Verteporfin injection at RESEARCH MEDICAL CENTER
2316 E Meyer Blvd, Kansas City, MO · Hcamidwest · · NPI 1134187842
$6,073.80
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.
$6,073.80
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.
$11.52 with TriWest Health Alliance vs $6,073.80 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 |
|---|---|---|---|
| TriWest Health Alliance | TRICARE | $11.52 | ↓ -100% |
| BCBS | TRICARE | $11.52 | ↓ -100% |
| United | KSMGMCD | $11.56 | ↓ -100% |
| HealthyBlue | MGMCD | $11.79 | ↓ -100% |
| Sunflower State Health Plan | MCD | $11.91 | ↓ -100% |
| Aetna Better Health | MCD | $12.02 | ↓ -100% |
| Unicare | MGMCD | $12.02 | ↓ -100% |
| Amerigroup | MGMCD | $12.02 | ↓ -100% |
| Home State Health Plan | MCD | $13.94 | ↓ -100% |
| United | MOMGMCD | $16.70 | ↓ -100% |
| United | AllPayerAppendix | $19.07 | ↓ -100% |
| Aetna Coventry | FamilyHealthPlanMCD | $1,336.24 | ↓ -78% |
| BCBS | FreedomNetworkSelect | $1,457.71 | ↓ -76% |
| United | OptionsPPO | $1,524.52 | ↓ -75% |
| BCBS | Participating | $2,247.31 | ↓ -63% |
| BCBS | Traditional | $2,247.31 | ↓ -63% |
| BCBS | FreedomNetwork | $2,368.78 | ↓ -61% |
| BCBS | PC | $2,368.78 | ↓ -61% |
| Coventry | WCOMP | $2,441.67 | ↓ -60% |
| Coventry KC MO | WCOMP | $2,490.26 | ↓ -59% |
| United | GlobalBenefitPlan | $2,733.21 | ↓ -55% |
| Emerging Therapy Solutions | MCD | $2,915.42 | ↓ -52% |
| Cigna LifeSource | COMM | $3,036.90 | ↓ -50% |
| Emerging Therapy Solutions | MGMCR | $3,036.90 | ↓ -50% |
| OHA Network | MissouriWCOMP | $3,036.90 | ↓ -50% |
| Humana National Transplant Network | COMM | $3,644.28 | ↓ -40% |
| Humana National Transplant Network | MCD | $3,947.97 | ↓ -35% |
| Humana National Transplant Network | PPO | $3,947.97 | ↓ -35% |
| CorVel Corporation | MOWC | $3,947.97 | ↓ -35% |
| Humana National Transplant Network | MCRHMO | $3,947.97 | ↓ -35% |
| Multiplan | ComplimentaryNetwork | $4,494.61 | ↓ -26% |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $4,555.35 | ↓ -25% |
| Multiplan | WCOMPMissouri | $4,859.04 | ↓ -20% |
| Evernorth Behavioral Health | COMMBH | $4,859.04 | ↓ -20% |
| CCO, Inc. | COMM | $4,859.04 | ↓ -20% |
| CCO, Inc. | WORKERSCOMPPPO | $4,859.04 | ↓ -20% |
| Optum Health | COMM | $5,405.68 | ↓ -11% |
| Optum Transplant | COMM | $5,587.90 | ↓ -8% |
| Optum Health | MCD | $6,073.80 | ↑ +0% |
| BCBS | BlueAccess | not published by hospital | — |
| BCBS | Blue-Care(HMO) | not published by hospital | — |
| BCBS | Preferred-CareBlue(PPO) | not published by hospital | — |
Visitor-reported prices
Comments
Verteporfin injection at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| RESEARCH PSYCHIATRIC CENTER | Kansas City | not published | $11.52 – $16.70 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $11.37 – $20.18 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $11.37 – $20.18 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $11.15 – $21.40 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $13.46 – $20.18 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $11.37 – $20.18 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights | not published | $11.37 – $20.18 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | not published | $11.31 – $20.47 |