Ot evaluation moderate complexity patient/family 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.
$55.76 with Amerigroup vs $835.54 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 | $55.76 | — |
| United | KSMGMCD | $55.76 | — |
| HealthyBlue | MGMCD | $56.88 | — |
| Sunflower State Health Plan | MCD | $57.43 | — |
| Aetna Better Health | MCD | $57.99 | — |
| Unicare | MGMCD | $57.99 | — |
| Coventry | MedicareAdvantage | $83.36 | — |
| BCBS | MCRPPO | $83.36 | — |
| BCBS | MCRHMO | $83.36 | — |
| Devoted Health | MGMCR | $84.21 | — |
| United | VACCN | $84.21 | — |
| Humana | PFFS | $84.21 | — |
| Humana | MGMCRHMO | $84.21 | — |
| Humana | MGMCRPPO | $84.21 | — |
| Celtic | MCR | $85.89 | — |
| Wellcare | MCR | $85.89 | — |
| Cigna | HealthspringMGMCR | $85.89 | — |
| United | MGMCR | $85.89 | — |
| United | MOMGMCD | $88.39 | — |
| Pyramid Life | MCR | $90.10 | — |
| Home State Health Plan | MCD | $92.81 | — |
| TriWest Health Alliance | TRICARE | $95.35 | — |
| BCBS | TRICARE | $95.35 | — |
| Multiplan | WCOMPMissouri | $97.54 | — |
| CorVel Corporation | KSWC | $115.82 | — |
| Multiplan | WCOMPKansas | $118.87 | — |
| OHA Network | KansasWCOMP | $120.70 | — |
| Aetna | IVLHIX | $136.99 | — |
| Aetna | KCCarePlus | $142.03 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $144.83 | — |
| Aetna | Local | $191.39 | — |
| BCBS | Blue-Care(HMO) | $205.92 | — |
| BCBS | Preferred-CareBlue(PPO) | $205.92 | — |
| BCBS | BlueAccess | $205.92 | — |
| Ambetter | Commercial-Exchange | $207.21 | — |
| Oscar | HIX | $211.67 | — |
| NHC Advantage | MGMCR | $211.67 | — |
| NHC Advantage | MGMCD | $211.67 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $222.81 | — |
| Aetna | National | $233.69 | — |
| Humana | EPO | $235.06 | — |
| Humana | HMO | $235.06 | — |
| Humana | ASO | $235.06 | — |
| BCBS | FreedomNetworkSelect | $256.23 | — |
| United | OptionsPPO | $279.63 | — |
| Humana | PPO | $295.22 | — |
| Humana | POS | $295.22 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $356.50 | — |
| BCBS | PC | $378.78 | — |
| BCBS | FreedomNetwork | $378.78 | — |
| Universal Healthcare | MCR | $389.92 | — |
| Aetna | FHMedicalRental | $447.85 | — |
| Coventry | WCOMP | $447.85 | — |
| Coventry KC MO | WCOMP | $456.76 | — |
| BCBS | Participating | $479.04 | — |
| BCBS | Traditional | $479.04 | — |
| College Park Family Care Center | COMM | $479.04 | — |
| United | GlobalBenefitPlan | $501.32 | — |
| OHA Network | MissouriWCOMP | $557.02 | — |
| Aetna | NATIONALNAP | $568.17 | — |
| Multiplan | PrimaryNetwork | $590.45 | — |
| CorVel Corporation | MOWC | $724.13 | — |
| Multiplan | ComplimentaryNetwork | $824.40 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $835.54 | — |
| CCO, Inc. | WORKERSCOMPPPO | $835.54 | — |
| CCO, Inc. | COMM | $835.54 | — |
Visitor-reported prices
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Ot evaluation moderate complexity patient/family at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $505.68 | $95.69 – $162.67 |
| Adventhealth Shawnee Mission | Shawnee Mission | $505.68 | $95.69 – $277.50 |
| Mercy Hospital Pittsburg | Pittsburg | $93.60 | $55.76 – $181.17 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $121.20 | $55.76 – $162.08 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $112.40 | $55.76 – $266.98 |
| Adventhealth South Overland Park | Overland Park | $505.68 | not published |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $95.35 – $272.71 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $95.35 – $272.71 |