Breath test analysis c-14 at OVERLAND PARK REGIONAL MEDICAL CENTER
10310 SHAWNEE MISSION PKWY, SHAWNEE, KS · Hcamidwest · · NPI 1578500484
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.
$54.67 with Amerigroup vs $212.42 with United — 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 |
|---|---|---|---|
| Amerigroup | MGMCD | $54.67 | — |
| United | KSMGMCD | $54.67 | — |
| HealthyBlue | MGMCD | $55.76 | — |
| Sunflower State Health Plan | MCD | $56.31 | — |
| Aetna Better Health | MCD | $56.86 | — |
| Unicare | MGMCD | $56.86 | — |
| United | MOMGMCD | $84.97 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $84.97 | — |
| Home State Health Plan | MCD | $89.22 | — |
| BCBS | MCRPPO | $93.47 | — |
| BCBS | MCRHMO | $93.47 | — |
| Coventry | MedicareAdvantage | $93.47 | — |
| Humana | MGMCRPPO | $94.41 | — |
| United | VACCN | $94.41 | — |
| Devoted Health | MGMCR | $94.41 | — |
| Humana | MGMCRHMO | $94.41 | — |
| Humana | PFFS | $94.41 | — |
| Cigna | HealthspringMGMCR | $96.30 | — |
| Wellcare | MCR | $96.30 | — |
| Celtic | MCR | $96.30 | — |
| United | MGMCR | $96.30 | — |
| BCBS | TRICARE | $98.59 | — |
| TriWest Health Alliance | TRICARE | $98.59 | — |
| Pyramid Life | MCR | $101.02 | — |
| Cigna | SureFit/LocalPlus | $113.60 | — |
| Multiplan | WCOMPMissouri | $121.23 | — |
| Cigna | LocalKC | $135.41 | — |
| Oscar | HIX | $143.50 | — |
| CorVel Corporation | KSWC | $143.96 | — |
| BCBS | Blue-Care(HMO) | $145.44 | — |
| BCBS | Preferred-CareBlue(PPO) | $145.44 | — |
| BCBS | BlueAccess | $145.44 | — |
| Multiplan | WCOMPKansas | $147.75 | — |
| OHA Network | KansasWCOMP | $150.02 | — |
| Humana | ASO | $150.95 | — |
| Humana | EPO | $150.95 | — |
| Humana | HMO | $150.95 | — |
| Cigna | Comm | $169.04 | — |
| Humana | POS | $194.85 | — |
| Humana | PPO | $194.85 | — |
| United | AllPayerAppendix | $212.42 | — |
| Aetna | IVLHIX | not published by hospital | — |
| Aetna | National | not published by hospital | — |
| Aetna | KCCarePlus | not published by hospital | — |
| Aetna | Local | not published by hospital | — |
Visitor-reported prices
Comments
Breath test analysis c-14 at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | not published | $94.41 – $192.71 |
| Adventhealth Shawnee Mission | Shawnee Mission | not published | $94.41 – $273.79 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $94.41 – $333.27 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $54.67 – $94.41 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | not published | $54.67 – $264.35 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $94.41 – $333.27 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita | not published | $94.41 – $333.27 |
| Adventhealth South Overland Park | Overland Park | not published | $94.41 – $273.79 |