X-ray of mammary ducts at LEE'S SUMMIT MEDICAL CENTER
2100 SE Blue Parkway, Lee's Summit, MO · Hcamidwest · · NPI 1225085871
$5,525.26
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.
$5,525.26
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.
$69.87 with Multiplan vs $4,696.47 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 |
|---|---|---|---|
| Multiplan | WCOMPMissouri | $69.87 | ↓ -99% |
| CorVel Corporation | KSWC | $82.97 | ↓ -98% |
| Multiplan | WCOMPKansas | $85.16 | ↓ -98% |
| OHA Network | KansasWCOMP | $86.47 | ↓ -98% |
| BCBS | Preferred-CareBlue(PPO) | $112.23 | ↓ -98% |
| BCBS | Blue-Care(HMO) | $112.23 | ↓ -98% |
| BCBS | BlueAccess | $112.23 | ↓ -98% |
| Humana | ASO | $125.11 | ↓ -98% |
| Humana | HMO | $125.11 | ↓ -98% |
| Humana | EPO | $125.11 | ↓ -98% |
| United | KSMGMCD | $131.00 | ↓ -98% |
| HealthyBlue | MGMCD | $133.62 | ↓ -98% |
| Sunflower State Health Plan | MCD | $134.93 | ↓ -98% |
| Aetna Better Health | MCD | $136.24 | ↓ -98% |
| Amerigroup | MGMCD | $136.24 | ↓ -98% |
| Unicare | MGMCD | $136.24 | ↓ -98% |
| Home State Health Plan | MCD | $137.55 | ↓ -98% |
| Humana | PPO | $161.51 | ↓ -97% |
| Humana | POS | $161.51 | ↓ -97% |
| United | MOMGMCD | $163.75 | ↓ -97% |
| Aetna | IVLHIX | $201.96 | ↓ -96% |
| Aetna Coventry | FamilyHealthPlanMCD | $204.16 | ↓ -96% |
| Aetna | KCCarePlus | $210.93 | ↓ -96% |
| Cigna | SureFit/LocalPlus | $271.84 | ↓ -95% |
| Aetna | Local | $282.74 | ↓ -95% |
| Cigna | LocalKC | $324.03 | ↓ -94% |
| Aetna | National | $347.07 | ↓ -94% |
| Cigna | Comm | $404.49 | ↓ -93% |
| United | AllPayerAppendix | $517.79 | ↓ -91% |
| Anthem MissouriCare | MissouriCareMGMCD | $718.28 | ↓ -87% |
| Ambetter | Commercial-Exchange | $1,027.70 | ↓ -81% |
| NHC Advantage | MGMCD | $1,049.80 | ↓ -81% |
| NHC Advantage | MGMCR | $1,049.80 | ↓ -81% |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,105.05 | ↓ -80% |
| United | OptionsPPO | $1,386.84 | ↓ -75% |
| BCBS | FreedomNetworkSelect | $1,491.82 | ↓ -73% |
| Universal Healthcare | MCR | $1,933.84 | ↓ -65% |
| Aetna | FHMedicalRental | $2,221.15 | ↓ -60% |
| Coventry | WCOMP | $2,221.15 | ↓ -60% |
| Coventry KC MO | WCOMP | $2,265.36 | ↓ -59% |
| BCBS | PC | $2,265.36 | ↓ -59% |
| BCBS | FreedomNetwork | $2,265.36 | ↓ -59% |
| BCBS | Participating | $2,375.86 | ↓ -57% |
| BCBS | Traditional | $2,375.86 | ↓ -57% |
| College Park Family Care Center | COMM | $2,375.86 | ↓ -57% |
| United | GlobalBenefitPlan | $2,486.37 | ↓ -55% |
| OHA Network | MissouriWCOMP | $2,762.63 | ↓ -50% |
| Aetna | NATIONALNAP | $2,817.88 | ↓ -49% |
| Multiplan | PrimaryNetwork | $2,928.39 | ↓ -47% |
| CorVel Corporation | MOWC | $3,591.42 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $4,088.69 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $4,143.94 | ↓ -25% |
| Evernorth (Cigna) Behavioral Health | COMMBH | $4,420.21 | ↓ -20% |
| CCO, Inc. | COMM | $4,696.47 | ↓ -15% |
| CCO, Inc. | WORKERSCOMPPPO | $4,696.47 | ↓ -15% |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $536.25 | $53.43 – $286.78 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $536.25 | $53.43 – $286.78 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $536.25 | $53.43 – $460.26 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $536.25 | $53.43 – $286.78 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $536.25 | $53.43 – $286.78 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,066.65 | $62.74 – $912.30 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $536.25 | $53.43 – $286.78 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington | $3,820.85 | $85.59 – $204.16 |