#covid19rsv-rsv 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.
$35.59 with Cigna vs $162.87 with Aetna — 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 | $35.59 | — |
| Cigna | LocalKC | $42.89 | — |
| Cigna | Comm | $53.39 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $66.34 | — |
| BCBS | TRICARE | $67.52 | — |
| BCBS | MCRPPO | $69.50 | — |
| Coventry | MedicareAdvantage | $69.50 | — |
| BCBS | MCRHMO | $69.50 | — |
| United | AllPayerAppendix | $70.20 | — |
| Humana | PFFS | $70.20 | — |
| United | KSMGMCD | $70.20 | — |
| Humana | MGMCRHMO | $70.20 | — |
| Humana | MGMCRPPO | $70.20 | — |
| Devoted Health | MGMCR | $70.20 | — |
| United | VACCN | $70.20 | — |
| HealthyBlue | MGMCD | $71.60 | — |
| Wellcare | MCR | $71.60 | — |
| United | MGMCR | $71.60 | — |
| Cigna | HealthspringMGMCR | $71.60 | — |
| Celtic | MCR | $71.60 | — |
| Sunflower State Health Plan | MCD | $72.31 | — |
| Unicare | MGMCD | $73.01 | — |
| Aetna Better Health | MCD | $73.01 | — |
| Amerigroup | MGMCD | $73.01 | — |
| Home State Health Plan | MCD | $73.71 | — |
| Pyramid Life | MCR | $75.11 | — |
| United | MOMGMCD | $87.75 | — |
| Aetna | IVLHIX | $94.77 | — |
| Aetna | KCCarePlus | $98.98 | — |
| Oscar | HIX | $106.70 | — |
| Multiplan | WCOMPMissouri | $125.10 | — |
| Aetna | Local | $132.68 | — |
| CorVel Corporation | KSWC | $148.56 | — |
| Multiplan | WCOMPKansas | $152.47 | — |
| OHA Network | KansasWCOMP | $154.82 | — |
| Aetna | National | $162.87 | — |
Visitor-reported prices
Comments
#covid19rsv-rsv at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $135.85 | $70.20 – $97.30 |
| Mercy Hospital Lincoln | Troy | $150.80 | $70.20 – $97.30 |
| Mercy Hospital Carthage | Carthage | $128.70 | $62.44 – $259.95 |
| Mercy Hospital Southeast | Cape Girardeau | $157.95 | $63.18 – $252.16 |
| Mercy Hospital Stoddard | Dexter | $137.15 | $63.18 – $245.70 |
| Mercy Orthopedic Hospital Springfield | Ozark | $102.70 | $53.49 – $410.75 |
| Mercy Primary Care - Bernie | Bernie | $65.25 | $29.48 – $87.00 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $70.20 – $289.44 |