Carotene at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$681.21
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.
$681.21
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.
$4.67 with Cigna vs $579.03 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 | $4.67 | ↓ -99% |
| Cigna | LocalKC | $5.63 | ↓ -99% |
| Cigna | Comm | $7.01 | ↓ -99% |
| Aetna Coventry | FamilyHealthPlanMCD | $8.72 | ↓ -99% |
| BCBS | TRICARE | $8.87 | ↓ -99% |
| BCBS | MCRHMO | $9.13 | ↓ -99% |
| BCBS | MCRPPO | $9.13 | ↓ -99% |
| Coventry | MedicareAdvantage | $9.13 | ↓ -99% |
| Devoted Health | MGMCR | $9.22 | ↓ -99% |
| Humana | PFFS | $9.22 | ↓ -99% |
| Humana | MGMCRHMO | $9.22 | ↓ -99% |
| Humana | MGMCRPPO | $9.22 | ↓ -99% |
| United | KSMGMCD | $9.22 | ↓ -99% |
| United | VACCN | $9.22 | ↓ -99% |
| United | AllPayerAppendix | $9.22 | ↓ -99% |
| Celtic | MCR | $9.40 | ↓ -99% |
| Cigna | HealthspringMGMCR | $9.40 | ↓ -99% |
| HealthyBlue | MGMCD | $9.40 | ↓ -99% |
| Wellcare | MCR | $9.40 | ↓ -99% |
| United | MGMCR | $9.40 | ↓ -99% |
| Sunflower State Health Plan | MCD | $9.50 | ↓ -99% |
| Aetna Better Health | MCD | $9.59 | ↓ -99% |
| Unicare | MGMCD | $9.59 | ↓ -99% |
| Amerigroup | MGMCD | $9.59 | ↓ -99% |
| Home State Health Plan | MCD | $9.68 | ↓ -99% |
| Pyramid Life | MCR | $9.87 | ↓ -99% |
| United | MOMGMCD | $11.53 | ↓ -98% |
| Aetna | IVLHIX | $12.45 | ↓ -98% |
| Aetna | KCCarePlus | $13.00 | ↓ -98% |
| Oscar | HIX | $14.01 | ↓ -98% |
| Multiplan | WCOMPMissouri | $16.61 | ↓ -98% |
| Aetna | Local | $17.43 | ↓ -97% |
| BCBS | Preferred-CareBlue(PPO) | $19.42 | ↓ -97% |
| BCBS | Blue-Care(HMO) | $19.42 | ↓ -97% |
| BCBS | BlueAccess | $19.42 | ↓ -97% |
| CorVel Corporation | KSWC | $19.72 | ↓ -97% |
| Multiplan | WCOMPKansas | $20.24 | ↓ -97% |
| OHA Network | KansasWCOMP | $20.55 | ↓ -97% |
| Aetna | National | $21.40 | ↓ -97% |
| Humana | POS | $22.57 | ↓ -97% |
| Humana | ASO | $22.57 | ↓ -97% |
| Humana | HMO | $22.57 | ↓ -97% |
| Humana | EPO | $22.57 | ↓ -97% |
| Humana | PPO | $22.57 | ↓ -97% |
| Anthem MissouriCare | MissouriCareMGMCD | $88.56 | ↓ -87% |
| Ambetter | Commercial-Exchange | $126.71 | ↓ -81% |
| NHC Advantage | MGMCD | $129.43 | ↓ -81% |
| NHC Advantage | MGMCR | $129.43 | ↓ -81% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $136.24 | ↓ -80% |
| United | OptionsPPO | $170.98 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $183.93 | ↓ -73% |
| Universal Healthcare | MCR | $238.42 | ↓ -65% |
| Coventry | WCOMP | $273.85 | ↓ -60% |
| Aetna | FHMedicalRental | $273.85 | ↓ -60% |
| BCBS | FreedomNetwork | $279.30 | ↓ -59% |
| Coventry KC MO | WCOMP | $279.30 | ↓ -59% |
| BCBS | PC | $279.30 | ↓ -59% |
| BCBS | Participating | $292.92 | ↓ -57% |
| College Park Family Care Center | COMM | $292.92 | ↓ -57% |
| BCBS | Traditional | $292.92 | ↓ -57% |
| United | GlobalBenefitPlan | $306.54 | ↓ -55% |
| OHA Network | MissouriWCOMP | $340.61 | ↓ -50% |
| Aetna | NATIONALNAP | $347.42 | ↓ -49% |
| Multiplan | PrimaryNetwork | $361.04 | ↓ -47% |
| CorVel Corporation | MOWC | $442.79 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $504.10 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $510.91 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $544.97 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $579.03 | ↓ -15% |
| CCO, Inc. | COMM | $579.03 | ↓ -15% |
Visitor-reported prices
Comments
Carotene at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $53.35 | $9.22 – $38.04 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $53.35 | $9.22 – $38.04 |
| SSM Health Saint Louis University Hospital | Saint Louis | $63.80 | $9.04 – $19.70 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $53.35 | $9.22 – $38.04 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $53.35 | $9.22 – $38.04 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $53.35 | $9.22 – $38.04 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $118.25 | $8.30 – $16.60 |
| Mercy Hospital Aurora | Aurora | $107.25 | $9.22 – $12.78 |