Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at RESEARCH MEDICAL CENTER
2316 E Meyer Blvd, Kansas City, MO · Hcamidwest · · NPI 1134187842
$225.58
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.
$225.58
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.
$49.63 with Aetna Coventry vs $225.58 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 |
|---|---|---|---|
| Aetna Coventry | FamilyHealthPlanMCD | $49.63 | ↓ -78% |
| BCBS | FreedomNetworkSelect | $54.14 | ↓ -76% |
| United | OptionsPPO | $56.62 | ↓ -75% |
| BCBS | BlueAccess | $67.67 | ↓ -70% |
| BCBS | Blue-Care(HMO) | $67.67 | ↓ -70% |
| BCBS | Preferred-CareBlue(PPO) | $67.67 | ↓ -70% |
| BCBS | Traditional | $83.46 | ↓ -63% |
| BCBS | Participating | $83.46 | ↓ -63% |
| BCBS | PC | $87.98 | ↓ -61% |
| BCBS | FreedomNetwork | $87.98 | ↓ -61% |
| Coventry | WCOMP | $90.68 | ↓ -60% |
| Coventry KC MO | WCOMP | $92.49 | ↓ -59% |
| United | GlobalBenefitPlan | $101.51 | ↓ -55% |
| Emerging Therapy Solutions | MCD | $108.28 | ↓ -52% |
| Emerging Therapy Solutions | MGMCR | $112.79 | ↓ -50% |
| Cigna LifeSource | COMM | $112.79 | ↓ -50% |
| OHA Network | MissouriWCOMP | $112.79 | ↓ -50% |
| United | KSMGMCD | $133.47 | ↓ -41% |
| BCBS | TRICARE | $133.47 | ↓ -41% |
| TriWest Health Alliance | TRICARE | $133.47 | ↓ -41% |
| Humana National Transplant Network | COMM | $135.35 | ↓ -40% |
| HealthyBlue | MGMCD | $136.14 | ↓ -40% |
| Sunflower State Health Plan | MCD | $137.47 | ↓ -39% |
| Aetna Better Health | MCD | $138.81 | ↓ -38% |
| Amerigroup | MGMCD | $138.81 | ↓ -38% |
| Unicare | MGMCD | $138.81 | ↓ -38% |
| Humana National Transplant Network | PPO | $146.63 | ↓ -35% |
| CorVel Corporation | MOWC | $146.63 | ↓ -35% |
| Humana National Transplant Network | MCRHMO | $146.63 | ↓ -35% |
| Humana National Transplant Network | MCD | $146.63 | ↓ -35% |
| Home State Health Plan | MCD | $161.50 | ↓ -28% |
| Multiplan | ComplimentaryNetwork | $166.93 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $169.19 | ↓ -25% |
| Evernorth Behavioral Health | COMMBH | $180.46 | ↓ -20% |
| Multiplan | WCOMPMissouri | $180.46 | ↓ -20% |
| CCO, Inc. | COMM | $180.46 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $180.46 | ↓ -20% |
| United | MOMGMCD | $193.53 | ↓ -14% |
| Optum Health | COMM | $200.77 | ↓ -11% |
| Optum Transplant | COMM | $207.53 | ↓ -8% |
| United | AllPayerAppendix | $220.23 | ↓ -2% |
| Optum Health | MCD | $225.58 | ↑ +0% |
| BCBS | MCRHMO | not published by hospital | — |
| Optum Health | MCR | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
| Celtic | MCR | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| United | MGMCR | not published by hospital | — |
| Pyramid Life | MCR | not published by hospital | — |
| United | CommunityCareNetwork | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | $127.29 | $133.47 – $193.53 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $225.06 | $141.48 – $141.48 |
| Mercy Hospital Carthage | Carthage | $494.67 | $124.97 – $194.87 |
| Mercy Hospital Southeast | Cape Girardeau | $380.52 | $126.45 – $467.15 |
| Mercy Primary Care - Bernie | Bernie | $29.25 | $39.00 – $39.00 |
| CENTERPOINT MEDICAL CENTER | Independence | $223.00 | $133.47 – $140.14 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $155.49 – $220.23 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $155.49 – $220.23 |