Surgical pathology level 6 gross & microscopic examination at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$1,245.37
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.
$1,245.37
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.
$146.09 with Cigna vs $1,058.56 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 | $146.09 | ↓ -88% |
| Anthem MissouriCare | MissouriCareMGMCD | $161.90 | ↓ -87% |
| Cigna | LocalKC | $176.06 | ↓ -86% |
| Cigna | Comm | $219.14 | ↓ -82% |
| United | KSMGMCD | $221.98 | ↓ -82% |
| HealthyBlue | MGMCD | $226.42 | ↓ -82% |
| Sunflower State Health Plan | MCD | $228.64 | ↓ -82% |
| Unicare | MGMCD | $230.86 | ↓ -81% |
| Amerigroup | MGMCD | $230.86 | ↓ -81% |
| Aetna Better Health | MCD | $230.86 | ↓ -81% |
| Ambetter | Commercial-Exchange | $231.64 | ↓ -81% |
| Home State Health Plan | MCD | $233.08 | ↓ -81% |
| NHC Advantage | MGMCR | $236.62 | ↓ -81% |
| NHC Advantage | MGMCD | $236.62 | ↓ -81% |
| Oscar | HIX | $236.62 | ↓ -81% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $249.07 | ↓ -80% |
| United | MOMGMCD | $277.47 | ↓ -78% |
| United | OptionsPPO | $312.59 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $336.25 | ↓ -73% |
| Humana | EPO | $345.35 | ↓ -72% |
| Humana | PPO | $345.35 | ↓ -72% |
| Humana | POS | $345.35 | ↓ -72% |
| Humana | ASO | $345.35 | ↓ -72% |
| Humana | HMO | $345.35 | ↓ -72% |
| Multiplan | WCOMPMissouri | $366.50 | ↓ -71% |
| Aetna | IVLHIX | $381.08 | ↓ -69% |
| Aetna | KCCarePlus | $409.73 | ↓ -67% |
| CorVel Corporation | KSWC | $435.21 | ↓ -65% |
| Universal Healthcare | MCR | $435.88 | ↓ -65% |
| Multiplan | WCOMPKansas | $446.67 | ↓ -64% |
| BCBS | Preferred-CareBlue(PPO) | $448.05 | ↓ -64% |
| BCBS | Blue-Care(HMO) | $448.05 | ↓ -64% |
| BCBS | BlueAccess | $448.05 | ↓ -64% |
| OHA Network | KansasWCOMP | $453.54 | ↓ -64% |
| Aetna | Local | $489.43 | ↓ -61% |
| Aetna | FHMedicalRental | $500.64 | ↓ -60% |
| Coventry | WCOMP | $500.64 | ↓ -60% |
| BCBS | FreedomNetwork | $510.60 | ↓ -59% |
| BCBS | PC | $510.60 | ↓ -59% |
| Coventry KC MO | WCOMP | $510.60 | ↓ -59% |
| College Park Family Care Center | COMM | $535.51 | ↓ -57% |
| BCBS | Participating | $535.51 | ↓ -57% |
| BCBS | Traditional | $535.51 | ↓ -57% |
| United | GlobalBenefitPlan | $560.42 | ↓ -55% |
| Aetna | National | $599.02 | ↓ -52% |
| Aetna Coventry | FamilyHealthPlanMCD | $610.54 | ↓ -51% |
| OHA Network | MissouriWCOMP | $622.68 | ↓ -50% |
| Aetna | NATIONALNAP | $635.14 | ↓ -49% |
| United | AllPayerAppendix | $656.15 | ↓ -47% |
| Multiplan | PrimaryNetwork | $660.05 | ↓ -47% |
| CorVel Corporation | MOWC | $809.49 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $921.57 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $934.03 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $996.30 | ↓ -20% |
| CCO, Inc. | COMM | $1,058.56 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $1,058.56 | ↓ -15% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $558.25 | $313.62 – $968.38 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $558.25 | $313.62 – $968.38 |
| SSM Health Saint Louis University Hospital | Saint Louis | $862.40 | $360.11 – $968.38 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $558.25 | $313.62 – $814.43 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $558.25 | $313.62 – $968.38 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $558.25 | $313.62 – $968.38 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $517.55 | $492.27 – $1,452.56 |
| Mercy Hospital Aurora | Aurora | $424.45 | $46.00 – $1,072.46 |