Pr moderate sedation same physician >= 5 years initial 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.
$29.39 with United vs $1,049.04 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 | $29.39 | — |
| HealthyBlue | MGMCD | $29.98 | — |
| Sunflower State Health Plan | MCD | $30.27 | — |
| Unicare | MGMCD | $30.57 | — |
| Amerigroup | MGMCD | $30.57 | — |
| Home State Health Plan | MCD | $30.86 | — |
| United | MOMGMCD | $49.96 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $151.53 | — |
| Ambetter | Commercial-Exchange | $216.80 | — |
| Oscar | HIX | $221.46 | — |
| NHC Advantage | MGMCD | $221.46 | — |
| NHC Advantage | MGMCR | $221.46 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $233.12 | — |
| Humana | HMO | $245.94 | — |
| Humana | ASO | $245.94 | — |
| Humana | EPO | $245.94 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $256.43 | — |
| BCBS | FreedomNetworkSelect | $256.43 | — |
| Coventry | MedicareAdvantage | $256.43 | — |
| Cigna | SureFit/LocalPlus | $289.07 | — |
| United | OptionsPPO | $292.57 | — |
| Humana | PPO | $308.88 | — |
| Humana | POS | $308.88 | — |
| BCBS | PC | $338.02 | — |
| BCBS | FreedomNetwork | $338.02 | — |
| Cigna | LocalKC | $344.09 | — |
| BCBS | Blue-Care(HMO) | $349.68 | — |
| BCBS | BlueAccess | $349.68 | — |
| BCBS | Preferred-CareBlue(PPO) | $349.68 | — |
| Aetna | IVLHIX | $356.67 | — |
| Aetna | KCCarePlus | $383.48 | — |
| Universal Healthcare | MCR | $407.96 | — |
| Cigna | Comm | $430.11 | — |
| Aetna | Local | $458.08 | — |
| Coventry | WCOMP | $468.57 | — |
| Aetna | FHMedicalRental | $468.57 | — |
| Coventry KC MO | WCOMP | $477.90 | — |
| College Park Family Care Center | COMM | $501.21 | — |
| United | GlobalBenefitPlan | $524.52 | — |
| BCBS | Participating | $536.18 | — |
| BCBS | Traditional | $536.18 | — |
| Aetna | National | $560.65 | — |
| OHA Network | MissouriWCOMP | $582.80 | — |
| Aetna | NATIONALNAP | $594.46 | — |
| Multiplan | PrimaryNetwork | $617.77 | — |
| CorVel Corporation | MOWC | $757.64 | — |
| Multiplan | ComplimentaryNetwork | $862.54 | — |
| Global Sports Services | WCOMP | $932.48 | — |
| Multiplan | WCOMPMissouri | $932.48 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $932.48 | — |
| CCO, Inc. | WORKERSCOMPPPO | $990.76 | — |
| CCO, Inc. | COMM | $990.76 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,049.04 | — |
Visitor-reported prices
Comments
Pr moderate sedation same physician >= 5 years initial 15 minutes at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $187.55 | $13.02 – $13.02 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $187.55 | $13.02 – $13.02 |
| SSM Health Saint Louis University Hospital | Saint Louis | $168.30 | $14.95 – $14.95 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $187.55 | $13.02 – $13.02 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $187.55 | $13.02 – $13.02 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $187.55 | $13.02 – $13.02 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $185.46 | $23.03 – $23.03 |
| Mercy Hospital Aurora | Aurora | $87.10 | $13.81 – $13.81 |