Mopath procedure level 5 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.
$139.34 with Cigna vs $2,935.92 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 | $139.34 | — |
| Cigna | LocalKC | $167.92 | — |
| Cigna | Comm | $209.01 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $259.72 | — |
| BCBS | MCRHMO | $272.08 | — |
| BCBS | MCRPPO | $272.08 | — |
| Coventry | MedicareAdvantage | $272.08 | — |
| United | AllPayerAppendix | $274.83 | — |
| Humana | PFFS | $274.83 | — |
| Humana | MGMCRHMO | $274.83 | — |
| Humana | MGMCRPPO | $274.83 | — |
| Devoted Health | MGMCR | $274.83 | — |
| United | VACCN | $274.83 | — |
| Cigna | HealthspringMGMCR | $280.33 | — |
| Wellcare | MCR | $280.33 | — |
| United | MGMCR | $280.33 | — |
| Celtic | MCR | $280.33 | — |
| Pyramid Life | MCR | $294.07 | — |
| Aetna | IVLHIX | $371.02 | — |
| Aetna | KCCarePlus | $387.51 | — |
| Multiplan | WCOMPMissouri | $396.09 | — |
| Oscar | HIX | $417.74 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $449.02 | — |
| CorVel Corporation | KSWC | $470.35 | — |
| Multiplan | WCOMPKansas | $482.73 | — |
| OHA Network | KansasWCOMP | $490.16 | — |
| Aetna | Local | $519.43 | — |
| Aetna | National | $637.61 | — |
| Ambetter | Commercial-Exchange | $642.45 | — |
| NHC Advantage | MGMCR | $656.26 | — |
| NHC Advantage | MGMCD | $656.26 | — |
| HealthyBlue | MGMCD | $690.80 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $690.80 | — |
| Humana | HMO | $728.80 | — |
| Humana | ASO | $728.80 | — |
| Humana | EPO | $728.80 | — |
| United | OptionsPPO | $866.96 | — |
| Humana | POS | $915.32 | — |
| Humana | PPO | $915.32 | — |
| BCBS | FreedomNetworkSelect | $932.59 | — |
| BCBS | Preferred-CareBlue(PPO) | $1,036.21 | — |
| Aetna Better Health | MCD | $1,036.21 | — |
| BCBS | Blue-Care(HMO) | $1,036.21 | — |
| BCBS | BlueAccess | $1,036.21 | — |
| Universal Healthcare | MCR | $1,208.91 | — |
| Aetna | FHMedicalRental | $1,388.52 | — |
| Coventry | WCOMP | $1,388.52 | — |
| Coventry KC MO | WCOMP | $1,416.15 | — |
| BCBS | PC | $1,416.15 | — |
| BCBS | FreedomNetwork | $1,416.15 | — |
| BCBS | Traditional | $1,485.23 | — |
| BCBS | Participating | $1,485.23 | — |
| College Park Family Care Center | COMM | $1,485.23 | — |
| United | GlobalBenefitPlan | $1,554.31 | — |
| OHA Network | MissouriWCOMP | $1,727.01 | — |
| Aetna | NATIONALNAP | $1,761.55 | — |
| Multiplan | PrimaryNetwork | $1,830.63 | — |
| CorVel Corporation | MOWC | $2,245.11 | — |
| Multiplan | ComplimentaryNetwork | $2,555.97 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $2,590.51 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $2,763.22 | — |
| CCO, Inc. | COMM | $2,935.92 | — |
| CCO, Inc. | WORKERSCOMPPPO | $2,935.92 | — |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,073.60 | $274.83 – $917.93 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,073.60 | $274.83 – $917.93 |
| SSM Health Saint Louis University Hospital | Saint Louis | $2,741.75 | $269.33 – $475.46 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,073.60 | $274.83 – $917.93 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,073.60 | $274.83 – $917.93 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,073.60 | $274.83 – $917.93 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $605.00 | $247.35 – $494.69 |
| Mercy Hospital Aurora | Aurora | $598.00 | $283.35 – $380.92 |