Vital capacity test 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$50.60 with United vs $1,079.29 with FOCUS Healthcare Mgmt, Inc — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $50.60 | — |
| HealthyBlue | MGMCD | $51.61 | — |
| Sunflower State Health Plan | MCD | $52.12 | — |
| Unicare | MGMCD | $52.62 | — |
| Amerigroup | MGMCD | $52.62 | — |
| Home State Health Plan | MCD | $53.13 | — |
| United | MOMGMCD | $86.02 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $155.90 | — |
| Ambetter | Commercial-Exchange | $223.05 | — |
| NHC Advantage | MGMCR | $227.85 | — |
| NHC Advantage | MGMCD | $227.85 | — |
| Oscar | HIX | $227.85 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $239.84 | — |
| Humana | ASO | $253.03 | — |
| Humana | EPO | $253.03 | — |
| Humana | HMO | $253.03 | — |
| BCBS | FreedomNetworkSelect | $263.83 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $263.83 | — |
| Cigna | SureFit/LocalPlus | $297.40 | — |
| United | OptionsPPO | $301.00 | — |
| Humana | PPO | $317.79 | — |
| Humana | POS | $317.79 | — |
| BCBS | FreedomNetwork | $347.77 | — |
| BCBS | PC | $347.77 | — |
| Cigna | LocalKC | $354.01 | — |
| BCBS | Preferred-CareBlue(PPO) | $359.76 | — |
| BCBS | Blue-Care(HMO) | $359.76 | — |
| BCBS | BlueAccess | $359.76 | — |
| Aetna | IVLHIX | $366.96 | — |
| Aetna | KCCarePlus | $394.54 | — |
| Universal Healthcare | MCR | $419.72 | — |
| Cigna | Comm | $442.51 | — |
| Aetna | Local | $471.29 | — |
| Coventry | WCOMP | $482.08 | — |
| Aetna | FHMedicalRental | $482.08 | — |
| Coventry KC MO | WCOMP | $491.68 | — |
| College Park Family Care Center | COMM | $515.66 | — |
| United | GlobalBenefitPlan | $539.64 | — |
| BCBS | Traditional | $551.64 | — |
| BCBS | Participating | $551.64 | — |
| Aetna | National | $576.82 | — |
| OHA Network | MissouriWCOMP | $599.61 | — |
| Aetna | NATIONALNAP | $611.60 | — |
| Multiplan | PrimaryNetwork | $635.58 | — |
| CorVel Corporation | MOWC | $779.49 | — |
| Multiplan | ComplimentaryNetwork | $887.42 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $959.37 | — |
| Global Sports Services | WCOMP | $959.37 | — |
| Multiplan | WCOMPMissouri | $959.37 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,019.33 | — |
| CCO, Inc. | COMM | $1,019.33 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,079.29 | — |
Visitor-reported prices
Comments
Vital capacity test at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $231.00 | $21.89 – $154.66 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $231.00 | $21.89 – $154.66 |
| SSM Health Saint Louis University Hospital | Saint Louis | $164.45 | $25.13 – $154.66 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $231.00 | $21.89 – $21.89 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $231.00 | $21.89 – $154.66 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $231.00 | $21.89 – $154.66 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $355.27 | $36.39 – $231.99 |
| Mercy Hospital Lincoln | Troy | $144.30 | $71.26 – $205.41 |