Analysis tumor at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$439.44
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.
$439.44
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.
$44.33 with Cigna vs $373.52 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $44.33 | ↓ -90% |
| Cigna | LocalKC | $53.42 | ↓ -88% |
| Humana | HMO | $55.33 | ↓ -87% |
| Humana | POS | $55.33 | ↓ -87% |
| Humana | ASO | $55.33 | ↓ -87% |
| Humana | PPO | $55.33 | ↓ -87% |
| Humana | EPO | $55.33 | ↓ -87% |
| Anthem MissouriCare | MissouriCareMGMCD | $57.13 | ↓ -87% |
| Cigna | Comm | $66.49 | ↓ -85% |
| United | KSMGMCD | $68.85 | ↓ -84% |
| Multiplan | WCOMPMissouri | $69.04 | ↓ -84% |
| HealthyBlue | MGMCD | $70.23 | ↓ -84% |
| Sunflower State Health Plan | MCD | $70.92 | ↓ -84% |
| Unicare | MGMCD | $71.60 | ↓ -84% |
| Amerigroup | MGMCD | $71.60 | ↓ -84% |
| Aetna Better Health | MCD | $71.60 | ↓ -84% |
| Home State Health Plan | MCD | $72.29 | ↓ -84% |
| Ambetter | Commercial-Exchange | $81.74 | ↓ -81% |
| CorVel Corporation | KSWC | $81.98 | ↓ -81% |
| NHC Advantage | MGMCD | $83.49 | ↓ -81% |
| NHC Advantage | MGMCR | $83.49 | ↓ -81% |
| Oscar | HIX | $83.49 | ↓ -81% |
| Multiplan | WCOMPKansas | $84.14 | ↓ -81% |
| OHA Network | KansasWCOMP | $85.44 | ↓ -81% |
| United | MOMGMCD | $86.06 | ↓ -80% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $87.89 | ↓ -80% |
| United | OptionsPPO | $110.30 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $118.65 | ↓ -73% |
| BCBS | Preferred-CareBlue(PPO) | $119.30 | ↓ -73% |
| BCBS | Blue-Care(HMO) | $119.30 | ↓ -73% |
| BCBS | BlueAccess | $119.30 | ↓ -73% |
| Aetna | IVLHIX | $134.47 | ↓ -69% |
| Aetna Coventry | FamilyHealthPlanMCD | $138.95 | ↓ -68% |
| Aetna | KCCarePlus | $144.58 | ↓ -67% |
| United | AllPayerAppendix | $149.16 | ↓ -66% |
| Universal Healthcare | MCR | $153.80 | ↓ -65% |
| Aetna | Local | $172.70 | ↓ -61% |
| Aetna | FHMedicalRental | $176.65 | ↓ -60% |
| Coventry | WCOMP | $176.65 | ↓ -60% |
| Coventry KC MO | WCOMP | $180.17 | ↓ -59% |
| BCBS | PC | $180.17 | ↓ -59% |
| BCBS | FreedomNetwork | $180.17 | ↓ -59% |
| BCBS | Traditional | $188.96 | ↓ -57% |
| BCBS | Participating | $188.96 | ↓ -57% |
| College Park Family Care Center | COMM | $188.96 | ↓ -57% |
| United | GlobalBenefitPlan | $197.75 | ↓ -55% |
| Aetna | National | $211.37 | ↓ -52% |
| OHA Network | MissouriWCOMP | $219.72 | ↓ -50% |
| Aetna | NATIONALNAP | $224.11 | ↓ -49% |
| Multiplan | PrimaryNetwork | $232.90 | ↓ -47% |
| CorVel Corporation | MOWC | $285.64 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $325.19 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $329.58 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $351.55 | ↓ -20% |
| CCO, Inc. | COMM | $373.52 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $373.52 | ↓ -15% |
Visitor-reported prices
Comments
Analysis tumor at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $275.55 | $62.23 – $307.16 |
| Mercy Hospital Lincoln | Troy | $174.85 | $30.65 – $224.98 |
| CENTERPOINT MEDICAL CENTER | Independence | $674.18 | $44.33 – $138.95 |
| RESEARCH MEDICAL CENTER | Kansas City | $431.10 | $44.33 – $138.95 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $39.09 – $204.77 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $39.09 – $204.77 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $44.88 – $204.77 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $39.09 – $154.91 |