Tissue culture skin/biopsy at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$2,857.27
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.
$2,857.27
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.
$59.51 with Humana vs $2,428.68 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 |
|---|---|---|---|
| Humana | ASO | $59.51 | ↓ -98% |
| Humana | PPO | $59.51 | ↓ -98% |
| Humana | EPO | $59.51 | ↓ -98% |
| Humana | HMO | $59.51 | ↓ -98% |
| Humana | POS | $59.51 | ↓ -98% |
| Cigna | SureFit/LocalPlus | $71.35 | ↓ -98% |
| Cigna | LocalKC | $85.98 | ↓ -97% |
| Cigna | Comm | $107.02 | ↓ -96% |
| United | KSMGMCD | $119.62 | ↓ -96% |
| HealthyBlue | MGMCD | $122.01 | ↓ -96% |
| Sunflower State Health Plan | MCD | $123.21 | ↓ -96% |
| Amerigroup | MGMCD | $124.40 | ↓ -96% |
| Unicare | MGMCD | $124.40 | ↓ -96% |
| Aetna Better Health | MCD | $124.40 | ↓ -96% |
| Home State Health Plan | MCD | $125.60 | ↓ -96% |
| Aetna Coventry | FamilyHealthPlanMCD | $132.99 | ↓ -95% |
| BCBS | TRICARE | $135.35 | ↓ -95% |
| BCBS | MCRHMO | $139.32 | ↓ -95% |
| Coventry | MedicareAdvantage | $139.32 | ↓ -95% |
| BCBS | MCRPPO | $139.32 | ↓ -95% |
| Humana | MGMCRHMO | $140.73 | ↓ -95% |
| Devoted Health | MGMCR | $140.73 | ↓ -95% |
| Humana | PFFS | $140.73 | ↓ -95% |
| Humana | MGMCRPPO | $140.73 | ↓ -95% |
| United | VACCN | $140.73 | ↓ -95% |
| United | AllPayerAppendix | $140.73 | ↓ -95% |
| Wellcare | MCR | $143.54 | ↓ -95% |
| Cigna | HealthspringMGMCR | $143.54 | ↓ -95% |
| United | MGMCR | $143.54 | ↓ -95% |
| Celtic | MCR | $143.54 | ↓ -95% |
| United | MOMGMCD | $149.53 | ↓ -95% |
| Pyramid Life | MCR | $150.58 | ↓ -95% |
| Aetna | IVLHIX | $189.99 | ↓ -93% |
| Aetna | KCCarePlus | $198.43 | ↓ -93% |
| Oscar | HIX | $213.91 | ↓ -93% |
| Multiplan | WCOMPMissouri | $250.74 | ↓ -91% |
| Aetna | Local | $265.98 | ↓ -91% |
| BCBS | Preferred-CareBlue(PPO) | $296.45 | ↓ -90% |
| BCBS | BlueAccess | $296.45 | ↓ -90% |
| BCBS | Blue-Care(HMO) | $296.45 | ↓ -90% |
| CorVel Corporation | KSWC | $297.75 | ↓ -90% |
| Multiplan | WCOMPKansas | $305.58 | ↓ -89% |
| OHA Network | KansasWCOMP | $310.29 | ↓ -89% |
| Aetna | National | $326.49 | ↓ -89% |
| Anthem MissouriCare | MissouriCareMGMCD | $371.45 | ↓ -87% |
| Ambetter | Commercial-Exchange | $531.45 | ↓ -81% |
| NHC Advantage | MGMCR | $542.88 | ↓ -81% |
| NHC Advantage | MGMCD | $542.88 | ↓ -81% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $571.45 | ↓ -80% |
| United | OptionsPPO | $717.17 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $771.46 | ↓ -73% |
| Universal Healthcare | MCR | $1,000.04 | ↓ -65% |
| Coventry | WCOMP | $1,148.62 | ↓ -60% |
| Aetna | FHMedicalRental | $1,148.62 | ↓ -60% |
| BCBS | FreedomNetwork | $1,171.48 | ↓ -59% |
| Coventry KC MO | WCOMP | $1,171.48 | ↓ -59% |
| BCBS | PC | $1,171.48 | ↓ -59% |
| BCBS | Participating | $1,228.63 | ↓ -57% |
| College Park Family Care Center | COMM | $1,228.63 | ↓ -57% |
| BCBS | Traditional | $1,228.63 | ↓ -57% |
| United | GlobalBenefitPlan | $1,285.77 | ↓ -55% |
| OHA Network | MissouriWCOMP | $1,428.63 | ↓ -50% |
| Aetna | NATIONALNAP | $1,457.21 | ↓ -49% |
| Multiplan | PrimaryNetwork | $1,514.35 | ↓ -47% |
| CorVel Corporation | MOWC | $1,857.23 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $2,114.38 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $2,142.95 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $2,285.82 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $2,428.68 | ↓ -15% |
| CCO, Inc. | COMM | $2,428.68 | ↓ -15% |
Visitor-reported prices
Comments
Tissue culture skin/biopsy at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $355.30 | $140.73 – $580.29 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $355.30 | $140.73 – $580.29 |
| SSM Health Saint Louis University Hospital | Saint Louis | $762.85 | $137.92 – $300.57 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $355.30 | $140.73 – $580.29 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $355.30 | $140.73 – $580.29 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $355.30 | $140.73 – $580.29 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,400.30 | $126.66 – $253.31 |
| Mercy Hospital Aurora | Aurora | $419.90 | $91.26 – $195.06 |