Sargramostim injection at RESEARCH MEDICAL CENTER
2316 E Meyer Blvd, Kansas City, MO · Hcamidwest · · NPI 1134187842
$206.35
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.
$206.35
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.
$45.40 with Aetna Coventry vs $206.35 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 |
|---|---|---|---|
| Aetna Coventry | FamilyHealthPlanMCD | $45.40 | ↓ -78% |
| BCBS | FreedomNetworkSelect | $49.52 | ↓ -76% |
| United | OptionsPPO | $51.79 | ↓ -75% |
| BCBS | TRICARE | $59.88 | ↓ -71% |
| TriWest Health Alliance | TRICARE | $59.88 | ↓ -71% |
| United | KSMGMCD | $61.75 | ↓ -70% |
| BCBS | Blue-Care(HMO) | $61.91 | ↓ -70% |
| BCBS | Preferred-CareBlue(PPO) | $61.91 | ↓ -70% |
| BCBS | BlueAccess | $61.91 | ↓ -70% |
| HealthyBlue | MGMCD | $62.98 | ↓ -69% |
| Sunflower State Health Plan | MCD | $63.60 | ↓ -69% |
| Aetna Better Health | MCD | $64.22 | ↓ -69% |
| Amerigroup | MGMCD | $64.22 | ↓ -69% |
| Unicare | MGMCD | $64.22 | ↓ -69% |
| Home State Health Plan | MCD | $72.45 | ↓ -65% |
| BCBS | Traditional | $76.35 | ↓ -63% |
| BCBS | Participating | $76.35 | ↓ -63% |
| BCBS | FreedomNetwork | $80.48 | ↓ -61% |
| BCBS | PC | $80.48 | ↓ -61% |
| Coventry | WCOMP | $82.95 | ↓ -60% |
| Coventry KC MO | WCOMP | $84.60 | ↓ -59% |
| United | MOMGMCD | $86.83 | ↓ -58% |
| United | GlobalBenefitPlan | $92.86 | ↓ -55% |
| Emerging Therapy Solutions | MCD | $99.05 | ↓ -52% |
| United | AllPayerAppendix | $101.89 | ↓ -51% |
| Cigna LifeSource | COMM | $103.17 | ↓ -50% |
| Emerging Therapy Solutions | MGMCR | $103.17 | ↓ -50% |
| OHA Network | MissouriWCOMP | $103.17 | ↓ -50% |
| Humana National Transplant Network | COMM | $123.81 | ↓ -40% |
| Humana National Transplant Network | MCRHMO | $134.13 | ↓ -35% |
| Humana National Transplant Network | PPO | $134.13 | ↓ -35% |
| CorVel Corporation | MOWC | $134.13 | ↓ -35% |
| Humana National Transplant Network | MCD | $134.13 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $152.70 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $154.76 | ↓ -25% |
| Evernorth Behavioral Health | COMMBH | $165.08 | ↓ -20% |
| CCO, Inc. | COMM | $165.08 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $165.08 | ↓ -20% |
| Multiplan | WCOMPMissouri | $165.08 | ↓ -20% |
| Optum Health | COMM | $183.65 | ↓ -11% |
| Optum Transplant | COMM | $189.84 | ↓ -8% |
| Optum Health | MCD | $206.35 | ↑ +0% |
Visitor-reported prices
Comments
Sargramostim injection at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $59.88 – $86.83 |
| Mercy Hospital Lincoln | Troy | $710.18 | $413.40 – $413.40 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $2,276.20 | $59.88 – $64.22 |
| CENTERPOINT MEDICAL CENTER | Independence | $368.00 | $59.88 – $64.22 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $62.47 – $103.81 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $62.47 – $103.81 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $44.01 – $93.43 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $65.34 – $103.81 |