Theophylline therapeutic drug level 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

$788.58

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.

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

$788.58

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.

$7.17 with Cigna vs $670.29 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
Cigna SureFit/LocalPlus $7.17 ↓ -99%
Cigna LocalKC $8.64 ↓ -99%
Cigna Comm $10.75 ↓ -99%
Aetna Coventry FamilyHealthPlanMCD $13.37 ↓ -98%
BCBS TRICARE $13.60 ↓ -98%
BCBS MCRHMO $14.00 ↓ -98%
BCBS MCRPPO $14.00 ↓ -98%
Coventry MedicareAdvantage $14.00 ↓ -98%
Devoted Health MGMCR $14.14 ↓ -98%
Humana PFFS $14.14 ↓ -98%
Humana MGMCRHMO $14.14 ↓ -98%
Humana MGMCRPPO $14.14 ↓ -98%
United KSMGMCD $14.14 ↓ -98%
United VACCN $14.14 ↓ -98%
United AllPayerAppendix $14.14 ↓ -98%
Celtic MCR $14.42 ↓ -98%
Cigna HealthspringMGMCR $14.42 ↓ -98%
HealthyBlue MGMCD $14.42 ↓ -98%
Wellcare MCR $14.42 ↓ -98%
United MGMCR $14.42 ↓ -98%
Sunflower State Health Plan MCD $14.56 ↓ -98%
Aetna Better Health MCD $14.71 ↓ -98%
Unicare MGMCD $14.71 ↓ -98%
Amerigroup MGMCD $14.71 ↓ -98%
Home State Health Plan MCD $14.85 ↓ -98%
Pyramid Life MCR $15.13 ↓ -98%
United MOMGMCD $17.68 ↓ -98%
Aetna IVLHIX $19.09 ↓ -98%
Aetna KCCarePlus $19.93 ↓ -97%
Oscar HIX $21.49 ↓ -97%
Multiplan WCOMPMissouri $25.44 ↓ -97%
Aetna Local $26.72 ↓ -97%
BCBS Preferred-CareBlue(PPO) $29.82 ↓ -96%
BCBS Blue-Care(HMO) $29.82 ↓ -96%
BCBS BlueAccess $29.82 ↓ -96%
CorVel Corporation KSWC $30.21 ↓ -96%
Multiplan WCOMPKansas $31.00 ↓ -96%
OHA Network KansasWCOMP $31.48 ↓ -96%
Aetna National $32.80 ↓ -96%
Humana POS $34.62 ↓ -96%
Humana ASO $34.62 ↓ -96%
Humana HMO $34.62 ↓ -96%
Humana EPO $34.62 ↓ -96%
Humana PPO $34.62 ↓ -96%
Anthem MissouriCare MissouriCareMGMCD $102.52 ↓ -87%
Ambetter Commercial-Exchange $146.68 ↓ -81%
NHC Advantage MGMCD $149.83 ↓ -81%
NHC Advantage MGMCR $149.83 ↓ -81%
WPPA ProviDrs Care Network UnifiedHealthPlan $157.72 ↓ -80%
United OptionsPPO $197.93 ↓ -75%
BCBS FreedomNetworkSelect $212.92 ↓ -73%
Universal Healthcare MCR $276.00 ↓ -65%
Coventry WCOMP $317.01 ↓ -60%
Aetna FHMedicalRental $317.01 ↓ -60%
BCBS FreedomNetwork $323.32 ↓ -59%
Coventry KC MO WCOMP $323.32 ↓ -59%
BCBS PC $323.32 ↓ -59%
BCBS Participating $339.09 ↓ -57%
College Park Family Care Center COMM $339.09 ↓ -57%
BCBS Traditional $339.09 ↓ -57%
United GlobalBenefitPlan $354.86 ↓ -55%
OHA Network MissouriWCOMP $394.29 ↓ -50%
Aetna NATIONALNAP $402.18 ↓ -49%
Multiplan PrimaryNetwork $417.95 ↓ -47%
CorVel Corporation MOWC $512.58 ↓ -35%
Multiplan ComplimentaryNetwork $583.55 ↓ -26%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $591.43 ↓ -25%
Evernorth (Cigna) Behavioral Health COMMBH $630.86 ↓ -20%
CCO, Inc. WORKERSCOMPPPO $670.29 ↓ -15%
CCO, Inc. COMM $670.29 ↓ -15%

Visitor-reported prices

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Theophylline therapeutic drug level at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $107.25 $14.14 – $58.32
SSM Health DePaul Hospital - St. Louis Bridgeton $107.25 $14.14 – $58.32
SSM Health Saint Louis University Hospital Saint Louis $92.40 $13.86 – $30.21
SSM Health St. Joseph Hospital- Wentzville Wentzville $107.25 $14.14 – $58.32
SSM Health St. Joseph Hospital - St. Charles Saint Charles $107.25 $14.14 – $58.32
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $107.25 $14.14 – $58.32
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $151.80 $12.73 – $25.45
Mercy Hospital Aurora Aurora $142.35 $14.14 – $19.60

All Missouri hospitals for this procedure →