Sialolithotomy 42330 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.
$1,042.99 with United vs $4,353.82 with OHA Network — 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 |
|---|---|---|---|
| United | KSMGMCD | $1,042.99 | — |
| Amerigroup | MGMCD | $1,042.99 | — |
| HealthyBlue | MGMCD | $1,063.85 | — |
| Sunflower State Health Plan | MCD | $1,074.28 | — |
| Aetna Better Health | MCD | $1,084.71 | — |
| Unicare | MGMCD | $1,084.71 | — |
| Humana | ASO | $1,566.00 | — |
| Humana | EPO | $1,566.00 | — |
| Humana | HMO | $1,566.00 | — |
| Humana | POS | $1,941.00 | — |
| Humana | PPO | $1,941.00 | — |
| Universal Healthcare | MCR | $1,995.00 | — |
| Aetna | IVLHIX | $2,255.00 | — |
| NHC Advantage | MGMCD | $2,550.00 | — |
| NHC Advantage | MGMCR | $2,550.00 | — |
| Oscar | HIX | $2,677.00 | — |
| United | MOMGMCD | $2,764.65 | — |
| Home State Health Plan | MCD | $2,902.88 | — |
| Aetna | KCCarePlus | $3,158.00 | — |
| United | AllPayerAppendix | $3,181.00 | — |
| Multiplan | WCOMPMissouri | $3,518.24 | — |
| Aetna | Local | $3,701.00 | — |
| Aetna | National | $4,111.00 | — |
| CorVel Corporation | KSWC | $4,177.91 | — |
| Multiplan | WCOMPKansas | $4,287.86 | — |
| OHA Network | KansasWCOMP | $4,353.82 | — |
| Multiplan | PrimaryNetwork | not published by hospital | — |
Visitor-reported prices
Comments
Sialolithotomy 42330 at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | not published | $2,624.00 – $5,300.22 |
| Adventhealth Shawnee Mission | Shawnee Mission | not published | $2,624.00 – $9,102.85 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $605.28 – $605.28 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $267.00 – $1,147.39 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | not published | $267.00 – $1,147.39 |
| Adventhealth South Overland Park | Overland Park | not published | $2,624.00 – $9,102.85 |
| MENORAH MEDICAL CENTER | Overland Park | not published | $1,042.99 – $4,353.82 |