Artery x-rays arms/legs 75716-26 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.
$129.10 with Multiplan vs $24,375.62 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 | $129.10 | — |
| CorVel Corporation | KSWC | $153.30 | — |
| Multiplan | WCOMPKansas | $157.34 | — |
| OHA Network | KansasWCOMP | $159.76 | — |
| BCBS | Preferred-CareBlue(PPO) | $314.84 | — |
| BCBS | Blue-Care(HMO) | $314.84 | — |
| BCBS | BlueAccess | $314.84 | — |
| Humana | ASO | $369.21 | — |
| Humana | EPO | $369.21 | — |
| Humana | HMO | $369.21 | — |
| Humana | PPO | $476.61 | — |
| Humana | POS | $476.61 | — |
| Aetna | IVLHIX | $809.54 | — |
| Aetna | KCCarePlus | $845.52 | — |
| Aetna | Local | $1,133.36 | — |
| Aetna | National | $1,391.21 | — |
| United | KSMGMCD | $1,671.20 | — |
| HealthyBlue | MGMCD | $1,704.62 | — |
| Sunflower State Health Plan | MCD | $1,721.34 | — |
| Aetna Better Health | MCD | $1,738.05 | — |
| Unicare | MGMCD | $1,738.05 | — |
| Amerigroup | MGMCD | $1,738.05 | — |
| Home State Health Plan | MCD | $1,754.76 | — |
| United | MOMGMCD | $2,089.00 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $2,540.02 | — |
| Cigna | SureFit/LocalPlus | $3,536.14 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $3,728.04 | — |
| Cigna | LocalKC | $4,215.08 | — |
| Cigna | Comm | $5,261.77 | — |
| Ambetter | Commercial-Exchange | $5,333.96 | — |
| NHC Advantage | MGMCD | $5,448.67 | — |
| NHC Advantage | MGMCR | $5,448.67 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $5,735.44 | — |
| United | AllPayerAppendix | $6,438.74 | — |
| United | OptionsPPO | $7,197.98 | — |
| BCBS | FreedomNetworkSelect | $7,742.84 | — |
| Universal Healthcare | MCR | $10,037.02 | — |
| Aetna | FHMedicalRental | $11,528.23 | — |
| Coventry | WCOMP | $11,528.23 | — |
| BCBS | FreedomNetwork | $11,757.65 | — |
| BCBS | PC | $11,757.65 | — |
| Coventry KC MO | WCOMP | $11,757.65 | — |
| BCBS | Participating | $12,331.20 | — |
| BCBS | Traditional | $12,331.20 | — |
| College Park Family Care Center | COMM | $12,331.20 | — |
| United | GlobalBenefitPlan | $12,904.74 | — |
| OHA Network | MissouriWCOMP | $14,338.60 | — |
| Aetna | NATIONALNAP | $14,625.37 | — |
| Multiplan | PrimaryNetwork | $15,198.92 | — |
| CorVel Corporation | MOWC | $18,640.18 | — |
| Multiplan | ComplimentaryNetwork | $21,221.13 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $21,507.90 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $22,941.76 | — |
| CCO, Inc. | COMM | $24,375.62 | — |
| CCO, Inc. | WORKERSCOMPPPO | $24,375.62 | — |
Visitor-reported prices
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Artery x-rays arms/legs 75716-26 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $2,771.45 | $122.26 – $3,795.09 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $2,771.45 | $122.26 – $3,795.09 |
| SSM Health Saint Louis University Hospital | Saint Louis | $4,401.65 | $122.88 – $3,795.09 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $2,771.45 | $122.26 – $5,723.32 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $2,771.45 | $122.26 – $3,795.09 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $2,771.45 | $122.26 – $3,795.09 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $3,649.14 | $252.07 – $5,692.64 |
| Mercy Hospital Southeast | Cape Girardeau | $4,737.85 | $2,087.30 – $20,290.72 |