Infectious agent nucleic acid quantification bk virus 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.72 with Cigna vs $596.96 with CCO, Inc. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $21.72 | — |
| Cigna | LocalKC | $26.18 | — |
| Cigna | Comm | $32.58 | — |
| United | KSMGMCD | $36.41 | — |
| HealthyBlue | MGMCD | $37.14 | — |
| Sunflower State Health Plan | MCD | $37.50 | — |
| Unicare | MGMCD | $37.87 | — |
| Aetna Better Health | MCD | $37.87 | — |
| Amerigroup | MGMCD | $37.87 | — |
| Home State Health Plan | MCD | $38.23 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $40.49 | — |
| BCBS | TRICARE | $41.20 | — |
| BCBS | MCRHMO | $42.41 | — |
| Coventry | MedicareAdvantage | $42.41 | — |
| BCBS | MCRPPO | $42.41 | — |
| Devoted Health | MGMCR | $42.84 | — |
| Humana | PFFS | $42.84 | — |
| Humana | MGMCRHMO | $42.84 | — |
| Humana | MGMCRPPO | $42.84 | — |
| United | VACCN | $42.84 | — |
| United | AllPayerAppendix | $42.84 | — |
| Wellcare | MCR | $43.70 | — |
| United | MGMCR | $43.70 | — |
| Cigna | HealthspringMGMCR | $43.70 | — |
| Celtic | MCR | $43.70 | — |
| United | MOMGMCD | $45.51 | — |
| Pyramid Life | MCR | $45.84 | — |
| Aetna | IVLHIX | $57.84 | — |
| Aetna | KCCarePlus | $60.41 | — |
| Oscar | HIX | $65.12 | — |
| Multiplan | WCOMPMissouri | $76.31 | — |
| Aetna | Local | $80.97 | — |
| BCBS | Blue-Care(HMO) | $90.23 | — |
| BCBS | Preferred-CareBlue(PPO) | $90.23 | — |
| BCBS | BlueAccess | $90.23 | — |
| CorVel Corporation | KSWC | $90.62 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $91.30 | — |
| Multiplan | WCOMPKansas | $93.01 | — |
| OHA Network | KansasWCOMP | $94.44 | — |
| Aetna | National | $99.39 | — |
| Humana | POS | $104.83 | — |
| Humana | ASO | $104.83 | — |
| Humana | HMO | $104.83 | — |
| Humana | EPO | $104.83 | — |
| Humana | PPO | $104.83 | — |
| Ambetter | Commercial-Exchange | $130.63 | — |
| NHC Advantage | MGMCD | $133.44 | — |
| NHC Advantage | MGMCR | $133.44 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $140.46 | — |
| United | OptionsPPO | $176.28 | — |
| BCBS | FreedomNetworkSelect | $189.62 | — |
| Universal Healthcare | MCR | $245.81 | — |
| Coventry | WCOMP | $282.33 | — |
| Aetna | FHMedicalRental | $282.33 | — |
| BCBS | FreedomNetwork | $287.95 | — |
| Coventry KC MO | WCOMP | $287.95 | — |
| BCBS | PC | $287.95 | — |
| BCBS | Participating | $301.99 | — |
| College Park Family Care Center | COMM | $301.99 | — |
| BCBS | Traditional | $301.99 | — |
| United | GlobalBenefitPlan | $316.04 | — |
| OHA Network | MissouriWCOMP | $351.15 | — |
| Aetna | NATIONALNAP | $358.18 | — |
| Multiplan | PrimaryNetwork | $372.22 | — |
| CorVel Corporation | MOWC | $456.50 | — |
| Multiplan | ComplimentaryNetwork | $519.71 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $526.73 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $561.85 | — |
| CCO, Inc. | WORKERSCOMPPPO | $596.96 | — |
| CCO, Inc. | COMM | $596.96 | — |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification bk virus at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $386.65 | $42.84 – $176.62 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $386.65 | $42.84 – $176.62 |
| SSM Health Saint Louis University Hospital | Saint Louis | $232.10 | $41.98 – $91.48 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $386.65 | $42.84 – $176.62 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $386.65 | $42.84 – $176.62 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $386.65 | $42.84 – $176.62 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $320.65 | $38.56 – $77.11 |
| Mercy Hospital Aurora | Aurora | $393.25 | $36.41 – $59.38 |