Ghs sensitivity (per antimicro) 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.
$3.79 with Cigna vs $44.48 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 | $3.79 | — |
| Cigna | LocalKC | $4.57 | — |
| Cigna | Comm | $5.69 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $6.80 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $7.07 | — |
| BCBS | TRICARE | $7.19 | — |
| BCBS | MCRHMO | $7.41 | — |
| Coventry | MedicareAdvantage | $7.41 | — |
| BCBS | MCRPPO | $7.41 | — |
| Humana | PFFS | $7.48 | — |
| United | KSMGMCD | $7.48 | — |
| United | VACCN | $7.48 | — |
| Devoted Health | MGMCR | $7.48 | — |
| United | AllPayerAppendix | $7.48 | — |
| Humana | MGMCRHMO | $7.48 | — |
| Humana | MGMCRPPO | $7.48 | — |
| Wellcare | MCR | $7.63 | — |
| HealthyBlue | MGMCD | $7.63 | — |
| Cigna | HealthspringMGMCR | $7.63 | — |
| Celtic | MCR | $7.63 | — |
| United | MGMCR | $7.63 | — |
| Sunflower State Health Plan | MCD | $7.70 | — |
| Aetna Better Health | MCD | $7.78 | — |
| Unicare | MGMCD | $7.78 | — |
| Amerigroup | MGMCD | $7.78 | — |
| Home State Health Plan | MCD | $7.85 | — |
| Pyramid Life | MCR | $8.00 | — |
| United | MOMGMCD | $9.35 | — |
| Ambetter | Commercial-Exchange | $9.73 | — |
| NHC Advantage | MGMCD | $9.94 | — |
| NHC Advantage | MGMCR | $9.94 | — |
| Aetna | IVLHIX | $10.10 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $10.47 | — |
| Aetna | KCCarePlus | $10.55 | — |
| Oscar | HIX | $11.37 | — |
| Multiplan | WCOMPMissouri | $12.46 | — |
| United | OptionsPPO | $13.13 | — |
| BCBS | FreedomNetworkSelect | $14.13 | — |
| Aetna | Local | $14.14 | — |
| BCBS | Blue-Care(HMO) | $14.54 | — |
| BCBS | Preferred-CareBlue(PPO) | $14.54 | — |
| BCBS | BlueAccess | $14.54 | — |
| CorVel Corporation | KSWC | $14.79 | — |
| Multiplan | WCOMPKansas | $15.18 | — |
| OHA Network | KansasWCOMP | $15.41 | — |
| Humana | HMO | $16.89 | — |
| Humana | PPO | $16.89 | — |
| Humana | EPO | $16.89 | — |
| Humana | ASO | $16.89 | — |
| Humana | POS | $16.89 | — |
| Aetna | National | $17.36 | — |
| Universal Healthcare | MCR | $18.32 | — |
| Aetna | FHMedicalRental | $21.04 | — |
| Coventry | WCOMP | $21.04 | — |
| BCBS | FreedomNetwork | $21.46 | — |
| Coventry KC MO | WCOMP | $21.46 | — |
| BCBS | PC | $21.46 | — |
| BCBS | Traditional | $22.50 | — |
| BCBS | Participating | $22.50 | — |
| College Park Family Care Center | COMM | $22.50 | — |
| United | GlobalBenefitPlan | $23.55 | — |
| OHA Network | MissouriWCOMP | $26.16 | — |
| Aetna | NATIONALNAP | $26.69 | — |
| Multiplan | PrimaryNetwork | $27.73 | — |
| CorVel Corporation | MOWC | $34.01 | — |
| Multiplan | ComplimentaryNetwork | $38.72 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $39.25 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $41.86 | — |
| CCO, Inc. | COMM | $44.48 | — |
| CCO, Inc. | WORKERSCOMPPPO | $44.48 | — |
Visitor-reported prices
Comments
Ghs sensitivity (per antimicro) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $78.10 | $7.48 – $28.42 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $78.10 | $7.48 – $28.42 |
| SSM Health Saint Louis University Hospital | Saint Louis | $77.00 | $7.33 – $14.72 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $78.10 | $7.48 – $28.42 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $78.10 | $7.48 – $28.42 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $78.10 | $7.48 – $28.42 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $56.10 | $6.73 – $13.46 |
| Mercy Hospital Aurora | Aurora | $66.95 | $7.48 – $10.36 |