X-ray sinus tract/fistula/abscess 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.
$37.48 with Multiplan vs $1,949.23 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 | $37.48 | — |
| CorVel Corporation | KSWC | $44.51 | — |
| Multiplan | WCOMPKansas | $45.68 | — |
| OHA Network | KansasWCOMP | $46.38 | — |
| BCBS | Blue-Care(HMO) | $62.10 | — |
| BCBS | Preferred-CareBlue(PPO) | $62.10 | — |
| BCBS | BlueAccess | $62.10 | — |
| Humana | HMO | $64.47 | — |
| Humana | EPO | $64.47 | — |
| Humana | ASO | $64.47 | — |
| Aetna | IVLHIX | $67.81 | — |
| Aetna | KCCarePlus | $70.82 | — |
| Humana | PPO | $83.22 | — |
| Humana | POS | $83.22 | — |
| Aetna | Local | $94.93 | — |
| Aetna | National | $116.53 | — |
| United | KSMGMCD | $282.26 | — |
| Amerigroup | MGMCD | $282.26 | — |
| HealthyBlue | MGMCD | $287.91 | — |
| Sunflower State Health Plan | MCD | $290.73 | — |
| Aetna Better Health | MCD | $293.55 | — |
| Unicare | MGMCD | $293.55 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $337.87 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $428.73 | — |
| United | MOMGMCD | $467.42 | — |
| Ambetter | Commercial-Exchange | $483.41 | — |
| Home State Health Plan | MCD | $490.79 | — |
| NHC Advantage | MGMCR | $493.81 | — |
| NHC Advantage | MGMCD | $493.81 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $519.80 | — |
| BCBS | FreedomNetworkSelect | $597.77 | — |
| Cigna | SureFit/LocalPlus | $612.01 | — |
| United | OptionsPPO | $652.34 | — |
| Cigna | LocalKC | $729.52 | — |
| BCBS | FreedomNetwork | $883.65 | — |
| BCBS | PC | $883.65 | — |
| Universal Healthcare | MCR | $909.64 | — |
| Cigna | Comm | $910.67 | — |
| Coventry | WCOMP | $1,044.79 | — |
| Aetna | FHMedicalRental | $1,044.79 | — |
| Coventry KC MO | WCOMP | $1,065.58 | — |
| United | AllPayerAppendix | $1,086.50 | — |
| BCBS | Traditional | $1,117.56 | — |
| College Park Family Care Center | COMM | $1,117.56 | — |
| BCBS | Participating | $1,117.56 | — |
| United | GlobalBenefitPlan | $1,169.54 | — |
| OHA Network | MissouriWCOMP | $1,299.49 | — |
| Aetna | NATIONALNAP | $1,325.48 | — |
| Multiplan | PrimaryNetwork | $1,377.46 | — |
| CorVel Corporation | MOWC | $1,689.34 | — |
| Multiplan | ComplimentaryNetwork | $1,923.25 | — |
| CCO, Inc. | COMM | $1,949.23 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,949.23 | — |
| TriWest Health Alliance | TRICARE | $1,949.23 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,949.23 | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Kansas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Ottawa | Ottawa | $1,276.00 | $54.73 – $873.52 |
| Adventhealth Shawnee Mission | Shawnee Mission | $1,276.00 | $54.73 – $1,500.23 |
| Mercy Hospital Pittsburg | Pittsburg | $908.05 | $29.41 – $1,815.97 |
| Ascension Via Christi Hospital Manhattan, Inc | Manhattan | $429.60 | $20.31 – $1,419.82 |
| Adventhealth South Overland Park | Overland Park | $1,276.00 | $54.73 – $1,500.23 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita | not published | $80.47 – $1,419.82 |
| Wamego Health Center (Wamego Hospital Association) | Wamego | not published | $20.31 – $255.46 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita | not published | $96.06 – $1,419.82 |