X-ray exam of femur 1 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.
$25.45 with Multiplan vs $531.22 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 |
|---|---|---|---|
| Multiplan | WCOMPMissouri | $25.45 | — |
| CorVel Corporation | KSWC | $30.22 | — |
| Multiplan | WCOMPKansas | $31.01 | — |
| OHA Network | KansasWCOMP | $31.49 | — |
| Aetna | IVLHIX | $31.60 | — |
| Aetna | KCCarePlus | $33.00 | — |
| BCBS | Blue-Care(HMO) | $33.52 | — |
| BCBS | Preferred-CareBlue(PPO) | $33.52 | — |
| BCBS | BlueAccess | $33.52 | — |
| Aetna | Local | $44.24 | — |
| United | KSMGMCD | $48.74 | — |
| Amerigroup | MGMCD | $48.74 | — |
| HealthyBlue | MGMCD | $49.71 | — |
| Sunflower State Health Plan | MCD | $50.20 | — |
| Unicare | MGMCD | $50.69 | — |
| Aetna Better Health | MCD | $50.69 | — |
| Aetna | National | $54.31 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $71.77 | — |
| United | MOMGMCD | $75.06 | — |
| Home State Health Plan | MCD | $78.81 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $92.08 | — |
| Cigna | SureFit/LocalPlus | $100.81 | — |
| Cigna | LocalKC | $120.17 | — |
| Ambetter | Commercial-Exchange | $131.74 | — |
| NHC Advantage | MGMCD | $134.58 | — |
| NHC Advantage | MGMCR | $134.58 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $141.66 | — |
| Humana | EPO | $149.45 | — |
| Humana | HMO | $149.45 | — |
| Humana | ASO | $149.45 | — |
| Cigna | Comm | $150.01 | — |
| BCBS | FreedomNetworkSelect | $162.91 | — |
| United | OptionsPPO | $177.78 | — |
| United | AllPayerAppendix | $182.03 | — |
| Humana | PPO | $187.70 | — |
| Humana | POS | $187.70 | — |
| BCBS | FreedomNetwork | $240.82 | — |
| BCBS | PC | $240.82 | — |
| Universal Healthcare | MCR | $247.90 | — |
| Aetna | FHMedicalRental | $284.73 | — |
| Coventry | WCOMP | $284.73 | — |
| Coventry KC MO | WCOMP | $290.40 | — |
| BCBS | Participating | $304.56 | — |
| BCBS | Traditional | $304.56 | — |
| College Park Family Care Center | COMM | $304.56 | — |
| United | GlobalBenefitPlan | $318.73 | — |
| OHA Network | MissouriWCOMP | $354.14 | — |
| Aetna | NATIONALNAP | $361.23 | — |
| Multiplan | PrimaryNetwork | $375.39 | — |
| CorVel Corporation | MOWC | $460.39 | — |
| Multiplan | ComplimentaryNetwork | $524.13 | — |
| CCO, Inc. | WORKERSCOMPPPO | $531.22 | — |
| TriWest Health Alliance | TRICARE | $531.22 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $531.22 | — |
| CCO, Inc. | COMM | $531.22 | — |
Visitor-reported prices
Comments
X-ray exam of femur 1 at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $519.16 | $33.03 – $145.62 |
| Adventhealth Shawnee Mission | Shawnee Mission | $519.16 | $33.03 – $238.93 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $166.40 | $6.58 – $228.00 |
| Adventhealth South Overland Park | Overland Park | $519.16 | $33.03 – $238.93 |
| MENORAH MEDICAL CENTER | Overland Park | $1,437.34 | $25.45 – $100.81 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $24.99 – $228.00 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $6.58 – $10.75 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $66.75 – $228.00 |