Pca3/klk3 antigen 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.
$129.31 with Cigna vs $591.71 with Aetna — 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 | $129.31 | — |
| Cigna | LocalKC | $155.83 | — |
| Cigna | Comm | $193.96 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $241.03 | — |
| BCBS | TRICARE | $245.31 | — |
| Coventry | MedicareAdvantage | $252.50 | — |
| BCBS | MCRPPO | $252.50 | — |
| BCBS | MCRHMO | $252.50 | — |
| Devoted Health | MGMCR | $255.05 | — |
| Humana | PFFS | $255.05 | — |
| Humana | MGMCRHMO | $255.05 | — |
| Humana | MGMCRPPO | $255.05 | — |
| United | VACCN | $255.05 | — |
| United | AllPayerAppendix | $255.05 | — |
| United | MGMCR | $260.15 | — |
| Celtic | MCR | $260.15 | — |
| Cigna | HealthspringMGMCR | $260.15 | — |
| Wellcare | MCR | $260.15 | — |
| Pyramid Life | MCR | $272.90 | — |
| Aetna | IVLHIX | $344.31 | — |
| Aetna | KCCarePlus | $359.62 | — |
| Multiplan | WCOMPMissouri | $367.54 | — |
| Oscar | HIX | $387.68 | — |
| CorVel Corporation | KSWC | $436.45 | — |
| Multiplan | WCOMPKansas | $447.93 | — |
| OHA Network | KansasWCOMP | $454.83 | — |
| Aetna | Local | $482.04 | — |
| Aetna | National | $591.71 | — |
Visitor-reported prices
Comments
Pca3/klk3 antigen at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health Saint Louis University Hospital | Saint Louis | $909.15 | $249.95 – $441.24 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $255.05 – $851.87 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $255.05 – $851.87 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $255.05 – $851.87 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $255.05 – $851.87 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $255.05 – $851.87 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $229.55 – $459.09 |
| SSM Health St. Clare Hospital - Fenton | Fenton | not published | $255.05 – $851.87 |