Cyclosporine modified 25 mg capsule 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.
$0.74 with BCBS vs $4.72 with Multiplan — 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 |
|---|---|---|---|
| BCBS | TRICARE | $0.74 | — |
| TriWest Health Alliance | TRICARE | $0.74 | — |
| United | AllPayerAppendix | $0.87 | — |
| HealthyBlue | MGMCD | $1.10 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $1.16 | — |
| Coventry | MedicareAdvantage | $1.21 | — |
| BCBS | FreedomNetworkSelect | $1.26 | — |
| United | OptionsPPO | $1.38 | — |
| BCBS | Preferred-CareBlue(PPO) | $1.65 | — |
| Aetna Better Health | MCD | $1.65 | — |
| BCBS | BlueAccess | $1.65 | — |
| BCBS | Blue-Care(HMO) | $1.65 | — |
| Ambetter | Commercial-Exchange | $1.66 | — |
| NHC Advantage | MGMCR | $1.69 | — |
| Oscar | HIX | $1.69 | — |
| NHC Advantage | MGMCD | $1.69 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $1.76 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1.78 | — |
| BCBS | FreedomNetwork | $1.87 | — |
| BCBS | PC | $1.87 | — |
| Humana | HMO | $1.88 | — |
| Humana | EPO | $1.88 | — |
| Humana | ASO | $1.88 | — |
| Coventry | WCOMP | $2.21 | — |
| Cigna | SureFit/LocalPlus | $2.21 | — |
| Coventry KC MO | WCOMP | $2.25 | — |
| Humana | PPO | $2.36 | — |
| Humana | POS | $2.36 | — |
| BCBS | Traditional | $2.37 | — |
| BCBS | Participating | $2.37 | — |
| United | GlobalBenefitPlan | $2.48 | — |
| Cigna | LocalKC | $2.63 | — |
| Aetna | IVLHIX | $2.72 | — |
| OHA Network | MissouriWCOMP | $2.75 | — |
| Universal Healthcare | MCR | $3.12 | — |
| Cigna | Comm | $3.28 | — |
| CorVel Corporation | MOWC | $3.58 | — |
| College Park Family Care Center | COMM | $3.83 | — |
| Multiplan | ComplimentaryNetwork | $4.07 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $4.13 | — |
| CCO, Inc. | WORKERSCOMPPPO | $4.13 | — |
| CCO, Inc. | COMM | $4.13 | — |
| Multiplan | WCOMPMissouri | $4.40 | — |
| Multiplan | PrimaryNetwork | $4.72 | — |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MENORAH MEDICAL CENTER | Overland Park | not published | $0.74 – $0.87 |