Cdna analysis for variants 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.
$93.90 with Cigna vs $1,517.49 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 |
|---|---|---|---|
| Cigna | SureFit/LocalPlus | $93.90 | — |
| Cigna | LocalKC | $113.16 | — |
| Cigna | Comm | $140.84 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $175.01 | — |
| BCBS | MCRPPO | $183.35 | — |
| Coventry | MedicareAdvantage | $183.35 | — |
| BCBS | MCRHMO | $183.35 | — |
| Humana | MCRPPO | $185.20 | — |
| Humana | PFFS | $185.20 | — |
| Devoted Health | MGMCR | $185.20 | — |
| Optum Health | MCR | $185.20 | — |
| Optum Transplants | OONMCR | $185.20 | — |
| United | AllPayerAppendix | $185.20 | — |
| United | CommunityCareNetwork | $185.20 | — |
| Humana | MCRHMO | $185.20 | — |
| United | MGMCR | $188.90 | — |
| Cigna | HealthspringMGMCR | $188.90 | — |
| Wellcare | MCR | $188.90 | — |
| Celtic | MCR | $188.90 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $197.27 | — |
| Pyramid Life | MCR | $198.16 | — |
| Aetna | IVLHIX | $250.02 | — |
| Aetna | KCCarePlus | $261.13 | — |
| Multiplan | WCOMPMissouri | $266.82 | — |
| Oscar | HIX | $281.50 | — |
| Ambetter | Commercial-Exchange | $282.25 | — |
| NHC Advantage | MGMCR | $288.32 | — |
| NHC Advantage | MGMCD | $288.32 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $303.50 | — |
| HealthyBlue | MGMCD | $303.50 | — |
| CorVel Corporation | KSWC | $316.85 | — |
| Humana | ASO | $320.19 | — |
| Humana | EPO | $320.19 | — |
| Humana | HMO | $320.19 | — |
| Multiplan | WCOMPKansas | $325.19 | — |
| OHA Network | KansasWCOMP | $330.19 | — |
| Aetna | Local | $350.03 | — |
| BCBS | FreedomNetworkSelect | $364.20 | — |
| United | OptionsPPO | $380.89 | — |
| Humana | POS | $402.13 | — |
| Humana | PPO | $402.13 | — |
| Aetna | National | $429.67 | — |
| Aetna Better Health | MCD | $455.25 | — |
| BCBS | Blue-Care(HMO) | $455.25 | — |
| BCBS | BlueAccess | $455.25 | — |
| BCBS | Preferred-CareBlue(PPO) | $455.25 | — |
| Universal Healthcare | MCR | $531.12 | — |
| BCBS | Participating | $561.47 | — |
| BCBS | Traditional | $561.47 | — |
| BCBS | FreedomNetwork | $591.82 | — |
| BCBS | PC | $591.82 | — |
| Coventry | WCOMP | $610.03 | — |
| Aetna | FHMedicalRental | $610.03 | — |
| Coventry KC MO | WCOMP | $622.17 | — |
| College Park Family Care Center | COMM | $652.52 | — |
| United | GlobalBenefitPlan | $682.87 | — |
| Emerging Therapy Solutions | MCD | $728.40 | — |
| OHA Network | MissouriWCOMP | $758.75 | — |
| Emerging Therapy Solutions | MGMCR | $758.75 | — |
| Cigna LifeSource | COMM | $758.75 | — |
| Aetna | NATIONALNAP | $773.92 | — |
| Multiplan | PrimaryNetwork | $804.27 | — |
| Humana National Transplant Network | COMM | $910.49 | — |
| Humana National Transplant Network | MCD | $986.37 | — |
| Humana National Transplant Network | MCRHMO | $986.37 | — |
| Humana National Transplant Network | PPO | $986.37 | — |
| CorVel Corporation | MOWC | $986.37 | — |
| Multiplan | ComplimentaryNetwork | $1,122.94 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,138.12 | — |
| TriWest Health Alliance | TRICARE | $1,138.12 | — |
| Evernorth Behavioral Health | COMMBH | $1,213.99 | — |
| CCO, Inc. | COMM | $1,213.99 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,213.99 | — |
| Optum Health | COMM | $1,350.57 | — |
| Optum Transplant | COMM | $1,396.09 | — |
| Optum Health | MCD | $1,517.49 | — |
Visitor-reported prices
Comments
Cdna analysis for variants at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $93.90 – $330.19 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $478.50 | $185.20 – $618.57 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $478.50 | $185.20 – $618.57 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,177.55 | $181.50 – $320.40 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $478.50 | $185.20 – $618.57 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $478.50 | $185.20 – $618.57 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $478.50 | $185.20 – $618.57 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $805.20 | $166.68 – $333.36 |