Tc-99m mebrofenin 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.
$37.76 with Anthem MissouriCare vs $290.43 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 | $37.76 | — |
| Ambetter | Commercial-Exchange | $54.02 | — |
| NHC Advantage | MGMCR | $55.18 | — |
| Oscar | HIX | $55.18 | — |
| NHC Advantage | MGMCD | $55.18 | — |
| HealthyBlue | MGMCD | $58.09 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $58.09 | — |
| Humana | ASO | $61.28 | — |
| Humana | EPO | $61.28 | — |
| Humana | HMO | $61.28 | — |
| Coventry | MedicareAdvantage | $63.89 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $63.89 | — |
| BCBS | FreedomNetworkSelect | $69.70 | — |
| Cigna | SureFit/LocalPlus | $72.03 | — |
| United | OptionsPPO | $72.90 | — |
| Humana | PPO | $76.96 | — |
| Humana | POS | $76.96 | — |
| Cigna | LocalKC | $85.73 | — |
| BCBS | BlueAccess | $87.13 | — |
| Aetna Better Health | MCD | $87.13 | — |
| BCBS | Preferred-CareBlue(PPO) | $87.13 | — |
| BCBS | Blue-Care(HMO) | $87.13 | — |
| Universal Healthcare | MCR | $101.65 | — |
| Cigna | Comm | $107.17 | — |
| BCBS | Traditional | $107.46 | — |
| BCBS | Participating | $107.46 | — |
| BCBS | PC | $113.27 | — |
| BCBS | FreedomNetwork | $113.27 | — |
| Coventry | WCOMP | $116.75 | — |
| Coventry KC MO | WCOMP | $119.08 | — |
| College Park Family Care Center | COMM | $124.88 | — |
| BCBS | MCRHMO | $130.69 | — |
| United | GlobalBenefitPlan | $130.69 | — |
| BCBS | MCRPPO | $130.69 | — |
| Emerging Therapy Solutions | MCD | $139.41 | — |
| Cigna LifeSource | COMM | $145.22 | — |
| Emerging Therapy Solutions | MGMCR | $145.22 | — |
| OHA Network | MissouriWCOMP | $145.22 | — |
| Multiplan | PrimaryNetwork | $153.93 | — |
| Humana National Transplant Network | COMM | $174.26 | — |
| United | AllPayerAppendix | $187.21 | — |
| Humana National Transplant Network | PPO | $188.78 | — |
| Humana National Transplant Network | MCD | $188.78 | — |
| Humana National Transplant Network | MCRHMO | $188.78 | — |
| CorVel Corporation | MOWC | $188.78 | — |
| Multiplan | ComplimentaryNetwork | $214.92 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $217.82 | — |
| TriWest Health Alliance | TRICARE | $217.82 | — |
| Evernorth Behavioral Health | COMMBH | $232.34 | — |
| Multiplan | WCOMPMissouri | $232.34 | — |
| CCO, Inc. | WORKERSCOMPPPO | $232.34 | — |
| CCO, Inc. | COMM | $232.34 | — |
| Optum Health | COMM | $258.48 | — |
| Optum Transplant | COMM | $267.20 | — |
| Optum Health | MCD | $290.43 | — |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $51.15 | $56.42 – $56.42 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $51.15 | $56.42 – $56.42 |
| SSM Health Saint Louis University Hospital | Saint Louis | $330.33 | $121.48 – $121.48 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $51.15 | $56.42 – $56.42 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $51.15 | $56.42 – $56.42 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $51.15 | $56.42 – $56.42 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $80.46 | not published |
| Mercy Hospital Aurora | Aurora | $190.45 | $38.20 – $38.20 |