Nursing facility discharge management > 30 min 99316 at Mercy Hospital Carthage
3125 Dr. Russell Smith Way, Carthage, MO · Mercy · · NPI 1003201955
$150.15
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.
$231.00
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.
$57.75 with KANCARE [20213] vs $231.00 with WORKERS COMP [20426] — 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 |
|---|---|---|---|
| KANCARE [20213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $57.75 | ↓ -62% |
| KANCARE CONTRACTED [320213] | HB CTHG AETNA BETTER HEALTH (KANCARE) | $57.75 | ↓ -62% |
| KANCARE [20213] | HB CTHG KANCARE UHC MEDICAID | $57.75 | ↓ -62% |
| KANCARE CONTRACTED [320213] | HB CTHG KANCARE UHC MEDICAID | $57.75 | ↓ -62% |
| TRICARE CONTRACTED [320380] | HB CTHG TRICARE | $63.69 | ↓ -58% |
| POINT C CONTRACTED [320238] | HB JOPL/CTHG DEC JOPLIN SUPPLY CO | $80.85 | ↓ -46% |
| HEALTH SYSTEMS INC CONTRACTED [320174] | HB JOPL MNCK CTHG HEALTH SYSTEMS | $99.33 | ↓ -34% |
| INSURANCE SYSTEM INC CONTRACTED [320465] | HB JOPL MNCK CTHG HEALTH SYSTEMS | $99.33 | ↓ -34% |
| ADMINISTRATIVE PAYOR CONTRACTED [320005] | HB CTHG AMISH | $103.95 | ↓ -31% |
| DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB CTHG DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $104.83 | ↓ -30% |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| INDIAN HEALTH SERVICE CONTRACTED [320198] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| MERCY HOSPICE OKC [20252] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| MEDICAL ASSOCIATES HEALTH CONTRACTED [320444] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| CHEROKEE NATION HEALTH SERV CONTRACTED [320066] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| GLOBALHEALTH CONTRACTED [320145] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| MERCY MGD BEHAVIORAL HEALTH CONTRACTED [320259] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| PACE OF THE OZARKS CONTRACTED [320518] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| ACENTRA HEALTH CONTRACTED [320527] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| CIGNA MEDICARE ADVANTAGE CONTRACTED [320072] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| CROSS TIMBERS HOSPICE [20098] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| ELARA CARING ASPIRE HOSPICE [20433] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| QUAL CHOICE CONTRACTED [320325] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| HALO HCR INC HOSPICE CONTRACTED [320432] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| HALO HCR INC HOSPICE [20432] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| PROVIDER PARTNERS HEALTH PLANS CONTRACTED [320450] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| KINDFUL HOSPICE [20434] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| KINDFUL HOSPICE CONTRACTED [320434] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| HEALTHSPRING MEDICARE ADVANTAGE CONTRACTED [320526] | HB CTHG MANAGED MEDICARE | $116.10 | ↓ -23% |
| WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] | HB CTHG WELLCARE MEDICARE 103% W/SEQ | $116.12 | ↓ -23% |
| AETNA MEDICAID CONTRACTED [320009] | HB CTHG OK MEDICAID | $116.38 | ↓ -22% |
| HUMANA MEDICAID CONTRACTED [320486] | HB CTHG OK MEDICAID | $116.38 | ↓ -22% |
| MEDICAID [20240] | HB CTHG OK MEDICAID | $116.38 | ↓ -22% |
| OKLAHOMA COMPLETE HEALTH MEDICAID CONTRACTED [320485] | HB CTHG OK MEDICAID | $116.38 | ↓ -22% |
| NHC ADVANTAGE MEDICARE CONTRACTED [320282] | HB JOPL NHC ADVANTAGE MCR 105% | $117.61 | ↓ -22% |
| BCBS MEDICARE ADVANTAGE [20047] | HB CTHG MEDICARE | $118.07 | ↓ -21% |
| BCBS MEDICARE ADVANTAGE CONTRACTED [320047] | HB CTHG MEDICARE | $118.07 | ↓ -21% |
| MEDICARE [20244] | HB CTHG MEDICARE | $118.07 | ↓ -21% |
| UNITED HEALTHCARE MEDICARE ADVANTAGE CONTRACTED [320398] | HB CTHG UHC MEDICARE ADVANTAGE | $118.07 | ↓ -21% |
| AETNA MEDICARE ADVANTAGE CONTRACTED [320010] | HB CTHG MEDICARE | $118.07 | ↓ -21% |
| CENTIVO CONTRACTED [320505] | HB CTHG CENTIVO 165% MEDICARE | $118.07 | ↓ -21% |
| ESSENCE HEALTHCARE MEDICARE CONTRACTED [320122] | HB CTHG MEDICARE | $118.07 | ↓ -21% |
| UNITED HEALTHCARE CONTRACTED [320396] | HB CTHG MEDICARE | $118.07 | ↓ -21% |
| DEPT OF VETERAN AFFAIRS CONTRACTED [320106] | HB CTHG MEDICARE | $118.07 | ↓ -21% |
| HEALTHSCOPE CONTRACTED [320182] | HB CTHG DEC ORSCHELN 125% MCR | $126.39 | ↓ -16% |
| NOVASYS CONTRACTED [320285] | HB CTHG AMBETTER EXCHANGE MO | $126.82 | ↓ -16% |
| SUNFLOWER HEALTH PLAN CONTRACTED [320369] | HB CTHG AMBETTER EXCHANGE MO | $126.82 | ↓ -16% |
| HOME STATE HEALTH PLAN CONTRACTED [320187] | HB CTHG AMBETTER EXCHANGE MO | $126.82 | ↓ -16% |
| AMBETTER CONTRACTED [320452] | HB CTHG AMBETTER EXCHANGE MO | $126.82 | ↓ -16% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB CTHG H.E. WILLIAMS INC | $138.60 | ↓ -8% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB CTHG DEC JASPER COUNTY | $138.60 | ↓ -8% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG ANTHEM PATHWAYS EXCHANGE | $145.53 | ↓ -3% |
| AUXIANT CONTRACTED [320462] | HB CTHG NETWORK AFFLIATION | $150.15 | ↑ +0% |
| HEALTHLINK CONTRACTED [320179] | HB CTHG NETWORK AFFLIATION | $150.15 | ↑ +0% |
| PREFERRED HEALTH PLAN CONTRACTED [320522] | HB CTHG NETWORK AFFLIATION | $150.15 | ↑ +0% |
| POINT C CONTRACTED [320238] | HB CTHG S & H FARMS | $150.15 | ↑ +0% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG ANTHEM BLUE PREFERRED | $152.46 | ↑ +2% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG ANTHEM ALLIANCE | $159.39 | ↑ +6% |
| MC ANTHEM [20455] | HB CTHG ANTHEM ALLIANCE | $159.39 | ↑ +6% |
| MC GENERIC ANTHEM [20456] | HB CTHG ANTHEM BLUE ACCESS/ACCESS CHOICE | $170.94 | ↑ +14% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG ANTHEM BLUE ACCESS/ACCESS CHOICE | $170.94 | ↑ +14% |
| BLUE CROSS AND BLUE SHIELD [20053] | HB CTHG ANTHEM TRADITIONAL | $170.94 | ↑ +14% |
| MC ANTHEM [20455] | HB CTHG ANTHEM BLUE ACCESS/ACCESS CHOICE | $170.94 | ↑ +14% |
| WORKERS COMP [20426] | HB JOPL SEKS PITS CTHG MNCK OHA WORKERS COMP NEW 3.15.25 | $184.80 | ↑ +23% |
| WORKERS COMP [20426] | HB SPRG JOPL MERCY EMPLOYEE WORK COMP MO | $184.80 | ↑ +23% |
| WORKERS COMP [20426] | HB JOPL GENERIC WORK COMP | $184.80 | ↑ +23% |
| POINT C CONTRACTED [320238] | HB CTHG MISSOURI STATE UNIV | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC TOWN & COUNTRY SUPERMARKETS | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC TALL TREE NEW 4.1.25 | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC SAPAUGH MOTORS NEW 1.1.25 | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $196.35 | ↑ +31% |
| EDISON HEALTH SOLUTIONS CONTRACTED [320502] | HB AURA CTHG WOODARD DEC NEW 040124 | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC QT | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC EASTER SEALS | $196.35 | ↑ +31% |
| AUXIANT CONTRACTED [320462] | HB CTHG DEC CITY OF JACKSON | $196.35 | ↑ +31% |
| IMAGINE 360 CONTRACTED [320494] | HB CTHG DEC ROBINSON CONSTRUCTION NEW 1.1.25 | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC CITY OF JACKSON | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC BARTEL COMMUNICATIONS NEW 1.1.25 | $196.35 | ↑ +31% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $196.35 | ↑ +31% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $196.35 | ↑ +31% |
| SHOW-ME HEALTH ADMINISTRATORS CONTRACTED [320483] | HB AURA BRYV CTHG DEC ASI NEW 1.1.24 | $196.35 | ↑ +31% |
| EBMS CONTRACTED [320493] | HB CTHG DEC CRADER DISTRIBUTION | $196.35 | ↑ +31% |
| YUZU HEALTH CONTRACTED [320521] | HB CTHG DEC LEVEL HEALTH NEW 1.1.26 | $196.35 | ↑ +31% |
| YUZU HEALTH CONTRACTED [320521] | HB CTHG DEC QUALITY COLLISION GROUP (QCG) SCHAEFER AUTOBODY | $196.35 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB AURA CTHG WOODARD DEC NEW 040124 | $196.35 | ↑ +31% |
| AITHER HEALTH CONTRACTED [320449] | HB CTHG DEC LACLEDE CHAIN | $196.35 | ↑ +31% |
| AUXIANT CONTRACTED [320462] | HB AURA CTHG DEC BUCHHEIT | $196.35 | ↑ +31% |
| REFLECT HEALTH CONTRACTED [320492] | HB CTHG DEC WW WOOD PRODUCTS NEW 1.1.26 | $196.35 | ↑ +31% |
| 90 DEGREE BENEFITS CONTRACTED [320436] | HB AURA BRYV CTHG DEC (SHOW-ME BENEFIT CONSORTIUM) | $196.35 | ↑ +31% |
| HEALTHLINK CONTRACTED [320179] | HB CTHG DEC SAPAUGH MOTORS NEW 1.1.25 | $196.35 | ↑ +31% |
| MEDICA CONTRACTED [320239] | HB CTHG MEDICA EXCHANGE | $200.05 | ↑ +33% |
| BENEFIT MANAGEMENT CONTRACTED [320052] | HB CTHG DEC OZARK COMMUNITY HOSPITAL | $200.97 | ↑ +34% |
| MULTIPLAN CONTRACTED [320270] | HB CTHG PHCS PRIMARY NETWORK | $200.97 | ↑ +34% |
| PRIVATE HEALTH CARE SYSTEMS CONTRACTED [320320] | HB CTHG PHCS PRIMARY NETWORK | $200.97 | ↑ +34% |
| FIRST HEALTH CONTRACTED [320128] | HB CTHG COVENTRY | $200.97 | ↑ +34% |
| EVOLUTIONS HEALTH CARE CONTRACTED [320124] | HB CTHG EVOLUTIONS | $200.97 | ↑ +34% |
| AETNA CONTRACTED [320008] | HB CTHG Aetna | $205.59 | ↑ +37% |
| AMERICAN HEALTHCARE ALLIANCE CONTRACTED [320020] | HB CTHG AMERICAN HC ALLIANCE | $207.90 | ↑ +38% |
| WORKERS COMP [20426] | HB CTHG CORVEL | $207.90 | ↑ +38% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB CTHG CIGNA HMO | $207.90 | ↑ +38% |
| PPO PLUS CONTRACTED [320310] | HB CTHG ARKANSAS MNGD CARE ORG | $207.90 | ↑ +38% |
| HEALTHLINK CONTRACTED [320179] | HB CTHG HEALTHLINK HMO | $207.90 | ↑ +38% |
| USA MANAGED CARE ORG CONTRACTED [320429] | HB CTHG USA MANAGED CARE ORG | $207.90 | ↑ +38% |
| CIGNA HEALTHCARE CONTRACTED [320071] | HB CTHG CIGNA PPO | $207.90 | ↑ +38% |
| UNITED MEDICAL RESOURCES CONTRACTED [320454] | HB CTHG LIBERTY UTILITIES | $207.90 | ↑ +38% |
| MERCY BENEFIT ADMIN CONTRACTED [320251] | HB CTHG DEC CLAYCO | $207.90 | ↑ +38% |
| POINT C CONTRACTED [320238] | HB CTHG SCURLOCK | $207.90 | ↑ +38% |
| POINT C CONTRACTED [320238] | HB CTHG TRAILINER CORP | $207.90 | ↑ +38% |
| HEALTHLINK CONTRACTED [320179] | HB CTHG HEALTHLINK PPO | $214.83 | ↑ +43% |
| WORKERS COMP [20426] | HB JOPL ALIGN NETWORK WORK COMP | $231.00 | ↑ +54% |
Visitor-reported prices
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Nursing facility discharge management > 30 min 99316 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $156.65 | $114.19 – $117.61 |
| Mercy Primary Care - Bernie | Bernie | $121.50 | $84.86 – $162.00 |