Immune complex assay 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.
$12.36 with Cigna vs $668.75 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 | $12.36 | — |
| Cigna | LocalKC | $14.89 | — |
| Cigna | Comm | $18.53 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $23.03 | — |
| BCBS | TRICARE | $23.44 | — |
| BCBS | MCRPPO | $24.13 | — |
| Coventry | MedicareAdvantage | $24.13 | — |
| BCBS | MCRHMO | $24.13 | — |
| Devoted Health | MGMCR | $24.37 | — |
| Humana | PFFS | $24.37 | — |
| Humana | MGMCRHMO | $24.37 | — |
| Humana | MGMCRPPO | $24.37 | — |
| United | VACCN | $24.37 | — |
| United | AllPayerAppendix | $24.37 | — |
| Celtic | MCR | $24.86 | — |
| Cigna | HealthspringMGMCR | $24.86 | — |
| Wellcare | MCR | $24.86 | — |
| United | MGMCR | $24.86 | — |
| Pyramid Life | MCR | $26.08 | — |
| Aetna | IVLHIX | $32.90 | — |
| Aetna | KCCarePlus | $34.36 | — |
| Oscar | HIX | $37.04 | — |
| Multiplan | WCOMPMissouri | $43.61 | — |
| Aetna | Local | $46.06 | — |
| BCBS | BlueAccess | $51.34 | — |
| BCBS | Blue-Care(HMO) | $51.34 | — |
| BCBS | Preferred-CareBlue(PPO) | $51.34 | — |
| CorVel Corporation | KSWC | $51.78 | — |
| Humana | HMO | $52.29 | — |
| Humana | PPO | $52.29 | — |
| Humana | EPO | $52.29 | — |
| Humana | ASO | $52.29 | — |
| Humana | POS | $52.29 | — |
| Multiplan | WCOMPKansas | $53.15 | — |
| OHA Network | KansasWCOMP | $53.96 | — |
| Aetna | National | $56.54 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $102.28 | — |
| Ambetter | Commercial-Exchange | $146.34 | — |
| NHC Advantage | MGMCD | $149.48 | — |
| NHC Advantage | MGMCR | $149.48 | — |
| HealthyBlue | MGMCD | $157.35 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $157.35 | — |
| United | OptionsPPO | $197.48 | — |
| BCBS | FreedomNetworkSelect | $212.43 | — |
| Aetna Better Health | MCD | $236.03 | — |
| Universal Healthcare | MCR | $275.37 | — |
| Coventry | WCOMP | $316.28 | — |
| Aetna | FHMedicalRental | $316.28 | — |
| BCBS | PC | $322.57 | — |
| BCBS | FreedomNetwork | $322.57 | — |
| Coventry KC MO | WCOMP | $322.57 | — |
| College Park Family Care Center | COMM | $338.31 | — |
| BCBS | Traditional | $338.31 | — |
| BCBS | Participating | $338.31 | — |
| United | GlobalBenefitPlan | $354.04 | — |
| OHA Network | MissouriWCOMP | $393.38 | — |
| Aetna | NATIONALNAP | $401.25 | — |
| Multiplan | PrimaryNetwork | $416.98 | — |
| CorVel Corporation | MOWC | $511.39 | — |
| Multiplan | ComplimentaryNetwork | $582.20 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $590.07 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $629.41 | — |
| CCO, Inc. | COMM | $668.75 | — |
| CCO, Inc. | WORKERSCOMPPPO | $668.75 | — |
Visitor-reported prices
Comments
Immune complex assay at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $61.05 | $24.37 – $100.50 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $61.05 | $24.37 – $100.50 |
| SSM Health Saint Louis University Hospital | Saint Louis | $63.80 | $23.88 – $52.06 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $61.05 | $24.37 – $100.50 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $61.05 | $24.37 – $100.50 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $61.05 | $24.37 – $100.50 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $85.25 | $21.93 – $43.87 |
| Mercy Hospital Aurora | Aurora | $133.25 | $25.13 – $33.77 |