Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) 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.
$1,048.57 with United vs $14,300.00 with WPPA ProviDrs Care Network — 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 | $1,048.57 | — |
| HealthyBlue | MGMCD | $1,069.54 | — |
| Sunflower State Health Plan | MCD | $1,080.03 | — |
| Aetna Better Health | MCD | $1,090.51 | — |
| Unicare | MGMCD | $1,090.51 | — |
| Amerigroup | MGMCD | $1,090.51 | — |
| Home State Health Plan | MCD | $1,101.00 | — |
| United | MOMGMCD | $1,310.71 | — |
| Humana | HMO | $3,291.00 | — |
| Humana | ASO | $3,291.00 | — |
| Humana | EPO | $3,291.00 | — |
| Humana | PPO | $4,081.00 | — |
| Humana | POS | $4,081.00 | — |
| Multiplan | WCOMPMissouri | $4,232.06 | — |
| Universal Healthcare | MCR | $4,250.00 | — |
| Aetna | IVLHIX | $4,902.00 | — |
| NHC Advantage | MGMCR | $4,950.00 | — |
| NHC Advantage | MGMCD | $4,950.00 | — |
| CorVel Corporation | KSWC | $5,025.58 | — |
| Multiplan | WCOMPKansas | $5,157.83 | — |
| OHA Network | KansasWCOMP | $5,237.18 | — |
| Aetna | KCCarePlus | $5,752.00 | — |
| Cigna | SureFit/LocalPlus | $7,563.00 | — |
| Multiplan | PrimaryNetwork | $7,600.00 | — |
| Aetna | Local | $8,710.00 | — |
| Cigna | LocalKC | $9,019.00 | — |
| Ambetter | Commercial-Exchange | $9,040.00 | — |
| Oscar | HIX | $9,733.00 | — |
| Aetna | National | $9,823.00 | — |
| Cigna | Comm | $11,274.00 | — |
| United | AllPayerAppendix | $12,989.00 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $14,300.00 | — |
Visitor-reported prices
Comments
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Carthage | Carthage | $7,486.60 | $1,048.57 – $6,685.74 |
| Mercy Hospital Southeast | Cape Girardeau | $35,853.41 | $586.38 – $46,630.14 |
| Mercy Orthopedic Hospital Springfield | Ozark | $22,452.96 | $297.00 – $7,145.61 |
| Mercy Primary Care - Bernie | Bernie | $654.75 | $512.01 – $873.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $705.27 – $7,994.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $705.27 – $7,994.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $809.81 – $4,737.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $705.27 – $7,994.00 |