Pt evaluation moderate complexity patient/family 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.
$71.82 with United vs $673.51 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 | $71.82 | — |
| HealthyBlue | MGMCD | $73.26 | — |
| Sunflower State Health Plan | MCD | $73.97 | — |
| Aetna Better Health | MCD | $74.69 | — |
| Amerigroup | MGMCD | $74.69 | — |
| Unicare | MGMCD | $74.69 | — |
| Home State Health Plan | MCD | $75.41 | — |
| BCBS | MCRPPO | $82.81 | — |
| BCBS | MCRHMO | $82.81 | — |
| Coventry | MedicareAdvantage | $82.81 | — |
| United | VACCN | $83.64 | — |
| Humana | PFFS | $83.64 | — |
| Humana | MGMCRHMO | $83.64 | — |
| Humana | MGMCRPPO | $83.64 | — |
| Devoted Health | MGMCR | $83.64 | — |
| Celtic | MCR | $85.32 | — |
| Cigna | HealthspringMGMCR | $85.32 | — |
| Wellcare | MCR | $85.32 | — |
| United | MGMCR | $85.32 | — |
| Pyramid Life | MCR | $89.50 | — |
| United | MOMGMCD | $89.77 | — |
| Multiplan | WCOMPMissouri | $90.33 | — |
| BCBS | TRICARE | $95.56 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $103.01 | — |
| CorVel Corporation | KSWC | $107.26 | — |
| Multiplan | WCOMPKansas | $110.09 | — |
| OHA Network | KansasWCOMP | $111.78 | — |
| Aetna | IVLHIX | $136.10 | — |
| Aetna | KCCarePlus | $141.10 | — |
| Ambetter | Commercial-Exchange | $147.38 | — |
| NHC Advantage | MGMCR | $150.55 | — |
| NHC Advantage | MGMCD | $150.55 | — |
| Oscar | HIX | $150.55 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $158.47 | — |
| Humana | ASO | $167.19 | — |
| Humana | HMO | $167.19 | — |
| Humana | EPO | $167.19 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $182.24 | — |
| Aetna | Local | $190.13 | — |
| United | OptionsPPO | $198.88 | — |
| Humana | PPO | $209.98 | — |
| Humana | POS | $209.98 | — |
| BCBS | BlueAccess | $212.25 | — |
| BCBS | Preferred-CareBlue(PPO) | $212.25 | — |
| BCBS | Blue-Care(HMO) | $212.25 | — |
| BCBS | FreedomNetworkSelect | $213.94 | — |
| Aetna | National | $232.16 | — |
| Universal Healthcare | MCR | $277.33 | — |
| Aetna | FHMedicalRental | $318.53 | — |
| Coventry | WCOMP | $318.53 | — |
| BCBS | FreedomNetwork | $324.87 | — |
| Coventry KC MO | WCOMP | $324.87 | — |
| BCBS | PC | $324.87 | — |
| College Park Family Care Center | COMM | $340.71 | — |
| BCBS | Traditional | $340.71 | — |
| BCBS | Participating | $340.71 | — |
| United | GlobalBenefitPlan | $356.56 | — |
| OHA Network | MissouriWCOMP | $396.18 | — |
| Aetna | NATIONALNAP | $404.10 | — |
| Multiplan | PrimaryNetwork | $419.95 | — |
| CorVel Corporation | MOWC | $515.03 | — |
| Multiplan | ComplimentaryNetwork | $586.35 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $594.27 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $633.89 | — |
| CCO, Inc. | WORKERSCOMPPPO | $673.51 | — |
| CCO, Inc. | COMM | $673.51 | — |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $207.90 | $84.01 – $114.78 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $207.90 | $84.01 – $114.78 |
| SSM Health Saint Louis University Hospital | Saint Louis | $214.50 | $93.74 – $114.78 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $207.90 | $84.01 – $84.01 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $207.90 | $84.01 – $114.78 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $207.90 | $84.01 – $114.78 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $202.40 | $95.12 – $172.17 |
| Mercy Hospital Aurora | Aurora | $324.35 | $71.82 – $132.72 |