Tomosynthesis breast screen bilateral 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.
$11.56 with Anthem MissouriCare vs $75.57 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 |
|---|---|---|---|
| Anthem MissouriCare | MissouriCareMGMCD | $11.56 | — |
| United | KSMGMCD | $15.67 | — |
| HealthyBlue | MGMCD | $15.98 | — |
| Sunflower State Health Plan | MCD | $16.14 | — |
| Amerigroup | MGMCD | $16.30 | — |
| Unicare | MGMCD | $16.30 | — |
| Aetna Better Health | MCD | $16.30 | — |
| Home State Health Plan | MCD | $16.45 | — |
| Ambetter | Commercial-Exchange | $16.54 | — |
| NHC Advantage | MGMCR | $16.89 | — |
| NHC Advantage | MGMCD | $16.89 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $17.78 | — |
| Humana | ASO | $18.76 | — |
| Humana | HMO | $18.76 | — |
| Humana | EPO | $18.76 | — |
| United | MOMGMCD | $19.59 | — |
| BCBS | MCRHMO | $21.73 | — |
| Coventry | MedicareAdvantage | $21.73 | — |
| BCBS | MCRPPO | $21.73 | — |
| Humana | MGMCRHMO | $21.95 | — |
| Humana | PFFS | $21.95 | — |
| Humana | MGMCRPPO | $21.95 | — |
| Devoted Health | MGMCR | $21.95 | — |
| United | VACCN | $21.95 | — |
| BCBS | TRICARE | $22.08 | — |
| United | OptionsPPO | $22.32 | — |
| Celtic | MCR | $22.39 | — |
| United | MGMCR | $22.39 | — |
| Wellcare | MCR | $22.39 | — |
| Cigna | HealthspringMGMCR | $22.39 | — |
| Pyramid Life | MCR | $23.49 | — |
| Humana | POS | $23.56 | — |
| Humana | PPO | $23.56 | — |
| BCBS | FreedomNetworkSelect | $24.01 | — |
| Cigna | SureFit/LocalPlus | $28.40 | — |
| Universal Healthcare | MCR | $31.12 | — |
| Multiplan | WCOMPMissouri | $32.86 | — |
| Cigna | LocalKC | $33.85 | — |
| Aetna | FHMedicalRental | $35.74 | — |
| Coventry | WCOMP | $35.74 | — |
| BCBS | PC | $36.45 | — |
| Coventry KC MO | WCOMP | $36.45 | — |
| BCBS | FreedomNetwork | $36.45 | — |
| BCBS | Traditional | $38.23 | — |
| BCBS | Participating | $38.23 | — |
| College Park Family Care Center | COMM | $38.23 | — |
| CorVel Corporation | KSWC | $39.02 | — |
| United | GlobalBenefitPlan | $40.01 | — |
| Multiplan | WCOMPKansas | $40.04 | — |
| OHA Network | KansasWCOMP | $40.66 | — |
| Cigna | Comm | $42.26 | — |
| Aetna | IVLHIX | $43.17 | — |
| OHA Network | MissouriWCOMP | $44.45 | — |
| BCBS | Preferred-CareBlue(PPO) | $44.67 | — |
| BCBS | BlueAccess | $44.67 | — |
| BCBS | Blue-Care(HMO) | $44.67 | — |
| Aetna | KCCarePlus | $45.09 | — |
| Aetna | NATIONALNAP | $45.34 | — |
| Multiplan | PrimaryNetwork | $47.12 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $47.76 | — |
| United | AllPayerAppendix | $57.31 | — |
| CorVel Corporation | MOWC | $57.79 | — |
| Aetna | Local | $60.44 | — |
| Multiplan | ComplimentaryNetwork | $65.79 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $66.68 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $71.13 | — |
| Aetna | National | $74.19 | — |
| CCO, Inc. | WORKERSCOMPPPO | $75.57 | — |
| CCO, Inc. | COMM | $75.57 | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $116.05 | $22.26 – $76.96 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $116.05 | $22.26 – $76.96 |
| SSM Health Saint Louis University Hospital | Saint Louis | $109.45 | $21.81 – $61.77 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $116.05 | $25.83 – $76.96 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $116.05 | $22.26 – $76.96 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $116.05 | $22.26 – $76.96 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $84.61 | $22.14 – $40.07 |
| Mercy Hospital Aurora | Aurora | $68.90 | $15.67 – $68.36 |