Tc-99m exametazime diag 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.
$707.85 with Anthem MissouriCare vs $5,445.01 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 |
|---|---|---|---|
| Anthem MissouriCare | MissouriCareMGMCD | $707.85 | — |
| Ambetter | Commercial-Exchange | $1,012.77 | — |
| NHC Advantage | MGMCR | $1,034.55 | — |
| NHC Advantage | MGMCD | $1,034.55 | — |
| Oscar | HIX | $1,034.55 | — |
| HealthyBlue | MGMCD | $1,089.00 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $1,089.00 | — |
| Humana | EPO | $1,148.90 | — |
| Humana | HMO | $1,148.90 | — |
| Humana | ASO | $1,148.90 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $1,197.90 | — |
| BCBS | FreedomNetworkSelect | $1,306.80 | — |
| Cigna | SureFit/LocalPlus | $1,350.36 | — |
| United | OptionsPPO | $1,366.70 | — |
| Humana | POS | $1,442.93 | — |
| Humana | PPO | $1,442.93 | — |
| United | AllPayerAppendix | $1,530.72 | — |
| Cigna | LocalKC | $1,607.37 | — |
| BCBS | Preferred-CareBlue(PPO) | $1,633.50 | — |
| Aetna Better Health | MCD | $1,633.50 | — |
| BCBS | Blue-Care(HMO) | $1,633.50 | — |
| BCBS | BlueAccess | $1,633.50 | — |
| Universal Healthcare | MCR | $1,905.75 | — |
| Cigna | Comm | $2,009.21 | — |
| BCBS | Participating | $2,014.65 | — |
| BCBS | Traditional | $2,014.65 | — |
| BCBS | PC | $2,123.55 | — |
| BCBS | FreedomNetwork | $2,123.55 | — |
| Coventry | WCOMP | $2,188.89 | — |
| Coventry KC MO | WCOMP | $2,232.45 | — |
| College Park Family Care Center | COMM | $2,341.35 | — |
| United | GlobalBenefitPlan | $2,450.25 | — |
| Emerging Therapy Solutions | MCD | $2,613.60 | — |
| Cigna LifeSource | COMM | $2,722.51 | — |
| OHA Network | MissouriWCOMP | $2,722.51 | — |
| Emerging Therapy Solutions | MGMCR | $2,722.51 | — |
| Multiplan | PrimaryNetwork | $2,885.86 | — |
| Humana National Transplant Network | COMM | $3,267.01 | — |
| Humana National Transplant Network | PPO | $3,539.26 | — |
| Humana National Transplant Network | MCD | $3,539.26 | — |
| Humana National Transplant Network | MCRHMO | $3,539.26 | — |
| CorVel Corporation | MOWC | $3,539.26 | — |
| Multiplan | ComplimentaryNetwork | $4,029.31 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $4,083.76 | — |
| TriWest Health Alliance | TRICARE | $4,083.76 | — |
| CCO, Inc. | COMM | $4,356.01 | — |
| CCO, Inc. | WORKERSCOMPPPO | $4,356.01 | — |
| Multiplan | WCOMPMissouri | $4,356.01 | — |
| Evernorth Behavioral Health | COMMBH | $4,356.01 | — |
| Optum Health | COMM | $4,846.06 | — |
| Optum Transplant | COMM | $5,009.41 | — |
| Optum Health | MCD | $5,445.01 | — |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $525.80 | $1,323.86 – $1,748.25 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $525.80 | $1,323.86 – $1,748.25 |
| SSM Health Saint Louis University Hospital | Saint Louis | $2,900.15 | $802.34 – $3,685.04 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $525.80 | $1,323.86 – $1,748.25 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $525.80 | $1,323.86 – $1,748.25 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $525.80 | $1,323.86 – $1,748.25 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $471.30 | $850.48 – $850.48 |
| Mercy Orthopedic Hospital Springfield | Ozark | $5,005.65 | $347.61 – $2,502.40 |