Susceptibility enzyme detection per enzyme 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.
$2.41 with Cigna vs $130.69 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $2.41 | — |
| Cigna | LocalKC | $2.90 | — |
| BCBS | Preferred-CareBlue(PPO) | $2.94 | — |
| BCBS | Blue-Care(HMO) | $2.94 | — |
| BCBS | BlueAccess | $2.94 | — |
| Cigna | Comm | $3.62 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $4.49 | — |
| BCBS | TRICARE | $4.57 | — |
| BCBS | MCRHMO | $4.70 | — |
| BCBS | MCRPPO | $4.70 | — |
| Coventry | MedicareAdvantage | $4.70 | — |
| United | AllPayerAppendix | $4.75 | — |
| Humana | PFFS | $4.75 | — |
| Humana | MGMCRHMO | $4.75 | — |
| Humana | MGMCRPPO | $4.75 | — |
| United | VACCN | $4.75 | — |
| United | KSMGMCD | $4.75 | — |
| Devoted Health | MGMCR | $4.75 | — |
| HealthyBlue | MGMCD | $4.84 | — |
| Celtic | MCR | $4.84 | — |
| United | MGMCR | $4.84 | — |
| Wellcare | MCR | $4.84 | — |
| Cigna | HealthspringMGMCR | $4.84 | — |
| Sunflower State Health Plan | MCD | $4.89 | — |
| Amerigroup | MGMCD | $4.94 | — |
| Unicare | MGMCD | $4.94 | — |
| Home State Health Plan | MCD | $4.99 | — |
| Pyramid Life | MCR | $5.08 | — |
| Aetna | IVLHIX | $6.41 | — |
| Aetna | KCCarePlus | $6.70 | — |
| Oscar | HIX | $7.22 | — |
| United | MOMGMCD | $8.07 | — |
| Multiplan | WCOMPMissouri | $8.30 | — |
| Aetna | Local | $8.98 | — |
| CorVel Corporation | KSWC | $9.86 | — |
| Multiplan | WCOMPKansas | $10.12 | — |
| OHA Network | KansasWCOMP | $10.28 | — |
| Aetna | National | $11.02 | — |
| Humana | EPO | $11.62 | — |
| Humana | ASO | $11.62 | — |
| Humana | POS | $11.62 | — |
| Humana | HMO | $11.62 | — |
| Humana | PPO | $11.62 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $18.88 | — |
| Ambetter | Commercial-Exchange | $27.01 | — |
| NHC Advantage | MGMCD | $27.59 | — |
| NHC Advantage | MGMCR | $27.59 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $29.04 | — |
| BCBS | FreedomNetworkSelect | $31.95 | — |
| United | OptionsPPO | $36.45 | — |
| BCBS | PC | $42.11 | — |
| BCBS | FreedomNetwork | $42.11 | — |
| Universal Healthcare | MCR | $50.82 | — |
| Aetna | FHMedicalRental | $58.37 | — |
| Coventry | WCOMP | $58.37 | — |
| Coventry KC MO | WCOMP | $59.54 | — |
| College Park Family Care Center | COMM | $62.44 | — |
| United | GlobalBenefitPlan | $65.34 | — |
| BCBS | Participating | $66.80 | — |
| BCBS | Traditional | $66.80 | — |
| OHA Network | MissouriWCOMP | $72.61 | — |
| Aetna | NATIONALNAP | $74.06 | — |
| Multiplan | PrimaryNetwork | $76.96 | — |
| CorVel Corporation | MOWC | $94.39 | — |
| Multiplan | ComplimentaryNetwork | $107.46 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $116.17 | — |
| Global Sports Services | WCOMP | $116.17 | — |
| CCO, Inc. | WORKERSCOMPPPO | $123.43 | — |
| CCO, Inc. | COMM | $123.43 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $130.69 | — |
Visitor-reported prices
Comments
Susceptibility enzyme detection per enzyme at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $25.30 | $1.99 – $19.57 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $25.30 | $1.99 – $19.57 |
| SSM Health Saint Louis University Hospital | Saint Louis | $16.50 | $2.29 – $10.14 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $25.30 | $1.99 – $19.57 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $25.30 | $1.99 – $19.57 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $25.30 | $1.99 – $19.57 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $11.55 | $3.64 – $8.55 |
| Mercy Hospital Aurora | Aurora | $33.80 | $4.66 – $6.59 |