Total Hip Replacement 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.
$1,995.00 with Universal Healthcare vs $43,592.00 with Multiplan — 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 |
|---|---|---|---|
| Universal Healthcare | MCR | $1,995.00 | — |
| NHC Advantage | MGMCR | $2,550.00 | — |
| NHC Advantage | MGMCD | $2,550.00 | — |
| Humana | ASO | $3,738.00 | — |
| Humana | EPO | $3,738.00 | — |
| Humana | HMO | $3,738.00 | — |
| Humana | POS | $4,643.00 | — |
| Humana | PPO | $4,643.00 | — |
| United | KSMGMCD | $8,509.01 | — |
| HealthyBlue | MGMCD | $8,679.19 | — |
| Sunflower State Health Plan | MCD | $8,764.28 | — |
| Amerigroup | MGMCD | $8,849.37 | — |
| Aetna Better Health | MCD | $8,849.37 | — |
| Unicare | MGMCD | $8,849.37 | — |
| Home State Health Plan | MCD | $8,934.46 | — |
| United | MOMGMCD | $10,636.26 | — |
| Cigna | HealthspringMGMCR | $13,502.38 | — |
| Humana | PFFS | $14,000.00 | — |
| Humana | MGMCRPPO | $14,000.00 | — |
| Humana | MGMCRHMO | $14,000.00 | — |
| Devoted Health | MGMCR | $16,074.26 | — |
| Aetna | IVLHIX | $17,773.00 | — |
| Oscar | HIX | $19,036.00 | — |
| Aetna | KCCarePlus | $19,276.00 | — |
| Ambetter | Commercial-Exchange | $21,244.00 | — |
| Cigna | SureFit/LocalPlus | $21,584.00 | — |
| Cigna | LocalKC | $25,741.00 | — |
| BCBS | Blue-Care(HMO) | $25,858.00 | — |
| BCBS | BlueAccess | $25,858.00 | — |
| BCBS | Preferred-CareBlue(PPO) | $25,858.00 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $28,000.00 | — |
| Aetna | Local | $29,175.00 | — |
| Aetna | National | $31,756.00 | — |
| Cigna | Comm | $32,176.00 | — |
| United | AllPayerAppendix | $38,731.00 | — |
| Multiplan | PrimaryNetwork | $43,592.00 | — |
| CorVel Corporation | KSWC | not published by hospital | — |
| Multiplan | WCOMPKansas | not published by hospital | — |
| Multiplan | WCOMPMissouri | not published by hospital | — |
| OHA Network | KansasWCOMP | not published by hospital | — |
Visitor-reported prices
Comments
Total Hip Replacement at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $1,449.84 – $15,431.29 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $1,449.84 – $15,431.29 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $1,664.76 – $15,431.29 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $1,449.84 – $10,814.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $1,449.84 – $15,431.29 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $1,449.84 – $15,431.29 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $2,277.00 – $23,146.94 |
| SSM Health St. Clare Hospital - Fenton | Fenton | not published | $1,449.84 – $15,431.29 |