Bilirubin direct 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.
$2.54 with Cigna vs $340.89 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 | $2.54 | — |
| Cigna | LocalKC | $3.06 | — |
| Cigna | Comm | $3.81 | — |
| United | KSMGMCD | $4.27 | — |
| HealthyBlue | MGMCD | $4.36 | — |
| Sunflower State Health Plan | MCD | $4.40 | — |
| Unicare | MGMCD | $4.44 | — |
| Aetna Better Health | MCD | $4.44 | — |
| Amerigroup | MGMCD | $4.44 | — |
| Home State Health Plan | MCD | $4.48 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $4.75 | — |
| BCBS | TRICARE | $4.83 | — |
| BCBS | MCRHMO | $4.97 | — |
| Coventry | MedicareAdvantage | $4.97 | — |
| BCBS | MCRPPO | $4.97 | — |
| Devoted Health | MGMCR | $5.02 | — |
| Humana | PFFS | $5.02 | — |
| Humana | MGMCRHMO | $5.02 | — |
| Humana | MGMCRPPO | $5.02 | — |
| United | VACCN | $5.02 | — |
| United | AllPayerAppendix | $5.02 | — |
| Wellcare | MCR | $5.12 | — |
| United | MGMCR | $5.12 | — |
| Cigna | HealthspringMGMCR | $5.12 | — |
| Celtic | MCR | $5.12 | — |
| United | MOMGMCD | $5.34 | — |
| Pyramid Life | MCR | $5.37 | — |
| Aetna | IVLHIX | $6.78 | — |
| Aetna | KCCarePlus | $7.08 | — |
| BCBS | Preferred-CareBlue(PPO) | $7.54 | — |
| BCBS | BlueAccess | $7.54 | — |
| BCBS | Blue-Care(HMO) | $7.54 | — |
| Oscar | HIX | $7.63 | — |
| Multiplan | WCOMPMissouri | $8.82 | — |
| Aetna | Local | $9.49 | — |
| CorVel Corporation | KSWC | $10.48 | — |
| Multiplan | WCOMPKansas | $10.75 | — |
| OHA Network | KansasWCOMP | $10.92 | — |
| Aetna | National | $11.65 | — |
| Humana | PPO | $12.28 | — |
| Humana | EPO | $12.28 | — |
| Humana | HMO | $12.28 | — |
| Humana | ASO | $12.28 | — |
| Humana | POS | $12.28 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $52.14 | — |
| Ambetter | Commercial-Exchange | $74.60 | — |
| NHC Advantage | MGMCD | $76.20 | — |
| NHC Advantage | MGMCR | $76.20 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $80.21 | — |
| United | OptionsPPO | $100.66 | — |
| BCBS | FreedomNetworkSelect | $108.28 | — |
| Universal Healthcare | MCR | $140.37 | — |
| Coventry | WCOMP | $161.22 | — |
| Aetna | FHMedicalRental | $161.22 | — |
| BCBS | FreedomNetwork | $164.43 | — |
| Coventry KC MO | WCOMP | $164.43 | — |
| BCBS | PC | $164.43 | — |
| BCBS | Participating | $172.45 | — |
| College Park Family Care Center | COMM | $172.45 | — |
| BCBS | Traditional | $172.45 | — |
| United | GlobalBenefitPlan | $180.47 | — |
| OHA Network | MissouriWCOMP | $200.53 | — |
| Aetna | NATIONALNAP | $204.54 | — |
| Multiplan | PrimaryNetwork | $212.56 | — |
| CorVel Corporation | MOWC | $260.68 | — |
| Multiplan | ComplimentaryNetwork | $296.78 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $300.79 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $320.84 | — |
| CCO, Inc. | WORKERSCOMPPPO | $340.89 | — |
| CCO, Inc. | COMM | $340.89 | — |
Visitor-reported prices
Comments
Bilirubin direct at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $37.40 | $5.02 – $20.67 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $37.40 | $5.02 – $20.67 |
| SSM Health Saint Louis University Hospital | Saint Louis | $44.00 | $4.92 – $10.71 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $37.40 | $5.02 – $20.67 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $37.40 | $5.02 – $20.67 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $37.40 | $5.02 – $20.67 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $24.75 | $4.52 – $9.04 |
| Mercy Hospital Aurora | Aurora | $63.70 | $4.27 – $6.96 |