ER Visit (level 4) 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.
$105.00 with Amerigroup vs $6,885.00 with Aetna — 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 | $105.00 | — |
| United | KSMGMCD | $105.00 | — |
| HealthyBlue | MGMCD | $107.10 | — |
| Unicare | MGMCD | $109.20 | — |
| Aetna Better Health | MCD | $109.20 | — |
| Sunflower State Health Plan | MCD | $300.00 | — |
| United | MOMGMCD | $363.00 | — |
| Home State Health Plan | MCD | $381.15 | — |
| BCBS | FreedomNetworkSelect | $1,659.95 | — |
| United | OptionsPPO | $1,811.51 | — |
| Ambetter | Commercial-Exchange | $1,839.00 | — |
| Oscar | HIX | $2,233.00 | — |
| BCBS | FreedomNetwork | $2,453.83 | — |
| BCBS | PC | $2,453.83 | — |
| United | AllPayerAppendix | $2,764.00 | — |
| Coventry | WCOMP | $2,901.30 | — |
| Aetna | FHMedicalRental | $2,901.30 | — |
| Coventry KC MO | WCOMP | $2,959.04 | — |
| BCBS | Participating | $3,103.38 | — |
| BCBS | Traditional | $3,103.38 | — |
| United | GlobalBenefitPlan | $3,247.72 | — |
| OHA Network | MissouriWCOMP | $3,608.58 | — |
| Aetna | NATIONALNAP | $3,680.75 | — |
| Aetna | IVLHIX | $3,682.00 | — |
| Multiplan | PrimaryNetwork | $3,825.09 | — |
| BCBS | Blue-Care(HMO) | $3,826.00 | — |
| BCBS | Preferred-CareBlue(PPO) | $3,826.00 | — |
| BCBS | BlueAccess | $3,826.00 | — |
| Cigna | SureFit/LocalPlus | $4,181.00 | — |
| Aetna | KCCarePlus | $4,297.00 | — |
| CorVel Corporation | MOWC | $4,691.15 | — |
| Cigna | LocalKC | $4,986.00 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $5,300.00 | — |
| Multiplan | ComplimentaryNetwork | $5,340.70 | — |
| TriWest Health Alliance | TRICARE | $5,412.87 | — |
| CCO, Inc. | COMM | $5,412.87 | — |
| CCO, Inc. | WORKERSCOMPPPO | $5,412.87 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $5,412.87 | — |
| Aetna | Local | $5,558.00 | — |
| Multiplan | WCOMPMissouri | $5,773.73 | — |
| Cigna | Comm | $6,233.00 | — |
| Aetna | National | $6,885.00 | — |
| Humana | POS | not published by hospital | — |
| Humana | PPO | not published by hospital | — |
| Humana | EPO | not published by hospital | — |
| Humana | HMO | not published by hospital | — |
| Humana | ASO | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $3,096.96 | $392.38 – $667.05 |
| Adventhealth Shawnee Mission | Shawnee Mission | $3,096.96 | $395.04 – $1,145.63 |
| Mercy Hospital Pittsburg | Pittsburg | $1,892.92 | $105.00 – $815.69 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $412.80 | $16.71 – $961.17 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $855.60 | $16.71 – $1,102.67 |
| Adventhealth South Overland Park | Overland Park | $3,096.96 | $395.04 – $1,145.63 |
| MENORAH MEDICAL CENTER | Overland Park | $4,714.58 | $105.00 – $381.15 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $353.72 – $2,043.00 |