Passy muir valve metal trach 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.
$36.14 with Anthem MissouriCare vs $236.30 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 |
|---|---|---|---|
| Anthem MissouriCare | MissouriCareMGMCD | $36.14 | — |
| HealthyBlue | MGMCD | $55.60 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $63.94 | — |
| United | OptionsPPO | $69.78 | — |
| BCBS | FreedomNetworkSelect | $75.06 | — |
| Aetna Better Health | MCD | $83.40 | — |
| Aetna | FHMedicalRental | $111.76 | — |
| Coventry | WCOMP | $111.76 | — |
| Coventry KC MO | WCOMP | $113.98 | — |
| BCBS | PC | $113.98 | — |
| BCBS | FreedomNetwork | $113.98 | — |
| BCBS | Traditional | $119.54 | — |
| BCBS | Participating | $119.54 | — |
| United | GlobalBenefitPlan | $125.10 | — |
| OHA Network | MissouriWCOMP | $139.00 | — |
| Aetna | NATIONALNAP | $141.78 | — |
| Coventry | MedicareAdvantage | $146.40 | — |
| BCBS | MCRPPO | $146.40 | — |
| BCBS | MCRHMO | $146.40 | — |
| Devoted Health | MGMCR | $147.88 | — |
| Humana | PFFS | $147.88 | — |
| Humana | MGMCRHMO | $147.88 | — |
| Humana | MGMCRPPO | $147.88 | — |
| United | VACCN | $147.88 | — |
| BCBS | TRICARE | $147.88 | — |
| Celtic | MCR | $150.84 | — |
| Cigna | HealthspringMGMCR | $150.84 | — |
| United | MGMCR | $150.84 | — |
| Wellcare | MCR | $150.84 | — |
| Pyramid Life | MCR | $158.23 | — |
| Multiplan | ComplimentaryNetwork | $205.72 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $208.50 | — |
| Multiplan | WCOMPMissouri | $222.40 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $222.40 | — |
| CCO, Inc. | WORKERSCOMPPPO | $236.30 | — |
| CCO, Inc. | COMM | $236.30 | — |
Visitor-reported prices
Comments
Passy muir valve metal trach at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Southeast | Cape Girardeau | $240.50 | $145.07 – $520.80 |
| Mercy Orthopedic Hospital Springfield | Ozark | $165.75 | $149.51 – $152.46 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $112.93 | $88.13 – $88.13 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $103.59 – $177.46 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $147.88 – $158.23 |
| CENTERPOINT MEDICAL CENTER | Independence | not published | $146.40 – $158.23 |
| RESEARCH MEDICAL CENTER | Kansas City | not published | $144.99 – $158.23 |