Electrophysiology evaluation 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.
$1,264.00 with United vs $48,494.28 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 |
|---|---|---|---|
| United | AllPayerAppendix | $1,264.00 | — |
| BCBS | Preferred-CareBlue(PPO) | $2,247.03 | — |
| BCBS | BlueAccess | $2,247.03 | — |
| BCBS | Blue-Care(HMO) | $2,247.03 | — |
| Aetna | IVLHIX | $6,477.00 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $7,004.73 | — |
| NHC Advantage | MGMCD | $7,950.00 | — |
| NHC Advantage | MGMCR | $7,950.00 | — |
| Universal Healthcare | MCR | $8,300.00 | — |
| Aetna | KCCarePlus | $8,707.00 | — |
| Oscar | HIX | $10,237.68 | — |
| HealthyBlue | MGMCD | $10,776.51 | — |
| Humana | HMO | $11,369.21 | — |
| Humana | EPO | $11,369.21 | — |
| Humana | ASO | $11,369.21 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $11,854.16 | — |
| Coventry | MedicareAdvantage | $11,854.16 | — |
| BCBS | FreedomNetworkSelect | $11,854.16 | — |
| Aetna | Local | $12,152.00 | — |
| Cigna | SureFit/LocalPlus | $13,362.87 | — |
| United | OptionsPPO | $13,524.52 | — |
| Humana | PPO | $14,278.87 | — |
| Humana | POS | $14,278.87 | — |
| Aetna | National | $14,345.00 | — |
| BCBS | PC | $15,625.93 | — |
| BCBS | FreedomNetwork | $15,625.93 | — |
| Cigna | LocalKC | $15,906.12 | — |
| Ambetter | Commercial-Exchange | $16,143.00 | — |
| Cigna | Comm | $19,882.65 | — |
| Coventry | WCOMP | $21,660.78 | — |
| Aetna | FHMedicalRental | $21,660.78 | — |
| Coventry KC MO | WCOMP | $22,091.84 | — |
| College Park Family Care Center | COMM | $23,169.49 | — |
| United | GlobalBenefitPlan | $24,247.14 | — |
| BCBS | Participating | $24,785.96 | — |
| BCBS | Traditional | $24,785.96 | — |
| OHA Network | MissouriWCOMP | $26,941.26 | — |
| Aetna | NATIONALNAP | $27,480.09 | — |
| Multiplan | PrimaryNetwork | $28,557.74 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $30,000.00 | — |
| CorVel Corporation | MOWC | $35,023.64 | — |
| Multiplan | ComplimentaryNetwork | $39,873.07 | — |
| Global Sports Services | WCOMP | $43,106.02 | — |
| Multiplan | WCOMPMissouri | $43,106.02 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $43,106.02 | — |
| CCO, Inc. | WORKERSCOMPPPO | $45,800.15 | — |
| CCO, Inc. | COMM | $45,800.15 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $48,494.28 | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $1,711.05 | $326.32 – $8,427.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $1,711.05 | $326.32 – $8,427.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,840.30 | $374.69 – $9,640.00 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $1,711.05 | $326.32 – $8,427.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $1,711.05 | $326.32 – $8,427.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $1,711.05 | $326.32 – $8,427.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $1,094.97 | $496.68 – $10,988.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,467.05 | $172.00 – $172.00 |