Bivalirudin at RESEARCH MEDICAL CENTER
2316 E Meyer Blvd, Kansas City, MO · Hcamidwest · · NPI 1134187842
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.
$0.15 with BCBS vs $4.80 with Optum Health — 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 |
|---|---|---|---|
| BCBS | TRICARE | $0.15 | — |
| TriWest Health Alliance | TRICARE | $0.15 | — |
| HealthyBlue | MGMCD | $0.16 | — |
| United | KSMGMCD | $0.16 | — |
| Sunflower State Health Plan | MCD | $0.16 | — |
| Amerigroup | MGMCD | $0.17 | — |
| Unicare | MGMCD | $0.17 | — |
| Aetna Better Health | MCD | $0.17 | — |
| Home State Health Plan | MCD | $0.18 | — |
| United | MOMGMCD | $0.22 | — |
| United | AllPayerAppendix | $0.26 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $1.06 | — |
| Coventry | MedicareAdvantage | $1.06 | — |
| BCBS | FreedomNetworkSelect | $1.15 | — |
| United | OptionsPPO | $1.20 | — |
| BCBS | Blue-Care(HMO) | $1.44 | — |
| BCBS | Preferred-CareBlue(PPO) | $1.44 | — |
| BCBS | BlueAccess | $1.44 | — |
| BCBS | Participating | $1.78 | — |
| BCBS | Traditional | $1.78 | — |
| BCBS | FreedomNetwork | $1.87 | — |
| BCBS | PC | $1.87 | — |
| Coventry | WCOMP | $1.93 | — |
| Coventry KC MO | WCOMP | $1.97 | — |
| BCBS | MCRHMO | $2.16 | — |
| United | GlobalBenefitPlan | $2.16 | — |
| BCBS | MCRPPO | $2.16 | — |
| Emerging Therapy Solutions | MCD | $2.30 | — |
| Cigna LifeSource | COMM | $2.40 | — |
| Emerging Therapy Solutions | MGMCR | $2.40 | — |
| OHA Network | MissouriWCOMP | $2.40 | — |
| Humana National Transplant Network | COMM | $2.88 | — |
| Humana National Transplant Network | MCRHMO | $3.12 | — |
| Humana National Transplant Network | MCD | $3.12 | — |
| Humana National Transplant Network | PPO | $3.12 | — |
| CorVel Corporation | MOWC | $3.12 | — |
| Multiplan | ComplimentaryNetwork | $3.55 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $3.60 | — |
| Evernorth Behavioral Health | COMMBH | $3.84 | — |
| Multiplan | WCOMPMissouri | $3.84 | — |
| CCO, Inc. | COMM | $3.84 | — |
| CCO, Inc. | WORKERSCOMPPPO | $3.84 | — |
| Optum Health | COMM | $4.27 | — |
| Optum Transplant | COMM | $4.42 | — |
| Optum Health | MCD | $4.80 | — |
Visitor-reported prices
Comments
Bivalirudin at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Orthopedic Hospital Springfield | Ozark | $860.86 | $40.00 – $82.50 |
| CENTERPOINT MEDICAL CENTER | Independence | $469.32 | $0.15 – $0.17 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $0.20 – $0.37 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $0.20 – $0.37 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $0.17 – $3.11 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $0.20 – $0.37 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $0.20 – $0.37 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $0.20 – $0.37 |