X-ray of mammary ducts 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.
$25.00 with Global Sports Services vs $2,068.19 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 |
|---|---|---|---|
| Global Sports Services | WCOMP | $25.00 | — |
| Multiplan | WCOMPMissouri | $69.87 | — |
| CorVel Corporation | KSWC | $82.97 | — |
| Multiplan | WCOMPKansas | $85.16 | — |
| OHA Network | KansasWCOMP | $86.47 | — |
| BCBS | Preferred-CareBlue(PPO) | $112.23 | — |
| BCBS | Blue-Care(HMO) | $112.23 | — |
| BCBS | BlueAccess | $112.23 | — |
| Humana | ASO | $125.11 | — |
| Humana | EPO | $125.11 | — |
| Humana | HMO | $125.11 | — |
| United | KSMGMCD | $131.00 | — |
| HealthyBlue | MGMCD | $133.62 | — |
| Sunflower State Health Plan | MCD | $134.93 | — |
| Amerigroup | MGMCD | $136.24 | — |
| Unicare | MGMCD | $136.24 | — |
| Home State Health Plan | MCD | $137.55 | — |
| Humana | PPO | $161.51 | — |
| Humana | POS | $161.51 | — |
| Aetna | IVLHIX | $201.96 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $204.16 | — |
| Aetna | KCCarePlus | $210.93 | — |
| United | MOMGMCD | $222.70 | — |
| Cigna | SureFit/LocalPlus | $271.84 | — |
| Aetna | Local | $282.74 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $298.74 | — |
| Cigna | LocalKC | $324.03 | — |
| Aetna | National | $347.07 | — |
| Cigna | Comm | $404.49 | — |
| Ambetter | Commercial-Exchange | $427.43 | — |
| NHC Advantage | MGMCR | $436.62 | — |
| NHC Advantage | MGMCD | $436.62 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $459.60 | — |
| BCBS | FreedomNetworkSelect | $505.56 | — |
| United | AllPayerAppendix | $517.79 | — |
| United | OptionsPPO | $576.80 | — |
| BCBS | FreedomNetwork | $666.42 | — |
| BCBS | PC | $666.42 | — |
| Universal Healthcare | MCR | $804.30 | — |
| Coventry | WCOMP | $923.79 | — |
| Aetna | FHMedicalRental | $923.79 | — |
| Coventry KC MO | WCOMP | $942.18 | — |
| College Park Family Care Center | COMM | $988.14 | — |
| United | GlobalBenefitPlan | $1,034.10 | — |
| BCBS | Traditional | $1,057.08 | — |
| BCBS | Participating | $1,057.08 | — |
| OHA Network | MissouriWCOMP | $1,148.99 | — |
| Aetna | NATIONALNAP | $1,171.97 | — |
| Multiplan | PrimaryNetwork | $1,217.93 | — |
| CorVel Corporation | MOWC | $1,493.69 | — |
| Multiplan | ComplimentaryNetwork | $1,700.51 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $1,838.39 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,953.29 | — |
| CCO, Inc. | COMM | $1,953.29 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $2,068.19 | — |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $536.25 | $53.43 – $286.78 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $536.25 | $53.43 – $286.78 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $536.25 | $53.43 – $460.26 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $536.25 | $53.43 – $286.78 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $536.25 | $53.43 – $286.78 |
| Mercy Orthopedic Hospital Springfield | Ozark | $1,066.65 | $62.74 – $912.30 |
| SSM Health St. Clare Hospital - Fenton | Fenton | $536.25 | $53.43 – $286.78 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $5,525.26 | $69.87 – $271.84 |