Ghs urine, porphyrins quant 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.
$7.46 with Cigna vs $740.98 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $7.46 | — |
| Cigna | LocalKC | $8.99 | — |
| Cigna | Comm | $11.19 | — |
| Amerigroup | MGMCD | $12.50 | — |
| United | KSMGMCD | $12.50 | — |
| HealthyBlue | MGMCD | $12.75 | — |
| Sunflower State Health Plan | MCD | $12.88 | — |
| Aetna Better Health | MCD | $13.00 | — |
| Unicare | MGMCD | $13.00 | — |
| United | MOMGMCD | $13.24 | — |
| Home State Health Plan | MCD | $13.90 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $13.90 | — |
| BCBS | MCRHMO | $14.56 | — |
| BCBS | MCRPPO | $14.56 | — |
| Coventry | MedicareAdvantage | $14.56 | — |
| United | AllPayerAppendix | $14.71 | — |
| Devoted Health | MGMCR | $14.71 | — |
| Humana | MGMCRPPO | $14.71 | — |
| Humana | MGMCRHMO | $14.71 | — |
| Humana | PFFS | $14.71 | — |
| United | VACCN | $14.71 | — |
| Wellcare | MCR | $15.00 | — |
| United | MGMCR | $15.00 | — |
| Celtic | MCR | $15.00 | — |
| Cigna | HealthspringMGMCR | $15.00 | — |
| BCBS | TRICARE | $15.36 | — |
| TriWest Health Alliance | TRICARE | $15.36 | — |
| Pyramid Life | MCR | $15.74 | — |
| Aetna | IVLHIX | $19.86 | — |
| Aetna | KCCarePlus | $20.74 | — |
| Oscar | HIX | $22.36 | — |
| Multiplan | WCOMPMissouri | $25.96 | — |
| Aetna | Local | $27.80 | — |
| CorVel Corporation | KSWC | $30.83 | — |
| BCBS | BlueAccess | $30.98 | — |
| BCBS | Blue-Care(HMO) | $30.98 | — |
| BCBS | Preferred-CareBlue(PPO) | $30.98 | — |
| Multiplan | WCOMPKansas | $31.64 | — |
| OHA Network | KansasWCOMP | $32.13 | — |
| Aetna | National | $34.12 | — |
| Humana | PPO | $36.00 | — |
| Humana | ASO | $36.00 | — |
| Humana | HMO | $36.00 | — |
| Humana | POS | $36.00 | — |
| Humana | EPO | $36.00 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $128.44 | — |
| Ambetter | Commercial-Exchange | $183.76 | — |
| NHC Advantage | MGMCD | $187.71 | — |
| NHC Advantage | MGMCR | $187.71 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $197.59 | — |
| BCBS | FreedomNetworkSelect | $227.23 | — |
| United | OptionsPPO | $247.98 | — |
| BCBS | FreedomNetwork | $335.91 | — |
| BCBS | PC | $335.91 | — |
| Universal Healthcare | MCR | $345.79 | — |
| Coventry | WCOMP | $397.16 | — |
| Aetna | FHMedicalRental | $397.16 | — |
| Coventry KC MO | WCOMP | $405.07 | — |
| College Park Family Care Center | COMM | $424.83 | — |
| BCBS | Participating | $424.83 | — |
| BCBS | Traditional | $424.83 | — |
| United | GlobalBenefitPlan | $444.59 | — |
| OHA Network | MissouriWCOMP | $493.99 | — |
| Aetna | NATIONALNAP | $503.86 | — |
| Multiplan | PrimaryNetwork | $523.62 | — |
| CorVel Corporation | MOWC | $642.18 | — |
| Multiplan | ComplimentaryNetwork | $731.10 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $740.98 | — |
| CCO, Inc. | COMM | $740.98 | — |
| CCO, Inc. | WORKERSCOMPPPO | $740.98 | — |
Visitor-reported prices
Comments
Ghs urine, porphyrins quant at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $174.49 | $6.18 – $63.10 |
| Adventhealth Shawnee Mission | Shawnee Mission | $174.49 | $6.18 – $42.66 |
| Mercy Hospital Pittsburg | Pittsburg | $122.20 | $12.50 – $81.70 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $62.80 | $12.50 – $89.10 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $49.20 | $12.50 – $110.70 |
| Adventhealth South Overland Park | Overland Park | $174.49 | $6.18 – $42.66 |
| MENORAH MEDICAL CENTER | Overland Park | $614.65 | $7.46 – $32.13 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $13.35 – $59.47 |