Sock fracture or equal each at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$412.00
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.
$412.00
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.
$36.40 with Coventry vs $350.20 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 |
|---|---|---|---|
| Coventry | MedicareAdvantage | $36.40 | ↓ -91% |
| BCBS | MCRHMO | $36.40 | ↓ -91% |
| BCBS | MCRPPO | $36.40 | ↓ -91% |
| United | VACCN | $36.77 | ↓ -91% |
| Humana | PFFS | $36.77 | ↓ -91% |
| Humana | MGMCRHMO | $36.77 | ↓ -91% |
| Humana | MGMCRPPO | $36.77 | ↓ -91% |
| Devoted Health | MGMCR | $36.77 | ↓ -91% |
| BCBS | TRICARE | $36.77 | ↓ -91% |
| Cigna | HealthspringMGMCR | $37.51 | ↓ -91% |
| Wellcare | MCR | $37.51 | ↓ -91% |
| Celtic | MCR | $37.51 | ↓ -91% |
| United | MGMCR | $37.51 | ↓ -91% |
| Pyramid Life | MCR | $39.34 | ↓ -90% |
| Anthem MissouriCare | MissouriCareMGMCD | $53.56 | ↓ -87% |
| Ambetter | Commercial-Exchange | $76.63 | ↓ -81% |
| NHC Advantage | MGMCR | $78.28 | ↓ -81% |
| Oscar | HIX | $78.28 | ↓ -81% |
| NHC Advantage | MGMCD | $78.28 | ↓ -81% |
| HealthyBlue | MGMCD | $82.40 | ↓ -80% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $82.40 | ↓ -80% |
| Humana | ASO | $86.93 | ↓ -79% |
| Humana | HMO | $86.93 | ↓ -79% |
| Humana | EPO | $86.93 | ↓ -79% |
| Aetna Coventry | FamilyHealthPlanMCD | $94.76 | ↓ -77% |
| Cigna | SureFit/LocalPlus | $102.18 | ↓ -75% |
| United | OptionsPPO | $103.41 | ↓ -75% |
| Humana | PPO | $109.18 | ↓ -74% |
| Humana | POS | $109.18 | ↓ -74% |
| BCBS | FreedomNetworkSelect | $111.24 | ↓ -73% |
| Cigna | LocalKC | $121.62 | ↓ -70% |
| BCBS | Preferred-CareBlue(PPO) | $123.60 | ↓ -70% |
| BCBS | Blue-Care(HMO) | $123.60 | ↓ -70% |
| BCBS | BlueAccess | $123.60 | ↓ -70% |
| Aetna Better Health | MCD | $123.60 | ↓ -70% |
| Aetna | IVLHIX | $126.07 | ↓ -69% |
| Aetna | KCCarePlus | $135.55 | ↓ -67% |
| Universal Healthcare | MCR | $144.20 | ↓ -65% |
| Cigna | Comm | $152.03 | ↓ -63% |
| Aetna | Local | $161.92 | ↓ -61% |
| Coventry | WCOMP | $165.62 | ↓ -60% |
| Aetna | FHMedicalRental | $165.62 | ↓ -60% |
| BCBS | FreedomNetwork | $168.92 | ↓ -59% |
| BCBS | PC | $168.92 | ↓ -59% |
| Coventry KC MO | WCOMP | $168.92 | ↓ -59% |
| BCBS | Participating | $177.16 | ↓ -57% |
| College Park Family Care Center | COMM | $177.16 | ↓ -57% |
| BCBS | Traditional | $177.16 | ↓ -57% |
| United | GlobalBenefitPlan | $185.40 | ↓ -55% |
| Aetna | National | $198.17 | ↓ -52% |
| OHA Network | MissouriWCOMP | $206.00 | ↓ -50% |
| Aetna | NATIONALNAP | $210.12 | ↓ -49% |
| Multiplan | PrimaryNetwork | $218.36 | ↓ -47% |
| CorVel Corporation | MOWC | $267.80 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $304.88 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $309.00 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $329.60 | ↓ -20% |
| Multiplan | WCOMPMissouri | $329.60 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $350.20 | ↓ -15% |
| CCO, Inc. | COMM | $350.20 | ↓ -15% |
Visitor-reported prices
Comments
Sock fracture or equal each at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Orthopedic Hospital Springfield | Ozark | $208.00 | $37.17 – $37.91 |
| CENTERPOINT MEDICAL CENTER | Independence | $277.00 | $36.40 – $39.34 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $25.76 – $44.12 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $21.91 – $21.91 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $36.77 – $39.34 |