Ercp biliary & pancreas at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$5,287.30
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.
$5,287.30
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.
$74.71 with United vs $4,494.20 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 |
|---|---|---|---|
| United | KSMGMCD | $74.71 | ↓ -99% |
| HealthyBlue | MGMCD | $76.20 | ↓ -99% |
| Sunflower State Health Plan | MCD | $76.95 | ↓ -99% |
| Aetna Better Health | MCD | $77.70 | ↓ -99% |
| Unicare | MGMCD | $77.70 | ↓ -99% |
| Amerigroup | MGMCD | $77.70 | ↓ -99% |
| Home State Health Plan | MCD | $78.45 | ↓ -99% |
| BCBS | Preferred-CareBlue(PPO) | $82.26 | ↓ -98% |
| BCBS | Blue-Care(HMO) | $82.26 | ↓ -98% |
| BCBS | BlueAccess | $82.26 | ↓ -98% |
| United | MOMGMCD | $93.39 | ↓ -98% |
| Multiplan | WCOMPMissouri | $162.42 | ↓ -97% |
| CorVel Corporation | KSWC | $192.87 | ↓ -96% |
| Multiplan | WCOMPKansas | $197.94 | ↓ -96% |
| OHA Network | KansasWCOMP | $200.99 | ↓ -96% |
| Aetna | IVLHIX | $202.82 | ↓ -96% |
| Aetna | KCCarePlus | $211.84 | ↓ -96% |
| Humana | EPO | $266.41 | ↓ -95% |
| Humana | ASO | $266.41 | ↓ -95% |
| Humana | HMO | $266.41 | ↓ -95% |
| Aetna | Local | $283.95 | ↓ -95% |
| Humana | POS | $343.90 | ↓ -93% |
| Humana | PPO | $343.90 | ↓ -93% |
| Aetna | National | $348.55 | ↓ -93% |
| Anthem MissouriCare | MissouriCareMGMCD | $687.35 | ↓ -87% |
| Ambetter | Commercial-Exchange | $983.44 | ↓ -81% |
| NHC Advantage | MGMCD | $1,004.59 | ↓ -81% |
| NHC Advantage | MGMCR | $1,004.59 | ↓ -81% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,057.46 | ↓ -80% |
| Coventry | MedicareAdvantage | $1,163.21 | ↓ -78% |
| Aetna Coventry | FamilyHealthPlanMCD | $1,216.08 | ↓ -77% |
| Cigna | SureFit/LocalPlus | $1,311.25 | ↓ -75% |
| United | OptionsPPO | $1,327.11 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $1,427.57 | ↓ -73% |
| Cigna | LocalKC | $1,560.81 | ↓ -70% |
| Universal Healthcare | MCR | $1,850.56 | ↓ -65% |
| Cigna | Comm | $1,951.01 | ↓ -63% |
| Aetna | FHMedicalRental | $2,125.49 | ↓ -60% |
| Coventry | WCOMP | $2,125.49 | ↓ -60% |
| BCBS | FreedomNetwork | $2,167.79 | ↓ -59% |
| BCBS | PC | $2,167.79 | ↓ -59% |
| Coventry KC MO | WCOMP | $2,167.79 | ↓ -59% |
| BCBS | Participating | $2,273.54 | ↓ -57% |
| BCBS | Traditional | $2,273.54 | ↓ -57% |
| College Park Family Care Center | COMM | $2,273.54 | ↓ -57% |
| United | GlobalBenefitPlan | $2,379.28 | ↓ -55% |
| OHA Network | MissouriWCOMP | $2,643.65 | ↓ -50% |
| Aetna | NATIONALNAP | $2,696.52 | ↓ -49% |
| Multiplan | PrimaryNetwork | $2,802.27 | ↓ -47% |
| CorVel Corporation | MOWC | $3,436.74 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $3,912.60 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3,965.47 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $4,229.84 | ↓ -20% |
| CCO, Inc. | COMM | $4,494.20 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $4,494.20 | ↓ -15% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $708.95 | $142.80 – $435.83 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $708.95 | $142.80 – $435.83 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $708.95 | $142.80 – $435.83 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $708.95 | $142.80 – $435.83 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $708.95 | $142.80 – $435.83 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,269.84 | $217.23 – $217.23 |
| Mercy Hospital Southeast | Cape Girardeau | $1,325.35 | $261.44 – $261.44 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,337.05 | $52.45 – $332.97 |