCARE) | $60.75 | ↓ -69% |
| MEDICA CONTRACTED [320239] | HB PITS MEDICA EXCHANGE | $88.45 | ↓ -55% |
| BCBS MEDICARE ADVANTAGE [20047] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| HALO HCR INC HOSPICE [20432] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| HUMANA CONTRACTED [320193] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| MEDICARE [20244] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB PITS AETNA MEDICARE | $109.24 | ↓ -45% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| ACENTRA HEALTH CONTRACTED [320527] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| KINDFUL HOSPICE [20434] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| CROSS TIMBERS HOSPICE [20098] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| MERCY HOSPICE OKC [20252] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB PITS MEDICARE & 100% MANAGED MEDICARE | $109.24 | ↓ -45% |
| TRICARE CONTRACTED [320380] | HB PITS TRICARE | $112.05 | ↓ -43% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB PITS DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $112.05 | ↓ -43% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB PITS UHC MEDICARE ADVANTAGE 102% | $113.59 | ↓ -43% |
| AMERICAN HEALTH ADVANTAGE OF KS MCR CONTRACTED [320508] | HB PITS KANSAS SUPERIOR SELECT 105% MCR W SEQ | $114.81 | ↓ -42% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB PITS BLUE CROSS CHOICE | $118.50 | ↓ -40% |
| MC ANTHEM [20455] | HB PITS BLUE CROSS CHOICE | $118.50 | ↓ -40% |
| MC GENERIC ANTHEM [20456] | HB PITS BLUE CROSS CHOICE | $118.50 | ↓ -40% |
| MEDICAID [20240] | HB PITS OK MEDICAID | $147.66 | ↓ -26% |
| AETNA MEDICAID CONTRACTED [320009] | HB PITS OK MEDICAID | $147.66 | ↓ -26% |
| HUMANA MEDICAID CONTRACTED [320486] | HB PITS OK MEDICAID | $147.66 | ↓ -26% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB PITS OK MEDICAID | $147.66 | ↓ -26% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB PITS UHC ALL PAYER NEW 9.1.2024 | $163.78 | ↓ -17% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB PITS UHC ALL PAYER NEW 9.1.2024 | $163.78 | ↓ -17% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB PITS CIGNA HMO | $167.67 | ↓ -15% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB PITS UHC EXCHANGE | $182.75 | ↓ -8% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB PITS CIGNA PPO | $187.11 | ↓ -6% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB PITS AMBETTER EXCHANGE 170% MCR NO SEQ | $189.31 | ↓ -5% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB PITS AMBETTER EXCHANGE 170% MCR NO SEQ | $189.31 | ↓ -5% |
| AMBETTER CONTRACTED [320452] | HB PITS AMBETTER EXCHANGE 170% MCR NO SEQ | $189.31 | ↓ -5% |
| IMAGINE 360 CONTRACTED [320494] | HB PITS ROBINSON CONSTRUCTION NEW 1.1.25 | $194.40 | ↓ -2% |
| AITHER HEALTH CONTRACTED [320449] | HB PITS DEC LACLEDE CHAIN | $194.40 | ↓ -2% |
| AITHER HEALTH CONTRACTED [320449] | HB PITS DEC Woodard | $194.40 | ↓ -2% |
| AUXIANT CONTRACTED [320462] | HB PITS DEC BUCHHEIT | $194.40 | ↓ -2% |
| AUXIANT CONTRACTED [320462] | HB PITS DEC CITY OF JACKSON | $194.40 | ↓ -2% |
| EBMS CONTRACTED [320493] | HB PITS DEC CRADER DISTRIBUTION | $194.40 | ↓ -2% |
| HEALTHLINK CONTRACTED [320179] | HB PITS DEC SAPAUGH MOTORS NEW 1.1.25 | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC CITY OF JACKSON | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC CLAYCO | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC EASTER SEALS NEW 1.1.25 | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC HERMANN | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC Quality Collision Group (QCG) New 3.1.25 | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC QuickTrip New 5.1.25 | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC SAPAUGH MOTORS NEW 1.1.25 | $194.40 | ↓ -2% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB PITS DEC TALL TREE NEW 4.1.25 | $194.40 | ↓ -2% |
| POINT C CONTRACTED [320238] | HB PITS DEC HEART OF AMERICA BEVERAGE CO | $194.40 | ↓ -2% |
| WORKERS COMP [20426] | HB JOPL SEKS PITS CTHG MNCK OHA WORKERS COMP NEW 3.15.25 | $194.40 | ↓ -2% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB PITS DEC Woodard | $194.40 | ↓ -2% |
| REFLECT HEALTH CONTRACTED [320492] | HB PITS DEC WW WOOD PRODUCTS NEW 1.1.26 | $194.40 | ↓ -2% |
| YUZU HEALTH CONTRACTED [320521] | HB PITS DEC LEVEL HEALTH NEW | $194.40 | ↓ -2% |
| YUZU HEALTH CONTRACTED [320521] | HB PITS DEC Quality Collision Group (QCG) New 3.1.25 | $194.40 | ↓ -2% |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB PITS AMERICAN HEALTHCARE ALLIANCE NEW 9.1.24 | $194.40 | ↓ -2% |
| AETNA CONTRACTED [320008] | HB PITS AETNA COMMERCIAL | $206.55 | ↑ +4% |
| FIRST HEALTH CONTRACTED [320128] | HB PITS AETNA COMMERCIAL | $206.55 | ↑ +4% |
| PROVIDRS CARE NETWORK CONTRACTED [320484] | HB PITS PROVIDRS CARE | $211.58 | ↑ +7% |
| HEALTH CHOICE CONTRACTED [320166] | HB CTHG MNCK PITS HEALTHCHOICE OSEEGIB URBAN TIER 3 | $283.46 | ↑ +43% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $322.40 | $109.38 – $170.85 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $373.75 – $373.75 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $110.33 – $170.85 |