Shoulder MRI (with and without contrast) 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.
$206.69 with Amerigroup vs $11,641.52 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 | $206.69 | — |
| United | KSMGMCD | $206.69 | — |
| HealthyBlue | MGMCD | $210.82 | — |
| Sunflower State Health Plan | MCD | $212.89 | — |
| Unicare | MGMCD | $214.96 | — |
| Aetna Better Health | MCD | $214.96 | — |
| United | MOMGMCD | $304.45 | — |
| Home State Health Plan | MCD | $319.67 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $326.74 | — |
| Cigna | SureFit/LocalPlus | $426.64 | — |
| Multiplan | WCOMPMissouri | $475.22 | — |
| Cigna | LocalKC | $508.55 | — |
| CorVel Corporation | KSWC | $564.32 | — |
| Multiplan | WCOMPKansas | $579.17 | — |
| OHA Network | KansasWCOMP | $588.08 | — |
| Cigna | Comm | $634.84 | — |
| United | AllPayerAppendix | $828.27 | — |
| BCBS | Preferred-CareBlue(PPO) | $916.00 | — |
| BCBS | BlueAccess | $916.00 | — |
| BCBS | Blue-Care(HMO) | $916.00 | — |
| Aetna | IVLHIX | $1,074.00 | — |
| Humana | ASO | $1,078.30 | — |
| Humana | HMO | $1,078.30 | — |
| Humana | EPO | $1,078.30 | — |
| Aetna | KCCarePlus | $1,125.00 | — |
| Humana | POS | $1,391.95 | — |
| Humana | PPO | $1,391.95 | — |
| Aetna | Local | $1,514.00 | — |
| Aetna | National | $1,836.00 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $2,017.86 | — |
| Ambetter | Commercial-Exchange | $2,887.10 | — |
| NHC Advantage | MGMCR | $2,949.19 | — |
| NHC Advantage | MGMCD | $2,949.19 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $3,104.41 | — |
| BCBS | FreedomNetworkSelect | $3,570.07 | — |
| United | OptionsPPO | $3,896.03 | — |
| BCBS | FreedomNetwork | $5,277.49 | — |
| BCBS | PC | $5,277.49 | — |
| Universal Healthcare | MCR | $5,432.71 | — |
| Coventry | WCOMP | $6,239.86 | — |
| Aetna | FHMedicalRental | $6,239.86 | — |
| Coventry KC MO | WCOMP | $6,364.03 | — |
| BCBS | Participating | $6,674.47 | — |
| BCBS | Traditional | $6,674.47 | — |
| College Park Family Care Center | COMM | $6,674.47 | — |
| United | GlobalBenefitPlan | $6,984.91 | — |
| OHA Network | MissouriWCOMP | $7,761.02 | — |
| Aetna | NATIONALNAP | $7,916.24 | — |
| Multiplan | PrimaryNetwork | $8,226.68 | — |
| CorVel Corporation | MOWC | $10,089.32 | — |
| Multiplan | ComplimentaryNetwork | $11,486.30 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $11,641.52 | — |
| CCO, Inc. | WORKERSCOMPPPO | $11,641.52 | — |
| TriWest Health Alliance | TRICARE | $11,641.52 | — |
| CCO, Inc. | COMM | $11,641.52 | — |
Visitor-reported prices
Comments
Shoulder MRI (with and without contrast) at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $5,877.20 | $328.07 – $1,079.33 |
| Adventhealth Shawnee Mission | Shawnee Mission | $5,877.20 | $330.30 – $1,079.33 |
| Mercy Hospital Pittsburg | Pittsburg | $3,831.10 | $206.69 – $1,722.45 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | $2,403.20 | $84.15 – $763.86 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $1,840.00 | $84.15 – $924.78 |
| Adventhealth South Overland Park | Overland Park | $5,877.20 | $330.30 – $1,079.33 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $317.34 – $1,459.38 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $330.28 – $1,459.38 |