Compatibility test incubate 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.46 with Cigna vs $347.89 with CCO, Inc. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.46 | — |
| Cigna | LocalKC | $0.55 | — |
| Cigna | Comm | $0.69 | — |
| Humana | ASO | $35.65 | — |
| Humana | PPO | $35.65 | — |
| Humana | EPO | $35.65 | — |
| Humana | HMO | $35.65 | — |
| Humana | POS | $35.65 | — |
| Multiplan | WCOMPMissouri | $48.28 | — |
| BCBS | BlueAccess | $51.05 | — |
| BCBS | Blue-Care(HMO) | $51.05 | — |
| BCBS | Preferred-CareBlue(PPO) | $51.05 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $53.21 | — |
| CorVel Corporation | KSWC | $57.33 | — |
| Multiplan | WCOMPKansas | $58.84 | — |
| OHA Network | KansasWCOMP | $59.75 | — |
| Ambetter | Commercial-Exchange | $76.13 | — |
| NHC Advantage | MGMCR | $77.76 | — |
| Oscar | HIX | $77.76 | — |
| NHC Advantage | MGMCD | $77.76 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $81.86 | — |
| HealthyBlue | MGMCD | $81.86 | — |
| United | OptionsPPO | $102.73 | — |
| BCBS | FreedomNetworkSelect | $110.51 | — |
| Aetna Better Health | MCD | $122.78 | — |
| Aetna | IVLHIX | $125.24 | — |
| Aetna | KCCarePlus | $134.65 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $138.95 | — |
| Universal Healthcare | MCR | $143.25 | — |
| United | AllPayerAppendix | $149.16 | — |
| Aetna | Local | $160.85 | — |
| Coventry | WCOMP | $164.53 | — |
| Aetna | FHMedicalRental | $164.53 | — |
| BCBS | FreedomNetwork | $167.80 | — |
| Coventry KC MO | WCOMP | $167.80 | — |
| BCBS | PC | $167.80 | — |
| BCBS | Participating | $175.99 | — |
| BCBS | Traditional | $175.99 | — |
| College Park Family Care Center | COMM | $175.99 | — |
| United | GlobalBenefitPlan | $184.18 | — |
| Aetna | National | $196.86 | — |
| OHA Network | MissouriWCOMP | $204.64 | — |
| Aetna | NATIONALNAP | $208.73 | — |
| Multiplan | PrimaryNetwork | $216.92 | — |
| CorVel Corporation | MOWC | $266.03 | — |
| Multiplan | ComplimentaryNetwork | $302.87 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $306.96 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $327.42 | — |
| CCO, Inc. | COMM | $347.89 | — |
| CCO, Inc. | WORKERSCOMPPPO | $347.89 | — |
Visitor-reported prices
Comments
Compatibility test incubate at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $94.05 | $30.37 – $204.77 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $94.05 | $30.37 – $204.77 |
| SSM Health Saint Louis University Hospital | Saint Louis | $112.75 | $34.87 – $204.77 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $94.05 | $30.37 – $149.16 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $94.05 | $30.37 – $204.77 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $94.05 | $30.37 – $204.77 |
| Mercy Hospital Aurora | Aurora | $47.45 | $22.26 – $224.98 |
| Mercy Hospital Lincoln | Troy | $71.50 | $19.78 – $224.98 |