Ultrasound exam k transpl w/doppler 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$59.96 with United vs $4,149.58 with CCO, Inc. — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | KSMGMCD | $59.96 | — |
| HealthyBlue | MGMCD | $61.16 | — |
| Sunflower State Health Plan | MCD | $61.76 | — |
| Amerigroup | MGMCD | $62.36 | — |
| Aetna Better Health | MCD | $62.36 | — |
| Unicare | MGMCD | $62.36 | — |
| Home State Health Plan | MCD | $62.96 | — |
| United | MOMGMCD | $74.95 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $96.60 | — |
| Cigna | SureFit/LocalPlus | $121.96 | — |
| Aetna | IVLHIX | $143.10 | — |
| Cigna | LocalKC | $145.38 | — |
| Aetna | KCCarePlus | $149.46 | — |
| Multiplan | WCOMPMissouri | $156.86 | — |
| Cigna | Comm | $181.48 | — |
| CorVel Corporation | KSWC | $186.28 | — |
| Multiplan | WCOMPKansas | $191.18 | — |
| OHA Network | KansasWCOMP | $194.12 | — |
| Aetna | Local | $200.34 | — |
| Humana | ASO | $206.57 | — |
| Humana | EPO | $206.57 | — |
| Humana | HMO | $206.57 | — |
| BCBS | Preferred-CareBlue(PPO) | $207.16 | — |
| BCBS | Blue-Care(HMO) | $207.16 | — |
| BCBS | BlueAccess | $207.16 | — |
| United | AllPayerAppendix | $245.18 | — |
| Aetna | National | $245.92 | — |
| Humana | PPO | $266.66 | — |
| Humana | POS | $266.66 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $634.64 | — |
| Ambetter | Commercial-Exchange | $908.03 | — |
| NHC Advantage | MGMCD | $927.55 | — |
| NHC Advantage | MGMCR | $927.55 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $976.37 | — |
| United | OptionsPPO | $1,225.35 | — |
| BCBS | FreedomNetworkSelect | $1,318.10 | — |
| Universal Healthcare | MCR | $1,708.65 | — |
| Aetna | FHMedicalRental | $1,962.51 | — |
| Coventry | WCOMP | $1,962.51 | — |
| Coventry KC MO | WCOMP | $2,001.56 | — |
| BCBS | PC | $2,001.56 | — |
| BCBS | FreedomNetwork | $2,001.56 | — |
| BCBS | Participating | $2,099.20 | — |
| BCBS | Traditional | $2,099.20 | — |
| College Park Family Care Center | COMM | $2,099.20 | — |
| United | GlobalBenefitPlan | $2,196.84 | — |
| OHA Network | MissouriWCOMP | $2,440.93 | — |
| Aetna | NATIONALNAP | $2,489.75 | — |
| Multiplan | PrimaryNetwork | $2,587.39 | — |
| CorVel Corporation | MOWC | $3,173.21 | — |
| Multiplan | ComplimentaryNetwork | $3,612.58 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3,661.39 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $3,905.49 | — |
| CCO, Inc. | COMM | $4,149.58 | — |
| CCO, Inc. | WORKERSCOMPPPO | $4,149.58 | — |
Visitor-reported prices
Comments
Ultrasound exam k transpl w/doppler at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $523.05 | $104.71 – $367.60 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $523.05 | $104.71 – $367.60 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,850.20 | $102.62 – $295.02 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $523.05 | $119.72 – $367.60 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $523.05 | $104.71 – $367.60 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $523.05 | $104.71 – $367.60 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $423.80 | $104.14 – $188.49 |
| Mercy Hospital Lincoln | Troy | $648.70 | $126.92 – $285.49 |