Nm radiopharmaceutical therapy oral administration 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.
$64.78 with Multiplan vs $6,471.55 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 |
|---|---|---|---|
| Multiplan | WCOMPMissouri | $64.78 | — |
| CorVel Corporation | KSWC | $76.93 | — |
| Multiplan | WCOMPKansas | $78.96 | — |
| OHA Network | KansasWCOMP | $80.17 | — |
| BCBS | BlueAccess | $89.23 | — |
| BCBS | Blue-Care(HMO) | $89.23 | — |
| BCBS | Preferred-CareBlue(PPO) | $89.23 | — |
| Humana | EPO | $98.78 | — |
| Humana | HMO | $98.78 | — |
| Humana | ASO | $98.78 | — |
| Humana | POS | $127.52 | — |
| Humana | PPO | $127.52 | — |
| United | KSMGMCD | $140.10 | — |
| HealthyBlue | MGMCD | $142.90 | — |
| Sunflower State Health Plan | MCD | $144.30 | — |
| Aetna Better Health | MCD | $145.70 | — |
| Amerigroup | MGMCD | $145.70 | — |
| Unicare | MGMCD | $145.70 | — |
| Home State Health Plan | MCD | $147.10 | — |
| United | MOMGMCD | $175.13 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $224.52 | — |
| Cigna | SureFit/LocalPlus | $276.00 | — |
| Cigna | LocalKC | $328.99 | — |
| Cigna | Comm | $410.69 | — |
| United | AllPayerAppendix | $561.65 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $989.77 | — |
| Ambetter | Commercial-Exchange | $1,416.13 | — |
| NHC Advantage | MGMCD | $1,446.58 | — |
| NHC Advantage | MGMCR | $1,446.58 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,522.72 | — |
| United | OptionsPPO | $1,911.01 | — |
| BCBS | FreedomNetworkSelect | $2,055.67 | — |
| Universal Healthcare | MCR | $2,664.76 | — |
| Coventry | WCOMP | $3,060.66 | — |
| Aetna | FHMedicalRental | $3,060.66 | — |
| BCBS | PC | $3,121.57 | — |
| BCBS | FreedomNetwork | $3,121.57 | — |
| Coventry KC MO | WCOMP | $3,121.57 | — |
| BCBS | Participating | $3,273.84 | — |
| BCBS | Traditional | $3,273.84 | — |
| College Park Family Care Center | COMM | $3,273.84 | — |
| United | GlobalBenefitPlan | $3,426.12 | — |
| OHA Network | MissouriWCOMP | $3,806.80 | — |
| Aetna | NATIONALNAP | $3,882.93 | — |
| Multiplan | PrimaryNetwork | $4,035.20 | — |
| CorVel Corporation | MOWC | $4,948.83 | — |
| Multiplan | ComplimentaryNetwork | $5,634.06 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $5,710.19 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $6,090.87 | — |
| CCO, Inc. | COMM | $6,471.55 | — |
| CCO, Inc. | WORKERSCOMPPPO | $6,471.55 | — |
| 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 radiopharmaceutical therapy oral administration at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $731.50 | $49.48 – $280.46 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $731.50 | $49.48 – $280.46 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,505.35 | $56.81 – $317.02 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $731.50 | $49.48 – $499.24 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $731.50 | $49.48 – $280.46 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $731.50 | $49.48 – $280.46 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,061.94 | $80.36 – $420.68 |
| Mercy Hospital Southeast | Cape Girardeau | $8,182.85 | $43.01 – $1,499.49 |