Tomosynthesis breast diagnostic left 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.
$11.80 with BCBS vs $179.11 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 |
|---|---|---|---|
| BCBS | MCRHMO | $11.80 | — |
| Coventry | MedicareAdvantage | $11.80 | — |
| BCBS | MCRPPO | $11.80 | — |
| Humana | MCRHMO | $11.92 | — |
| Humana | MCRPPO | $11.92 | — |
| Humana | PFFS | $11.92 | — |
| United | CommunityCareNetwork | $11.92 | — |
| Optum Health | MCR | $11.92 | — |
| Devoted Health | MGMCR | $11.92 | — |
| United | MGMCR | $12.16 | — |
| Wellcare | MCR | $12.16 | — |
| Cigna | HealthspringMGMCR | $12.16 | — |
| Celtic | MCR | $12.16 | — |
| Pyramid Life | MCR | $12.75 | — |
| Optum Transplants | OONMCR | $14.41 | — |
| TriWest Health Alliance | TRICARE | $14.42 | — |
| BCBS | TRICARE | $14.42 | — |
| Cigna | SureFit/LocalPlus | $22.88 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $23.28 | — |
| Cigna | LocalKC | $27.27 | — |
| Ambetter | Commercial-Exchange | $33.31 | — |
| NHC Advantage | MGMCR | $34.03 | — |
| NHC Advantage | MGMCD | $34.03 | — |
| Cigna | Comm | $34.04 | — |
| HealthyBlue | MGMCD | $35.82 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $35.82 | — |
| Humana | EPO | $37.79 | — |
| Humana | ASO | $37.79 | — |
| Humana | HMO | $37.79 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $39.40 | — |
| BCBS | FreedomNetworkSelect | $42.99 | — |
| United | OptionsPPO | $44.96 | — |
| Humana | PPO | $47.46 | — |
| Humana | POS | $47.46 | — |
| BCBS | BlueAccess | $53.73 | — |
| Aetna Better Health | MCD | $53.73 | — |
| BCBS | Blue-Care(HMO) | $53.73 | — |
| BCBS | Preferred-CareBlue(PPO) | $53.73 | — |
| Aetna | IVLHIX | $54.81 | — |
| United | AllPayerAppendix | $57.31 | — |
| Aetna | KCCarePlus | $58.93 | — |
| Universal Healthcare | MCR | $62.69 | — |
| BCBS | Participating | $66.27 | — |
| BCBS | Traditional | $66.27 | — |
| BCBS | FreedomNetwork | $69.85 | — |
| BCBS | PC | $69.85 | — |
| Aetna | Local | $70.39 | — |
| Aetna | FHMedicalRental | $72.00 | — |
| Coventry | WCOMP | $72.00 | — |
| Coventry KC MO | WCOMP | $73.44 | — |
| College Park Family Care Center | COMM | $77.02 | — |
| United | GlobalBenefitPlan | $80.60 | — |
| Emerging Therapy Solutions | MCD | $85.97 | — |
| Aetna | National | $86.15 | — |
| OHA Network | MissouriWCOMP | $89.56 | — |
| Emerging Therapy Solutions | MGMCR | $89.56 | — |
| Cigna LifeSource | COMM | $89.56 | — |
| Aetna | NATIONALNAP | $91.35 | — |
| Multiplan | PrimaryNetwork | $94.93 | — |
| Humana National Transplant Network | COMM | $107.47 | — |
| Humana National Transplant Network | MCD | $116.42 | — |
| Humana National Transplant Network | PPO | $116.42 | — |
| CorVel Corporation | MOWC | $116.42 | — |
| Humana National Transplant Network | MCRHMO | $116.42 | — |
| Multiplan | ComplimentaryNetwork | $132.54 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $134.33 | — |
| CCO, Inc. | COMM | $143.29 | — |
| Multiplan | WCOMPMissouri | $143.29 | — |
| Evernorth Behavioral Health | COMMBH | $143.29 | — |
| CCO, Inc. | WORKERSCOMPPPO | $143.29 | — |
| Optum Health | COMM | $159.41 | — |
| Optum Transplant | COMM | $164.78 | — |
| Optum Health | MCD | $179.11 | — |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $14.42 – $22.88 |
| Mercy Hospital Aurora | Aurora | $68.90 | $11.34 – $57.69 |
| Mercy Hospital Lincoln | Troy | $68.90 | $49.22 – $57.69 |
| Mercy Hospital Carthage | Carthage | $66.95 | $11.34 – $82.77 |
| Mercy Hospital Southeast | Cape Girardeau | $163.15 | $10.73 – $90.28 |
| Mercy Hospital Stoddard | Dexter | $141.70 | $10.79 – $81.19 |
| Mercy Orthopedic Hospital Springfield | Ozark | $169.65 | $10.79 – $103.59 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $88.91 | $11.80 – $12.75 |