Vaccine pneumococcal conjugate 13 valent (pcv13) im at RESEARCH MEDICAL CENTER
2316 E Meyer Blvd, Kansas City, MO · Hcamidwest · · NPI 1134187842
$95.93
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.
$95.93
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.
$21.10 with Aetna Coventry vs $425.45 with United — 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 | $21.10 | ↓ -78% |
| BCBS | FreedomNetworkSelect | $23.02 | ↓ -76% |
| United | OptionsPPO | $24.08 | ↓ -75% |
| BCBS | BlueAccess | $28.78 | ↓ -70% |
| BCBS | Blue-Care(HMO) | $28.78 | ↓ -70% |
| BCBS | Preferred-CareBlue(PPO) | $28.78 | ↓ -70% |
| BCBS | Traditional | $35.49 | ↓ -63% |
| BCBS | Participating | $35.49 | ↓ -63% |
| BCBS | FreedomNetwork | $37.41 | ↓ -61% |
| BCBS | PC | $37.41 | ↓ -61% |
| Coventry | WCOMP | $38.56 | ↓ -60% |
| Coventry KC MO | WCOMP | $39.33 | ↓ -59% |
| United | GlobalBenefitPlan | $43.17 | ↓ -55% |
| Emerging Therapy Solutions | MCD | $46.05 | ↓ -52% |
| Cigna LifeSource | COMM | $47.97 | ↓ -50% |
| OHA Network | MissouriWCOMP | $47.97 | ↓ -50% |
| Emerging Therapy Solutions | MGMCR | $47.97 | ↓ -50% |
| Humana National Transplant Network | COMM | $57.56 | ↓ -40% |
| CorVel Corporation | MOWC | $62.35 | ↓ -35% |
| Humana National Transplant Network | MCRHMO | $62.35 | ↓ -35% |
| Humana National Transplant Network | PPO | $62.35 | ↓ -35% |
| Humana National Transplant Network | MCD | $62.35 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $70.99 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $71.95 | ↓ -25% |
| CCO, Inc. | COMM | $76.74 | ↓ -20% |
| Multiplan | WCOMPMissouri | $76.74 | ↓ -20% |
| Evernorth Behavioral Health | COMMBH | $76.74 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $76.74 | ↓ -20% |
| Optum Health | COMM | $85.38 | ↓ -11% |
| Optum Transplant | COMM | $88.26 | ↓ -8% |
| Optum Health | MCD | $95.93 | ↑ +0% |
| TriWest Health Alliance | TRICARE | $257.99 | ↑ +169% |
| BCBS | TRICARE | $257.99 | ↑ +169% |
| United | KSMGMCD | $257.99 | ↑ +169% |
| HealthyBlue | MGMCD | $263.15 | ↑ +174% |
| Sunflower State Health Plan | MCD | $265.73 | ↑ +177% |
| Unicare | MGMCD | $268.31 | ↑ +180% |
| Aetna Better Health | MCD | $268.31 | ↑ +180% |
| Amerigroup | MGMCD | $268.31 | ↑ +180% |
| Home State Health Plan | MCD | $312.17 | ↑ +225% |
| United | MOMGMCD | $374.09 | ↑ +290% |
| United | AllPayerAppendix | $425.45 | ↑ +344% |
| BCBS | MCRHMO | not published by hospital | — |
| United | MGMCR | not published by hospital | — |
| Optum Health | MCR | not published by hospital | — |
| Coventry | MedicareAdvantage | not published by hospital | — |
| Devoted Health | MGMCR | not published by hospital | — |
| Wellcare | MCR | not published by hospital | — |
| Celtic | MCR | not published by hospital | — |
| Humana | PFFS | not published by hospital | — |
| Humana | MCRPPO | not published by hospital | — |
| United | CommunityCareNetwork | not published by hospital | — |
| Cigna | HealthspringMGMCR | not published by hospital | — |
| Humana | MCRHMO | not published by hospital | — |
| BCBS | MCRPPO | not published by hospital | — |
| Pyramid Life | MCR | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $257.99 – $374.09 |
| Mercy Primary Care - Bernie | Bernie | $159.75 | $213.00 – $213.00 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington | $1,169.40 | $257.99 – $268.31 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $300.56 – $425.68 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $300.56 – $425.68 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $257.99 – $554.68 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $300.56 – $425.68 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $300.56 – $425.68 |