Mra, w/dye, upper extremity 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.
$426.64 with Cigna vs $3,662.73 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 | $426.64 | — |
| Cigna | LocalKC | $508.55 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $560.18 | — |
| Cigna | Comm | $634.84 | — |
| Ambetter | Commercial-Exchange | $801.49 | — |
| NHC Advantage | MGMCR | $818.73 | — |
| NHC Advantage | MGMCD | $818.73 | — |
| United | AllPayerAppendix | $828.27 | — |
| HealthyBlue | MGMCD | $861.82 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $861.82 | — |
| Humana | EPO | $909.22 | — |
| Humana | HMO | $909.22 | — |
| Humana | ASO | $909.22 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $991.09 | — |
| Aetna | IVLHIX | $1,074.00 | — |
| United | OptionsPPO | $1,081.58 | — |
| Aetna | KCCarePlus | $1,125.00 | — |
| Humana | POS | $1,141.91 | — |
| Humana | PPO | $1,141.91 | — |
| BCBS | FreedomNetworkSelect | $1,163.45 | — |
| Aetna Better Health | MCD | $1,292.73 | — |
| BCBS | Blue-Care(HMO) | $1,292.73 | — |
| BCBS | BlueAccess | $1,292.73 | — |
| BCBS | Preferred-CareBlue(PPO) | $1,292.73 | — |
| Universal Healthcare | MCR | $1,508.18 | — |
| Aetna | Local | $1,514.00 | — |
| Coventry | WCOMP | $1,732.25 | — |
| Aetna | FHMedicalRental | $1,732.25 | — |
| BCBS | PC | $1,766.73 | — |
| BCBS | FreedomNetwork | $1,766.73 | — |
| Coventry KC MO | WCOMP | $1,766.73 | — |
| Aetna | National | $1,836.00 | — |
| BCBS | Traditional | $1,852.91 | — |
| BCBS | Participating | $1,852.91 | — |
| College Park Family Care Center | COMM | $1,852.91 | — |
| United | GlobalBenefitPlan | $1,939.09 | — |
| OHA Network | MissouriWCOMP | $2,154.55 | — |
| Aetna | NATIONALNAP | $2,197.64 | — |
| Multiplan | PrimaryNetwork | $2,283.82 | — |
| CorVel Corporation | MOWC | $2,800.91 | — |
| Multiplan | ComplimentaryNetwork | $3,188.73 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3,231.82 | — |
| Multiplan | WCOMPMissouri | $3,447.27 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $3,447.27 | — |
| CCO, Inc. | WORKERSCOMPPPO | $3,662.73 | — |
| CCO, Inc. | COMM | $3,662.73 | — |
Visitor-reported prices
Comments
Mra, w/dye, upper extremity at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,619.75 | $349.44 – $1,220.73 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,619.75 | $349.44 – $1,220.73 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,908.50 | $342.45 – $1,177.77 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,619.75 | $474.45 – $1,220.73 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,619.75 | $349.44 – $1,220.73 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,619.75 | $349.44 – $1,220.73 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $1,619.75 | $349.44 – $1,220.73 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $2,445.30 | $463.45 – $662.62 |