Shoulder prosthesis removal 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.
$1,173.89 with United vs $28,000.00 with WPPA ProviDrs Care Network — 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 | $1,173.89 | — |
| HealthyBlue | MGMCD | $1,197.37 | — |
| Sunflower State Health Plan | MCD | $1,209.11 | — |
| Amerigroup | MGMCD | $1,220.85 | — |
| Unicare | MGMCD | $1,220.85 | — |
| Aetna Better Health | MCD | $1,220.85 | — |
| Home State Health Plan | MCD | $1,420.41 | — |
| Humana | HMO | $1,566.00 | — |
| Humana | ASO | $1,566.00 | — |
| Humana | EPO | $1,566.00 | — |
| United | MOMGMCD | $1,702.14 | — |
| Humana | PPO | $1,941.00 | — |
| Humana | POS | $1,941.00 | — |
| Universal Healthcare | MCR | $1,995.00 | — |
| NHC Advantage | MGMCD | $2,550.00 | — |
| NHC Advantage | MGMCR | $2,550.00 | — |
| Multiplan | WCOMPMissouri | $3,719.52 | — |
| Aetna | IVLHIX | $4,068.00 | — |
| CorVel Corporation | KSWC | $4,416.93 | — |
| Multiplan | WCOMPKansas | $4,533.16 | — |
| OHA Network | KansasWCOMP | $4,602.91 | — |
| Aetna | KCCarePlus | $4,945.00 | — |
| United | AllPayerAppendix | $5,813.00 | — |
| Aetna | Local | $7,194.00 | — |
| Aetna | National | $7,996.00 | — |
| Cigna | SureFit/LocalPlus | $8,388.00 | — |
| Cigna | LocalKC | $10,003.00 | — |
| Cigna | Comm | $12,504.00 | — |
| Ambetter | Commercial-Exchange | $21,244.00 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $28,000.00 | — |
| Multiplan | PrimaryNetwork | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder prosthesis removal at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $1,197.37 – $4,602.91 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $1,140.74 – $8,775.00 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $1,140.74 – $8,775.00 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $1,309.84 – $8,721.52 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $1,140.74 – $8,775.00 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $1,140.74 – $8,775.00 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $1,140.74 – $8,775.00 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $2,277.00 – $13,082.27 |