Screening Mammogram 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$72.25 with United vs $884.83 with CCO, Inc. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | KSMGMCD | $72.25 | — |
| Amerigroup | MGMCD | $72.25 | — |
| HealthyBlue | MGMCD | $73.70 | — |
| Sunflower State Health Plan | MCD | $74.42 | — |
| Unicare | MGMCD | $75.14 | — |
| Aetna Better Health | MCD | $75.14 | — |
| TriWest Health Alliance | TRICARE | $81.06 | — |
| BCBS | TRICARE | $81.06 | — |
| BCBS | MCRPPO | $81.48 | — |
| Coventry | MedicareAdvantage | $81.48 | — |
| BCBS | MCRHMO | $81.48 | — |
| United | VACCN | $82.30 | — |
| Humana | PFFS | $82.30 | — |
| Humana | MGMCRHMO | $82.30 | — |
| Humana | MGMCRPPO | $82.30 | — |
| Devoted Health | MGMCR | $82.30 | — |
| Cigna | HealthspringMGMCR | $83.95 | — |
| Celtic | MCR | $83.95 | — |
| Wellcare | MCR | $83.95 | — |
| United | MGMCR | $83.95 | — |
| Pyramid Life | MCR | $88.06 | — |
| United | MOMGMCD | $107.82 | — |
| Cigna | SureFit/LocalPlus | $109.29 | — |
| Home State Health Plan | MCD | $113.21 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $116.86 | — |
| Cigna | LocalKC | $130.27 | — |
| Multiplan | WCOMPMissouri | $130.49 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $153.37 | — |
| CorVel Corporation | KSWC | $154.95 | — |
| Multiplan | WCOMPKansas | $159.03 | — |
| OHA Network | KansasWCOMP | $161.48 | — |
| Cigna | Comm | $162.62 | — |
| Aetna | IVLHIX | $164.74 | — |
| Aetna | KCCarePlus | $172.06 | — |
| BCBS | BlueAccess | $175.86 | — |
| BCBS | Preferred-CareBlue(PPO) | $175.86 | — |
| BCBS | Blue-Care(HMO) | $175.86 | — |
| United | AllPayerAppendix | $217.46 | — |
| Ambetter | Commercial-Exchange | $219.44 | — |
| NHC Advantage | MGMCR | $224.16 | — |
| NHC Advantage | MGMCD | $224.16 | — |
| Aetna | Local | $230.64 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $235.95 | — |
| Humana | HMO | $248.93 | — |
| Humana | ASO | $248.93 | — |
| Humana | EPO | $248.93 | — |
| BCBS | FreedomNetworkSelect | $271.35 | — |
| Aetna | National | $283.11 | — |
| United | OptionsPPO | $296.12 | — |
| Humana | PPO | $312.64 | — |
| Humana | POS | $312.64 | — |
| BCBS | PC | $401.12 | — |
| BCBS | FreedomNetwork | $401.12 | — |
| Universal Healthcare | MCR | $412.92 | — |
| Coventry | WCOMP | $474.27 | — |
| Aetna | FHMedicalRental | $474.27 | — |
| Coventry KC MO | WCOMP | $483.71 | — |
| BCBS | Participating | $507.30 | — |
| College Park Family Care Center | COMM | $507.30 | — |
| BCBS | Traditional | $507.30 | — |
| United | GlobalBenefitPlan | $530.90 | — |
| OHA Network | MissouriWCOMP | $589.88 | — |
| Aetna | NATIONALNAP | $601.68 | — |
| Multiplan | PrimaryNetwork | $625.28 | — |
| CorVel Corporation | MOWC | $766.85 | — |
| Multiplan | ComplimentaryNetwork | $873.03 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $884.83 | — |
| CCO, Inc. | COMM | $884.83 | — |
| CCO, Inc. | WORKERSCOMPPPO | $884.83 | — |
Visitor-reported prices
Comments
Screening Mammogram at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $535.14 | $82.30 – $173.97 |
| Adventhealth Shawnee Mission | Shawnee Mission | $535.14 | $82.30 – $238.67 |
| Mercy Hospital Pittsburg | Pittsburg | $199.55 | $72.25 – $408.67 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $188.80 | $29.78 – $222.58 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $179.60 | $29.78 – $226.97 |
| Adventhealth South Overland Park | Overland Park | $535.14 | $82.30 – $238.67 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $81.06 – $320.67 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $81.06 – $320.67 |