Consultation/report referred slides prepared elsewhere at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$1,273.56
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.
$1,273.56
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.
$31.54 with Aetna Coventry vs $1,082.53 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 |
|---|---|---|---|
| Aetna Coventry | FamilyHealthPlanMCD | $31.54 | ↓ -98% |
| United | AllPayerAppendix | $33.84 | ↓ -97% |
| Cigna | SureFit/LocalPlus | $40.51 | ↓ -97% |
| Cigna | LocalKC | $48.81 | ↓ -96% |
| Cigna | Comm | $60.76 | ↓ -95% |
| United | KSMGMCD | $76.51 | ↓ -94% |
| HealthyBlue | MGMCD | $78.04 | ↓ -94% |
| Sunflower State Health Plan | MCD | $78.81 | ↓ -94% |
| Aetna Better Health | MCD | $79.57 | ↓ -94% |
| Amerigroup | MGMCD | $79.57 | ↓ -94% |
| Unicare | MGMCD | $79.57 | ↓ -94% |
| Home State Health Plan | MCD | $80.34 | ↓ -94% |
| United | MOMGMCD | $95.64 | ↓ -92% |
| BCBS | Blue-Care(HMO) | $130.89 | ↓ -90% |
| BCBS | BlueAccess | $130.89 | ↓ -90% |
| BCBS | Preferred-CareBlue(PPO) | $130.89 | ↓ -90% |
| Multiplan | WCOMPMissouri | $151.58 | ↓ -88% |
| Anthem MissouriCare | MissouriCareMGMCD | $165.56 | ↓ -87% |
| CorVel Corporation | KSWC | $180.01 | ↓ -86% |
| Multiplan | WCOMPKansas | $184.74 | ↓ -85% |
| OHA Network | KansasWCOMP | $187.59 | ↓ -85% |
| Ambetter | Commercial-Exchange | $236.88 | ↓ -81% |
| NHC Advantage | MGMCR | $241.98 | ↓ -81% |
| Oscar | HIX | $241.98 | ↓ -81% |
| NHC Advantage | MGMCD | $241.98 | ↓ -81% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $254.71 | ↓ -80% |
| Humana | HMO | $268.72 | ↓ -79% |
| Humana | ASO | $268.72 | ↓ -79% |
| Humana | EPO | $268.72 | ↓ -79% |
| United | OptionsPPO | $319.66 | ↓ -75% |
| Humana | PPO | $337.49 | ↓ -74% |
| Humana | POS | $337.49 | ↓ -74% |
| BCBS | FreedomNetworkSelect | $343.86 | ↓ -73% |
| Aetna | IVLHIX | $389.71 | ↓ -69% |
| Aetna | KCCarePlus | $419.00 | ↓ -67% |
| Universal Healthcare | MCR | $445.75 | ↓ -65% |
| Aetna | Local | $500.51 | ↓ -61% |
| Aetna | FHMedicalRental | $511.97 | ↓ -60% |
| Coventry | WCOMP | $511.97 | ↓ -60% |
| BCBS | FreedomNetwork | $522.16 | ↓ -59% |
| Coventry KC MO | WCOMP | $522.16 | ↓ -59% |
| BCBS | PC | $522.16 | ↓ -59% |
| BCBS | Traditional | $547.63 | ↓ -57% |
| College Park Family Care Center | COMM | $547.63 | ↓ -57% |
| BCBS | Participating | $547.63 | ↓ -57% |
| United | GlobalBenefitPlan | $573.10 | ↓ -55% |
| Aetna | National | $612.58 | ↓ -52% |
| OHA Network | MissouriWCOMP | $636.78 | ↓ -50% |
| Aetna | NATIONALNAP | $649.52 | ↓ -49% |
| Multiplan | PrimaryNetwork | $674.99 | ↓ -47% |
| CorVel Corporation | MOWC | $827.81 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $942.43 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $955.17 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $1,018.85 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $1,082.53 | ↓ -15% |
| CCO, Inc. | COMM | $1,082.53 | ↓ -15% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $154.00 | $33.84 – $291.45 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $154.00 | $33.84 – $291.45 |
| SSM Health Saint Louis University Hospital | Saint Louis | $69.85 | $33.84 – $150.96 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $154.00 | $33.84 – $291.45 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $154.00 | $33.84 – $291.45 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $154.00 | $33.84 – $291.45 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $120.45 | $30.46 – $67.34 |
| Mercy Hospital Aurora | Aurora | $182.00 | $38.57 – $76.51 |