Pralatrexate injection at RESEARCH MEDICAL CENTER
2316 E Meyer Blvd, Kansas City, MO · Hcamidwest · · NPI 1134187842
$13,125.00
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.
$13,125.00
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.
$373.77 with BCBS vs $13,125.00 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 | $373.77 | ↓ -97% |
| TriWest Health Alliance | TRICARE | $373.77 | ↓ -97% |
| United | KSMGMCD | $392.72 | ↓ -97% |
| HealthyBlue | MGMCD | $400.57 | ↓ -97% |
| Sunflower State Health Plan | MCD | $404.50 | ↓ -97% |
| Unicare | MGMCD | $408.43 | ↓ -97% |
| Amerigroup | MGMCD | $408.43 | ↓ -97% |
| Aetna Better Health | MCD | $408.43 | ↓ -97% |
| Home State Health Plan | MCD | $452.26 | ↓ -97% |
| United | MOMGMCD | $541.97 | ↓ -96% |
| United | AllPayerAppendix | $647.99 | ↓ -95% |
| Aetna Coventry | FamilyHealthPlanMCD | $2,887.50 | ↓ -78% |
| BCBS | FreedomNetworkSelect | $3,150.00 | ↓ -76% |
| United | OptionsPPO | $3,294.38 | ↓ -75% |
| BCBS | Preferred-CareBlue(PPO) | $3,937.50 | ↓ -70% |
| BCBS | Blue-Care(HMO) | $3,937.50 | ↓ -70% |
| BCBS | BlueAccess | $3,937.50 | ↓ -70% |
| BCBS | Traditional | $4,856.25 | ↓ -63% |
| BCBS | Participating | $4,856.25 | ↓ -63% |
| BCBS | PC | $5,118.75 | ↓ -61% |
| BCBS | FreedomNetwork | $5,118.75 | ↓ -61% |
| Coventry | WCOMP | $5,276.25 | ↓ -60% |
| Coventry KC MO | WCOMP | $5,381.25 | ↓ -59% |
| United | GlobalBenefitPlan | $5,906.25 | ↓ -55% |
| Emerging Therapy Solutions | MCD | $6,300.00 | ↓ -52% |
| Cigna LifeSource | COMM | $6,562.50 | ↓ -50% |
| Emerging Therapy Solutions | MGMCR | $6,562.50 | ↓ -50% |
| OHA Network | MissouriWCOMP | $6,562.50 | ↓ -50% |
| Humana National Transplant Network | COMM | $7,875.00 | ↓ -40% |
| Humana National Transplant Network | MCRHMO | $8,531.25 | ↓ -35% |
| Humana National Transplant Network | PPO | $8,531.25 | ↓ -35% |
| CorVel Corporation | MOWC | $8,531.25 | ↓ -35% |
| Humana National Transplant Network | MCD | $8,531.25 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $9,712.50 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $9,843.75 | ↓ -25% |
| Evernorth Behavioral Health | COMMBH | $10,500.00 | ↓ -20% |
| CCO, Inc. | COMM | $10,500.00 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $10,500.00 | ↓ -20% |
| Multiplan | WCOMPMissouri | $10,500.00 | ↓ -20% |
| Optum Health | COMM | $11,681.25 | ↓ -11% |
| Optum Transplant | COMM | $12,075.00 | ↓ -8% |
| Optum Health | MCD | $13,125.00 | ↑ +0% |
Visitor-reported prices
Comments
Pralatrexate injection at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $373.77 – $541.97 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $386.12 – $505.99 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $386.12 – $505.99 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $373.77 – $728.33 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $452.99 – $616.72 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $386.12 – $505.99 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $386.12 – $505.99 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $384.00 – $695.02 |