Surgical pathology level 4 gross & microscopic examination 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.
$17.76 with Cigna vs $580.64 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $17.76 | — |
| Cigna | LocalKC | $21.40 | — |
| Cigna | Comm | $26.64 | — |
| United | KSMGMCD | $30.36 | — |
| HealthyBlue | MGMCD | $30.97 | — |
| Sunflower State Health Plan | MCD | $31.27 | — |
| Unicare | MGMCD | $31.57 | — |
| Amerigroup | MGMCD | $31.57 | — |
| Aetna Better Health | MCD | $31.57 | — |
| Home State Health Plan | MCD | $31.88 | — |
| United | MOMGMCD | $37.95 | — |
| Multiplan | WCOMPMissouri | $43.61 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $46.29 | — |
| United | AllPayerAppendix | $49.76 | — |
| CorVel Corporation | KSWC | $51.78 | — |
| Multiplan | WCOMPKansas | $53.15 | — |
| OHA Network | KansasWCOMP | $53.96 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $88.80 | — |
| Humana | ASO | $117.99 | — |
| Humana | EPO | $117.99 | — |
| Humana | HMO | $117.99 | — |
| Humana | POS | $117.99 | — |
| Humana | PPO | $117.99 | — |
| Ambetter | Commercial-Exchange | $127.06 | — |
| Oscar | HIX | $129.79 | — |
| NHC Advantage | MGMCR | $129.79 | — |
| NHC Advantage | MGMCD | $129.79 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $136.62 | — |
| BCBS | Preferred-CareBlue(PPO) | $140.38 | — |
| BCBS | Blue-Care(HMO) | $140.38 | — |
| BCBS | BlueAccess | $140.38 | — |
| United | OptionsPPO | $171.46 | — |
| BCBS | FreedomNetworkSelect | $184.44 | — |
| Aetna | IVLHIX | $209.03 | — |
| Aetna | KCCarePlus | $224.74 | — |
| Universal Healthcare | MCR | $239.09 | — |
| Aetna | Local | $268.46 | — |
| Aetna | FHMedicalRental | $274.61 | — |
| Coventry | WCOMP | $274.61 | — |
| BCBS | FreedomNetwork | $280.08 | — |
| Coventry KC MO | WCOMP | $280.08 | — |
| BCBS | PC | $280.08 | — |
| BCBS | Traditional | $293.74 | — |
| College Park Family Care Center | COMM | $293.74 | — |
| BCBS | Participating | $293.74 | — |
| United | GlobalBenefitPlan | $307.40 | — |
| Aetna | National | $328.58 | — |
| OHA Network | MissouriWCOMP | $341.56 | — |
| Aetna | NATIONALNAP | $348.39 | — |
| Multiplan | PrimaryNetwork | $362.05 | — |
| CorVel Corporation | MOWC | $444.02 | — |
| Multiplan | ComplimentaryNetwork | $505.50 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $512.33 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $546.49 | — |
| CCO, Inc. | WORKERSCOMPPPO | $580.64 | — |
| CCO, Inc. | COMM | $580.64 | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $201.85 | $34.08 – $96.96 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $201.85 | $34.08 – $96.96 |
| SSM Health Saint Louis University Hospital | Saint Louis | $283.25 | $39.13 – $62.63 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $201.85 | $34.08 – $96.96 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $201.85 | $34.08 – $96.96 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $201.85 | $34.08 – $96.96 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $250.80 | $44.78 – $93.95 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $201.85 | $34.08 – $96.96 |