Venogram ext bil s&i 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.
$95.30 with Aetna vs $16,137.34 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 |
|---|---|---|---|
| Aetna | IVLHIX | $95.30 | — |
| Aetna | KCCarePlus | $99.54 | — |
| Multiplan | WCOMPMissouri | $109.20 | — |
| CorVel Corporation | KSWC | $129.67 | — |
| Multiplan | WCOMPKansas | $133.09 | — |
| Aetna | Local | $133.42 | — |
| OHA Network | KansasWCOMP | $135.13 | — |
| Aetna | National | $163.77 | — |
| Humana | ASO | $183.32 | — |
| Humana | EPO | $183.32 | — |
| Humana | HMO | $183.32 | — |
| BCBS | Preferred-CareBlue(PPO) | $184.76 | — |
| BCBS | Blue-Care(HMO) | $184.76 | — |
| BCBS | BlueAccess | $184.76 | — |
| Humana | PPO | $236.64 | — |
| Humana | POS | $236.64 | — |
| United | KSMGMCD | $834.68 | — |
| HealthyBlue | MGMCD | $851.37 | — |
| Sunflower State Health Plan | MCD | $859.72 | — |
| Amerigroup | MGMCD | $868.07 | — |
| Unicare | MGMCD | $868.07 | — |
| Aetna Better Health | MCD | $868.07 | — |
| Home State Health Plan | MCD | $876.41 | — |
| United | MOMGMCD | $1,043.35 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $1,247.72 | — |
| Cigna | SureFit/LocalPlus | $1,776.71 | — |
| Cigna | LocalKC | $2,117.84 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $2,468.06 | — |
| Cigna | Comm | $2,643.75 | — |
| United | AllPayerAppendix | $3,163.82 | — |
| Ambetter | Commercial-Exchange | $3,531.23 | — |
| NHC Advantage | MGMCD | $3,607.17 | — |
| NHC Advantage | MGMCR | $3,607.17 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $3,797.02 | — |
| United | OptionsPPO | $4,765.26 | — |
| BCBS | FreedomNetworkSelect | $5,125.98 | — |
| Universal Healthcare | MCR | $6,644.79 | — |
| Aetna | FHMedicalRental | $7,632.01 | — |
| Coventry | WCOMP | $7,632.01 | — |
| Coventry KC MO | WCOMP | $7,783.90 | — |
| BCBS | PC | $7,783.90 | — |
| BCBS | FreedomNetwork | $7,783.90 | — |
| BCBS | Participating | $8,163.60 | — |
| BCBS | Traditional | $8,163.60 | — |
| College Park Family Care Center | COMM | $8,163.60 | — |
| United | GlobalBenefitPlan | $8,543.30 | — |
| OHA Network | MissouriWCOMP | $9,492.56 | — |
| Aetna | NATIONALNAP | $9,682.41 | — |
| Multiplan | PrimaryNetwork | $10,062.11 | — |
| CorVel Corporation | MOWC | $12,340.32 | — |
| Multiplan | ComplimentaryNetwork | $14,048.98 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $14,238.83 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $15,188.09 | — |
| CCO, Inc. | COMM | $16,137.34 | — |
| CCO, Inc. | WORKERSCOMPPPO | $16,137.34 | — |
Visitor-reported prices
Comments
Venogram ext bil s&i at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $2,078.45 | $85.32 – $1,892.04 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $2,078.45 | $85.32 – $1,892.04 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,340.90 | $97.97 – $1,892.04 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $2,078.45 | $85.32 – $2,812.28 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $2,078.45 | $85.32 – $1,892.04 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $2,078.45 | $85.32 – $1,892.04 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $938.52 | $176.55 – $2,838.05 |
| Mercy Hospital Southeast | Cape Girardeau | $1,672.45 | $55.68 – $10,115.86 |