Revision of knee joint 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.
$1,995.00 with Universal Healthcare vs $32,176.00 with Cigna — 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 |
|---|---|---|---|
| Universal Healthcare | MCR | $1,995.00 | — |
| NHC Advantage | MGMCD | $2,550.00 | — |
| NHC Advantage | MGMCR | $2,550.00 | — |
| Humana | HMO | $3,291.00 | — |
| Humana | ASO | $3,291.00 | — |
| Humana | EPO | $3,291.00 | — |
| Humana | PPO | $4,081.00 | — |
| Humana | POS | $4,081.00 | — |
| Amerigroup | MGMCD | $4,263.54 | — |
| United | KSMGMCD | $4,263.54 | — |
| HealthyBlue | MGMCD | $4,348.81 | — |
| Sunflower State Health Plan | MCD | $4,391.45 | — |
| Unicare | MGMCD | $4,434.08 | — |
| Aetna Better Health | MCD | $4,434.08 | — |
| Aetna | IVLHIX | $4,902.00 | — |
| Aetna | KCCarePlus | $5,752.00 | — |
| Oscar | HIX | $6,301.00 | — |
| Multiplan | PrimaryNetwork | $7,600.00 | — |
| Aetna | Local | $8,710.00 | — |
| Aetna | National | $9,823.00 | — |
| United | MOMGMCD | $10,968.72 | — |
| Home State Health Plan | MCD | $11,517.16 | — |
| United | AllPayerAppendix | $11,618.00 | — |
| Devoted Health | MGMCR | $15,193.80 | — |
| Multiplan | WCOMPMissouri | $16,195.55 | — |
| CorVel Corporation | KSWC | $19,232.22 | — |
| Multiplan | WCOMPKansas | $19,738.33 | — |
| OHA Network | KansasWCOMP | $20,042.00 | — |
| Ambetter | Commercial-Exchange | $21,244.00 | — |
| Cigna | SureFit/LocalPlus | $21,584.00 | — |
| Cigna | LocalKC | $25,741.00 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $28,000.00 | — |
| Cigna | Comm | $32,176.00 | — |
Visitor-reported prices
Comments
Revision of knee joint at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | not published | $4,562.00 – $20,524.42 |
| Adventhealth Shawnee Mission | Shawnee Mission | not published | $4,562.00 – $35,249.61 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $3,004.35 – $3,004.35 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $428.03 – $7,703.52 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | not published | $428.03 – $6,352.27 |
| Adventhealth South Overland Park | Overland Park | not published | $4,562.00 – $35,249.61 |
| MENORAH MEDICAL CENTER | Overland Park | not published | $4,263.54 – $20,042.00 |