CT lower extremity w/contrast (both sides) 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.
$101.17 with Amerigroup vs $6,267.20 with CCO, Inc. — 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 | $101.17 | — |
| United | KSMGMCD | $101.17 | — |
| HealthyBlue | MGMCD | $103.19 | — |
| Sunflower State Health Plan | MCD | $104.21 | — |
| Unicare | MGMCD | $105.22 | — |
| Aetna Better Health | MCD | $105.22 | — |
| United | MOMGMCD | $151.76 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $158.49 | — |
| Home State Health Plan | MCD | $159.35 | — |
| Cigna | SureFit/LocalPlus | $203.82 | — |
| Multiplan | WCOMPMissouri | $218.86 | — |
| Cigna | LocalKC | $242.96 | — |
| CorVel Corporation | KSWC | $259.90 | — |
| Multiplan | WCOMPKansas | $266.74 | — |
| OHA Network | KansasWCOMP | $270.84 | — |
| Cigna | Comm | $303.29 | — |
| BCBS | Preferred-CareBlue(PPO) | $400.00 | — |
| BCBS | Blue-Care(HMO) | $400.00 | — |
| BCBS | BlueAccess | $400.00 | — |
| United | AllPayerAppendix | $401.74 | — |
| Humana | ASO | $442.44 | — |
| Humana | HMO | $442.44 | — |
| Humana | EPO | $442.44 | — |
| Aetna | IVLHIX | $474.00 | — |
| Aetna | KCCarePlus | $498.00 | — |
| Humana | POS | $571.14 | — |
| Humana | PPO | $571.14 | — |
| Aetna | Local | $667.00 | — |
| Aetna | National | $811.00 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $1,086.32 | — |
| Ambetter | Commercial-Exchange | $1,554.27 | — |
| NHC Advantage | MGMCR | $1,587.69 | — |
| NHC Advantage | MGMCD | $1,587.69 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,671.25 | — |
| BCBS | FreedomNetworkSelect | $1,921.94 | — |
| United | OptionsPPO | $2,097.42 | — |
| BCBS | FreedomNetwork | $2,841.13 | — |
| BCBS | PC | $2,841.13 | — |
| Universal Healthcare | MCR | $2,924.69 | — |
| Coventry | WCOMP | $3,359.22 | — |
| Aetna | FHMedicalRental | $3,359.22 | — |
| Coventry KC MO | WCOMP | $3,426.07 | — |
| BCBS | Participating | $3,593.20 | — |
| BCBS | Traditional | $3,593.20 | — |
| College Park Family Care Center | COMM | $3,593.20 | — |
| United | GlobalBenefitPlan | $3,760.32 | — |
| OHA Network | MissouriWCOMP | $4,178.14 | — |
| Aetna | NATIONALNAP | $4,261.70 | — |
| Multiplan | PrimaryNetwork | $4,428.82 | — |
| CorVel Corporation | MOWC | $5,431.58 | — |
| Multiplan | ComplimentaryNetwork | $6,183.64 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $6,267.20 | — |
| CCO, Inc. | WORKERSCOMPPPO | $6,267.20 | — |
| TriWest Health Alliance | TRICARE | $6,267.20 | — |
| CCO, Inc. | COMM | $6,267.20 | — |
Visitor-reported prices
Comments
CT lower extremity w/contrast (both sides) at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $5,361.89 | $164.94 – $598.75 |
| Adventhealth Shawnee Mission | Shawnee Mission | $5,361.89 | $166.06 – $598.75 |
| Mercy Hospital Pittsburg | Pittsburg | $1,896.05 | $97.15 – $1,070.25 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $1,018.00 | $45.25 – $664.17 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $730.00 | $45.25 – $547.67 |
| Adventhealth South Overland Park | Overland Park | $5,361.89 | $166.06 – $598.75 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $164.64 – $524.96 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $164.64 – $524.96 |