Physical Therapy Evaluation (high complexity) 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.
$57.45 with United vs $1,087.79 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 | $57.45 | — |
| HealthyBlue | MGMCD | $58.60 | — |
| Sunflower State Health Plan | MCD | $59.17 | — |
| Unicare | MGMCD | $59.75 | — |
| Amerigroup | MGMCD | $59.75 | — |
| BCBS | MCRPPO | $82.81 | — |
| Coventry | MedicareAdvantage | $82.81 | — |
| BCBS | MCRHMO | $82.81 | — |
| Devoted Health | MGMCR | $83.64 | — |
| United | VACCN | $83.64 | — |
| Humana | MCR | $83.64 | — |
| Cigna | HealthspringMGMCR | $85.32 | — |
| United | MGMCR | $85.32 | — |
| Wellcare | MCR | $85.32 | — |
| Celtic | MCR | $85.32 | — |
| Pyramid Life | MCR | $89.50 | — |
| Multiplan | WCOMPMissouri | $90.33 | — |
| BCBS | TRICARE | $95.04 | — |
| CorVel Corporation | KSWC | $107.26 | — |
| Multiplan | WCOMPKansas | $110.09 | — |
| OHA Network | KansasWCOMP | $111.78 | — |
| Aetna | IVLHIX | $136.10 | — |
| Aetna | KCCarePlus | $149.10 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $157.12 | — |
| Aetna | Local | $198.14 | — |
| BCBS | BlueAccess | $212.25 | — |
| BCBS | Preferred-CareBlue(PPO) | $212.25 | — |
| BCBS | Blue-Care(HMO) | $212.25 | — |
| Ambetter | Commercial-Exchange | $224.81 | — |
| NHC Advantage | MGMCD | $229.64 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $229.64 | — |
| Oscar | HIX | $229.64 | — |
| NHC Advantage | MGMCR | $229.64 | — |
| Aetna | National | $244.17 | — |
| BCBS | FreedomNetworkSelect | $265.90 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $265.90 | — |
| Humana | EPO | $273.15 | — |
| Humana | HMO | $273.15 | — |
| Humana | ASO | $273.15 | — |
| United | OptionsPPO | $294.91 | — |
| Humana | PPO | $344.47 | — |
| Humana | POS | $344.47 | — |
| BCBS | PC | $350.51 | — |
| BCBS | FreedomNetwork | $350.51 | — |
| Universal Healthcare | MCR | $423.03 | — |
| Coventry | WCOMP | $485.88 | — |
| Coventry KC MO | WCOMP | $495.55 | — |
| College Park Family Care Center | COMM | $519.72 | — |
| United | GlobalBenefitPlan | $543.89 | — |
| BCBS | Traditional | $555.98 | — |
| BCBS | Participating | $555.98 | — |
| OHA Network | MissouriWCOMP | $604.33 | — |
| Multiplan | PrimaryNetwork | $640.58 | — |
| CorVel Corporation | MOWC | $785.62 | — |
| Multiplan | ComplimentaryNetwork | $894.40 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $966.92 | — |
| CCO, Inc. | COMM | $1,027.35 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,027.35 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,087.79 | — |
Visitor-reported prices
Comments
Physical Therapy Evaluation (high complexity) at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $387.75 | $84.01 – $109.80 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $387.75 | $84.01 – $109.80 |
| SSM Health Saint Louis University Hospital | Saint Louis | $225.50 | $89.67 – $109.80 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $387.75 | $84.01 – $84.01 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $387.75 | $84.01 – $109.80 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $387.75 | $84.01 – $109.80 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $198.00 | $91.00 – $164.70 |
| Mercy Hospital Aurora | Aurora | $338.00 | $57.45 – $132.72 |