Ercp biliary & pancreas 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.
$74.71 with Amerigroup vs $5,252.35 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 | $74.71 | — |
| United | KSMGMCD | $74.71 | — |
| HealthyBlue | MGMCD | $76.20 | — |
| Sunflower State Health Plan | MCD | $76.95 | — |
| Unicare | MGMCD | $77.70 | — |
| Aetna Better Health | MCD | $77.70 | — |
| BCBS | BlueAccess | $82.26 | — |
| BCBS | Preferred-CareBlue(PPO) | $82.26 | — |
| BCBS | Blue-Care(HMO) | $82.26 | — |
| Multiplan | WCOMPMissouri | $162.42 | — |
| CorVel Corporation | KSWC | $192.87 | — |
| Multiplan | WCOMPKansas | $197.94 | — |
| OHA Network | KansasWCOMP | $200.99 | — |
| Aetna | IVLHIX | $202.82 | — |
| Aetna | KCCarePlus | $211.84 | — |
| Humana | ASO | $266.41 | — |
| Humana | HMO | $266.41 | — |
| Humana | EPO | $266.41 | — |
| Aetna | Local | $283.95 | — |
| Humana | POS | $343.90 | — |
| Humana | PPO | $343.90 | — |
| Aetna | National | $348.55 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $910.41 | — |
| Ambetter | Commercial-Exchange | $1,302.58 | — |
| NHC Advantage | MGMCD | $1,330.60 | — |
| NHC Advantage | MGMCR | $1,330.60 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,400.63 | — |
| Coventry | MedicareAdvantage | $1,540.69 | — |
| BCBS | FreedomNetworkSelect | $1,610.72 | — |
| Cigna | SureFit/LocalPlus | $1,736.78 | — |
| United | OptionsPPO | $1,757.79 | — |
| Cigna | LocalKC | $2,067.33 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $2,241.00 | — |
| BCBS | PC | $2,381.07 | — |
| BCBS | FreedomNetwork | $2,381.07 | — |
| Universal Healthcare | MCR | $2,451.10 | — |
| Cigna | Comm | $2,584.16 | — |
| Aetna | FHMedicalRental | $2,815.26 | — |
| Coventry | WCOMP | $2,815.26 | — |
| Coventry KC MO | WCOMP | $2,871.29 | — |
| BCBS | Traditional | $3,011.35 | — |
| BCBS | Participating | $3,011.35 | — |
| College Park Family Care Center | COMM | $3,011.35 | — |
| United | GlobalBenefitPlan | $3,151.41 | — |
| OHA Network | MissouriWCOMP | $3,501.57 | — |
| Aetna | NATIONALNAP | $3,571.60 | — |
| Multiplan | PrimaryNetwork | $3,711.66 | — |
| CorVel Corporation | MOWC | $4,552.04 | — |
| Multiplan | ComplimentaryNetwork | $5,182.32 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $5,252.35 | — |
| TriWest Health Alliance | TRICARE | $5,252.35 | — |
| CCO, Inc. | WORKERSCOMPPPO | $5,252.35 | — |
| CCO, Inc. | COMM | $5,252.35 | — |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $1,926.63 | $114.56 – $114.56 |
| Adventhealth Shawnee Mission | Shawnee Mission | $1,926.63 | $114.56 – $114.56 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $847.20 | $22.46 – $46.91 |
| Adventhealth South Overland Park | Overland Park | $1,926.63 | $114.56 – $114.56 |
| MENORAH MEDICAL CENTER | Overland Park | $1,217.62 | $74.71 – $266.41 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $134.78 – $156.59 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $22.46 – $46.91 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $156.59 – $156.59 |