Ot evaluation low complexity patient/family at Adventhealth Shawnee Mission
9100 W 74Th Street, Shawnee Mission, KS · AdventHealth · · NPI 1023171634
$337.12
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.
$337.12
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.
$95.69 with Aetna vs $694.71 with Bcbs — 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care - Hmo/Ppo | $95.69 | ↓ -72% |
| Sunflower State Health Plan | Ambetter Exchange | $146.41 | ↓ -57% |
| Bcbs | Blue Select Plus Aca Hmo | $153.10 | ↓ -55% |
| Oscar | Individual Plan Hmo | $162.67 | ↓ -52% |
| Bcbs | Blue Select Plus Hmo | $203.82 | ↓ -40% |
| Bcbs | Traditional Ppo | $269.08 | ↓ -20% |
| Centivo/Centrus Health | All Commercial Plans | $277.50 | ↓ -18% |
| Bcbs | Preferred Care Blue Ppo | $279.41 | ↓ -17% |
| Bcbs | Blue Care Hmo | $409.55 | ↑ +21% |
| Bcbs | Preferred Care Ppo | $694.71 | ↑ +106% |
Visitor-reported prices
Comments
Ot evaluation low complexity patient/family at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $337.12 | $95.69 – $162.67 |
| Mercy Hospital Pittsburg | Pittsburg | $93.60 | $55.76 – $181.17 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $97.60 | $55.76 – $162.08 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $70.40 | $55.76 – $266.98 |
| Adventhealth South Overland Park | Overland Park | $337.12 | not published |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $95.35 – $273.71 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $95.35 – $273.71 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita | not published | $95.35 – $273.71 |