Tc-99m pentetate dtpa at LEE'S SUMMIT MEDICAL CENTER

2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 17, 2026

$893.76

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$893.76

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$47.39 with United vs $759.70 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 →

Payer
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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
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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 AllPayerAppendix $47.39 ↓ -95%
Anthem MissouriCare MissouriCareMGMCD $116.19 ↓ -87%
Ambetter Commercial-Exchange $166.24 ↓ -81%
NHC Advantage MGMCR $169.81 ↓ -81%
NHC Advantage MGMCD $169.81 ↓ -81%
Oscar HIX $169.81 ↓ -81%
HealthyBlue MGMCD $178.75 ↓ -80%
WPPA ProviDrs Care Network UnifiedHealthPlan $178.75 ↓ -80%
Humana EPO $188.58 ↓ -79%
Humana HMO $188.58 ↓ -79%
Humana ASO $188.58 ↓ -79%
Coventry MedicareAdvantage $196.63 ↓ -78%
Aetna Coventry FamilyHealthPlanMCD $205.56 ↓ -77%
Cigna SureFit/LocalPlus $221.65 ↓ -75%
United OptionsPPO $224.33 ↓ -75%
Humana POS $236.85 ↓ -73%
Humana PPO $236.85 ↓ -73%
BCBS FreedomNetworkSelect $241.32 ↓ -73%
Cigna LocalKC $263.84 ↓ -70%
BCBS Preferred-CareBlue(PPO) $268.13 ↓ -70%
Aetna Better Health MCD $268.13 ↓ -70%
BCBS Blue-Care(HMO) $268.13 ↓ -70%
BCBS BlueAccess $268.13 ↓ -70%
Universal Healthcare MCR $312.82 ↓ -65%
Cigna Comm $329.80 ↓ -63%
Coventry WCOMP $359.29 ↓ -60%
BCBS FreedomNetwork $366.44 ↓ -59%
Coventry KC MO WCOMP $366.44 ↓ -59%
BCBS PC $366.44 ↓ -59%
BCBS Participating $384.32 ↓ -57%
BCBS Traditional $384.32 ↓ -57%
College Park Family Care Center COMM $384.32 ↓ -57%
United GlobalBenefitPlan $402.19 ↓ -55%
OHA Network MissouriWCOMP $446.88 ↓ -50%
Multiplan PrimaryNetwork $473.69 ↓ -47%
CorVel Corporation MOWC $580.94 ↓ -35%
Multiplan ComplimentaryNetwork $661.38 ↓ -26%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $670.32 ↓ -25%
Evernorth (Cigna) Behavioral Health COMMBH $715.01 ↓ -20%
Multiplan WCOMPMissouri $715.01 ↓ -20%
CCO, Inc. WORKERSCOMPPPO $759.70 ↓ -15%
CCO, Inc. COMM $759.70 ↓ -15%

Visitor-reported prices

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Tc-99m pentetate dtpa at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $160.60 $31.96 – $31.96
SSM Health DePaul Hospital - St. Louis Bridgeton $160.60 $31.96 – $31.96
SSM Health St. Joseph Hospital- Wentzville Wentzville $160.60 $31.96 – $31.96
SSM Health St. Joseph Hospital - St. Charles Saint Charles $160.60 $31.96 – $31.96
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $160.60 $31.96 – $31.96
Mercy Hospital Aurora Aurora $156.00 $13.68 – $13.68
Mercy Orthopedic Hospital Springfield Ozark $433.55 $13.68 – $13.68
SSM Health St. Clare Hospital - Fenton Fenton $160.60 $31.96 – $31.96

All Missouri hospitals for this procedure →