Prgrmg eval implantable dfb 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.
$26.53 with United vs $550.75 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 |
|---|---|---|---|
| United | KSMGMCD | $26.53 | — |
| HealthyBlue | MGMCD | $27.06 | — |
| Sunflower State Health Plan | MCD | $27.33 | — |
| Aetna Better Health | MCD | $27.59 | — |
| Amerigroup | MGMCD | $27.59 | — |
| Unicare | MGMCD | $27.59 | — |
| Home State Health Plan | MCD | $32.10 | — |
| United | MOMGMCD | $38.47 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $71.60 | — |
| NHC Advantage | MGMCD | $104.64 | — |
| NHC Advantage | MGMCR | $104.64 | — |
| Humana | ASO | $116.21 | — |
| Humana | EPO | $116.21 | — |
| Humana | HMO | $116.21 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $121.17 | — |
| BCBS | FreedomNetworkSelect | $132.18 | — |
| Cigna | SureFit/LocalPlus | $136.59 | — |
| United | OptionsPPO | $138.24 | — |
| Humana | PPO | $145.95 | — |
| Humana | POS | $145.95 | — |
| Cigna | LocalKC | $162.58 | — |
| Universal Healthcare | MCR | $192.76 | — |
| Cigna | Comm | $203.23 | — |
| BCBS | Traditional | $203.78 | — |
| BCBS | Participating | $203.78 | — |
| BCBS | PC | $214.79 | — |
| BCBS | FreedomNetwork | $214.79 | — |
| Aetna | FHMedicalRental | $221.40 | — |
| Coventry | WCOMP | $221.40 | — |
| Coventry KC MO | WCOMP | $225.81 | — |
| United | GlobalBenefitPlan | $247.84 | — |
| Emerging Therapy Solutions | MCD | $264.36 | — |
| Cigna LifeSource | COMM | $275.38 | — |
| Emerging Therapy Solutions | MGMCR | $275.38 | — |
| OHA Network | MissouriWCOMP | $275.38 | — |
| Multiplan | PrimaryNetwork | $291.90 | — |
| Humana National Transplant Network | COMM | $330.45 | — |
| Humana National Transplant Network | PPO | $357.99 | — |
| Humana National Transplant Network | MCD | $357.99 | — |
| CorVel Corporation | MOWC | $357.99 | — |
| Humana National Transplant Network | MCRHMO | $357.99 | — |
| Multiplan | ComplimentaryNetwork | $407.56 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $413.06 | — |
| TriWest Health Alliance | TRICARE | $413.06 | — |
| CCO, Inc. | COMM | $440.60 | — |
| Multiplan | WCOMPMissouri | $440.60 | — |
| Evernorth Behavioral Health | COMMBH | $440.60 | — |
| CCO, Inc. | WORKERSCOMPPPO | $440.60 | — |
| Optum Health | COMM | $490.17 | — |
| Optum Transplant | COMM | $506.69 | — |
| Optum Health | MCD | $550.75 | — |
| Aetna | IVLHIX | not published by hospital | — |
| Aetna | KCCarePlus | not published by hospital | — |
| Aetna | NATIONALNAP | not published by hospital | — |
| Aetna | National | not published by hospital | — |
| Aetna | Local | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $27.06 – $38.47 |
| SSM Health Saint Louis University Hospital | Saint Louis | $67.10 | $23.90 – $44.86 |
| Mercy Orthopedic Hospital Springfield | Ozark | $84.50 | not published |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | $124.30 | $20.33 – $20.33 |
| CENTERPOINT MEDICAL CENTER | Independence | $1,098.90 | $26.53 – $27.86 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $20.81 – $44.86 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $20.81 – $44.86 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $20.81 – $20.81 |