Ghs phenylketonurid at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$567.99
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.
$567.99
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.
$2.79 with Cigna vs $482.79 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $2.79 | ↓ -100% |
| Cigna | LocalKC | $3.37 | ↓ -99% |
| Cigna | Comm | $4.19 | ↓ -99% |
| United | KSMGMCD | $4.68 | ↓ -99% |
| HealthyBlue | MGMCD | $4.77 | ↓ -99% |
| Sunflower State Health Plan | MCD | $4.82 | ↓ -99% |
| Unicare | MGMCD | $4.87 | ↓ -99% |
| Aetna Better Health | MCD | $4.87 | ↓ -99% |
| Amerigroup | MGMCD | $4.87 | ↓ -99% |
| Home State Health Plan | MCD | $4.91 | ↓ -99% |
| Aetna Coventry | FamilyHealthPlanMCD | $5.20 | ↓ -99% |
| BCBS | TRICARE | $5.29 | ↓ -99% |
| BCBS | MCRHMO | $5.45 | ↓ -99% |
| Coventry | MedicareAdvantage | $5.45 | ↓ -99% |
| BCBS | MCRPPO | $5.45 | ↓ -99% |
| Devoted Health | MGMCR | $5.50 | ↓ -99% |
| Humana | PFFS | $5.50 | ↓ -99% |
| Humana | MGMCRHMO | $5.50 | ↓ -99% |
| Humana | MGMCRPPO | $5.50 | ↓ -99% |
| United | VACCN | $5.50 | ↓ -99% |
| United | AllPayerAppendix | $5.50 | ↓ -99% |
| Wellcare | MCR | $5.61 | ↓ -99% |
| United | MGMCR | $5.61 | ↓ -99% |
| Cigna | HealthspringMGMCR | $5.61 | ↓ -99% |
| Celtic | MCR | $5.61 | ↓ -99% |
| United | MOMGMCD | $5.85 | ↓ -99% |
| Pyramid Life | MCR | $5.89 | ↓ -99% |
| Aetna | IVLHIX | $7.43 | ↓ -99% |
| Aetna | KCCarePlus | $7.76 | ↓ -99% |
| Oscar | HIX | $8.36 | ↓ -99% |
| Multiplan | WCOMPMissouri | $9.86 | ↓ -98% |
| Aetna | Local | $10.40 | ↓ -98% |
| BCBS | Preferred-CareBlue(PPO) | $11.59 | ↓ -98% |
| BCBS | Blue-Care(HMO) | $11.59 | ↓ -98% |
| BCBS | BlueAccess | $11.59 | ↓ -98% |
| CorVel Corporation | KSWC | $11.71 | ↓ -98% |
| Multiplan | WCOMPKansas | $12.02 | ↓ -98% |
| OHA Network | KansasWCOMP | $12.21 | ↓ -98% |
| Aetna | National | $12.77 | ↓ -98% |
| Humana | POS | $13.46 | ↓ -98% |
| Humana | ASO | $13.46 | ↓ -98% |
| Humana | HMO | $13.46 | ↓ -98% |
| Humana | EPO | $13.46 | ↓ -98% |
| Humana | PPO | $13.46 | ↓ -98% |
| Anthem MissouriCare | MissouriCareMGMCD | $73.84 | ↓ -87% |
| Ambetter | Commercial-Exchange | $105.65 | ↓ -81% |
| NHC Advantage | MGMCD | $107.92 | ↓ -81% |
| NHC Advantage | MGMCR | $107.92 | ↓ -81% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $113.60 | ↓ -80% |
| United | OptionsPPO | $142.57 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $153.36 | ↓ -73% |
| Universal Healthcare | MCR | $198.80 | ↓ -65% |
| Coventry | WCOMP | $228.33 | ↓ -60% |
| Aetna | FHMedicalRental | $228.33 | ↓ -60% |
| BCBS | FreedomNetwork | $232.88 | ↓ -59% |
| Coventry KC MO | WCOMP | $232.88 | ↓ -59% |
| BCBS | PC | $232.88 | ↓ -59% |
| BCBS | Participating | $244.24 | ↓ -57% |
| College Park Family Care Center | COMM | $244.24 | ↓ -57% |
| BCBS | Traditional | $244.24 | ↓ -57% |
| United | GlobalBenefitPlan | $255.60 | ↓ -55% |
| OHA Network | MissouriWCOMP | $284.00 | ↓ -50% |
| Aetna | NATIONALNAP | $289.67 | ↓ -49% |
| Multiplan | PrimaryNetwork | $301.03 | ↓ -47% |
| CorVel Corporation | MOWC | $369.19 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $420.31 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $425.99 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $454.39 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $482.79 | ↓ -15% |
| CCO, Inc. | COMM | $482.79 | ↓ -15% |
Visitor-reported prices
Comments
Ghs phenylketonurid at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $43.45 | $5.50 – $22.68 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $43.45 | $5.50 – $22.68 |
| SSM Health Saint Louis University Hospital | Saint Louis | $6.05 | $5.39 – $11.75 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $43.45 | $5.50 – $22.68 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $43.45 | $5.50 – $22.68 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $43.45 | $5.50 – $22.68 |
| Mercy Hospital Aurora | Aurora | $66.30 | $4.68 – $7.62 |
| Mercy Hospital Lincoln | Troy | $75.40 | $5.50 – $7.79 |