ER Visit (level 4) at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$4,370.12
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.
$4,370.12
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.
$105.00 with United vs $6,885.00 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 |
|---|---|---|---|
| United | KSMGMCD | $105.00 | ↓ -98% |
| HealthyBlue | MGMCD | $107.10 | ↓ -98% |
| Aetna Better Health | MCD | $109.20 | ↓ -98% |
| Amerigroup | MGMCD | $109.20 | ↓ -98% |
| Unicare | MGMCD | $109.20 | ↓ -98% |
| Home State Health Plan | MCD | $110.25 | ↓ -97% |
| United | MOMGMCD | $131.25 | ↓ -97% |
| Sunflower State Health Plan | MCD | $300.00 | ↓ -93% |
| United | OptionsPPO | $1,096.90 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $1,179.93 | ↓ -73% |
| Aetna | FHMedicalRental | $1,756.79 | ↓ -60% |
| Coventry | WCOMP | $1,756.79 | ↓ -60% |
| BCBS | PC | $1,791.75 | ↓ -59% |
| Coventry KC MO | WCOMP | $1,791.75 | ↓ -59% |
| BCBS | FreedomNetwork | $1,791.75 | ↓ -59% |
| Ambetter | Commercial-Exchange | $1,839.00 | ↓ -58% |
| BCBS | Traditional | $1,879.15 | ↓ -57% |
| BCBS | Participating | $1,879.15 | ↓ -57% |
| United | GlobalBenefitPlan | $1,966.55 | ↓ -55% |
| OHA Network | MissouriWCOMP | $2,185.06 | ↓ -50% |
| Aetna | NATIONALNAP | $2,228.76 | ↓ -49% |
| Oscar | HIX | $2,233.00 | ↓ -49% |
| Multiplan | PrimaryNetwork | $2,316.16 | ↓ -47% |
| United | AllPayerAppendix | $2,764.00 | ↓ -37% |
| CorVel Corporation | MOWC | $2,840.58 | ↓ -35% |
| BCBS | Blue-Care(HMO) | $3,064.00 | ↓ -30% |
| BCBS | BlueAccess | $3,064.00 | ↓ -30% |
| BCBS | Preferred-CareBlue(PPO) | $3,064.00 | ↓ -30% |
| Multiplan | ComplimentaryNetwork | $3,233.89 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3,277.59 | ↓ -25% |
| Multiplan | WCOMPMissouri | $3,496.10 | ↓ -20% |
| Aetna | IVLHIX | $3,682.00 | ↓ -16% |
| CCO, Inc. | WORKERSCOMPPPO | $3,714.60 | ↓ -15% |
| CCO, Inc. | COMM | $3,714.60 | ↓ -15% |
| Cigna | SureFit/LocalPlus | $4,181.00 | ↓ -4% |
| Aetna | KCCarePlus | $4,297.00 | ↓ -2% |
| Cigna | LocalKC | $4,986.00 | ↑ +14% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $5,300.00 | ↑ +21% |
| Aetna | Local | $5,558.00 | ↑ +27% |
| Cigna | Comm | $6,233.00 | ↑ +43% |
| Aetna | National | $6,885.00 | ↑ +58% |
| Humana | PPO | not published by hospital | — |
| Humana | ASO | not published by hospital | — |
| Humana | POS | not published by hospital | — |
| Humana | HMO | not published by hospital | — |
| Humana | EPO | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,277.65 | $417.94 – $501.52 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,277.65 | $417.94 – $501.52 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,676.40 | $142.72 – $501.52 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,277.65 | not published |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,277.65 | $417.94 – $501.52 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,277.65 | $417.94 – $501.52 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,239.18 | $415.64 – $752.28 |
| Mercy Hospital Aurora | Aurora | $1,678.30 | $73.00 – $559.02 |