Western blot 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.
$8.63 with Cigna vs $358.63 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $8.63 | — |
| Cigna | LocalKC | $10.41 | — |
| Cigna | Comm | $12.95 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $16.10 | — |
| BCBS | TRICARE | $16.38 | — |
| BCBS | MCRPPO | $16.86 | — |
| Coventry | MedicareAdvantage | $16.86 | — |
| BCBS | MCRHMO | $16.86 | — |
| Devoted Health | MGMCR | $17.03 | — |
| Humana | PFFS | $17.03 | — |
| Humana | MGMCRHMO | $17.03 | — |
| Humana | MGMCRPPO | $17.03 | — |
| United | VACCN | $17.03 | — |
| United | AllPayerAppendix | $17.03 | — |
| United | MGMCR | $17.37 | — |
| Cigna | HealthspringMGMCR | $17.37 | — |
| Celtic | MCR | $17.37 | — |
| Wellcare | MCR | $17.37 | — |
| Pyramid Life | MCR | $18.22 | — |
| Aetna | IVLHIX | $22.99 | — |
| Aetna | KCCarePlus | $24.01 | — |
| Oscar | HIX | $25.89 | — |
| Multiplan | WCOMPMissouri | $30.11 | — |
| Aetna | Local | $32.19 | — |
| CorVel Corporation | KSWC | $35.76 | — |
| BCBS | Preferred-CareBlue(PPO) | $35.89 | — |
| BCBS | Blue-Care(HMO) | $35.89 | — |
| BCBS | BlueAccess | $35.89 | — |
| Multiplan | WCOMPKansas | $36.70 | — |
| OHA Network | KansasWCOMP | $37.26 | — |
| Aetna | National | $39.51 | — |
| Humana | HMO | $41.68 | — |
| Humana | EPO | $41.68 | — |
| Humana | PPO | $41.68 | — |
| Humana | ASO | $41.68 | — |
| Humana | POS | $41.68 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $51.80 | — |
| Ambetter | Commercial-Exchange | $74.12 | — |
| NHC Advantage | MGMCD | $75.71 | — |
| NHC Advantage | MGMCR | $75.71 | — |
| HealthyBlue | MGMCD | $79.70 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $79.70 | — |
| BCBS | FreedomNetworkSelect | $87.67 | — |
| United | OptionsPPO | $100.02 | — |
| BCBS | PC | $115.56 | — |
| BCBS | FreedomNetwork | $115.56 | — |
| Universal Healthcare | MCR | $139.47 | — |
| Coventry | WCOMP | $160.19 | — |
| Aetna | FHMedicalRental | $160.19 | — |
| Coventry KC MO | WCOMP | $163.38 | — |
| College Park Family Care Center | COMM | $171.35 | — |
| United | GlobalBenefitPlan | $179.32 | — |
| BCBS | Traditional | $183.30 | — |
| BCBS | Participating | $183.30 | — |
| OHA Network | MissouriWCOMP | $199.24 | — |
| Aetna | NATIONALNAP | $203.22 | — |
| Multiplan | PrimaryNetwork | $211.19 | — |
| CorVel Corporation | MOWC | $259.01 | — |
| Multiplan | ComplimentaryNetwork | $294.88 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $318.78 | — |
| Global Sports Services | WCOMP | $318.78 | — |
| CCO, Inc. | WORKERSCOMPPPO | $338.71 | — |
| CCO, Inc. | COMM | $338.71 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $358.63 | — |
Visitor-reported prices
Comments
Western blot test at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Aurora | Aurora | $162.50 | $17.56 – $23.61 |
| Mercy Hospital Lincoln | Troy | $197.60 | $17.03 – $24.12 |
| Mercy Hospital Carthage | Carthage | $148.85 | $15.15 – $63.06 |
| Mercy Orthopedic Hospital Springfield | Ozark | $107.90 | $12.98 – $99.65 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $932.57 | $8.63 – $37.26 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $456.25 | $8.63 – $41.68 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington | $573.20 | $16.10 – $37.26 |
| RESEARCH MEDICAL CENTER | Kansas City | $913.82 | $8.63 – $37.26 |