An fluoro guide for cvp at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
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.
$58.56 with United vs $2,460.45 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 |
|---|---|---|---|
| United | KSMGMCD | $58.56 | — |
| HealthyBlue | MGMCD | $59.73 | — |
| Sunflower State Health Plan | MCD | $60.32 | — |
| Amerigroup | MGMCD | $60.90 | — |
| Unicare | MGMCD | $60.90 | — |
| Aetna Better Health | MCD | $60.90 | — |
| Home State Health Plan | MCD | $61.49 | — |
| United | MOMGMCD | $73.20 | — |
| Multiplan | WCOMPMissouri | $85.60 | — |
| CorVel Corporation | KSWC | $101.65 | — |
| Multiplan | WCOMPKansas | $104.33 | — |
| Aetna | IVLHIX | $104.36 | — |
| OHA Network | KansasWCOMP | $105.93 | — |
| Aetna | KCCarePlus | $109.00 | — |
| Aetna | Local | $146.10 | — |
| Humana | HMO | $172.27 | — |
| Humana | EPO | $172.27 | — |
| Humana | ASO | $172.27 | — |
| BCBS | BlueAccess | $174.73 | — |
| BCBS | Preferred-CareBlue(PPO) | $174.73 | — |
| BCBS | Blue-Care(HMO) | $174.73 | — |
| Aetna | National | $179.34 | — |
| Humana | PPO | $222.38 | — |
| Humana | POS | $222.38 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $376.30 | — |
| Ambetter | Commercial-Exchange | $538.40 | — |
| NHC Advantage | MGMCD | $549.98 | — |
| NHC Advantage | MGMCR | $549.98 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $578.93 | — |
| Coventry | MedicareAdvantage | $636.82 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $665.77 | — |
| Cigna | SureFit/LocalPlus | $717.87 | — |
| United | OptionsPPO | $726.56 | — |
| BCBS | FreedomNetworkSelect | $781.56 | — |
| Cigna | LocalKC | $854.50 | — |
| Universal Healthcare | MCR | $1,013.13 | — |
| Cigna | Comm | $1,068.13 | — |
| Aetna | FHMedicalRental | $1,163.65 | — |
| Coventry | WCOMP | $1,163.65 | — |
| BCBS | FreedomNetwork | $1,186.81 | — |
| BCBS | PC | $1,186.81 | — |
| Coventry KC MO | WCOMP | $1,186.81 | — |
| BCBS | Participating | $1,244.70 | — |
| BCBS | Traditional | $1,244.70 | — |
| College Park Family Care Center | COMM | $1,244.70 | — |
| United | GlobalBenefitPlan | $1,302.59 | — |
| OHA Network | MissouriWCOMP | $1,447.33 | — |
| Aetna | NATIONALNAP | $1,476.27 | — |
| Multiplan | PrimaryNetwork | $1,534.16 | — |
| CorVel Corporation | MOWC | $1,881.52 | — |
| Multiplan | ComplimentaryNetwork | $2,142.04 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $2,170.99 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $2,315.72 | — |
| CCO, Inc. | COMM | $2,460.45 | — |
| CCO, Inc. | WORKERSCOMPPPO | $2,460.45 | — |
Visitor-reported prices
Comments
An fluoro guide for cvp at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $394.90 | $51.63 – $200.65 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $394.90 | $51.63 – $200.65 |
| SSM Health Saint Louis University Hospital | Saint Louis | $645.70 | $59.28 – $161.03 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $394.90 | $51.63 – $200.65 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $394.90 | $51.63 – $200.65 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $394.90 | $51.63 – $200.65 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $565.62 | $166.11 – $166.11 |
| Mercy Hospital Carthage | Carthage | $498.55 | $58.56 – $286.33 |