X-ray exam of tear duct 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.
$27.34 with BCBS vs $517.79 with United — 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 |
|---|---|---|---|
| BCBS | Preferred-CareBlue(PPO) | $27.34 | — |
| BCBS | Blue-Care(HMO) | $27.34 | — |
| BCBS | BlueAccess | $27.34 | — |
| Multiplan | WCOMPMissouri | $48.58 | — |
| Humana | ASO | $56.70 | — |
| Humana | EPO | $56.70 | — |
| Humana | HMO | $56.70 | — |
| CorVel Corporation | KSWC | $57.69 | — |
| Multiplan | WCOMPKansas | $59.21 | — |
| OHA Network | KansasWCOMP | $60.12 | — |
| Aetna | IVLHIX | $61.68 | — |
| Aetna | KCCarePlus | $64.42 | — |
| Humana | PPO | $73.20 | — |
| Humana | POS | $73.20 | — |
| Aetna | Local | $86.35 | — |
| Aetna | National | $106.00 | — |
| United | KSMGMCD | $131.00 | — |
| HealthyBlue | MGMCD | $133.62 | — |
| Sunflower State Health Plan | MCD | $134.93 | — |
| Aetna Better Health | MCD | $136.24 | — |
| Amerigroup | MGMCD | $136.24 | — |
| Unicare | MGMCD | $136.24 | — |
| Home State Health Plan | MCD | $137.55 | — |
| United | MOMGMCD | $163.75 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $204.16 | — |
| Cigna | SureFit/LocalPlus | $271.84 | — |
| Cigna | LocalKC | $324.03 | — |
| Cigna | Comm | $404.49 | — |
| United | AllPayerAppendix | $517.79 | — |
Visitor-reported prices
Comments
X-ray exam of tear duct at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $313.50 | $32.12 – $286.78 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $313.50 | $32.12 – $286.78 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $313.50 | $32.12 – $460.26 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $313.50 | $32.12 – $286.78 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $313.50 | $32.12 – $286.78 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $313.50 | $32.12 – $286.78 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $36.88 – $292.27 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $56.04 – $430.18 |