Pt evaluation high 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.
$57.45 with Amerigroup vs $859.49 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 | $57.45 | — |
| United | KSMGMCD | $57.45 | — |
| HealthyBlue | MGMCD | $58.60 | — |
| Sunflower State Health Plan | MCD | $59.17 | — |
| Aetna Better Health | MCD | $59.75 | — |
| Unicare | MGMCD | $59.75 | — |
| Coventry | MedicareAdvantage | $81.26 | — |
| BCBS | MCRPPO | $81.26 | — |
| BCBS | MCRHMO | $81.26 | — |
| Devoted Health | MGMCR | $82.08 | — |
| United | VACCN | $82.08 | — |
| Humana | PFFS | $82.08 | — |
| Humana | MGMCRHMO | $82.08 | — |
| Humana | MGMCRPPO | $82.08 | — |
| Celtic | MCR | $83.72 | — |
| Wellcare | MCR | $83.72 | — |
| Cigna | HealthspringMGMCR | $83.72 | — |
| United | MGMCR | $83.72 | — |
| United | MOMGMCD | $86.18 | — |
| Pyramid Life | MCR | $87.82 | — |
| Multiplan | WCOMPMissouri | $90.33 | — |
| Home State Health Plan | MCD | $90.49 | — |
| TriWest Health Alliance | TRICARE | $93.01 | — |
| BCBS | TRICARE | $93.01 | — |
| CorVel Corporation | KSWC | $107.26 | — |
| Multiplan | WCOMPKansas | $110.09 | — |
| OHA Network | KansasWCOMP | $111.78 | — |
| Aetna | IVLHIX | $136.10 | — |
| Aetna | KCCarePlus | $141.10 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $148.98 | — |
| Aetna | Local | $190.13 | — |
| BCBS | Blue-Care(HMO) | $212.25 | — |
| BCBS | Preferred-CareBlue(PPO) | $212.25 | — |
| BCBS | BlueAccess | $212.25 | — |
| Ambetter | Commercial-Exchange | $213.15 | — |
| Oscar | HIX | $217.74 | — |
| NHC Advantage | MGMCR | $217.74 | — |
| NHC Advantage | MGMCD | $217.74 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $229.20 | — |
| Aetna | National | $232.16 | — |
| Humana | EPO | $241.80 | — |
| Humana | HMO | $241.80 | — |
| Humana | ASO | $241.80 | — |
| BCBS | FreedomNetworkSelect | $263.58 | — |
| United | OptionsPPO | $287.64 | — |
| Humana | PPO | $303.69 | — |
| Humana | POS | $303.69 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $366.72 | — |
| BCBS | PC | $389.64 | — |
| BCBS | FreedomNetwork | $389.64 | — |
| Universal Healthcare | MCR | $401.10 | — |
| Aetna | FHMedicalRental | $460.69 | — |
| Coventry | WCOMP | $460.69 | — |
| Coventry KC MO | WCOMP | $469.86 | — |
| BCBS | Participating | $492.78 | — |
| BCBS | Traditional | $492.78 | — |
| College Park Family Care Center | COMM | $492.78 | — |
| United | GlobalBenefitPlan | $515.70 | — |
| OHA Network | MissouriWCOMP | $573.00 | — |
| Aetna | NATIONALNAP | $584.45 | — |
| Multiplan | PrimaryNetwork | $607.37 | — |
| CorVel Corporation | MOWC | $744.89 | — |
| Multiplan | ComplimentaryNetwork | $848.03 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $859.49 | — |
| CCO, Inc. | WORKERSCOMPPPO | $859.49 | — |
| CCO, Inc. | COMM | $859.49 | — |
Visitor-reported prices
Comments
Pt evaluation high complexity patient/family at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $754.41 | $93.27 – $158.56 |
| Adventhealth Shawnee Mission | Shawnee Mission | $754.41 | $93.27 – $270.48 |
| Mercy Hospital Pittsburg | Pittsburg | $96.85 | $57.45 – $176.72 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $131.60 | $57.45 – $166.73 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $122.00 | $57.45 – $260.43 |
| Adventhealth South Overland Park | Overland Park | $754.41 | not published |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $93.01 – $260.43 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $93.01 – $260.43 |