ER Visit (level 5, high severity) 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 $10,715.00 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 | — |
| Aetna Better Health | MCD | $109.20 | — |
| Unicare | MGMCD | $109.20 | — |
| Sunflower State Health Plan | MCD | $400.00 | — |
| United | MOMGMCD | $522.66 | — |
| Home State Health Plan | MCD | $548.79 | — |
| Ambetter | Commercial-Exchange | $2,766.00 | — |
| BCBS | FreedomNetworkSelect | $2,928.85 | — |
| United | OptionsPPO | $3,196.27 | — |
| Oscar | HIX | $3,336.00 | — |
| Cigna | SureFit/LocalPlus | $4,125.00 | — |
| BCBS | FreedomNetwork | $4,329.61 | — |
| BCBS | PC | $4,329.61 | — |
| United | AllPayerAppendix | $4,583.00 | — |
| Cigna | LocalKC | $4,920.00 | — |
| Coventry | WCOMP | $5,119.13 | — |
| Aetna | FHMedicalRental | $5,119.13 | — |
| Coventry KC MO | WCOMP | $5,221.00 | — |
| BCBS | Traditional | $5,475.68 | — |
| BCBS | Participating | $5,475.68 | — |
| United | GlobalBenefitPlan | $5,730.37 | — |
| Aetna | IVLHIX | $5,778.00 | — |
| Cigna | Comm | $6,150.00 | — |
| OHA Network | MissouriWCOMP | $6,367.07 | — |
| Aetna | NATIONALNAP | $6,494.42 | — |
| Aetna | KCCarePlus | $6,745.00 | — |
| Multiplan | PrimaryNetwork | $6,749.10 | — |
| CorVel Corporation | MOWC | $8,277.20 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $8,300.00 | — |
| BCBS | Blue-Care(HMO) | $8,575.00 | — |
| BCBS | Preferred-CareBlue(PPO) | $8,575.00 | — |
| BCBS | BlueAccess | $8,575.00 | — |
| Aetna | Local | $8,600.00 | — |
| Multiplan | ComplimentaryNetwork | $9,423.27 | — |
| CCO, Inc. | WORKERSCOMPPPO | $9,550.61 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $9,550.61 | — |
| CCO, Inc. | COMM | $9,550.61 | — |
| TriWest Health Alliance | TRICARE | $9,550.61 | — |
| Multiplan | WCOMPMissouri | $10,187.32 | — |
| Aetna | National | $10,715.00 | — |
| Humana | PPO | not published by hospital | — |
| Humana | ASO | not published by hospital | — |
| Humana | POS | not published by hospital | — |
| Humana | HMO | not published by hospital | — |
| Humana | EPO | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $3,835.18 | $560.02 – $952.04 |
| Adventhealth Shawnee Mission | Shawnee Mission | $3,835.18 | $563.82 – $1,635.08 |
| Mercy Hospital Pittsburg | Pittsburg | $4,887.09 | $105.00 – $1,267.75 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $640.80 | $16.71 – $1,493.85 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $1,585.20 | $16.71 – $1,587.63 |
| Adventhealth South Overland Park | Overland Park | $3,835.18 | $563.82 – $1,635.08 |
| MENORAH MEDICAL CENTER | Overland Park | $11,955.75 | $105.00 – $548.79 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $521.59 – $2,581.00 |