Appl modality 1/> areas vasopneumatic devices 97016 at CENTERPOINT MEDICAL CENTER
19600 E 39TH ST, Independence, MO · Hcamidwest · · NPI 1942247044
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.
$10.17 with BCBS vs $173.96 with FOCUS Healthcare Mgmt, 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 |
|---|---|---|---|
| BCBS | MCRPPO | $10.17 | — |
| Coventry | MedicareAdvantage | $10.17 | — |
| BCBS | MCRHMO | $10.17 | — |
| United | VACCN | $10.27 | — |
| Devoted Health | MGMCR | $10.27 | — |
| Humana | PFFS | $10.27 | — |
| Humana | MGMCRHMO | $10.27 | — |
| Humana | MGMCRPPO | $10.27 | — |
| Wellcare | MCR | $10.48 | — |
| Cigna | HealthspringMGMCR | $10.48 | — |
| Celtic | MCR | $10.48 | — |
| United | MGMCR | $10.48 | — |
| Pyramid Life | MCR | $10.99 | — |
| BCBS | TRICARE | $11.35 | — |
| Aetna | IVLHIX | $16.08 | — |
| United | KSMGMCD | $16.50 | — |
| Aetna | KCCarePlus | $16.67 | — |
| HealthyBlue | MGMCD | $16.83 | — |
| Sunflower State Health Plan | MCD | $17.00 | — |
| Multiplan | WCOMPMissouri | $17.08 | — |
| Amerigroup | MGMCD | $17.16 | — |
| Unicare | MGMCD | $17.16 | — |
| Home State Health Plan | MCD | $17.32 | — |
| Humana | ASO | $19.62 | — |
| Humana | HMO | $19.62 | — |
| Humana | EPO | $19.62 | — |
| CorVel Corporation | KSWC | $20.28 | — |
| Multiplan | WCOMPKansas | $20.82 | — |
| OHA Network | KansasWCOMP | $21.14 | — |
| Aetna | Local | $22.46 | — |
| Humana | POS | $24.38 | — |
| Humana | PPO | $24.38 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $25.13 | — |
| Aetna | National | $27.42 | — |
| United | MOMGMCD | $28.05 | — |
| Ambetter | Commercial-Exchange | $35.95 | — |
| BCBS | Blue-Care(HMO) | $36.46 | — |
| BCBS | BlueAccess | $36.46 | — |
| BCBS | Preferred-CareBlue(PPO) | $36.46 | — |
| Oscar | HIX | $36.73 | — |
| NHC Advantage | MGMCR | $36.73 | — |
| NHC Advantage | MGMCD | $36.73 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $38.66 | — |
| BCBS | FreedomNetworkSelect | $42.52 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $42.52 | — |
| United | OptionsPPO | $48.52 | — |
| BCBS | PC | $56.05 | — |
| BCBS | FreedomNetwork | $56.05 | — |
| Universal Healthcare | MCR | $67.65 | — |
| Coventry | WCOMP | $77.70 | — |
| Aetna | FHMedicalRental | $77.70 | — |
| Coventry KC MO | WCOMP | $79.25 | — |
| College Park Family Care Center | COMM | $83.11 | — |
| United | GlobalBenefitPlan | $86.98 | — |
| BCBS | Participating | $88.91 | — |
| BCBS | Traditional | $88.91 | — |
| OHA Network | MissouriWCOMP | $96.64 | — |
| Aetna | NATIONALNAP | $98.58 | — |
| Multiplan | PrimaryNetwork | $102.44 | — |
| CorVel Corporation | MOWC | $125.64 | — |
| Multiplan | ComplimentaryNetwork | $143.03 | — |
| Global Sports Services | WCOMP | $154.63 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $154.63 | — |
| CCO, Inc. | WORKERSCOMPPPO | $164.30 | — |
| CCO, Inc. | COMM | $164.30 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $173.96 | — |
Visitor-reported prices
Comments
Appl modality 1/> areas vasopneumatic devices 97016 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $62.11 | $11.61 – $21.01 |
| Mercy Hospital Aurora | Aurora | $58.50 | $11.64 – $16.50 |
| Mercy Hospital Lincoln | Troy | $65.65 | $14.34 – $15.77 |
| Mercy Hospital Carthage | Carthage | $61.75 | $11.26 – $20.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $92.95 | $10.24 – $94.11 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $11.67 – $14.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $11.67 – $14.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $11.44 – $14.00 |