Cdna analysis for variants 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.
$93.90 with Cigna vs $1,223.31 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 | $93.90 | — |
| Cigna | LocalKC | $113.16 | — |
| Cigna | Comm | $140.84 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $175.01 | — |
| BCBS | MCRPPO | $183.35 | — |
| BCBS | MCRHMO | $183.35 | — |
| Coventry | MedicareAdvantage | $183.35 | — |
| United | AllPayerAppendix | $185.20 | — |
| Humana | PFFS | $185.20 | — |
| Humana | MGMCRHMO | $185.20 | — |
| Humana | MGMCRPPO | $185.20 | — |
| Devoted Health | MGMCR | $185.20 | — |
| United | VACCN | $185.20 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $187.09 | — |
| Cigna | HealthspringMGMCR | $188.90 | — |
| Wellcare | MCR | $188.90 | — |
| United | MGMCR | $188.90 | — |
| Celtic | MCR | $188.90 | — |
| Pyramid Life | MCR | $198.16 | — |
| Aetna | IVLHIX | $250.02 | — |
| Aetna | KCCarePlus | $261.13 | — |
| Multiplan | WCOMPMissouri | $266.82 | — |
| Ambetter | Commercial-Exchange | $267.69 | — |
| NHC Advantage | MGMCD | $273.45 | — |
| NHC Advantage | MGMCR | $273.45 | — |
| Oscar | HIX | $281.50 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $287.84 | — |
| HealthyBlue | MGMCD | $287.84 | — |
| Humana | ASO | $303.67 | — |
| Humana | EPO | $303.67 | — |
| Humana | HMO | $303.67 | — |
| CorVel Corporation | KSWC | $316.85 | — |
| Multiplan | WCOMPKansas | $325.19 | — |
| OHA Network | KansasWCOMP | $330.19 | — |
| Aetna | Local | $350.03 | — |
| United | OptionsPPO | $361.24 | — |
| Humana | POS | $381.39 | — |
| Humana | PPO | $381.39 | — |
| BCBS | FreedomNetworkSelect | $388.58 | — |
| Aetna | National | $429.67 | — |
| BCBS | Preferred-CareBlue(PPO) | $431.76 | — |
| Aetna Better Health | MCD | $431.76 | — |
| BCBS | BlueAccess | $431.76 | — |
| BCBS | Blue-Care(HMO) | $431.76 | — |
| Universal Healthcare | MCR | $503.72 | — |
| Aetna | FHMedicalRental | $578.55 | — |
| Coventry | WCOMP | $578.55 | — |
| BCBS | FreedomNetwork | $590.07 | — |
| BCBS | PC | $590.07 | — |
| Coventry KC MO | WCOMP | $590.07 | — |
| BCBS | Traditional | $618.85 | — |
| College Park Family Care Center | COMM | $618.85 | — |
| BCBS | Participating | $618.85 | — |
| United | GlobalBenefitPlan | $647.64 | — |
| OHA Network | MissouriWCOMP | $719.60 | — |
| Aetna | NATIONALNAP | $733.99 | — |
| Multiplan | PrimaryNetwork | $762.77 | — |
| CorVel Corporation | MOWC | $935.47 | — |
| Multiplan | ComplimentaryNetwork | $1,065.00 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,079.39 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $1,151.35 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,223.31 | — |
| CCO, Inc. | COMM | $1,223.31 | — |
Visitor-reported prices
Comments
Cdna analysis for variants at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $478.50 | $185.20 – $618.57 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $478.50 | $185.20 – $618.57 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,177.55 | $181.50 – $320.40 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $478.50 | $185.20 – $618.57 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $478.50 | $185.20 – $618.57 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $478.50 | $185.20 – $618.57 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $805.20 | $166.68 – $333.36 |
| Mercy Hospital Aurora | Aurora | $529.10 | $125.76 – $256.69 |