Pegloticase 8 mg/ml intravenous solution at OVERLAND PARK REGIONAL MEDICAL CENTER
10310 SHAWNEE MISSION PKWY, SHAWNEE, KS · Hcamidwest · · NPI 1578500484
$71,480.36
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.
$71,480.36
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.
$3,565.32 with BCBS vs $57,184.29 with Multiplan — 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 |
|---|---|---|---|
| BCBS | TRICARE | $3,565.32 | ↓ -95% |
| TriWest Health Alliance | TRICARE | $3,565.32 | ↓ -95% |
| Amerigroup | MGMCD | $3,768.81 | ↓ -95% |
| United | KSMGMCD | $3,768.81 | ↓ -95% |
| HealthyBlue | MGMCD | $3,844.19 | ↓ -95% |
| Sunflower State Health Plan | MCD | $3,881.87 | ↓ -95% |
| Unicare | MGMCD | $3,919.56 | ↓ -95% |
| Aetna Better Health | MCD | $3,919.56 | ↓ -95% |
| United | AllPayerAppendix | $6,218.54 | ↓ -91% |
| BCBS | FreedomNetworkSelect | $16,440.48 | ↓ -77% |
| United | OptionsPPO | $17,941.57 | ↓ -75% |
| Aetna Coventry | FamilyHealthPlanMCD | $22,873.72 | ↓ -68% |
| BCBS | PC | $24,303.32 | ↓ -66% |
| BCBS | FreedomNetwork | $24,303.32 | ↓ -66% |
| Coventry | WCOMP | $28,735.10 | ↓ -60% |
| Coventry KC MO | WCOMP | $29,306.95 | ↓ -59% |
| BCBS | Participating | $30,736.55 | ↓ -57% |
| BCBS | Traditional | $30,736.55 | ↓ -57% |
| United | GlobalBenefitPlan | $32,166.16 | ↓ -55% |
| OHA Network | MissouriWCOMP | $35,740.18 | ↓ -50% |
| CorVel Corporation | MOWC | $46,462.23 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $52,895.47 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $53,610.27 | ↓ -25% |
| CCO, Inc. | COMM | $53,610.27 | ↓ -25% |
| CCO, Inc. | WORKERSCOMPPPO | $53,610.27 | ↓ -25% |
| Multiplan | WCOMPMissouri | $57,184.29 | ↓ -20% |
| BCBS | BlueAccess | not published by hospital | — |
| BCBS | Preferred-CareBlue(PPO) | not published by hospital | — |
| BCBS | Blue-Care(HMO) | not published by hospital | — |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MENORAH MEDICAL CENTER | Overland Park | $71,480.36 | $3,565.32 – $3,919.56 |
| Adventhealth Ottawa | Ottawa | not published | $3,550.05 – $6,223.42 |
| Adventhealth Shawnee Mission | Shawnee Mission | not published | $3,550.05 – $10,616.42 |
| Adventhealth South Overland Park | Overland Park | not published | $3,550.05 – $10,616.42 |