Tobramycin peak therapeutic drug level at CENTERPOINT MEDICAL CENTER

19600 E 39TH ST, Independence, MO · Hcamidwest · · NPI 1942247044

Source: hospital's published price file ↗ · Published Mar 1, 2026 · Ingested Sep 17, 2026

$984.72

Cash price

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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.

$984.72

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$8.17 with Cigna vs $886.25 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 →

Payer
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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
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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 $8.17 ↓ -99%
Cigna LocalKC $9.85 ↓ -99%
Cigna Comm $12.26 ↓ -99%
Aetna Coventry FamilyHealthPlanMCD $15.25 ↓ -98%
BCBS TRICARE $15.51 ↓ -98%
BCBS MCRHMO $15.97 ↓ -98%
BCBS MCRPPO $15.97 ↓ -98%
Coventry MedicareAdvantage $15.97 ↓ -98%
United AllPayerAppendix $16.13 ↓ -98%
Devoted Health MGMCR $16.13 ↓ -98%
Humana PFFS $16.13 ↓ -98%
Humana MGMCRHMO $16.13 ↓ -98%
Humana MGMCRPPO $16.13 ↓ -98%
United KSMGMCD $16.13 ↓ -98%
United VACCN $16.13 ↓ -98%
Cigna HealthspringMGMCR $16.45 ↓ -98%
HealthyBlue MGMCD $16.45 ↓ -98%
Celtic MCR $16.45 ↓ -98%
United MGMCR $16.45 ↓ -98%
Wellcare MCR $16.45 ↓ -98%
Sunflower State Health Plan MCD $16.61 ↓ -98%
Amerigroup MGMCD $16.78 ↓ -98%
Unicare MGMCD $16.78 ↓ -98%
Home State Health Plan MCD $16.94 ↓ -98%
Pyramid Life MCR $17.26 ↓ -98%
Aetna IVLHIX $21.78 ↓ -98%
Aetna KCCarePlus $22.75 ↓ -98%
Oscar HIX $24.52 ↓ -98%
United MOMGMCD $27.42 ↓ -97%
Multiplan WCOMPMissouri $28.55 ↓ -97%
Aetna Local $30.49 ↓ -97%
CorVel Corporation KSWC $33.91 ↓ -97%
BCBS Preferred-CareBlue(PPO) $33.96 ↓ -97%
BCBS Blue-Care(HMO) $33.96 ↓ -97%
BCBS BlueAccess $33.96 ↓ -97%
Multiplan WCOMPKansas $34.80 ↓ -96%
OHA Network KansasWCOMP $35.33 ↓ -96%
Aetna National $37.43 ↓ -96%
Humana POS $39.44 ↓ -96%
Humana ASO $39.44 ↓ -96%
Humana HMO $39.44 ↓ -96%
Humana EPO $39.44 ↓ -96%
Humana PPO $39.44 ↓ -96%
Anthem MissouriCare MissouriCareMGMCD $128.01 ↓ -87%
Ambetter Commercial-Exchange $183.16 ↓ -81%
NHC Advantage MGMCD $187.10 ↓ -81%
NHC Advantage MGMCR $187.10 ↓ -81%
WPPA ProviDrs Care Network UnifiedHealthPlan $196.94 ↓ -80%
BCBS FreedomNetworkSelect $216.64 ↓ -78%
United OptionsPPO $247.16 ↓ -75%
BCBS PC $285.57 ↓ -71%
BCBS FreedomNetwork $285.57 ↓ -71%
Universal Healthcare MCR $344.65 ↓ -65%
Aetna FHMedicalRental $395.86 ↓ -60%
Coventry WCOMP $395.86 ↓ -60%
Coventry KC MO WCOMP $403.74 ↓ -59%
College Park Family Care Center COMM $423.43 ↓ -57%
United GlobalBenefitPlan $443.12 ↓ -55%
BCBS Participating $452.97 ↓ -54%
BCBS Traditional $452.97 ↓ -54%
OHA Network MissouriWCOMP $492.36 ↓ -50%
Aetna NATIONALNAP $502.21 ↓ -49%
Multiplan PrimaryNetwork $521.90 ↓ -47%
CorVel Corporation MOWC $640.07 ↓ -35%
Multiplan ComplimentaryNetwork $728.69 ↓ -26%
Evernorth (Cigna) Behavioral Health COMMBH $787.78 ↓ -20%
Global Sports Services WCOMP $787.78 ↓ -20%
CCO, Inc. WORKERSCOMPPPO $837.01 ↓ -15%
CCO, Inc. COMM $837.01 ↓ -15%
FOCUS Healthcare Mgmt, Inc WORKERSCOMP $886.25 ↓ -10%

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other Missouri hospitals

Hospital City Cash price Negotiated range
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis $209.00 $16.13 – $66.50
SSM Health DePaul Hospital - St. Louis Bridgeton $209.00 $16.13 – $66.50
SSM Health Saint Louis University Hospital Saint Louis $129.25 $15.81 – $34.44
SSM Health St. Joseph Hospital- Wentzville Wentzville $209.00 $16.13 – $66.50
SSM Health St. Joseph Hospital - St. Charles Saint Charles $209.00 $16.13 – $66.50
SSM Health St. Mary's Hospital - St. Louis Richmond Heights $209.00 $16.13 – $66.50
SSM Health St. Mary's Hospital - Jefferson City Jefferson City $123.20 $14.52 – $29.03
Mercy Hospital Aurora Aurora $119.60 $16.13 – $22.36

All Missouri hospitals for this procedure →