Pros sheath/sock w gel cushn at RESEARCH MEDICAL CENTER
2316 E Meyer Blvd, Kansas City, MO · Hcamidwest · · NPI 1134187842
$1,036.00
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.
$1,036.00
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.
$90.34 with Optum Transplants vs $1,036.00 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 |
|---|---|---|---|
| Optum Transplants | OONMCR | $90.34 | ↓ -91% |
| Coventry | MedicareAdvantage | $91.23 | ↓ -91% |
| BCBS | MCRPPO | $91.23 | ↓ -91% |
| BCBS | MCRHMO | $91.23 | ↓ -91% |
| BCBS | TRICARE | $92.15 | ↓ -91% |
| Humana | MCRHMO | $92.15 | ↓ -91% |
| Devoted Health | MGMCR | $92.15 | ↓ -91% |
| TriWest Health Alliance | TRICARE | $92.15 | ↓ -91% |
| Optum Health | MCR | $92.15 | ↓ -91% |
| United | CommunityCareNetwork | $92.15 | ↓ -91% |
| Humana | MCRPPO | $92.15 | ↓ -91% |
| Humana | PFFS | $92.15 | ↓ -91% |
| United | MGMCR | $93.99 | ↓ -91% |
| Wellcare | MCR | $93.99 | ↓ -91% |
| Celtic | MCR | $93.99 | ↓ -91% |
| Cigna | HealthspringMGMCR | $93.99 | ↓ -91% |
| Pyramid Life | MCR | $98.60 | ↓ -90% |
| Anthem MissouriCare | MissouriCareMGMCD | $134.68 | ↓ -87% |
| HealthyBlue | MGMCD | $207.20 | ↓ -80% |
| Aetna Coventry | FamilyHealthPlanMCD | $227.92 | ↓ -78% |
| BCBS | FreedomNetworkSelect | $248.64 | ↓ -76% |
| United | OptionsPPO | $260.04 | ↓ -75% |
| Aetna Better Health | MCD | $310.80 | ↓ -70% |
| BCBS | Participating | $383.32 | ↓ -63% |
| BCBS | Traditional | $383.32 | ↓ -63% |
| BCBS | PC | $404.04 | ↓ -61% |
| BCBS | FreedomNetwork | $404.04 | ↓ -61% |
| Aetna | FHMedicalRental | $416.47 | ↓ -60% |
| Coventry | WCOMP | $416.47 | ↓ -60% |
| Coventry KC MO | WCOMP | $424.76 | ↓ -59% |
| United | GlobalBenefitPlan | $466.20 | ↓ -55% |
| Emerging Therapy Solutions | MCD | $497.28 | ↓ -52% |
| OHA Network | MissouriWCOMP | $518.00 | ↓ -50% |
| Emerging Therapy Solutions | MGMCR | $518.00 | ↓ -50% |
| Cigna LifeSource | COMM | $518.00 | ↓ -50% |
| Aetna | NATIONALNAP | $528.36 | ↓ -49% |
| Humana National Transplant Network | COMM | $621.60 | ↓ -40% |
| Humana National Transplant Network | MCD | $673.40 | ↓ -35% |
| Humana National Transplant Network | PPO | $673.40 | ↓ -35% |
| Humana National Transplant Network | MCRHMO | $673.40 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $766.64 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $777.00 | ↓ -25% |
| CCO, Inc. | WORKERSCOMPPPO | $828.80 | ↓ -20% |
| Multiplan | WCOMPMissouri | $828.80 | ↓ -20% |
| CCO, Inc. | COMM | $828.80 | ↓ -20% |
| Evernorth Behavioral Health | COMMBH | $828.80 | ↓ -20% |
| Optum Health | COMM | $922.04 | ↓ -11% |
| Optum Transplant | COMM | $953.12 | ↓ -8% |
| Optum Health | MCD | $1,036.00 | ↑ +0% |
Visitor-reported prices
Comments
Pros sheath/sock w gel cushn at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $92.15 – $98.60 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $64.55 – $110.58 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis | not published | $54.91 – $54.91 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | not published | $91.23 – $98.60 |
| CENTERPOINT MEDICAL CENTER | Independence | not published | $91.23 – $98.60 |