Established Patient Office Visit (level 4) 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.
$137.30 with Anthem MissouriCare vs $897.70 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 |
|---|---|---|---|
| Anthem MissouriCare | MissouriCareMGMCD | $137.30 | — |
| Humana | HMO | $163.50 | — |
| Humana | EPO | $163.50 | — |
| Humana | ASO | $163.50 | — |
| NHC Advantage | MGMCR | $200.66 | — |
| NHC Advantage | MGMCD | $200.66 | — |
| Humana | PPO | $203.10 | — |
| Humana | POS | $203.10 | — |
| HealthyBlue | MGMCD | $211.22 | — |
| Coventry | MedicareAdvantage | $232.35 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $242.91 | — |
| United | OptionsPPO | $265.09 | — |
| BCBS | FreedomNetworkSelect | $285.15 | — |
| Aetna Better Health | MCD | $316.84 | — |
| Universal Healthcare | MCR | $369.64 | — |
| Aetna | FHMedicalRental | $424.56 | — |
| Coventry | WCOMP | $424.56 | — |
| Coventry KC MO | WCOMP | $433.01 | — |
| College Park Family Care Center | COMM | $454.13 | — |
| United | GlobalBenefitPlan | $475.25 | — |
| OHA Network | MissouriWCOMP | $528.06 | — |
| Aetna | NATIONALNAP | $538.62 | — |
| Multiplan | PrimaryNetwork | $559.74 | — |
| CorVel Corporation | MOWC | $686.48 | — |
| Multiplan | ComplimentaryNetwork | $781.53 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $792.09 | — |
| Multiplan | WCOMPMissouri | $844.90 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $844.90 | — |
| CCO, Inc. | COMM | $897.70 | — |
| CCO, Inc. | WORKERSCOMPPPO | $897.70 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $168.85 | $2,302.00 – $2,302.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $168.85 | $2,302.00 – $2,302.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $308.00 | $94.15 – $3,085.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $168.85 | $2,302.00 – $2,302.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $168.85 | $2,302.00 – $2,302.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $168.85 | $2,302.00 – $2,302.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $166.65 | not published |
| Mercy Hospital Aurora | Aurora | $163.80 | $85.19 – $87.00 |