Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes 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.
$32.36 with United vs $454.24 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 | KSMGMCD | $32.36 | — |
| HealthyBlue | MGMCD | $33.01 | — |
| Sunflower State Health Plan | MCD | $33.33 | — |
| Unicare | MGMCD | $33.65 | — |
| Amerigroup | MGMCD | $33.65 | — |
| Home State Health Plan | MCD | $33.98 | — |
| BCBS | MCRHMO | $41.85 | — |
| BCBS | MCRPPO | $41.85 | — |
| Coventry | MedicareAdvantage | $41.85 | — |
| Humana | MGMCRHMO | $42.27 | — |
| United | VACCN | $42.27 | — |
| Humana | MGMCRPPO | $42.27 | — |
| Humana | PFFS | $42.27 | — |
| Devoted Health | MGMCR | $42.27 | — |
| Wellcare | MCR | $43.12 | — |
| Celtic | MCR | $43.12 | — |
| Cigna | HealthspringMGMCR | $43.12 | — |
| United | MGMCR | $43.12 | — |
| Pyramid Life | MCR | $45.23 | — |
| BCBS | TRICARE | $48.35 | — |
| Multiplan | WCOMPMissouri | $51.99 | — |
| United | MOMGMCD | $55.01 | — |
| CorVel Corporation | KSWC | $61.74 | — |
| Multiplan | WCOMPKansas | $63.37 | — |
| OHA Network | KansasWCOMP | $64.34 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $65.61 | — |
| Ambetter | Commercial-Exchange | $93.88 | — |
| Oscar | HIX | $95.89 | — |
| NHC Advantage | MGMCR | $95.89 | — |
| NHC Advantage | MGMCD | $95.89 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $100.94 | — |
| Humana | HMO | $106.49 | — |
| Humana | EPO | $106.49 | — |
| Humana | ASO | $106.49 | — |
| BCBS | FreedomNetworkSelect | $111.04 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $111.04 | — |
| BCBS | Preferred-CareBlue(PPO) | $126.37 | — |
| BCBS | Blue-Care(HMO) | $126.37 | — |
| BCBS | BlueAccess | $126.37 | — |
| United | OptionsPPO | $126.68 | — |
| Humana | PPO | $133.75 | — |
| Humana | POS | $133.75 | — |
| BCBS | FreedomNetwork | $146.37 | — |
| BCBS | PC | $146.37 | — |
| Aetna | IVLHIX | $154.44 | — |
| Aetna | KCCarePlus | $166.05 | — |
| Universal Healthcare | MCR | $176.65 | — |
| Aetna | Local | $198.35 | — |
| Aetna | FHMedicalRental | $202.89 | — |
| Coventry | WCOMP | $202.89 | — |
| Coventry KC MO | WCOMP | $206.93 | — |
| College Park Family Care Center | COMM | $217.03 | — |
| United | GlobalBenefitPlan | $227.12 | — |
| BCBS | Participating | $232.17 | — |
| BCBS | Traditional | $232.17 | — |
| Aetna | National | $242.77 | — |
| OHA Network | MissouriWCOMP | $252.35 | — |
| Aetna | NATIONALNAP | $257.40 | — |
| Multiplan | PrimaryNetwork | $267.50 | — |
| CorVel Corporation | MOWC | $328.06 | — |
| Multiplan | ComplimentaryNetwork | $373.49 | — |
| Global Sports Services | WCOMP | $403.77 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $403.77 | — |
| CCO, Inc. | WORKERSCOMPPPO | $429.00 | — |
| CCO, Inc. | COMM | $429.00 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $454.24 | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $108.35 | $48.48 – $58.18 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $108.35 | $48.48 – $58.18 |
| SSM Health Saint Louis University Hospital | Saint Louis | $103.40 | $47.51 – $58.18 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $108.35 | $50.20 – $50.20 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $108.35 | $48.48 – $58.18 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $108.35 | $48.48 – $58.18 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $89.21 | $48.21 – $87.26 |
| Mercy Hospital Aurora | Aurora | $68.90 | $47.08 – $67.21 |