Tc-99m sestamibi p study dose 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.
$203.95 with Anthem MissouriCare vs $1,568.86 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 | $203.95 | — |
| Ambetter | Commercial-Exchange | $291.81 | — |
| NHC Advantage | MGMCR | $298.08 | — |
| Oscar | HIX | $298.08 | — |
| NHC Advantage | MGMCD | $298.08 | — |
| HealthyBlue | MGMCD | $313.77 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $313.77 | — |
| Humana | ASO | $331.03 | — |
| Humana | EPO | $331.03 | — |
| Humana | HMO | $331.03 | — |
| Coventry | MedicareAdvantage | $345.15 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $345.15 | — |
| BCBS | FreedomNetworkSelect | $376.53 | — |
| Cigna | SureFit/LocalPlus | $389.08 | — |
| United | OptionsPPO | $393.78 | — |
| Humana | PPO | $415.75 | — |
| Humana | POS | $415.75 | — |
| Cigna | LocalKC | $463.13 | — |
| BCBS | BlueAccess | $470.66 | — |
| Aetna Better Health | MCD | $470.66 | — |
| BCBS | Preferred-CareBlue(PPO) | $470.66 | — |
| BCBS | Blue-Care(HMO) | $470.66 | — |
| Universal Healthcare | MCR | $549.10 | — |
| Cigna | Comm | $578.91 | — |
| BCBS | Traditional | $580.48 | — |
| BCBS | Participating | $580.48 | — |
| BCBS | PC | $611.86 | — |
| BCBS | FreedomNetwork | $611.86 | — |
| Coventry | WCOMP | $630.68 | — |
| Coventry KC MO | WCOMP | $643.23 | — |
| College Park Family Care Center | COMM | $674.61 | — |
| BCBS | MCRHMO | $705.99 | — |
| United | GlobalBenefitPlan | $705.99 | — |
| BCBS | MCRPPO | $705.99 | — |
| United | AllPayerAppendix | $743.46 | — |
| Emerging Therapy Solutions | MCD | $753.05 | — |
| Cigna LifeSource | COMM | $784.43 | — |
| Emerging Therapy Solutions | MGMCR | $784.43 | — |
| OHA Network | MissouriWCOMP | $784.43 | — |
| Multiplan | PrimaryNetwork | $831.50 | — |
| Humana National Transplant Network | COMM | $941.32 | — |
| Humana National Transplant Network | MCRHMO | $1,019.76 | — |
| Humana National Transplant Network | PPO | $1,019.76 | — |
| Humana National Transplant Network | MCD | $1,019.76 | — |
| CorVel Corporation | MOWC | $1,019.76 | — |
| Multiplan | ComplimentaryNetwork | $1,160.96 | — |
| TriWest Health Alliance | TRICARE | $1,176.64 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $1,176.64 | — |
| CCO, Inc. | COMM | $1,255.09 | — |
| Multiplan | WCOMPMissouri | $1,255.09 | — |
| CCO, Inc. | WORKERSCOMPPPO | $1,255.09 | — |
| Evernorth Behavioral Health | COMMBH | $1,255.09 | — |
| Optum Health | COMM | $1,396.29 | — |
| Optum Transplant | COMM | $1,443.35 | — |
| Optum Health | MCD | $1,568.86 | — |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | $141.90 | $108.89 – $108.89 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | $141.90 | $108.89 – $108.89 |
| SSM Health Saint Louis University Hospital | Saint Louis | $1,392.10 | not published |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | $141.90 | $108.89 – $108.89 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | $141.90 | $108.89 – $108.89 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | $141.90 | $108.89 – $108.89 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $258.64 | not published |
| Mercy Hospital Aurora | Aurora | $344.50 | $70.66 – $70.66 |