Nm imaging bone/joint 3 phase study 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.
$218.05 with United vs $5,318.53 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 |
|---|---|---|---|
| United | KSMGMCD | $218.05 | — |
| HealthyBlue | MGMCD | $222.41 | — |
| Sunflower State Health Plan | MCD | $224.59 | — |
| Unicare | MGMCD | $226.77 | — |
| Aetna Better Health | MCD | $226.77 | — |
| Amerigroup | MGMCD | $226.77 | — |
| Home State Health Plan | MCD | $228.95 | — |
| United | MOMGMCD | $272.56 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $334.48 | — |
| Multiplan | WCOMPMissouri | $403.95 | — |
| Cigna | SureFit/LocalPlus | $457.55 | — |
| CorVel Corporation | KSWC | $479.69 | — |
| Multiplan | WCOMPKansas | $492.32 | — |
| OHA Network | KansasWCOMP | $499.89 | — |
| BCBS | Preferred-CareBlue(PPO) | $531.27 | — |
| BCBS | BlueAccess | $531.27 | — |
| BCBS | Blue-Care(HMO) | $531.27 | — |
| Humana | EPO | $532.14 | — |
| Humana | HMO | $532.14 | — |
| Humana | ASO | $532.14 | — |
| Cigna | LocalKC | $545.40 | — |
| Cigna | Comm | $680.83 | — |
| Humana | PPO | $686.93 | — |
| Humana | POS | $686.93 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $813.42 | — |
| United | AllPayerAppendix | $848.52 | — |
| Ambetter | Commercial-Exchange | $1,163.82 | — |
| NHC Advantage | MGMCD | $1,188.85 | — |
| NHC Advantage | MGMCR | $1,188.85 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,251.42 | — |
| United | OptionsPPO | $1,570.53 | — |
| BCBS | FreedomNetworkSelect | $1,689.41 | — |
| Universal Healthcare | MCR | $2,189.98 | — |
| Coventry | WCOMP | $2,515.35 | — |
| Aetna | FHMedicalRental | $2,515.35 | — |
| BCBS | PC | $2,565.41 | — |
| BCBS | FreedomNetwork | $2,565.41 | — |
| Coventry KC MO | WCOMP | $2,565.41 | — |
| BCBS | Participating | $2,690.55 | — |
| BCBS | Traditional | $2,690.55 | — |
| College Park Family Care Center | COMM | $2,690.55 | — |
| United | GlobalBenefitPlan | $2,815.69 | — |
| OHA Network | MissouriWCOMP | $3,128.55 | — |
| Aetna | NATIONALNAP | $3,191.12 | — |
| Multiplan | PrimaryNetwork | $3,316.26 | — |
| CorVel Corporation | MOWC | $4,067.11 | — |
| Multiplan | ComplimentaryNetwork | $4,630.25 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $4,692.82 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $5,005.67 | — |
| CCO, Inc. | COMM | $5,318.53 | — |
| CCO, Inc. | WORKERSCOMPPPO | $5,318.53 | — |
| Aetna | National | not published by hospital | — |
| Aetna | Local | not published by hospital | — |
| Aetna | KCCarePlus | not published by hospital | — |
| Aetna | IVLHIX | not published by hospital | — |
Visitor-reported prices
Comments
Nm imaging bone/joint 3 phase study at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $845.90 | $310.09 – $946.80 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $845.90 | $310.09 – $946.80 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,375.00 | $356.06 – $759.86 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $845.90 | $310.09 – $946.80 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $845.90 | $310.09 – $946.80 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $845.90 | $310.09 – $946.80 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,124.64 | $398.21 – $720.75 |
| Mercy Hospital Aurora | Aurora | $1,502.80 | $125.00 – $527.53 |